MAINLINE HEALTH SYSTEMS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MAINLINE HEALTH SYSTEMS INC (EIN 71-0623643)
Tax period: 2016-02-01 to 2017-01-31
Filed: 2017-10-25
IRS object ID: 201742989349300749
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-10-25T11:24:14-05:00	ReturnTs
Tax Period End	2017-01-31	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	PO BOX 3667	AddressLine1Txt
City	LITTLE ROCK	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	722033667	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-02-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710623643	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAINLINE HEALTH SYSTEMS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MAINLINE HEALTH SYSTEMS INC	InCareOfNm
Business Name Control	MAIN	BusinessNameControlTxt
Phone	8705385414	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71663	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	GARY ALLAN NICHOLS	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	8705385414	PhoneNum
Signature	2017-08-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMBER SHERRILL	PreparerPersonNm
PTIN	P00748683	PTIN
Phone	5013721040	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.22.227.161	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	71015520172985000001	FederalOriginalSubmissionId
Federal Original Submission Id	2017-10-25	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	1528D3B04E878A45895BB88E74696FB0CD9C2BB8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	8F082E97478AB9FAEDCF2F10AAD483B0659A121F	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	G ALLAN NICHOLS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100	AddressLine1Txt
City	PORTLAND	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71663	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$10,858,063	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MAINLINEHEALTH.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	131	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$4,498,287	PYContributionsGrantsAmt
CY Contributions Grants	$4,973,940	CYContributionsGrantsAmt
PY Program Service Revenue	$4,817,862	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,324,343	CYProgramServiceRevenueAmt
PY Investment Income	$1,199	PYInvestmentIncomeAmt
CY Investment Income	$1,530	CYInvestmentIncomeAmt
PY Other Revenue	$305,923	PYOtherRevenueAmt
CY Other Revenue	$558,250	CYOtherRevenueAmt
PY Total Revenue	$9,623,271	PYTotalRevenueAmt
CY Total Revenue	$10,858,063	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	$5,620,458	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,135,328	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,270,238	PYOtherExpensesAmt
CY Other Expenses	$3,776,680	CYOtherExpensesAmt
PY Total Expenses	$8,890,696	PYTotalExpensesAmt
CY Total Expenses	$9,912,008	CYTotalExpensesAmt
PY Revenues Less Expenses	$732,575	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$946,055	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,962,010	TotalAssetsBOYAmt
Total Assets EOY	$10,369,221	TotalAssetsEOYAmt
Total Liabilities BOY	$2,123,187	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,380,161	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,838,823	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,989,060	NetAssetsOrFundBalancesEOYAmt
Mission	TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$6,887,644	ExpenseAmt
Revenue	$5,324,343	RevenueAmt
Desc	PROVIDED MEDICAL SERVICES TO 10,746 PATIENTS AND DENTAL SERVICES TO 2,605 PATIENTS AND BEHAVORIAL HEALTH SERVICES TO 812 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF DREW, DESHA, LINCOLN, ASHLEY AND CHICOT COUNTIES.	Desc
Total Program Service Expenses	$6,887,644	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	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	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	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	19	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	131	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	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	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	MAINLINE HEALTH SYSTEMS INC	PersonNm
Phone	8705385414	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	108 E SPEEDWAY	AddressLine1Txt
City	DERMOTT	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	71638	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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
MARILYN NEWCOME
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
MARY HOLLINS-SCOTT RN
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
FRANK HENRY JR
SECRETARY	0.25	0.0	Yes (X)	$0	$0	$0	Yes (X)
GERALD MERCER
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
ROBERT THOMAS
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
NANCY O'NEAL
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
RICHARD STOCK
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
RON MILLER
PRESIDENT	0.25	0.0	Yes (X)	$0	$0	$0	Yes (X)
JIMMY PARKERSON
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
EUGENE BUTLER
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
MICHELLE DUNBAR
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
KEITH WILLIAMS
VICE PRESIDENT	0.5	0.0	Yes (X)	$0	$0	$0	Yes (X)
KEITH SHEPHERD
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
IRMA BERNAL
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
KEVIN STOREY
BOARD MEMBER	0.25	0.0	Yes (X)	$0	$0	$0
GARY ALLAN NICHOLS
EXECUTIVE DIRECTOR	44.0	0.0		$148,166	$0	$22,698	Yes (X)
TAFTA MCCAIN
CFO	44.0	0.0		$100,264	$0	$10,676	Yes (X)
DON BALL
MEDICAL DOCTOR	36.0	0.0		$258,438	$0	$22,518		Yes (X)
JOSEPH DRUMM DO
PHYCHIATRIST	40.0	0.0		$211,567	$0	$18,104		Yes (X)
CRYSTAL LITTLE MD
PEDIATRICIAN	40.0	0.0		$174,026	$0	$19,981		Yes (X)
ARPIT PATEL MD
PHYSICIAN	40.0	0.0		$232,330	$0	$19,663		Yes (X)
MARY BETH SWIHART
APRN	40.0	0.0		$115,170	$0	$15,930		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,239,961	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$129,570	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	NONE	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,563,953	GovernmentGrantsAmt
All Other Contributions	$409,987	AllOtherContributionsAmt
Noncash Contributions	$316,596	NoncashContributionsAmt
Total Contributions	$4,973,940	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$5,324,343	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,324,343	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,324,343	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,530	TotalRevenueColumnAmt
Exclusion	$1,530	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$200	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$200	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200	TotalRevenueColumnAmt
Exclusion	$200	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
340B REVENUE	900099	$381,459	$381,459
OTHER REVENUE	900099	$176,591	$176,591

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$176,591	TotalRevenueColumnAmt
Exclusion	$176,591	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$558,050	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,858,063	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,324,343	RelatedOrExemptFuncIncomeAmt
Exclusion	$559,780	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	$248,627	TotalAmt
Management And General	$248,627	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	$4,913,444	TotalAmt
Program Services	$3,277,680	ProgramServicesAmt
Management And General	$1,635,764	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$136,759	TotalAmt
Program Services	$91,230	ProgramServicesAmt
Management And General	$45,529	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$470,406	TotalAmt
Program Services	$313,800	ProgramServicesAmt
Management And General	$156,606	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$366,092	TotalAmt
Program Services	$244,214	ProgramServicesAmt
Management And General	$121,878	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	$1,303	TotalAmt
Program Services	$869	ProgramServicesAmt
Management And General	$434	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$72,504	TotalAmt
Program Services	$48,366	ProgramServicesAmt
Management And General	$24,138	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	$368,807	TotalAmt
Program Services	$246,025	ProgramServicesAmt
Management And General	$122,782	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$36,757	TotalAmt
Program Services	$24,520	ProgramServicesAmt
Management And General	$12,237	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$465,205	TotalAmt
Program Services	$310,331	ProgramServicesAmt
Management And General	$154,874	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$261,327	TotalAmt
Program Services	$174,327	ProgramServicesAmt
Management And General	$87,000	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$81,839	TotalAmt
Program Services	$54,593	ProgramServicesAmt
Management And General	$27,246	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	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$72,352	TotalAmt
Program Services	$48,265	ProgramServicesAmt
Management And General	$24,087	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$237,156	TotalAmt
Program Services	$158,203	ProgramServicesAmt
Management And General	$78,953	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$35,110	TotalAmt
Program Services	$23,421	ProgramServicesAmt
Management And General	$11,689	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$823,771	$823,771	$0	$0
BAD DEBT EXPENSE	$501,959	$501,959	$0	$0
REPAIRS & MAINTENANCE	$302,514	$201,802	$100,712	$0
MEMBERSHIPS	$81,625	$54,451	$27,174	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$434,451	TotalAmt
Program Services	$289,817	ProgramServicesAmt
Management And General	$144,634	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,912,008	TotalAmt
Program Services	$6,887,644	ProgramServicesAmt
Management And General	$3,024,364	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,788,020	BOYAmt
EOY	$3,253,250	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,343,393	BOYAmt
EOY	$1,547,575	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$592,407	BOYAmt
EOY	$391,089	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	$312,630	BOYAmt
EOY	$303,104	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$105,705	BOYAmt
EOY	$129,548	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,428,729	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,996,828	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,921,975	BOYAmt
EOY	$3,431,901	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	$0	BOYAmt
EOY	$0	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	$897,880	BOYAmt
EOY	$1,312,754	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,962,010	BOYAmt
EOY	$10,369,221	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$400,776	BOYAmt
EOY	$541,180	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	$0	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	$1,722,411	BOYAmt
EOY	$1,838,981	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,123,187	BOYAmt
EOY	$2,380,161	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,838,823	BOYAmt
EOY	$7,989,060	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$6,838,823	BOYAmt
EOY	$7,989,060	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,962,010	BOYAmt
EOY	$10,369,221	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$946,055	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$204,182	NetUnrlzdGainsLossesInvstAmt
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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,041,823	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,534,703	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,270,846	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,498,287	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,973,940	CurrentTaxYearAmt
Total	$22,319,599	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,041,823	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,534,703	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,270,846	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,498,287	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,973,940	CurrentTaxYearAmt
Total	$22,319,599	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,728,605	SubstantialContributorsTotAmt
Public Support Total170	$20,590,994	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,124	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,764	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,922	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,899	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,730	CurrentTaxYearAmt
Total	$14,439	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$246,829	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$209,843	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$342,628	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$305,223	CurrentTaxYearMinus1YearAmt
Current Tax Year	$558,050	CurrentTaxYearAmt
Total	$1,662,573	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$23,996,611	TotalSupportAmt
Gross Receipts Rltd Activities	$18,585,291	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.85808	PublicSupportCY170Pct
Public Support PY170	0.85364	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

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

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,113	OtherCostOrOtherBasisAmt
Book Value	$91,113	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,666,899	OtherCostOrOtherBasisAmt
Depreciation	$1,228,750	DepreciationAmt
Book Value	$2,438,149	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,007,080	OtherCostOrOtherBasisAmt
Depreciation	$1,768,078	DepreciationAmt
Book Value	$239,002	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$663,637	OtherCostOrOtherBasisAmt
Book Value	$663,637	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,431,901	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	FQHC COST REPORT RECEIVABLE	Desc
Book Value	$1,312,754	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,312,754	TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt	$10,560,286	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$204,182	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$204,182	RevenueNotReportedAmt
Revenue Subtotal	$10,356,104	RevenueSubtotalAmt
Other Revenues Not Included	$501,959	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$501,959	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$10,858,063	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$9,410,049	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$9,410,049	ExpensesSubtotalAmt
Other Expenses Not Included	$501,959	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$501,959	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$9,912,008	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FIN 48 DISCLOSURE	FORM 990, SCHEDULE D, PART X, LINE 2 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.
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN	FORM 990, SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $501,959.
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN	FORM 990, SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $501,959.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
GARY ALLAN NICHOLS
EXECUTIVE DIRECTOR	$103,143	$0	$45,023	$0	$0	$0	$16,658	$0	$6,040	$0	$170,864	$0	$0	$0
DON BALL
MEDICAL DOCTOR	$246,918	$0	$11,520	$0	$0	$0	$16,478	$0	$6,040	$0	$280,956	$0	$0	$0
JOSEPH DRUMM DO
PHYCHIATRIST	$211,567	$0	$0	$0	$0	$0	$12,568	$0	$5,536	$0	$229,671	$0	$0	$0
CRYSTAL LITTLE MD
PEDIATRICIAN	$174,026	$0	$0	$0	$0	$0	$13,941	$0	$6,040	$0	$194,007	$0	$0	$0
ARPIT PATEL MD
PHYSICIAN	$224,830	$0	$7,500	$0	$0	$0	$13,623	$0	$6,040	$0	$251,993	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	NON-FIXED PAYMENTS	FormAndLineReferenceDesc
Explanation	INCENTIVE PAY IS OFFERED FOR PROVIDERS AND CLINICAL STAFF WHO MEET VARIOUS PRODUCTIVITY GOALS AND FINANCIAL AND QUALITY MEASURES ON A QUARTERLY BASIS. PROVIDERS: LEVEL 1 = $2,500 LEVEL 2 = $5,000 LEVEL 3 = $7,500 CLINICAL STAFF: LEVEL 1 = $250 LEVEL 2 = $500 LEVEL 3 = $1,000 INCENTIVE PAY WAS OFFERED TO THE EXECUTIVE DIRECTOR BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, AND BOARD EVALUATION. INCENTIVE PAY WAS OFFERED TO THE MEDICAL DIRECTOR BASED ON LEVEL OF PCMH REACHED, PATIENT GROWTH, PATIENT SATISFACTION, AND QUALITY PERFORMANCE. INCENTIVE PAY WAS OFFERED TO THE CFO BASED ON LEVEL OF PCMH REACHED, LEVEL OF PROFIT, AUDIT PERFORMANCE, AND EVALUATION BY THE EXECUTIVE DIRECTOR.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$316,596	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE M, PART I, LINE 20	FormAndLineReferenceDesc
Explanation	COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS MADE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BUSINESS RELATIONSHIP AMONG DIRECTORS	FORM 990, PART VI, SECTION A, LINE 2 RICHARD STOCK AND RON MILLER HAVE A BUSINESS RELATIONSHIP.
REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING.
MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12(C) MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION AS NECESSARY.
DETERMINATION OF COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15(A) AND 15(B) 15(A): COMPENSATION COMMITTEE BASES EXECUTIVE DIRECTOR'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. 15(B): THE EXECUTIVE DIRECTOR DETERMINES THE CFO'S SALARY. THE LAST REVIEW WAS IN 2016.
AVAILABILITY OF DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.