COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY ACTION AGENCY OF COLUMBIANA COUNTY INC (EIN 34-6565185)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201603199349309300
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T15:40:15-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341897225PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HILL BARTH & KING LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16603 SUMMIT DRIVEAddressLine1Txt
CityCANFIELDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44406ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN346565185EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY ACTION AGENCY OF COLUMBIANABusinessNameLine1Txt
Business Name Line2COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3304247221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLAddressLine1Txt
CityLISBONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44432ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS E ANDREWSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3304247221PhoneNum
Signature2016-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID J BLASKOPreparerPersonNm
PTINP00045667PTIN
Phone3307588613PhoneNum
Preparation2016-10-28PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS E ANDREWSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLAddressLine1Txt
CityLISBONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44432ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,762,065GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1965FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE RESOURCES FOR LOW-INCOME, ELDERLY AND DISABLED COLUMBIANA COUNTY RESIDENTS TO OBTAIN THE SKILL, KNOWLEDGE, MOTIVATION AND OPPORTUNITY TO BECOME SELF-SUFFICIENT AND ENJOY A BETTER QUALITY OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee358TotalEmployeeCnt
Total Volunteers2101TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,969,136PYContributionsGrantsAmt
CY Contributions Grants$12,683,901CYContributionsGrantsAmt
PY Program Service Revenue$4,040,815PYProgramServiceRevenueAmt
CY Program Service Revenue$4,709,736CYProgramServiceRevenueAmt
PY Investment Income$385PYInvestmentIncomeAmt
CY Investment Income$534CYInvestmentIncomeAmt
PY Other Revenue$193,531PYOtherRevenueAmt
CY Other Revenue$367,894CYOtherRevenueAmt
PY Total Revenue$15,203,867PYTotalRevenueAmt
CY Total Revenue$17,762,065CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,263,585PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,919,444CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,676,700PYOtherExpensesAmt
CY Other Expenses$7,512,828CYOtherExpensesAmt
PY Total Expenses$14,940,285PYTotalExpensesAmt
CY Total Expenses$17,432,272CYTotalExpensesAmt
PY Revenues Less Expenses$263,582PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$329,793CYRevenuesLessExpensesAmt
Total Assets BOY$4,528,711TotalAssetsBOYAmt
Total Assets EOY$4,650,187TotalAssetsEOYAmt
Total Liabilities BOY$1,787,006TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,578,688TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,741,705NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,071,499NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE RESOURCES FOR LOW-INCOME, ELDERLY AND DISABLED COLUMBIANA COUNTY RESIDENTS TO OBTAIN THE SKILL, KNOWLEDGE, MOTIVATION AND OPPORTUNITY TO BECOME SELF-SUFFICIENT AND ENJOY A BETTER QUALITY OF LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,165,407ExpenseAmt
Revenue$4,294,281RevenueAmt
DescTHE HEAD START PROGRAM PROVIDES A COMPREHENSIVE CHILD DEVELOPMENT PROGRAM TO CHILDREN AGES THREE TO FIVE IN LOW INCOME FAMILIES AND TO CHILDREN WITH DISABILITIES. THE GOALS OF THE PROGRAM ARE TO ASSURE THAT THE CHILDREN WILL BE PREPARED FOR ENTRANCE INTO KINDERGARDEN AND TO ASSIST PARENTS IN IMPROVING PARENTAL SKILLS. HEAD START ALSO PROVIDES DAY CARE FOR CHILDREN FROM LOW INCOME FAMILIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,148,099ExpenseAmt
Revenue$1,286,378RevenueAmt
DescTHE AGENCY'S TRANSPORTATION PROGRAM PROVIDES PUBLIC TRANSPORTATION SERVICES TO COLUMBIANA COUNTY RESIDENTS. THESE SERVICES ENABLE ELDERLY PEOPLE TO GO SHOPPING, GO TO APPOINTMENTS, ETC. THEY ALSO PROVIDE SERVICES TO DISABLED PEOPLE WHO NEED TRANSPORTATION TO AND FROM WORK. SENIORS AND PEOPLE WITH DISABILITIES RECEIVE A 50% FARE DISCOUNT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,887,466ExpenseAmt
Revenue$2,132,051RevenueAmt
DescTHE HEALTH AND DENTAL CENTERS PROVIDE COMPREHENSIVE HEALTH CARE, BEHAVIORAL HEALTH CARE, PRE-NATAL SERVICES AND PREVENTIVE AND RESTORATIVE DENTAL SERVICES TO INFANTS, CHILDREN AND ENTIRE FAMILIES. FEES COLLECTED ARE PRIMARILY PROVIDED BY THIRD PARTY INSURANCE, MEDICAID, MEDICARE AND DIRECT PAYMENTS FROM INDIVIDUALS. SOME FEES ARE BASED ON A SLIDING SCALE, DEPENDING ON INCOME AND FAMILY SIZE. THE AGENCY ALSO RECEIVES A GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES WHICH HELPS COVER FEES AND OTHER COSTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$889,677$1,202,610THE HOME WEATHERIZATION PROGRAM PROVIDES ENERGY CONSERVATION SERVICES TO LOW INCOME HOUSEHOLDS, INCLUDING INSULATION, FURNACE REPAIR/REPLACEMENT, HOT WATER HEATER REPAIR/REPLACEMENT AND ENERGY EFFICIENT APPLIANCES AND LIGHTING. OTHER PROGRAMS INCLUDE UTILITY ASSISTANCE TO LOW INCOME HOMEOWNERS AND RENTERS, IN-HOME ASSISTANCE AND OTHER SERVICES FOR SENIOR CITIZENS, OTHER HOUSING AND CREDIT/FINANCIAL COUNSELING ASSISTANCE AND SMALL BUSINESS LOANS.
$2,160,091$8,846,744OTHER
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,049,768TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$10,049,354TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$16,250,740TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document185IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee358EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWENDY SAULPersonNm
Phone3304247221PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17880 LINCOLE PLACEAddressLine1Txt
CityLISBONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44432ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EILEEN DRAY-BARDON
TREASURER0.50Yes (X)Yes (X)$0$0$0
ZEB LOCKLEAR
TRUSTEE0.50Yes (X)$0$0$0
DAWN CHEPKE
TRUSTEE0.50Yes (X)$0$0$0
TOM BUTCH
TRUSTEE0.50Yes (X)$0$0$0
TAD HEROLD
TRUSTEE0.50Yes (X)$0$0$0
PAT BAUMGARNER
VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
GLORIA MATHEWS
CHAIR0.50Yes (X)Yes (X)$0$0$0
BRAD BOSLEY
TRUSTEE0.50Yes (X)$0$0$0
MARY ANN GRAY
TRUSTEE0.50Yes (X)$0$0$0
STEPHEN GOODENOW
TRUSTEE0.50Yes (X)$0$0$0
BRIAN ZAVERL
TRUSTEE0.50Yes (X)$0$0$0
THELMA RIST
SECRETARY0.50Yes (X)Yes (X)$0$0$0
SUSAN BERGER
TRUSTEE0.50Yes (X)$0$0$0
WILLIAM MAY
TRUSTEE0.50Yes (X)$0$0$0
STELLA MCGUIRE
TRUSTEE0.50Yes (X)$0$0$0
ALBERT PAYNE
DOCTOR40.00$160,424$0$28,883Yes (X)
JOSEPH SITARIK
FAMILY PRACTICE PHYSICIAN33.50$119,713$0$10,651Yes (X)
MAGDA SAWIRISS
DENTIST35.50$138,380$0$0Yes (X)
CAROL BRETZ
FORMER EXECUTIVE DIRECTOR40.00$78,880$0$18,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$497,397TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$57,534TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$12,683,901GovernmentGrantsAmt
Total Contributions$12,683,901TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH AND DENTAL REVENUEDesc
Business900099BusinessCd
Total Revenue Column$4,709,736TotalRevenueColumnAmt
Related Or Exempt Func Income$4,709,736RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,709,736TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$534TotalRevenueColumnAmt
Related Or Exempt Func Income$534RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$367,894TotalRevenueColumnAmt
Related Or Exempt Func Income$367,894RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$367,894OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,762,065TotalRevenueColumnAmt
Related Or Exempt Func Income$5,078,164RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,422,850TotalAmt
Program Services$7,734,005ProgramServicesAmt
Management And General$688,845ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,496,594TotalAmt
Program Services$1,374,198ProgramServicesAmt
Management And General$122,396ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$61,973TotalAmt
Program Services$54,743ProgramServicesAmt
Management And General$7,230ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,255TotalAmt
Program Services$37,326ProgramServicesAmt
Management And General$4,929ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,000TotalAmt
Program Services$883ProgramServicesAmt
Management And General$117ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$412,562TotalAmt
Program Services$364,434ProgramServicesAmt
Management And General$48,128ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$994,264TotalAmt
Program Services$785,040ProgramServicesAmt
Management And General$209,224ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$488,439TotalAmt
Program Services$32,352ProgramServicesAmt
Management And General$456,087ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$244,151TotalAmt
Program Services$149,987ProgramServicesAmt
Management And General$94,164ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLIENT ASSISTANCE$1,556,556$1,566,556-$10,000
SUPPLIES$1,476,939$1,441,701$35,238
BAD DEBT EXPENSE$1,195,830$1,195,830
MISCELLANEOUS$500,737$465,919$34,818

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$538,122TotalAmt
Program Services$1,047,766ProgramServicesAmt
Management And General-$509,644ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,432,272TotalAmt
Program Services$16,250,740ProgramServicesAmt
Management And General$1,181,532ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,832BOYAmt
EOY$2,775EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$782,122BOYAmt
EOY$833,357EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$872,287BOYAmt
EOY$814,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$926,917BOYAmt
EOY$807,114EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$95,185BOYAmt
EOY$122,391EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$121,002BOYAmt
EOY$144,885EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,676,544LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,813,515LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,636,637BOYAmt
EOY$1,863,029EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$64,729BOYAmt
EOY$62,215EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,528,711BOYAmt
EOY$4,650,187EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,440,900BOYAmt
EOY$1,360,582EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$277,363BOYAmt
EOY$218,106EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$68,743BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,787,006BOYAmt
EOY$1,578,688EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,396,744BOYAmt
EOY$2,733,540EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,961BOYAmt
EOY$337,959EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,741,705BOYAmt
EOY$3,071,499EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,528,711BOYAmt
EOY$4,650,187EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$329,793ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$9,631,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,365,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,606,752CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,969,136CurrentTaxYearMinus1YearAmt
Current Tax Year$12,683,901CurrentTaxYearAmt
Total$52,256,606TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$684,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$547,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$590,744CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,714CurrentTaxYearMinus1YearAmt
Current Tax Year$464,217CurrentTaxYearAmt
Total$2,825,503TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,315,769CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,912,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,197,496CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,507,850CurrentTaxYearMinus1YearAmt
Current Tax Year$13,148,118CurrentTaxYearAmt
Total$55,082,109TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$55,082,109PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$385CurrentTaxYearMinus1YearAmt
Current Tax Year$534CurrentTaxYearAmt
Total$2,054TotalAmt
FieldValueIRS element (for citing)
Total Support$55,084,163TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$1,605BeginningBalanceAmt
Additions During Year$104,726AdditionsDuringYearAmt
Distributions During Year$105,319DistributionsDuringYearAmt
Ending Balance$1,012EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,494,400OtherCostOrOtherBasisAmt
Depreciation$800,874DepreciationAmt
Book Value$693,526BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,566,891OtherCostOrOtherBasisAmt
Depreciation$1,287,011DepreciationAmt
Book Value$279,880BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,615,253OtherCostOrOtherBasisAmt
Depreciation$1,725,630DepreciationAmt
Book Value$889,623BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,863,029TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$18,226,281TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$464,216DonatedServicesAndUseFcltsAmt
Revenue Not Reported$464,216RevenueNotReportedAmt
Revenue Subtotal$17,762,065RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,762,065TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,896,489TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$464,217DonatedServicesUseFcltsAmt
Expenses Not Reported$464,217ExpensesNotReportedAmt
Expenses Subtotal$17,432,272ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,432,272TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationPART X, LINE 2: THE AGENCY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE AGENCY ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FASB ASC 740 AND HAS DETERMINED THAT ALL INCOME TAX FILING POSITIONS WOULD BE SUSTAINED UPON EXAMINATION AND, ACCORDINGLY, HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES AT DECEMBER 31, 2015 FOR UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALBERT PAYNE
DOCTOR$160,424$0$0$0$0$0$24,000$0$0$0$184,424$0$0$0
CAROL BRETZ
FORMER EXECUTIVE DIRECTOR$78,880$0$0$0$0$0$18,000$0$0$0$96,880$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$1,930NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCLASSROOM SUPPLIESDesc
Contribution340ContributionCnt
Noncash Contributions Rpt F990$21,017NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1DUE TO THE CHANGE IN BYLAWS AND THE CHANGE IN PERSONNEL, THERE WERE SEVERAL BOARD VACANCIES AT THE END OF THE YEAR THAT WERE FILLED IN JANUARY 2015.
FORM 990, PART VI, SECTION B, LINE 11THE DRAFT FORM 990 IS PREPARED BY THE INDEPENDENT AUDITING FIRM. IT IS REVIEWED BY THE AGENCY'S FINANCE DIRECTOR AND EXECUTIVE DIRECTOR FOR THEIR APPROVAL. IT IS THEN PROVIDED TO THE BUDGET AND PLANNING COMMITTEE AS WELL AS THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. A MOTION IS MADE TO APPROVE THE SUBMISSION. THE FINAL FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS ARE TRAINED DURING THEIR ORIENTATION ABOUT DISCLOSING CONFLICTS OF INTEREST. DURING MEETINGS, THEY ARE DIRECTED TO ABSTAIN FROM ANY POTENTIAL, REAL OR PERCEIVED CONFLICTS OF INTEREST. THE ABSTENTIONS ARE DOCUMENTED IN THE MEETING MINUTES. UPON EMPLOYMENT, EMPLOYEES MUST SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE IN WRITING ON AN ANNUAL BASIS ALL REPORTABLE CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS APPROVES ALL SALARIES. A PROPOSAL IS PREPARED BY AGENCY PERSONNEL WHICH UTILIZES SALARY COMPARABILITY DATA. THIS PROPOSAL IS REVIEWED BY THE EXECUTIVE DIRECTOR AND/OR THE FQHC CEO WHO RECOMMEND IT TO THE BOARD. THE BOARD REVIEWS THE PROPOSAL, DELIBERATES, AND ACTS ON THE PROPOSAL.
FORM 990, PART VI, SECTION C, LINE 18COPIES OF THE 990 ARE AVAILABLE UPON REQUEST AND ON GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE AGENCY'S GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OBTAINING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE AUDIT.

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