MCGREGOR CLINIC INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MCGREGOR CLINIC INC (EIN 65-0922489)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2016-12-14
- IRS object ID
- 201623499349300542
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-12-14T14:05:56-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592445709 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYERS BRETTHOLTZ & COMPANY PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12671 WHITEHALL DR | AddressLine1Txt |
| City | FORT MYERS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 339073626 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650922489 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MCGREGOR CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MCGR | BusinessNameControlTxt |
| Phone | 2393349555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3487 BROADWAY AVENUE | AddressLine1Txt |
| City | FORT MYERS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON MURPHY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2393349555 | PhoneNum |
| Signature | 2016-11-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN M BRETTHOLTZ CPA | PreparerPersonNm |
| PTIN | P00284985 | PTIN |
| Phone | 2399395775 | PhoneNum |
| Preparation | 2016-12-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH HALL | PrincipalOfficerNm |
| Gross Receipts | $11,001,345 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCGREGORCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AN INTEGRATED AND HOLISTIC APPROACH TO HIV/AIDS CLIENTS IN THE SERVICE AREA AND COMMUNITY CARE FOCUSING UPON CHRONIC, PRIMARY AND PALLIATIVE CARE, AND WILL INCLUDE MEDICALLY NEEDY AND UNDERSERVED CLIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 45 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,056,786 | PYContributionsGrantsAmt |
| CY Contributions Grants | $943,581 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,332,129 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,055,070 | CYProgramServiceRevenueAmt |
| PY Investment Income | $73 | PYInvestmentIncomeAmt |
| CY Investment Income | $636 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,124 | PYOtherRevenueAmt |
| CY Other Revenue | $1,847 | CYOtherRevenueAmt |
| PY Total Revenue | $7,390,112 | PYTotalRevenueAmt |
| CY Total Revenue | $11,001,134 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,897,434 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,372,337 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,642,768 | PYOtherExpensesAmt |
| CY Other Expenses | $6,951,271 | CYOtherExpensesAmt |
| PY Total Expenses | $6,540,202 | PYTotalExpensesAmt |
| CY Total Expenses | $9,323,608 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $849,910 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,677,526 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,040,305 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,083,216 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $745,432 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,110,817 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,294,873 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,972,399 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE AN INTEGRATED AND HOLISTIC APPROACH TO HIV/AIDS CLIENTS IN THE SERVICE AREA AND COMMUNITY CARE FOCUSING UPON CHRONIC, PRIMARY AND PALLIATIVE CARE, AND WILL INCLUDE MEDICALLY NEEDY AND UNDERSERVED CLIENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,655,738 | ExpenseAmt |
| Revenue | $10,055,070 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES PRIMARY MEDICAL CARE FOR PERSONS LIVING WITH HIV/AIDS, ON-SITE LABORATORY SERVICES, RYAN WHITE AND PROJECT AIDS CARE (PAC) CASE MANAGEMENT, CONFIDENTIAL HIV TESTING AND COUNSELING, PATIENT AND COMMUNITY EDUCATION, FOOD BANK FOR INDIGENT CLIENTS, AND CLOTHES CLOSET FOR INDIGENT CLIENTS. | Desc |
| Total Program Service Expenses | $8,655,738 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | 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 | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 45 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN GERALD | PersonNm |
| Phone | 2393409555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3487 BROADWAY AVENUE | AddressLine1Txt |
| City | FORT MYERS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33901 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JOSEPH HALL | |||||||
| CHIEF GOVERN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLARKE KIRBY | |||||||
| SECRETARY | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HOMER SOSA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM SNIDER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR LEWIS ROBINSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEN GAUSSELIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK CUNNINGHAM | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE ROBERTS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON MURPHY | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $92,030 | $0 | $8,263 | ||
| SUSAN GERALD | |||||||
| CFO | 40.00 | Yes (X) | $85,585 | $0 | $6,620 | ||
| DEREK DEWITT DO | |||||||
| PHYSICIAN | 40.00 | $187,996 | $0 | $6,620 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $365,611 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $21,503 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CURANT | |||||
| 7209 BRYAN DAIRY ROAD | LARGO | FL | 33777 | MGMT & DISPENSE | $2,744,705 |
| WALGREENS CO | |||||
| 104 WILMOT ROAD MS 1446 | DEERFIELD | IL | 60015 | MGMT & DISPENSE | $554,537 |
| LABCORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | LABORATORY SVC. | $150,790 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $715,680 | GovernmentGrantsAmt |
| All Other Contributions | $227,901 | AllOtherContributionsAmt |
| Noncash Contributions | $9,089 | NoncashContributionsAmt |
| Total Contributions | $943,581 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| 340B PHARMACY PROGRAM | $9,684,939 | $9,684,939 |
| PROGRAM SERVICE FEES | $370,131 | $370,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,055,070 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $847 | TotalRevenueColumnAmt |
| Exclusion | $847 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $211 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$211 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$211 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$211 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Total Revenue Column | $1,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,847 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,847 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,001,134 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,056,706 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $847 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,504 | TotalAmt |
| Program Services | $18,734 | ProgramServicesAmt |
| Management And General | $165,770 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,780,820 | TotalAmt |
| Program Services | $1,699,512 | ProgramServicesAmt |
| Management And General | $81,308 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,181 | TotalAmt |
| Program Services | $228,097 | ProgramServicesAmt |
| Management And General | $34,084 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,832 | TotalAmt |
| Program Services | $126,004 | ProgramServicesAmt |
| Management And General | $18,828 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,313 | TotalAmt |
| Program Services | $381 | ProgramServicesAmt |
| Management And General | $932 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,272 | TotalAmt |
| Program Services | $3,268 | ProgramServicesAmt |
| Management And General | $8,004 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,845 | TotalAmt |
| Program Services | $143,053 | ProgramServicesAmt |
| Management And General | $24,792 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,835 | TotalAmt |
| Management And General | $6,835 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,184 | TotalAmt |
| Program Services | $82,772 | ProgramServicesAmt |
| Management And General | $21,412 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,388 | TotalAmt |
| Program Services | $24,294 | ProgramServicesAmt |
| Management And General | $5,094 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,632 | TotalAmt |
| Program Services | $59,632 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,966 | TotalAmt |
| Management And General | $28,966 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,035 | TotalAmt |
| Management And General | $133,035 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,574 | TotalAmt |
| Management And General | $35,574 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| 340B PHARMACY PROGRAM | $5,728,765 | $5,728,765 | |
| SPECIFIC ASSISTANCE | $402,369 | $402,369 | |
| CLINICAL SUPPLIES | $78,939 | $78,939 | |
| OTHER | $44,501 | $8,557 | $35,944 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,653 | TotalAmt |
| Program Services | $51,361 | ProgramServicesAmt |
| Management And General | $67,292 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,323,608 | TotalAmt |
| Program Services | $8,655,738 | ProgramServicesAmt |
| Management And General | $667,870 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $553,879 | BOYAmt |
| EOY | $1,600,530 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,142 | BOYAmt |
| EOY | $967,429 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,700 | BOYAmt |
| EOY | $86,936 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $454,706 | BOYAmt |
| EOY | $600,636 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,790 | BOYAmt |
| EOY | $2,590 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,892 | BOYAmt |
| EOY | $27,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,179,309 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $390,656 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,346,588 | BOYAmt |
| EOY | $1,788,653 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,170 | BOYAmt |
| EOY | $4,789 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,438 | BOYAmt |
| EOY | $4,045 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,040,305 | BOYAmt |
| EOY | $5,083,216 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,854 | BOYAmt |
| EOY | $241,368 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,066 | BOYAmt |
| EOY | $813,894 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,512 | BOYAmt |
| EOY | $55,555 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $745,432 | BOYAmt |
| EOY | $1,110,817 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,294,873 | BOYAmt |
| EOY | $3,961,709 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,690 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,294,873 | BOYAmt |
| EOY | $3,972,399 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,040,305 | BOYAmt |
| EOY | $5,083,216 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,677,526 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $727,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $815,865 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $950,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,056,786 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $943,581 | CurrentTaxYearAmt |
| Total | $4,494,519 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $727,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $815,865 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $950,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,056,786 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $943,581 | CurrentTaxYearAmt |
| Total | $4,494,519 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,494,519 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $294 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $295 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $847 | CurrentTaxYearAmt |
| Total | $1,870 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,496,389 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,056,917 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99980 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,954 | OtherCostOrOtherBasisAmt |
| Book Value | $67,954 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,647,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,136 | DepreciationAmt |
| Book Value | $1,462,168 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $452,846 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,473 | DepreciationAmt |
| Book Value | $247,373 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $47 | DepreciationAmt |
| Book Value | $11,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,788,653 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ACCRUED COMPENSATED ABSENCES | Desc |
| Amt | $55,555 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $55,555 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,001,345 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $211 | OtherRevenueAmt |
| Revenue Not Reported | $211 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,001,134 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,001,134 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,323,819 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $211 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $211 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,323,608 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,323,608 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | LOSS ON DISPOSAL OF ASSET 211 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | LOSS ON DISPOSAL OF ASSET 211 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEREK DEWITT DO | PersonNm |
| Title | PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $187,996 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $6,620 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $194,616 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD REVIEWS A DRAFT OF THE TAX RETURN FOR ACCURACY AND COMPLETENESS PRIOR TO SIGNING AND FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY FOR EMPLOYEES IS OUTLINED IN THE EMPLOYEE HANDBOOK. ANNUALLY, BOARD MEMBERS ARE ASKED TO UPDATE THEIR CONTACT INFORMATION AND A CONFLICT OF INTEREST DISCLOSURE IS REQUESTED AT THAT TIME. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD COMMITTEE CONDUCTS A REVIEW OF COMPENSATION AND NOTIFIES CFO AND CEO OF SALARY CHANGES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | LOSS ON DISPOSAL OF ASSET 211 LOSS ON DISPOSAL OF ASSET -211 |
Comments