ELLIS COUNTY COALITION FOR HEALTH OPTIONS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ELLIS COUNTY COALITION FOR HEALTH OPTIONS (EIN 75-2813621)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-08-31
IRS object ID: 201632449349300753
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-31T09:25:27-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	752393478	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WHITLEY PENN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8343 DOUGLAS AVENUE STE 400	AddressLine1Txt
City	DALLAS	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75225	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	752813621	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELLIS COUNTY COALITION FOR HEALTH	BusinessNameLine1Txt
Business Name Line2	OPTIONS INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ELLI	BusinessNameControlTxt
Phone	9729232440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	411 EAST JEFFERSON STREET	AddressLine1Txt
City	WAXAHACHIE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75165	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BARBARA CLARK	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	9729232440	PhoneNum
Signature	2016-08-29	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CURTIS MAXFIELD	PreparerPersonNm
PTIN	P00445178	PTIN
Phone	2143939300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HOPE CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	BARBARA CLARK	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	411 EAST JEFFERSON STREET	AddressLine1Txt
City	WAXAHACHIE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75165	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,596,968	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CALL4HOPE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	PROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	72	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,585,251	PYContributionsGrantsAmt
CY Contributions Grants	$1,847,757	CYContributionsGrantsAmt
PY Program Service Revenue	$1,337,865	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,744,396	CYProgramServiceRevenueAmt
PY Investment Income	$2,707	PYInvestmentIncomeAmt
CY Investment Income	$369	CYInvestmentIncomeAmt
PY Other Revenue	-$3,579	PYOtherRevenueAmt
CY Other Revenue	$2,157	CYOtherRevenueAmt
PY Total Revenue	$2,922,244	PYTotalRevenueAmt
CY Total Revenue	$3,594,679	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,351	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$989	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,853,950	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,003,178	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$31,496	CYTotalFundraisingExpenseAmt
PY Other Expenses	$960,041	PYOtherExpensesAmt
CY Other Expenses	$1,430,150	CYOtherExpensesAmt
PY Total Expenses	$2,815,342	PYTotalExpensesAmt
CY Total Expenses	$3,434,317	CYTotalExpensesAmt
PY Revenues Less Expenses	$106,902	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$160,362	CYRevenuesLessExpensesAmt
Total Assets BOY	$758,745	TotalAssetsBOYAmt
Total Assets EOY	$993,707	TotalAssetsEOYAmt
Total Liabilities BOY	$311,438	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$386,038	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$447,307	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$607,669	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,543,765	ExpenseAmt
Grant	$989	GrantAmt
Revenue	$1,748,842	RevenueAmt
Desc	PROVIDED HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY.	Desc
Total Program Service Expenses	$2,543,765	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	72	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RENEE FILSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9729232440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 FERRIS AVENUE SUITE L	AddressLine1Txt
City	WAXAHACHIE	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	75165	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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
JOANN LIVINGSTON
PRESIDENT	5.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERTO ALVAREZ
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
JESSE DELEON
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
ELLA MCMAHAN
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
FRANK NORRIS
MEMBER	1.00	Yes (X)		$0	$0	$0
CODY MOORE DDS
MEMBER	1.00	Yes (X)		$0	$0	$0
DARYL TILLERY
MEMBER	1.00	Yes (X)		$0	$0	$0
MARIA ALFARO
MEMBER	1.00	Yes (X)		$0	$0	$0
BOBBIE JONES
MEMBER	1.00	Yes (X)		$0	$0	$0
RAY PIKE
MEMBER	1.00	Yes (X)		$0	$0	$0
LINDA BROWN
MEMBER	1.00	Yes (X)		$0	$0	$0
PAUL BEGNOCHE
CHIEF EXECUTIVE OFFICER	40.00		Yes (X)	$72,137	$0	$0
DAN SHEPHERD
INTERIM CHIEF EXECUTIVE OFFICER	20.00		Yes (X)	$42,500	$0	$0
RENEE FILSON
INTERIM CHIEF FINANCIAL OFFICER	15.00		Yes (X)	$36,000	$0	$0
DR RODOLFO URBY
CHIEF MEDICAL OFFICER	10.00		Yes (X)	$48,768	$0	$0
ELMER HODGES DDS
CHIEF DENTAL OFFICER	40.00			$125,099	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$324,504	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$4,361	FundraisingAmt
Government Grants	$1,459,370	GovernmentGrantsAmt
All Other Contributions	$384,026	AllOtherContributionsAmt
Noncash Contributions	$318,955	NoncashContributionsAmt
Total Contributions	$1,847,757	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE FEES	Desc
Business	621110	BusinessCd
Total Revenue Column	$1,744,396	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,744,396	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,744,396	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369	TotalRevenueColumnAmt
Exclusion	$369	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$4,361	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,289	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,289	TotalRevenueColumnAmt
Exclusion	-$2,289	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE	900099	$3,147	$3,147
INCOME MEDICAL RECORDS	621110	$1,299	$1,299

Field	Value	IRS element (for citing)
Other Revenue Total	$4,446	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,594,679	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,748,842	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,920	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$989	TotalAmt
Program Services	$989	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$199,405	TotalAmt
Program Services	$172,049	ProgramServicesAmt
Management And General	$25,933	ManagementAndGeneralAmt
Fundraising	$1,423	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,423,097	TotalAmt
Program Services	$1,227,862	ProgramServicesAmt
Management And General	$185,080	ManagementAndGeneralAmt
Fundraising	$10,155	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,640	TotalAmt
Program Services	$694	ProgramServicesAmt
Management And General	$897	ManagementAndGeneralAmt
Fundraising	$49	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$244,984	TotalAmt
Program Services	$103,683	ProgramServicesAmt
Management And General	$133,951	ManagementAndGeneralAmt
Fundraising	$7,350	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$134,052	TotalAmt
Program Services	$56,734	ProgramServicesAmt
Management And General	$73,296	ManagementAndGeneralAmt
Fundraising	$4,022	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$270	TotalAmt
Management And General	$270	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$39,310	TotalAmt
Management And General	$39,310	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$909,431	TotalAmt
Program Services	$812,772	ProgramServicesAmt
Management And General	$96,659	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,889	TotalAmt
Program Services	$2,889	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$39,400	TotalAmt
Program Services	$16,675	ProgramServicesAmt
Management And General	$21,543	ManagementAndGeneralAmt
Fundraising	$1,182	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$156,050	TotalAmt
Program Services	$54,920	ProgramServicesAmt
Management And General	$97,237	ManagementAndGeneralAmt
Fundraising	$3,893	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$35,532	TotalAmt
Management And General	$35,532	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$9,357	TotalAmt
Management And General	$9,357	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,375	TotalAmt
Management And General	$2,188	ManagementAndGeneralAmt
Fundraising	$2,187	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$76,617	TotalAmt
Program Services	$66,106	ProgramServicesAmt
Management And General	$9,964	ManagementAndGeneralAmt
Fundraising	$547	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,045	TotalAmt
Program Services	$3,405	ProgramServicesAmt
Management And General	$4,399	ManagementAndGeneralAmt
Fundraising	$241	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
OTHER EXPENSES	$69,722	$69,722
REPAIRS AND MAINTENANCE	$18,651	$18,651
BAD DEBT	$15,182		$15,182
PROFESSIONAL DUES	$14,280	$14,280

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,039	TotalAmt
Program Services	$9,805	ProgramServicesAmt
Management And General	$20,787	ManagementAndGeneralAmt
Fundraising	$447	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,434,317	TotalAmt
Program Services	$2,543,765	ProgramServicesAmt
Management And General	$859,056	ManagementAndGeneralAmt
Fundraising	$31,496	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$150	BOYAmt
EOY	$1,787	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$144,931	BOYAmt
EOY	$245,462	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,230	BOYAmt
EOY	$137,639	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$12,896	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$872,144	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$278,965	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$541,289	BOYAmt
EOY	$593,179	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,145	BOYAmt
EOY	$2,744	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$758,745	BOYAmt
EOY	$993,707	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$189,044	BOYAmt
EOY	$294,533	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$34,703	BOYAmt
EOY	$34,703	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,691	BOYAmt
EOY	$56,802	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$311,438	BOYAmt
EOY	$386,038	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$447,307	BOYAmt
EOY	$607,669	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$447,307	BOYAmt
EOY	$607,669	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$758,745	BOYAmt
EOY	$993,707	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$160,362	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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	$1,071,547	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,367,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,598,820	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,585,251	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,847,757	CurrentTaxYearAmt
Total	$7,470,795	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,071,547	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,367,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,598,820	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,585,251	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,847,757	CurrentTaxYearAmt
Total	$7,470,795	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$7,470,795	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,378	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,534	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,990	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,707	CurrentTaxYearMinus1YearAmt
Current Tax Year	$369	CurrentTaxYearAmt
Total	$7,978	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year	$3,147	CurrentTaxYearAmt
Total	$5,556	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$7,484,329	TotalSupportAmt
Public Support CY170	0.99820	PublicSupportCY170Pct
Public Support PY170	0.99840	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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,203	BeginningYearBalanceAmt
End Year Balance	$40,203	EndYearBalanceAmt

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,000	OtherCostOrOtherBasisAmt
Book Value	$19,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$583,749	OtherCostOrOtherBasisAmt
Depreciation	$82,888	DepreciationAmt
Book Value	$500,861	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,114	OtherCostOrOtherBasisAmt
Depreciation	$4,621	DepreciationAmt
Book Value	$5,493	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$176,111	OtherCostOrOtherBasisAmt
Depreciation	$123,762	DepreciationAmt
Book Value	$52,349	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,170	OtherCostOrOtherBasisAmt
Depreciation	$67,694	DepreciationAmt
Book Value	$15,476	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$593,179	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
LINE OF CREDIT VINTAGE BANK	$14,674
VINTAGE BANK LOAN	$39,723
LEAF PHONE LEASE	$2,405

Field	Value	IRS element (for citing)
Total Liability	$56,802	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$3,596,968	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$2,289	OtherRevenueAmt
Revenue Not Reported	$2,289	RevenueNotReportedAmt
Revenue Subtotal	$3,594,679	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$3,594,679	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$3,436,606	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,289	OtherExpensesIncludedAmt
Expenses Not Reported	$2,289	ExpensesNotReportedAmt
Expenses Subtotal	$3,434,317	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$3,434,317	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE CLINIC IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. GAAP PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION, AND DISCLOSURE OF UNCERTAIN IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. MANAGEMENT BELIEVES THAT IT HAS NOT TAKEN A TAX POSITION THAT, IF CHALLENGED, WOULD HAVE A MATERIAL EFFECT ON THE CLINIC'S FINANCIAL STATEMENTS. THE CLINIC FILES FORM 990 IN THE UNITED STATES FEDERAL JURISDICTION WITHIN THE UNITED STATES AND NO TAX RETURNS ARE CURRENTLY UNDER EXAMINATION BY ANY TAX AUTHORITIES. TAX RETURNS SUBSEQUENT TO 2011 ARE OPEN FOR POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISER EXPENSES 2,289.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISER EXPENSES 2,289.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	YOLANDE OWENS	PersonNm
Relationship With Org	FORMER CEO	RelationshipWithOrgTxt
Loan Purpose	OPERATING LOAN	LoanPurposeTxt
Loan To Organization	Yes (X)	LoanToOrganizationInd
Original Principal	$107,000	OriginalPrincipalAmt
Balance Due	$34,703	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	0	BoardOrCommitteeApprovalInd
Written Agreement	0	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$34,703	TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	FROM TIME TO TIME, AND WITHOUT BOARD APPROVAL, THE CHIEF EXECUTIVE OFFICER MADE LOANS TO THE CLINIC IN THE FORM OF SHORT TERM ADVANCES TO FUND OPERATIONAL COSTS OF THE CLINIC. OUTSTANDING BALANCES OF THESE SHORT TERM ADVANCES TOTALED APPROXIMATELY $35,000 AT DECEMBER 31, 2015. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST.	ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	32	ContributionCnt
Noncash Contributions Rpt F990	$306,724	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	DTC MOTORS	4	$5,367	FAIR MARKET VALUE
Yes (X)	HANDPIECES	7	$5,354	FAIR MARKET VALUE
Yes (X)	ROTARY INSTRUMENTS	24	$1,510	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	THE 990 WAS REVIEWED BY THE CEO, CLINIC DIRECTOR, CFO, BOARD PRESIDENT AND FINANCE COMMITTEE MEMBER PRIOR TO FILING. THE FULL BOARD WAS PRESENTED A COPY AT A SUBSEQUENT MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD APPROVES A RANGE OF SALARIES DURING THE ANNUAL BUDGET PROCESS FOR ALL POSITIONS BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES UNDER HRSA TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 11G	OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,979. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,979. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 812,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 812,772. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,935. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 81,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,745.
FORM 990, PART XII, LINE 2C:	THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR.