GREAT MINES HEALTH CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GREAT MINES HEALTH CENTER (EIN 81-0546390)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201633209349301293
- 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 | 2016-11-15T09:10:47-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 431076758 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | G K U P & R LLC CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11861 WESTLINE IND DR STE 900 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63146 | 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 | 810546390 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT MINES HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 5734389355 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SOUTHTOWNE DRIVE | AddressLine1Txt |
| City | POTOSI | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63664 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL JOHNSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5734389355 | PhoneNum |
| Signature | 2016-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD RECHTIEN CPA | PreparerPersonNm |
| PTIN | P00296674 | PTIN |
| Phone | 3145691133 | PhoneNum |
| Preparation | 2016-11-07 | 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 | MICHAEL JOHNSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SOUTHTOWNE DR | AddressLine1Txt |
| City | POTOSI | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63664 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,508,082 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GREATMINESHEALTHCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | GREAT MINES HEALTH CENTER MISSION IS TO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 83 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $6,619 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,906 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $947,595 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,581,014 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,543,284 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,911,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,446 | PYInvestmentIncomeAmt |
| CY Investment Income | -$22 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,906 | PYOtherRevenueAmt |
| CY Other Revenue | $6,619 | CYOtherRevenueAmt |
| PY Total Revenue | $5,505,231 | PYTotalRevenueAmt |
| CY Total Revenue | $6,499,150 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,555,844 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,696,343 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,860,325 | PYOtherExpensesAmt |
| CY Other Expenses | $2,195,313 | CYOtherExpensesAmt |
| PY Total Expenses | $5,416,169 | PYTotalExpensesAmt |
| CY Total Expenses | $5,891,656 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $89,062 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $607,494 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,361,053 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,726,496 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $766,065 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $524,014 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,594,988 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,202,482 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GREAT MINES HEALTH CENTER MISSION IS TO IMPROVE THE HEALTH OF OUR WHOLE COMMUNITY THROUGH EXCELLENCE IN PATIENT CARE AND HEALTH EDUCATUION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,061,461 | ExpenseAmt |
| Revenue | $4,902,607 | RevenueAmt |
| Desc | GREAT MINES HEALTH CENTER HAS IMPROVED THE HEALTH OF THE COMMUNITY THROUGH EXCELLENCE IN PATIENT HEALTH CARE AND ALSO THROUGH HEALTH EDUCATION. PATIENT HEALTH CARE AND EDUCATION FOR DENTAL, MENTAL AND PRIMARY HEALTH CARE. | Desc |
| Total Program Service Expenses | $4,061,461 | 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 | 0 | 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 | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 83 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT MINES HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5734389355 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SOUTHTOWNE DR | AddressLine1Txt |
| City | POTOSI | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63664 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|
| SYLVIA ROWE | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL G DOTY | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LEANNE LLOYD | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES LOOMIS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CANDY JOHNSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA LLOYD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TR DUDLEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT KABALA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY WRIGHT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT ROUSAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BENJAMIN E DEWAAL | ||||||
| DOCTOR | 40.00 | $195,231 | $0 | $0 | Yes (X) | |
| JOHN PEARSON | ||||||
| DOCTOR | 40.00 | $172,108 | $0 | $0 | Yes (X) | |
| MICHAEL JOHNSON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | $141,392 | $0 | $0 | Yes (X) | |
| RYAN DELLAGLIO | ||||||
| DOCTOR | 40.00 | $139,654 | $0 | $0 | Yes (X) | |
| DEREK KERR | ||||||
| DOCTOR | 40.00 | $177,053 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $825,438 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PATTERSON DENTAL | |||||
| 4819 PARK HIGHWAY 370 | HAZELWOOD | MO | 63042 | DENTAL SUPPLIES | $435,859 |
| ANTHEM BLUE CROSS BLUE SHIELD | |||||
| 1831 CHESTNUT ST | ST LOUIS | MO | 63103 | HEALTH INSURANCE | $395,356 |
| NORTH AMERICAN HEALTHCARE SERVICES INC | |||||
| 100A KENRICK PLAZA | ST LOUIS | MO | 63119 | BILLING CONTRACTING | $264,380 |
| SOMETHINGCOOLCOM LLC | |||||
| 121 E HIGH ST | POTOSI | MO | 63664 | COMPUTER SUPPLIES | $123,581 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,581,014 | GovernmentGrantsAmt |
| Total Contributions | $1,581,014 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PRIMARY HEALTH CARE | 624100 | $4,434,996 | $4,434,996 |
| PHARMACY | 624100 | $476,543 | $476,543 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,911,539 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,910 | TotalRevenueColumnAmt |
| Exclusion | $8,910 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,619 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,619 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,619 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $6,619 | UnrelatedBusinessRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,932 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$8,932 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$8,932 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,499,150 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,902,607 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,619 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,910 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,980,230 | TotalAmt |
| Program Services | $2,478,105 | ProgramServicesAmt |
| Management And General | $502,125 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,405 | TotalAmt |
| Program Services | $368,750 | ProgramServicesAmt |
| Management And General | $109,655 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,708 | TotalAmt |
| Program Services | $196,447 | ProgramServicesAmt |
| Management And General | $41,261 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,520 | TotalAmt |
| Management And General | $17,520 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,062 | TotalAmt |
| Management And General | $54,062 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,314 | TotalAmt |
| Management And General | $16,314 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,450 | TotalAmt |
| Management And General | $63,450 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,616 | TotalAmt |
| Program Services | $78,000 | ProgramServicesAmt |
| Management And General | $49,616 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,600 | TotalAmt |
| Program Services | $25,891 | ProgramServicesAmt |
| Management And General | $66,709 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,482 | TotalAmt |
| Management And General | $15,482 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,992 | TotalAmt |
| Program Services | $177,176 | ProgramServicesAmt |
| Management And General | $145,816 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,512 | TotalAmt |
| Program Services | $113 | ProgramServicesAmt |
| Management And General | $68,399 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $510,099 | $510,099 | |
| CONTRACT SERVICES | $295,099 | $295,099 | |
| CONTRACTED MIS | $250,887 | $250,887 | |
| LAB FEES | $98,262 | $98,262 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,418 | TotalAmt |
| Program Services | $128,618 | ProgramServicesAmt |
| Management And General | $133,800 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,891,656 | TotalAmt |
| Program Services | $4,061,461 | ProgramServicesAmt |
| Management And General | $1,830,195 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,454,401 | BOYAmt |
| EOY | $1,880,334 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,700 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,214 | BOYAmt |
| EOY | $412,973 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,411 | BOYAmt |
| EOY | $21,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,505,246 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,112,044 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,452,627 | BOYAmt |
| EOY | $1,393,202 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,400 | BOYAmt |
| EOY | $6,900 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,361,053 | BOYAmt |
| EOY | $3,726,496 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,194 | BOYAmt |
| EOY | $202,909 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,871 | BOYAmt |
| EOY | $321,105 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $766,065 | BOYAmt |
| EOY | $524,014 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,594,988 | BOYAmt |
| EOY | $3,202,482 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,594,988 | BOYAmt |
| EOY | $3,202,482 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,361,053 | BOYAmt |
| EOY | $3,726,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $607,494 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $3,963,655 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,216,089 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,310,889 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,490,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,483,621 | CurrentTaxYearAmt |
| Total | $25,465,133 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,963,655 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,216,089 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,310,889 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,490,879 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,483,621 | CurrentTaxYearAmt |
| Total | $25,465,133 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $25,465,133 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,865 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,821 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,910 | CurrentTaxYearAmt |
| Total | $35,365 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $7,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,875 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,619 | CurrentTaxYearAmt |
| Total | $33,934 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $25,534,432 | TotalSupportAmt |
| Public Support CY170 | 0.99730 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99710 | 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 | $127,008 | OtherCostOrOtherBasisAmt |
| Book Value | $127,008 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $423,727 | OtherCostOrOtherBasisAmt |
| Depreciation | $369,260 | DepreciationAmt |
| Book Value | $54,467 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,954,511 | OtherCostOrOtherBasisAmt |
| Depreciation | $742,784 | DepreciationAmt |
| Book Value | $1,211,727 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,393,202 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,508,082 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $8,932 | OtherRevenueAmt |
| Revenue Not Reported | $8,932 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,499,150 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,499,150 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,900,588 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,932 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,932 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,891,656 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,891,656 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) HAS ISSUED A FINANCIAL REPORTING STANDARD EFFECTIVE IN 2009 THAT REQUIRES DISCLOSURE AND POSSIBLY RECOGNITION OF UNCERTAIN INCOME TAX POSITIONS IN FINANCIAL STATEMENTS FOR ALL ENTITIES THAT REPORT UNDER U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, INCLUDING TAX-EXEMPT ORGANIZATIONS. FOR AN EXEMPT ORGANIZATION, AN UNCERTAIN TAX POSITION MIGHT BE ONE THAT POTENTIALLY AFFECTS THE ORGANIZATION'S TAX EXEMPT STATUS OR THAT AFFECTS WHETHER OR NOT IT IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ON SOME IF ITS REVENUE AND THE AMOUNT OF SUCH TAX. UNDER CURRENT ACCOUNTING STANDARDS, UNCERTAIN TAX POSITIONS ARE REQUIRED TO BE RECORDED AND DISCLOSED ONLY IF IT IS PROBABLE A CLAIM WILL BE ASSERTED AND THERE IS A REASONABLE POSSIBILITY THAT THE OUTCOME WILL BE UNFAVORABLE. GREAT MINES HEALTH CENTER BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN ITS FINANCIAL STATEMENTS UNDER CURRENT STANDARDS OR THE NEW STANDARD. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS 8,932. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS 8,932. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BENJAMIN E DEWAAL | ||||||||||||||
| DOCTOR | $195,231 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $195,231 | $0 | $0 | $0 |
| JOHN PEARSON | ||||||||||||||
| DOCTOR | $172,108 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,108 | $0 | $0 | $0 |
| DEREK KERR | ||||||||||||||
| DOCTOR | $177,053 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $177,053 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | LINDA LLOYD - FAMILY RELATIONSHIP LEANNE LLOYD - FAMILY RELATIONSHIP |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE FINANCE DIRECTOR BEFORE BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FINANCE DIRECTOR AND THE CHIEF EXECUTIVE OFFICER MONITOR THIS POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD REVIEWS SALARIES BY UTILIZING INFORMATION FROM THE PRIMARY CARE ASSOCIATION AND SALARY COMPARISIONS FOR THE STATE AND FEDERAL GOVERNMENT |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CONFLICT OF INTEREST POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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