NORTH COUNTRY HEALTHCARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
NORTH COUNTRY HEALTHCARE INC (EIN 86-0663432)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-01-25
IRS object ID
201620259349300532
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-01-25T11:31:20-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN860494040PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FESTER & CHAPMAN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14001 N 3RD ST STE 275AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP850122086ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN860663432EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH COUNTRY HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone9285229400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12920 N 4TH STAddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP860041816ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER YOUNGBERGPersonNm
Person TitleCFOPersonTitleTxt
Phone9285229400PhoneNum
Signature2016-01-21SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL R LOCKE CPAPreparerPersonNm
PTINP00450405PTIN
Phone6022643077PhoneNum
Preparation2016-01-25PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER YOUNGBERGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJENNIFER YOUNGBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12920 N 4TH STREETAddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$41,360,802GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHCOUNTRYHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionTO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee571TotalEmployeeCnt
Total Gross UBI$7,242TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$6,242NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,144,720PYContributionsGrantsAmt
CY Contributions Grants$12,297,868CYContributionsGrantsAmt
PY Program Service Revenue$12,221,465PYProgramServiceRevenueAmt
CY Program Service Revenue$22,554,457CYProgramServiceRevenueAmt
PY Investment Income$89,611PYInvestmentIncomeAmt
CY Investment Income$169,596CYInvestmentIncomeAmt
PY Other Revenue$2,482,576PYOtherRevenueAmt
CY Other Revenue$3,377,904CYOtherRevenueAmt
PY Total Revenue$33,938,372PYTotalRevenueAmt
CY Total Revenue$38,399,825CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,923,961PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,026,977CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$88,596CYTotalFundraisingExpenseAmt
PY Other Expenses$9,416,689PYOtherExpensesAmt
CY Other Expenses$11,592,924CYOtherExpensesAmt
PY Total Expenses$33,340,650PYTotalExpensesAmt
CY Total Expenses$37,619,901CYTotalExpensesAmt
PY Revenues Less Expenses$597,722PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$779,924CYRevenuesLessExpensesAmt
Total Assets BOY$28,896,863TotalAssetsBOYAmt
Total Assets EOY$30,937,419TotalAssetsEOYAmt
Total Liabilities BOY$10,726,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,127,023TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,170,739NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,810,396NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ACCESSIBLE, AFFORDABLE, COMPREHENSIVE, QUALITY PRIMARY HEALTHCARE IN AN ATMOSPHERE OF RESPECT, DIGNITY, AND CULTURAL SENSITIVITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$28,093,697ExpenseAmt
DescHEALTH CARE WAS PROVIDED TO MEDICALLY UNDERSERVED IN HEALTH PROFESSIONAL SHORTAGE AREAS. PROVIDE TRAINING AND CONTINUING EDUCATION TO HEALTH CARE PROFESSIONALS.Desc
Total Program Service Expenses$28,093,697TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document271IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee571EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH COUNTRY HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9285229400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12920 N 4TH STREETAddressLine1Txt
CityFLAGSTAFFCityNm
State AbbreviationAZStateAbbreviationCd
ZIP86004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KAY DYSON
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
GREG SAMPSON
PRESIDENT EL2.00Yes (X)Yes (X)$0$0$0
DAWN ABBOTT
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ED HILTNER MD
DIRECTOR2.00Yes (X)$0$0$0
AARON SECAKUKU
DIRECTOR2.00Yes (X)$0$0$0
MONICA BAKER
DIRECTOR2.00Yes (X)$0$0$0
PAUL FERRIS
DIRECTOR2.00Yes (X)$0$0$0
SYBIL SMITH
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
JERONIMO VASQUEZ
DIRECTOR2.00Yes (X)$0$0$0
LINDA RUSSELL
DIRECTOR2.00Yes (X)$0$0$0
CELIA BAROTZ
DIRECTOR2.00Yes (X)$0$0$0
CHERYL BLUME
DIRECTOR2.00Yes (X)$0$0$0
ANN ROGGENBUCK
CEO40.00Yes (X)$226,262$0$10,475
ANNE NEWLAND
CMO40.00Yes (X)$187,564$0$14,697
JENNIFER YOUNGBERG
CFO40.00Yes (X)$108,653$0$16,042
MARTI NEFF
COO40.00Yes (X)$77,561$0$10,124
ELIZABETH CLAXTON
PHYSICIAN40.00$215,363$0$0Yes (X)
BEVERLY TEW
OB-GYN40.00$202,944$0$0Yes (X)
CLAIR HERRICK
PHYSICIAN OB40.00$169,152$0$0Yes (X)
JAMES SIELSKI
PHYSICIAN40.00$156,586$0$0Yes (X)
JAMES PICKETT
FAMILY MEDIC40.00$153,175$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,497,260TotalReportableCompFromOrgAmt
Total Other Compensation$51,338TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALLIANCE OF CHICAGO
215 W OHIO STREETCHICAGOIL60654EHR SUPPORT$619,684
COMPHEALTH
6440 SOUTH MILLROCK DRIVE STE 175SALT LAKE CITYUT84121LOCUM PROVIDER$547,789
ALLIED HEALTH SEARCH LLC
71 EAST WADSWORTH PARK DRIVEDRAPERUT84020LOCUM PROVIDER$411,891
ACC BUSINESS
1300 W WASHINGTON STREETPHOENIXAZ85007PHONE/NET SRVC$382,434
CENTURYLINK COMMUNICATIONS LLC
100 CENTURYLINK DRIVEMONROELA71203PHONE/NET SRVC$171,692
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$7,542,529GovernmentGrantsAmt
All Other Contributions$4,755,339AllOtherContributionsAmt
Noncash Contributions$833,558NoncashContributionsAmt
Total Contributions$12,297,868TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621400$15,482,277$15,482,277
AHCCCS PROSPECTIVE PAYMENTS621400$7,072,180$7,072,180
FieldValueIRS element (for citing)
Total Program Service Revenue$22,554,457TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$118,584TotalRevenueColumnAmt
Exclusion$118,584ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$92,143RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$84,901RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,242RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,242TotalRevenueColumnAmt
Unrelated Business Revenue$7,242UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$332,031SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$281,019SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$51,012SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,012TotalRevenueColumnAmt
Related Or Exempt Func Income$32,526RelatedOrExemptFuncIncomeAmt
Exclusion$18,486ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$5,047,951GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,595,057CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,452,894TotalRevenueColumnAmt
Related Or Exempt Func Income$2,452,894RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621400BusinessCd
Total Revenue Column$917,768TotalRevenueColumnAmt
Related Or Exempt Func Income$917,768RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$917,768OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,399,825TotalRevenueColumnAmt
Related Or Exempt Func Income$25,957,645RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$7,242UnrelatedBusinessRevenueAmt
Exclusion$137,070ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$651,378TotalAmt
Program Services$553,671ProgramServicesAmt
Management And General$97,707ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$21,348,466TotalAmt
Program Services$18,039,677ProgramServicesAmt
Management And General$3,308,789ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$456,507TotalAmt
Program Services$366,796ProgramServicesAmt
Management And General$89,711ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,857,561TotalAmt
Program Services$1,664,968ProgramServicesAmt
Management And General$192,593ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,713,065TotalAmt
Program Services$1,388,211ProgramServicesAmt
Management And General$324,854ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,649TotalAmt
Management And General$31,649ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$39,452TotalAmt
Management And General$39,452ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,745,321TotalAmt
Program Services$2,417,843ProgramServicesAmt
Management And General$327,478ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$363,776TotalAmt
Program Services$150,055ProgramServicesAmt
Management And General$193,165ManagementAndGeneralAmt
Fundraising$20,556FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$975,482TotalAmt
Program Services$20,890ProgramServicesAmt
Management And General$954,592ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,046,480TotalAmt
Program Services$23,701ProgramServicesAmt
Management And General$1,022,779ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$348,611TotalAmt
Program Services$234,764ProgramServicesAmt
Management And General$113,810ManagementAndGeneralAmt
Fundraising$37FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$211,828TotalAmt
Program Services$2,543ProgramServicesAmt
Management And General$209,285ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,117,489TotalAmt
Program Services$7,358ProgramServicesAmt
Management And General$1,110,131ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$1,238,223$961,604$208,646$67,973
IN-KIND$837,176$837,176
REPAIRS AND MAINTENANCE$699,870$287,119$412,751
PATIENT SCREENING$596,251$587,635$8,616

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,341,316TotalAmt
Program Services$549,686ProgramServicesAmt
Management And General$791,600ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$37,619,901TotalAmt
Program Services$28,093,697ProgramServicesAmt
Management And General$9,437,608ManagementAndGeneralAmt
Fundraising$88,596FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,476,799BOYAmt
EOY$6,323,417EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$677,854BOYAmt
EOY$900,249EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,456,134BOYAmt
EOY$2,842,932EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$396,484BOYAmt
EOY$423,069EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$336,999BOYAmt
EOY$278,904EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,022,426LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,114,983LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,334,203BOYAmt
EOY$17,907,443EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,218,390BOYAmt
EOY$2,261,405EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,896,863BOYAmt
EOY$30,937,419EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,052,409BOYAmt
EOY$3,094,393EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,985,020EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,550,704BOYAmt
EOY$6,069,787EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,123,011BOYAmt
EOY$977,823EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,726,124BOYAmt
EOY$12,127,023EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,858,452BOYAmt
EOY$18,470,124EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,605BOYAmt
EOY$60,964EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$270,682BOYAmt
EOY$279,308EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,170,739BOYAmt
EOY$18,810,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,896,863BOYAmt
EOY$30,937,419EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$779,924ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$140,267NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,837,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,561,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,036,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,144,720CurrentTaxYearMinus1YearAmt
Current Tax Year$12,297,868CurrentTaxYearAmt
Total$88,877,488TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,837,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,561,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,036,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,144,720CurrentTaxYearMinus1YearAmt
Current Tax Year$12,297,868CurrentTaxYearAmt
Total$88,877,488TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$88,877,488PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,326CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,531CurrentTaxYearMinus1YearAmt
Current Tax Year$118,584CurrentTaxYearAmt
Total$306,365TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$17,778CurrentTaxYearMinus2YearsAmt
Current Tax Year$6,242CurrentTaxYearAmt
Total$24,020TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$796,239CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$314,836CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$606,223CurrentTaxYearMinus2YearsAmt
Total$1,717,298TotalAmt
FieldValueIRS element (for citing)
Total Support$90,925,171TotalSupportAmt
Gross Receipts Rltd Activities$28,520,176GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97750PublicSupportCY170Pct
Public Support PY1700.97470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER-TOTAL FOR 5 YEARS 1,717,298ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$126,879BeginningYearBalanceAmt
Contributions$77,177ContributionsAmt
Investment Earnings Or Losses$6,149InvestmentEarningsOrLossesAmt
End Year Balance$210,196EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,061,430OtherCostOrOtherBasisAmt
Book Value$2,061,430BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,809,903OtherCostOrOtherBasisAmt
Depreciation$3,467,261DepreciationAmt
Book Value$14,342,642BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,151,093OtherCostOrOtherBasisAmt
Depreciation$4,647,722DepreciationAmt
Book Value$1,503,371BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,907,443TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCES$784,370
CAPITAL LEASES$193,453
FieldValueIRS element (for citing)
Total Liability$977,823TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$40,939,516TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$140,267NetUnrealizedGainsInvstAmt
Other Revenue$2,679,958OtherRevenueAmt
Revenue Not Reported$2,539,691RevenueNotReportedAmt
Revenue Subtotal$38,399,825RevenueSubtotalAmt
Total Revenue Per Form990$38,399,825TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$40,299,859TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,679,958OtherExpensesIncludedAmt
Expenses Not Reported$2,679,958ExpensesNotReportedAmt
Expenses Subtotal$37,619,901ExpensesSubtotalAmt
Total Expenses Per Form990$37,619,901TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DCOST OF GOODS SOLD 2,595,057 EXPENSES REPORTED ON 990-T 84,901
SCHEDULE D, PAGE 4, PART XII, LINE 2DCOST OF GOODS SOLD 2,595,057 EXPENSES REPORTED ON 990-T 84,901

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ANN ROGGENBUCK
CEO$226,262$10,475$236,737
ANNE NEWLAND
CMO$187,564$14,697$202,261
ELIZABETH CLAXTON
PHYSICIAN$215,363$215,363
BEVERLY TEW
OB-GYN$202,944$202,944
CLAIR HERRICK
PHYSICIAN OB-GYN$169,152$169,152
JAMES SIELSKI
PHYSICIAN$156,586$156,586
JAMES PICKETT
FAMILY MEDICINE$153,175$153,175

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$532,837NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSERVICESDesc
Noncash Contributions Rpt F990$300,721NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE PROVIDED AND REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12CISSUES THAT ARE FLAGGED AS POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE ATTENTION OF THE SENIOR MANAGEMENT TEAM MEMBERS (CEO, CFO, CMO) AND THE HR DIRECTOR. A DECISION IS THEN REACHED REGARDING HOW THESE CONFLICTS SHOULD BE HANDLED.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION SURVEY'S ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION SURVEYS ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9COST OF GOODS SOLD 2,595,057 EXPENSES REPORTED ON 990-T 84,901 COST OF GOODS SOLD -2,595,057 EXPENSES REPORTED ON 990-T -84,901

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