BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC (EIN 57-0523586)
- Tax period
- 2014-06-01 to 2015-05-31
- Filed
- 2016-04-18
- IRS object ID
- 201631099349301138
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-18T18:12:24-05:00 | ReturnTs |
| Tax Period End | 2015-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 570292726 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGREGOR AND COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 135 | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570523586 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEAUFORT-JASPER-HAMPTON COMPREHENSIVE | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEAU | BusinessNameControlTxt |
| Phone | 8439877400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 357 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29936 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LONNIE MCINTEE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8439877400 | PhoneNum |
| Signature | 2016-04-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LESLEY KELLY CPA | PreparerPersonNm |
| PTIN | P01338178 | PTIN |
| Phone | 8037870003 | PhoneNum |
| Preparation | 2016-01-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LONNIE MCINTEE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 357 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29936 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,307,872 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BJHCHS.COM | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | AMBULATORY HEALTH CARE | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 283 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,911,605 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,412,876 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,302,936 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,306,738 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,837 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,989 | CYInvestmentIncomeAmt |
| PY Other Revenue | $478,918 | PYOtherRevenueAmt |
| CY Other Revenue | $577,269 | CYOtherRevenueAmt |
| PY Total Revenue | $16,702,296 | PYTotalRevenueAmt |
| CY Total Revenue | $19,307,872 | 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 | $12,380,256 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,398,973 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,569,741 | PYOtherExpensesAmt |
| CY Other Expenses | $7,064,965 | CYOtherExpensesAmt |
| PY Total Expenses | $18,949,997 | PYTotalExpensesAmt |
| CY Total Expenses | $18,463,938 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,247,701 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $843,934 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,408,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,905,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,923,673 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,591,928 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,484,748 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,313,149 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE COMMUNITY HEALTHCARE SERVICES TO THE CITIZENS IN THE LOWCOUNTRY OF SOUTH CAROLINA | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,500,861 | ExpenseAmt |
| Revenue | $7,716,227 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES AMBULATORY HEALTH CARE SERVICES TO THE POPULATION OF BEAUFORT, SC AND SURROUNDING AREAS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,167,780 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $1,167,780 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,500,861 | 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 | 80 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 283 | 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 |
| 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONNIE MCINTEE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8439877400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HWY 170 PO 357 | AddressLine1Txt |
| City | RIDGELAND | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29936 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|
| DELMER HOLLINGSWORTH JR | |||||||
| BOARD CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HATTIE OUTLAW ASKEW | |||||||
| VICE CHAIRMAN | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUNE W LEVESQUE | |||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LUCY ROBINSON | |||||||
| SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BAXTER MCLENDON MD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN THEODORE | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| YORK L GLOVER | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| REV DR RENTY KITTY JR | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JORETTA SIMMONS | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| EDITH YOUNG | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JOANN DOCTOR | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ROLAND J GARDNER | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | Yes (X) | $216,226 | $0 | $0 | |
| M LAFRANCE FERGUSONMD | |||||||
| MEDICAL DIRECTOR | 40.00 | $194,187 | $0 | $0 | Yes (X) | ||
| JONATHAN GLENMD | |||||||
| INTERNAL MEDICINE PHYSICIAN | 40.00 | $172,249 | $0 | $0 | Yes (X) | ||
| EDWARD J MCNEIL MD | |||||||
| HOSPITALIST | 40.00 | $256,785 | $0 | $0 | Yes (X) | ||
| SAMAI SUPANMD | |||||||
| FAMILY PHYSICIAN | 40.00 | $147,470 | $0 | $0 | Yes (X) | ||
| AVRIL M CAMPBELLMD | |||||||
| PHYSICIAN | 40.00 | $122,774 | $0 | $0 | Yes (X) | ||
| MONICA DAWSONDDS | |||||||
| DENTIST | 40.00 | $123,383 | $0 | $0 | Yes (X) | ||
| ROSALIND DAWSONMD | |||||||
| PHYSICIAN | 40.00 | $155,138 | $0 | $0 | Yes (X) | ||
| NILES ITA MD | |||||||
| OB-GYN | 40.00 | $126,444 | $0 | $0 | Yes (X) | ||
| FAITH L POLKEYMD | |||||||
| PEDIATRICIAN | 40.00 | $164,771 | $0 | $0 | Yes (X) | ||
| PATRICK MEEHANMD | |||||||
| PHYSICIAN | 40.00 | $121,823 | $0 | $0 | Yes (X) | ||
| CABRERA MELENDEZMD | |||||||
| OB-GYN | 40.00 | $136,290 | $0 | $0 | Yes (X) | ||
| AFOLABI OGUNTOYINBOMD | |||||||
| PHYSICIAN | 40.00 | $133,993 | $0 | $0 | Yes (X) | ||
| JAMIE SINGLETONMD | |||||||
| PHYSICIAN | 40.00 | $126,094 | $0 | $0 | Yes (X) | ||
| MARLO SMITHMD | |||||||
| PHYSICIAN | 40.00 | $121,398 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,319,025 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,661,224 | GovernmentGrantsAmt |
| All Other Contributions | $751,652 | AllOtherContributionsAmt |
| Total Contributions | $10,412,876 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 624110 | $8,287,100 | $8,287,100 |
| RENTAL INCOME | 531390 | $19,638 | $19,638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,306,738 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,989 | TotalRevenueColumnAmt |
| Exclusion | $10,989 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUES | 624110 | $576,910 | $576,910 |
| GAIN ON DISPOSITION | 624110 | $359 | $359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $577,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,307,872 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,884,007 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,989 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,820,496 | TotalAmt |
| Program Services | $6,814,107 | ProgramServicesAmt |
| Management And General | $3,006,389 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,578,477 | TotalAmt |
| Program Services | $1,089,149 | ProgramServicesAmt |
| Management And General | $489,328 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,327 | TotalAmt |
| Management And General | $40,327 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,575 | TotalAmt |
| Program Services | $174,967 | ProgramServicesAmt |
| Management And General | $78,608 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,805 | TotalAmt |
| Program Services | $87,049 | ProgramServicesAmt |
| Management And General | $193,756 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,888 | TotalAmt |
| Program Services | $75,125 | ProgramServicesAmt |
| Management And General | $1,763 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,217 | TotalAmt |
| Program Services | $115,379 | ProgramServicesAmt |
| Management And General | $51,838 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $979,051 | TotalAmt |
| Program Services | $671,443 | ProgramServicesAmt |
| Management And General | $307,608 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,302 | TotalAmt |
| Program Services | $146,578 | ProgramServicesAmt |
| Management And General | $38,724 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE EXPENSES | $1,574,136 | $1,574,136 | $0 |
| SUPPLIES MEDICAL AND OT | $1,329,471 | $1,199,733 | $129,738 |
| OTHER EXPENSES | $778,354 | $537,067 | $241,287 |
| CONSULTING SERVICES | $655,810 | $342,600 | $313,210 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $744,029 | TotalAmt |
| Program Services | $673,528 | ProgramServicesAmt |
| Management And General | $70,501 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,463,938 | TotalAmt |
| Program Services | $13,500,861 | ProgramServicesAmt |
| Management And General | $4,963,077 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,483 | BOYAmt |
| EOY | $1,222,753 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $358,453 | BOYAmt |
| EOY | $273,667 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $771,477 | BOYAmt |
| EOY | $1,569,084 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,998 | BOYAmt |
| EOY | $7,360 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,403 | BOYAmt |
| EOY | $94,139 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,215 | BOYAmt |
| EOY | $5,053 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,306,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,680,297 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,086,592 | BOYAmt |
| EOY | $15,625,754 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,370 | BOYAmt |
| EOY | $102,837 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,430 | BOYAmt |
| EOY | $4,430 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,408,421 | BOYAmt |
| EOY | $18,905,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,339,902 | BOYAmt |
| EOY | $865,843 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,499 | BOYAmt |
| EOY | $268,871 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,139,272 | BOYAmt |
| EOY | $3,457,214 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,923,673 | BOYAmt |
| EOY | $4,591,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,370,977 | BOYAmt |
| EOY | $14,122,301 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,771 | BOYAmt |
| EOY | $190,848 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,484,748 | BOYAmt |
| EOY | $14,313,149 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,408,421 | BOYAmt |
| EOY | $18,905,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $843,934 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,533 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $10,952,520 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,432,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,894,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,911,605 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,412,876 | CurrentTaxYearAmt |
| Total | $56,603,738 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,952,520 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,432,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,894,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,911,605 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,412,876 | CurrentTaxYearAmt |
| Total | $56,603,738 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $56,603,738 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,963 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,815 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,837 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,989 | CurrentTaxYearAmt |
| Total | $87,336 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$3,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$3,425 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$344,119 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $478,918 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $577,269 | CurrentTaxYearAmt |
| Total | $705,087 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $57,396,161 | TotalSupportAmt |
| Public Support CY170 | 0.98620 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99530 | 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 | $581,506 | OtherCostOrOtherBasisAmt |
| Book Value | $581,506 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,724,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,680,297 | DepreciationAmt |
| Book Value | $15,044,248 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,625,754 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,292,339 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$15,533 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$15,533 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,307,872 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,307,872 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,463,938 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,463,938 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,463,938 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS NOT CURRENTLY UNDERGOING EXAMINATION OF ANY PREVIOUSLY FILED TAX RETURNS; HOWEVER, THE RETURNS FILED FOR THE MOST RECENT THREE YEARS REMAIN AVAILABLE FOR EXAMINATION BY TAXING AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROLAND J GARDNER | ||||||||||||||
| EXECUTIVE DIRECTOR | $216,226 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $216,226 | $0 | $0 | $0 |
| M LAFRANCE FERGUSONMD | ||||||||||||||
| MEDICAL DIRECTOR | $194,187 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $194,187 | $0 | $0 | $0 |
| JONATHAN GLENMD | ||||||||||||||
| INTERNAL MEDICINE PHYSICIAN | $172,249 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,249 | $0 | $0 | $0 |
| EDWARD J MCNEIL MD | ||||||||||||||
| HOSPITALIST | $256,785 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $256,785 | $0 | $0 | $0 |
| ROSALIND DAWSONMD | ||||||||||||||
| PHYSICIAN | $155,138 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $155,138 | $0 | $0 | $0 |
| FAITH L POLKEYMD | ||||||||||||||
| PEDIATRICIAN | $164,771 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $164,771 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE IRS FORMM 990 IS MADE AVAILABLE FOR REVIEW TO ALL BOARD MEMBERS PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE ORGANIZATION |
| FORM 990, PART XII, LINE 2C: | THE BOARD OF DIRECTORS REVIEW THE ANNUAL AUDIT AND ALL LETTERS OF COMMUNICATION WITH THE AUDITORS PRIOR TO THE ISSUANCE OF THE AUDIT REPORT |
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