BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC (EIN 57-0523586)
- Tax period
- 2013-06-01 to 2014-05-31
- Filed
- 2015-04-15
- IRS object ID
- 201511059349301316
- Schema version
- 2013v4.0
- 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 | 2015-04-15T18:48:06-05:00 | ReturnTs |
| Tax Period End | 2014-05-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POST OFFICE BOX 135 | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-06-01 | 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 | BusinessNameLine1 |
| Business Name Line2 | HEALTH SERVICES INC | BusinessNameLine2 |
| 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 | AddressLine1 |
| City | RIDGELAND | City |
| State | SC | State |
| ZIP Code | 29936 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROLAND J GARDNER EXEC DIRECTOR | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8439877400 | PhoneNum |
| Signature | 2015-04-15 | 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 | 2015-04-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROLAND J GARDNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 357 | AddressLine1 |
| City | RIDGELAND | City |
| State | SC | State |
| ZIP Code | 29936 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,702,296 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 294 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,894,460 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,911,605 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,162,628 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,302,936 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,816 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,837 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$344,119 | PYOtherRevenueAmt |
| CY Other Revenue | $478,918 | CYOtherRevenueAmt |
| PY Total Revenue | $20,729,785 | PYTotalRevenueAmt |
| CY Total Revenue | $16,702,296 | 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 | $12,344,523 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,380,254 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,638,649 | PYOtherExpensesAmt |
| CY Other Expenses | $6,569,741 | CYOtherExpensesAmt |
| PY Total Expenses | $18,983,172 | PYTotalExpensesAmt |
| CY Total Expenses | $18,949,995 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,746,613 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,247,699 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,850,921 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,408,421 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,128,289 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,923,673 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,722,632 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,484,748 | 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 | $13,676,844 | ExpenseAmt |
| Revenue | $6,044,630 | 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 | $737,224 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $737,224 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,676,844 | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 68 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 294 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8439877400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HWY 170 PO 357 | AddressLine1 |
| City | RIDGELAND | City |
| State | SC | State |
| ZIP Code | 29936 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LUCY ROBINSON | |||||||
| SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EDITH YOUNG | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUNE LEVESQUE | |||||||
| TREASURER | 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 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 | ||
| ROLAND J GARDNER | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $198,416 | $0 | $0 | ||
| CATHY BAGLEY MD | |||||||
| PHYSICIAN | 40.00 | $194,756 | $0 | $0 | Yes (X) | ||
| CANDACE RENEE CLOCKER MD | |||||||
| PHYSICIAN | 40.00 | $127,883 | $0 | $0 | Yes (X) | ||
| ALLAHNA COGGINS MD | |||||||
| PHYSICIAN | 40.00 | $186,532 | $0 | $0 | Yes (X) | ||
| ERASME COLY MD | |||||||
| PHYSICIAN | 40.00 | $125,533 | $0 | $0 | Yes (X) | ||
| MONICA DAWSON DDS | |||||||
| DOCTOR OF DENTAL SURGERY | 40.00 | $111,962 | $0 | $0 | Yes (X) | ||
| ROSALIND DAWSON MD | |||||||
| PHYSICIAN | 40.00 | $139,461 | $0 | $0 | Yes (X) | ||
| FAITH LAWRENCE POLKEY MD | |||||||
| PHYSICIAN | 40.00 | $158,038 | $0 | $0 | Yes (X) | ||
| EDWARD MCNEIL MD | |||||||
| PHYSICIAN | 40.00 | $237,878 | $0 | $0 | Yes (X) | ||
| PATRICK MEEHAN MD | |||||||
| PHYSICIAN | 40.00 | $168,745 | $0 | $0 | Yes (X) | ||
| AFOLABI OGUNTOYINBO | |||||||
| PHYSICIAN | 40.00 | $115,835 | $0 | $0 | Yes (X) | ||
| JOHN WALKER PARHAM | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $120,828 | $0 | $0 | Yes (X) | ||
| JOSE RODRIGUEZ MD | |||||||
| PHYSICIAN | 40.00 | $127,198 | $0 | $0 | Yes (X) | ||
| JAMIE SINGLETON MD | |||||||
| PHYSICIAN | 40.00 | $112,753 | $0 | $0 | Yes (X) | ||
| MARLO SMITH MD | |||||||
| PHYSICIAN | 40.00 | $115,621 | $0 | $0 | Yes (X) | ||
| MERYL SNOW | |||||||
| PHYSICIAN | 40.00 | $153,732 | $0 | $0 | Yes (X) | ||
| SAMAI SUPAN MD | |||||||
| PHYSICIAN | 40.00 | $144,200 | $0 | $0 | Yes (X) | ||
| CLAUDE TOLBERT JR MD | |||||||
| PHYSICIAN | 40.00 | $221,095 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,760,466 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | 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 | $9,329,229 | GovernmentGrantsAmt |
| All Other Contributions | $582,376 | AllOtherContributionsAmt |
| Total Contributions | $9,911,605 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 624110 | $6,285,472 | $6,285,472 |
| RENTAL INCOME | 531390 | $17,464 | $17,464 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,302,936 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,837 | TotalRevenueColumnAmt |
| Exclusion | $8,837 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUES | 624110 | $478,651 | $478,651 |
| GAIN ON DISPOSITION | 624110 | $267 | $267 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $478,918 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,702,296 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,781,854 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,837 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,517,907 | TotalAmt |
| Program Services | $7,298,017 | ProgramServicesAmt |
| Management And General | $3,219,890 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,347 | TotalAmt |
| Program Services | $1,285,019 | ProgramServicesAmt |
| Management And General | $577,328 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,696 | TotalAmt |
| Management And General | $87,696 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,423 | TotalAmt |
| Program Services | $174,862 | ProgramServicesAmt |
| Management And General | $78,561 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,583 | TotalAmt |
| Program Services | $92,560 | ProgramServicesAmt |
| Management And General | $206,023 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,367 | TotalAmt |
| Program Services | $81,455 | ProgramServicesAmt |
| Management And General | $1,912 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,662 | TotalAmt |
| Program Services | $91,536 | ProgramServicesAmt |
| Management And General | $41,126 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,474 | TotalAmt |
| Program Services | $617,554 | ProgramServicesAmt |
| Management And General | $282,920 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,889 | TotalAmt |
| Program Services | $135,177 | ProgramServicesAmt |
| Management And General | $35,712 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES MEDICAL AND OT | $1,498,232 | $1,352,025 | $146,207 |
| PATIENT CARE EXPENSES | $945,750 | $945,750 | $0 |
| OTHER EXPENSES | $747,507 | $515,782 | $231,725 |
| CONSULTING SERVICES | $611,524 | $319,465 | $292,059 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $839,634 | TotalAmt |
| Program Services | $767,642 | ProgramServicesAmt |
| Management And General | $71,992 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,949,995 | TotalAmt |
| Program Services | $13,676,844 | ProgramServicesAmt |
| Management And General | $5,273,151 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,076,710 | BOYAmt |
| EOY | $865,483 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,755 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,604 | BOYAmt |
| EOY | $358,453 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,704,809 | BOYAmt |
| EOY | $771,477 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,919 | BOYAmt |
| EOY | $11,998 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,728 | BOYAmt |
| EOY | $80,403 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,737 | BOYAmt |
| EOY | $111,215 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,831,377 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,744,785 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,978,671 | BOYAmt |
| EOY | $16,086,592 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,558 | BOYAmt |
| EOY | $118,370 | 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 | $19,850,921 | BOYAmt |
| EOY | $18,408,421 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,214,254 | BOYAmt |
| EOY | $1,339,902 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,323 | BOYAmt |
| EOY | $444,499 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,636,712 | BOYAmt |
| EOY | $3,139,272 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,128,289 | BOYAmt |
| EOY | $4,923,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,588,023 | BOYAmt |
| EOY | $13,370,977 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,609 | BOYAmt |
| EOY | $113,771 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,722,632 | BOYAmt |
| EOY | $13,484,748 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,850,921 | BOYAmt |
| EOY | $18,408,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,247,699 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,813 | 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 | $9,699,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,952,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,432,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,894,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,911,605 | CurrentTaxYearAmt |
| Total | $55,890,831 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,699,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,952,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,432,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,894,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,911,605 | CurrentTaxYearAmt |
| Total | $55,890,831 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $55,890,831 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,017 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,963 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,732 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,837 | CurrentTaxYearAmt |
| Total | $121,364 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$3,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$3,425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$344,119 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $478,918 | CurrentTaxYearAmt |
| Total | $143,768 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $56,155,963 | TotalSupportAmt |
| Public Support CY170 | 0.99530 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99640 | 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 | $25,249,871 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,744,785 | DepreciationAmt |
| Book Value | $15,505,086 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,086,592 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,712,109 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $9,813 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $9,813 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,702,296 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,702,296 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,949,995 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,949,995 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,949,995 | 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 (8 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 | $198,416 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $198,416 | $0 | $0 | $0 |
| CATHY BAGLEY MD | ||||||||||||||
| PHYSICIAN | $194,756 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $194,756 | $0 | $0 | $0 |
| ALLAHNA COGGINS MD | ||||||||||||||
| PHYSICIAN | $186,532 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,532 | $0 | $0 | $0 |
| FAITH LAWRENCE POLKEY MD | ||||||||||||||
| PHYSICIAN | $158,038 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $158,038 | $0 | $0 | $0 |
| EDWARD MCNEIL MD | ||||||||||||||
| PHYSICIAN | $237,878 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $237,878 | $0 | $0 | $0 |
| PATRICK MEEHAN MD | ||||||||||||||
| PHYSICIAN | $168,745 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $168,745 | $0 | $0 | $0 |
| MERYL SNOW | ||||||||||||||
| PHYSICIAN | $153,732 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,732 | $0 | $0 | $0 |
| CLAUDE TOLBERT JR MD | ||||||||||||||
| PHYSICIAN | $221,095 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $221,095 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | DONATED LAB S | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $37,086 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (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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