GRACEMED HEALTH CLINIC INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GRACEMED HEALTH CLINIC INC (EIN 48-1159633)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-09-03
IRS object ID: 201522469349300442
Schema version: 2014v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-09-03T17:01:20-05:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	481032601	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN GIBBS & HOULIK LC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 N MAIN SUITE 1700	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	672024868	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481159633	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRACEMED HEALTH CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAC	BusinessNameControlTxt
Phone	3168662001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SANFORD	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	3168662011	PhoneNum
Signature	2015-08-26	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER A ALLEN	PreparerPersonNm
PTIN	P01338336	PTIN
Phone	3162677231	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID SANFORD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,951,919	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRACEMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE PRIMARY HEALTH AND DENTAL CARE SERVICES TO KANSANS WITHOUT HEALTH INSURANCE OR ADEQUATE FINANCIAL RESOURCES TO SECURE TRADITIONAL HEALTH CARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	247	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,613	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,163,301	PYContributionsGrantsAmt
CY Contributions Grants	$4,046,603	CYContributionsGrantsAmt
PY Program Service Revenue	$8,646,990	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,463,142	CYProgramServiceRevenueAmt
PY Investment Income	-$58,447	PYInvestmentIncomeAmt
CY Investment Income	$49,909	CYInvestmentIncomeAmt
PY Other Revenue	$31,562	PYOtherRevenueAmt
CY Other Revenue	$33,809	CYOtherRevenueAmt
PY Total Revenue	$11,783,406	PYTotalRevenueAmt
CY Total Revenue	$13,593,463	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	$7,754,946	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,417,337	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$66,529	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,056,963	PYOtherExpensesAmt
CY Other Expenses	$3,290,600	CYOtherExpensesAmt
PY Total Expenses	$10,811,909	PYTotalExpensesAmt
CY Total Expenses	$11,707,937	CYTotalExpensesAmt
PY Revenues Less Expenses	$971,497	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,885,526	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,535,112	TotalAssetsBOYAmt
Total Assets EOY	$9,901,441	TotalAssetsEOYAmt
Total Liabilities BOY	$899,515	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,303,094	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,635,597	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$8,598,347	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO SHOW AND SHARE THE LOVE OF JESUS CHRIST BY PROVIDING COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY HEALTH CARE FOR RESIDENTS OF SOUTH CENTRAL KANSAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$9,217,011	ExpenseAmt
Revenue	$9,477,409	RevenueAmt
Desc	PROVIDING PRIMARY HEALTH AND DENTAL CARE TO KANSANS WITHOUT HEALTH INSURANCE OR ADEQUATE FINANCIAL RESOURCES TO SECURE TRADITIONAL HEALTH CARE SERVICES	Desc
Total Program Service Expenses	$9,217,011	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	0	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	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	247	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	0	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHAROL SULLIVAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3168662049	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ABE RODRIGUEZ
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
BARTON PRINCE
VICE - PRESIDENT	4.00	Yes (X)	$0	$0	$0	Yes (X)
DENISE WREN
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
FRED ERVIN
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
GAROLD MINNS
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
JEFFREY TOWNE
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
JON ROSELL
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
LAURIE LABARCA
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
MARC MINNIS
PRESIDENT	4.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL GOOD
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
RICK JUST
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
ROB DAKIN
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
SALLY CHESSER
TREASURER	4.00	Yes (X)	$0	$0	$0	Yes (X)
SUSAN HOWEY
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
TERRY BOURLARD
BOARD MEMBER	4.00	Yes (X)	$0	$0	$0
DAVID SANFORD
CHIEF EXECUTIVE OFFICER	40.00		$146,987	$0	$10,001	Yes (X)
GAIL FINNEY
SECRETARY	4.00		$0	$0	$0	Yes (X)
JULIE A ELDER
OFFICER	40.00		$155,542	$0	$9,480	Yes (X)
VENUS L LEE
OFFICER	40.00		$111,568	$0	$2,863	Yes (X)
ROGER G NOLTE
OFFICER	40.00		$144,029	$0	$5,591	Yes (X)
PAMELA A STANBERRY
OFFICER	40.00		$101,926	$0	$8,649	Yes (X)
SHAROL A SULLIVAN
OFFICER	40.00		$100,376	$0	$3,374	Yes (X)
DR ANDREA BOOTHE
DENTIST	40.00		$114,491	$0	$8,176		Yes (X)
DR MARTA E HANTKE
DOCTOR	40.00		$100,452	$0	$7,841		Yes (X)
DR GIAO A PHAM
DOCTOR	40.00		$115,380	$0	$7,441		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,090,751	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$63,416	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
USD #259
201 N WATER	WICHITA	KS	67202	CLINIC CONSTRUCTION	$724,600
HENRY SCHEIN INC
DEPT CH 10241	PALATINE	IL	60055	DENTAL SUPPLIES	$465,283
MCKESSON DRUG
PO BOX 409521	ATLANTA	GA	30384	PHARMACY SUPPLIES	$219,440
GREATER WICHITA YMCA
402 N MARKET	WICHITA	KS	67202	CONSTRUCTION	$189,000
PEARCE TURK DENTAL LABORATORY
5775 WAYZATA BLVD SUITE 890	MINNEAPOLIS	MN	55416	DENTAL LAB	$143,605

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Fundraising	$37,570	FundraisingAmt
Government Grants	$2,686,787	GovernmentGrantsAmt
All Other Contributions	$1,322,246	AllOtherContributionsAmt
Total Contributions	$4,046,603	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL & DENTAL SERVICES	621110	$9,174,142	$9,174,142
HIT CERT INCENTIVE	621110	$289,000	$289,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,463,142	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,155	TotalRevenueColumnAmt
Exclusion	$45,155	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$333,415	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$328,661	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,754	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,754	TotalRevenueColumnAmt
Exclusion	$4,754	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$49,337	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$37,570	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$29,795	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,542	TotalRevenueColumnAmt
Exclusion	$19,542	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$14,267	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,267	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$14,267	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,593,463	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,477,409	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$69,451	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$760,429	TotalAmt
Program Services	$608,821	ProgramServicesAmt
Management And General	$151,608	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,976,546	TotalAmt
Program Services	$5,550,471	ProgramServicesAmt
Management And General	$1,382,174	ManagementAndGeneralAmt
Fundraising	$43,901	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$60,152	TotalAmt
Program Services	$43,167	ProgramServicesAmt
Management And General	$16,127	ManagementAndGeneralAmt
Fundraising	$858	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$620,210	TotalAmt
Program Services	$518,033	ProgramServicesAmt
Management And General	$98,471	ManagementAndGeneralAmt
Fundraising	$3,706	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$95,401	TotalAmt
Management And General	$95,401	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$295,911	TotalAmt
Program Services	$287,930	ProgramServicesAmt
Management And General	$7,981	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$162,308	TotalAmt
Program Services	$690	ProgramServicesAmt
Management And General	$157,334	ManagementAndGeneralAmt
Fundraising	$4,284	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,005	TotalAmt
Program Services	$68,609	ProgramServicesAmt
Management And General	$46,396	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$342,550	TotalAmt
Program Services	$322,983	ProgramServicesAmt
Management And General	$19,567	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$22,557	TotalAmt
Program Services	$4,926	ProgramServicesAmt
Management And General	$17,631	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$350,282	TotalAmt
Program Services	$330,146	ProgramServicesAmt
Management And General	$20,136	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$25,881	TotalAmt
Program Services	$2,696	ProgramServicesAmt
Management And General	$23,185	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$852,885	$848,312	$4,573
CONSULTING & COMPUTER E	$268,674	$208,796	$59,858	$20
REPAIRS	$229,285	$165,051	$64,234
MISCELLANEOUS	$223,486	$4,158	$219,328	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$306,375	TotalAmt
Program Services	$252,222	ProgramServicesAmt
Management And General	$40,393	ManagementAndGeneralAmt
Fundraising	$13,760	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,707,937	TotalAmt
Program Services	$9,217,011	ProgramServicesAmt
Management And General	$2,424,397	ManagementAndGeneralAmt
Fundraising	$66,529	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$315,808	BOYAmt
EOY	$233,459	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$941,064	BOYAmt
EOY	$2,314,068	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$457,910	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$473,550	BOYAmt
EOY	$527,676	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,915	BOYAmt
EOY	$11,886	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$28,784	BOYAmt
EOY	$25,131	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,744,565	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,776,797	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,277,166	BOYAmt
EOY	$4,967,768	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,242,330	BOYAmt
EOY	$1,361,715	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,495	BOYAmt
EOY	$1,828	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,535,112	BOYAmt
EOY	$9,901,441	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$835,083	BOYAmt
EOY	$746,984	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$64,432	BOYAmt
EOY	$556,110	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$899,515	BOYAmt
EOY	$1,303,094	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,375,710	BOYAmt
EOY	$7,947,579	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,887	BOYAmt
EOY	$650,768	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,635,597	BOYAmt
EOY	$8,598,347	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,535,112	BOYAmt
EOY	$9,901,441	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,885,526	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$78,724	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,500	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)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,178,498	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,025,778	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,961,224	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,211,861	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,095,940	CurrentTaxYearAmt
Total	$15,473,301	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,839,861	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,181,866	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,953,176	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,661,989	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,477,409	CurrentTaxYearAmt
Total	$34,114,301	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,018,359	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,207,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,914,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,873,850	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,573,349	CurrentTaxYearAmt
Total	$49,587,602	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$49,587,602	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,939	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$31,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$45,973	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$58,447	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,409	CurrentTaxYearAmt
Total	$84,518	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,939	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$31,644	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$45,973	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$58,447	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,409	CurrentTaxYearAmt
Total	$84,518	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,035,298	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,239,288	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,960,373	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,815,403	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,621,758	CurrentTaxYearAmt
Total	$49,672,120	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99830	PublicSupportCY509Pct
Public Support PY509	0.99890	PublicSupportPY509Pct
Investment Income CY	0.00170	InvestmentIncomeCYPct
Investment Income PY	0.00110	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$4,080,232	InvestmentCostOrOtherBasisAmt
Depreciation	$613,914	DepreciationAmt
Book Value	$3,466,318	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,664,333	InvestmentCostOrOtherBasisAmt
Depreciation	$1,162,883	DepreciationAmt
Book Value	$1,501,450	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,967,768	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$14,355,959	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$78,724	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$655,477	DonatedServicesAndUseFcltsAmt
Other Revenue	$29,795	OtherRevenueAmt
Revenue Not Reported	$763,996	RevenueNotReportedAmt
Revenue Subtotal	$13,591,963	RevenueSubtotalAmt
Other Revenues Not Included	$1,500	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,500	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,593,463	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$12,393,209	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$655,477	DonatedServicesUseFcltsAmt
Other Expenses Included	$29,795	OtherExpensesIncludedAmt
Expenses Not Reported	$685,272	ExpensesNotReportedAmt
Expenses Subtotal	$11,707,937	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$11,707,937	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES REPORTED ON SCHEDULE G 29,795.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	PTP GAIN NOT ON AUDIT REPORT 1,500.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES REPORTED ON SCHEDULE G 29,795.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	5K RACE	Event1Nm
Gross Receipts Event1	$86,907	GrossReceiptsEvent1Amt
Charitable Contri Event1	$37,570	CharitableContriEvent1Amt
Gross Revenue Event1	$49,337	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,200	CashPrizesEvent1Amt
Non Cash Prizes Event1	$10,530	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$18,065	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$86,907	GrossReceiptsTotalAmt
Charitable Contributions Tot	$37,570	CharitableContributionsTotAmt
Gross Revenue Total Events	$49,337	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,200	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$10,530	NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events	$18,065	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$29,795	DirectExpenseSummaryEventsAmt
Net Income Summary	$19,542	NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
DAVID SANFORD
CHIEF EXECUTIVE OFFICER	$146,987	$0	$0	$0	$0	$0	$0	$0	$10,001	$0	$156,988	$0	$0	$0
JULIE A ELDER
OFFICER	$155,542	$0	$0	$0	$0	$0	$0	$0	$9,480	$0	$165,022	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHAD SANFORD
SON OF CEO	$47,320	CHAD SANFORD IS THE SON OF DAVID SANFORD, CEO OF GRACEMED. CHAD IS AN EMPLOYEE OF GRACEMED.	0
SARA BAYLESS
DAUGHTER OF OFFICER	$54,437	SARA BAYLESS IS THE DAUGHTER OF ROGER NOLTE, GRACEMED'S CHIEF DENTAL OFFICER. SARA BAYLESS IS AN EMPLOYEE OF GRACEMED.	0
DON CHESSER
SPOUSE OF BOARD MEMBER	$0	GRACEMED HEALTH CLINIC, INC. HOLDS AN INVESTMENT ACCOUNT WITH DON CHESSER (SPOUSE OF SALLY CHESSER WHO IS THE TREASURER/BOARD MEMBER) AT TD AMERITRADE. HE DOES NOT CHARGE A FEE FOR HIS SERVICES.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	CEASED PROVIDING PRE-NATAL CARE SERVICES.
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION HIRES AN OUTSIDE CPA TO PREPARE THE FINANCIAL STATEMENT AUDIT AND THE FORM 990 EACH YEAR. AFTER THE CPA HAS COMPLETED BOTH THE AUDIT AND FORM 990, THE CFO FOR THE ORGANIZATION AND THE CPA REVIEW THE INITIAL DRAFT OF THE RETURN TO ENSURE ITS COMPLETENESS AND ACCURACY. FOLLOWING THE REVIEW, THE FORM 990 IS COMPLETED AND THE ORGANIZATION FILES THE RETURN.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	PTP GAIN NOT ON AUDIT REPORT -1,500.
FORM 990, PART XII, LINE 2C	THIS POLICY HAS NOT CHANGED SINCE THE PRIOR YEAR.