ELLIS COUNTY COALITION FOR HEALTH OPTIONS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ELLIS COUNTY COALITION FOR HEALTH OPTIONS (EIN 75-2813621)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201543179349307519
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-13T15:04:06-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN752393478PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WHITLEY PENN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18343 DOUGLAS AVENUE STE 400AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75225ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752813621EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLIS COUNTY COALITION FOR HEALTH OPTIONS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELLIBusinessNameControlTxt
Phone9729232440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1Txt
CityWAXAHACHIECityNm
State AbbreviationTXStateAbbreviationCd
ZIP75165ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL BEGNOCHEPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone9729232440PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCURTIS MAXFIELDPreparerPersonNm
PTINP00445178PTIN
Phone2143939300PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOPE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPAUL BEGNOCHEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1Txt
CityWAXAHACHIECityNm
State AbbreviationTXStateAbbreviationCd
ZIP75165ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,929,582GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALL4HOPE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionPROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee59TotalEmployeeCnt
Total Volunteers2TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,598,820PYContributionsGrantsAmt
CY Contributions Grants$1,585,251CYContributionsGrantsAmt
PY Program Service Revenue$1,208,243PYProgramServiceRevenueAmt
CY Program Service Revenue$1,337,865CYProgramServiceRevenueAmt
PY Investment Income$1,990PYInvestmentIncomeAmt
CY Investment Income$2,707CYInvestmentIncomeAmt
PY Other Revenue-$6,638PYOtherRevenueAmt
CY Other Revenue-$3,579CYOtherRevenueAmt
PY Total Revenue$2,802,415PYTotalRevenueAmt
CY Total Revenue$2,922,244CYTotalRevenueAmt
PY Grants And Similar Paid$715PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,351CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,922,716PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,853,950CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$74,514CYTotalFundraisingExpenseAmt
PY Other Expenses$952,748PYOtherExpensesAmt
CY Other Expenses$960,041CYOtherExpensesAmt
PY Total Expenses$2,876,179PYTotalExpensesAmt
CY Total Expenses$2,815,342CYTotalExpensesAmt
PY Revenues Less Expenses-$73,764PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$106,902CYRevenuesLessExpensesAmt
Total Assets BOY$668,803TotalAssetsBOYAmt
Total Assets EOY$758,745TotalAssetsEOYAmt
Total Liabilities BOY$328,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$311,438TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$340,405NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$447,307NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,211,606ExpenseAmt
Grant$1,351GrantAmt
Revenue$1,341,624RevenueAmt
DescPROVIDED HEALTH, DENTAL, AND BEHAVIORAL HEALTH CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY.Desc
Total Program Service Expenses$2,211,606TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee59EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARBARA CLARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9729232440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1Txt
CityWAXAHACHIECityNm
State AbbreviationTXStateAbbreviationCd
ZIP75165ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOANN LIVINGSTON
PRESIDENT5.000.00Yes (X)Yes (X)$0$0$0
ROBERT ALVAREZ
VICE PRESIDENT2.000.00Yes (X)Yes (X)$0$0$0
JESSE DELEON
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
ELLA MCMAHAN
SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
FRANK NORRIS
MEMBER1.000.00Yes (X)$0$0$0
CODY MOORE DDS
MEMBER1.000.00Yes (X)$0$0$0
DARYL TILLERY
MEMBER1.000.00Yes (X)$0$0$0
MARIA ALFARO
MEMBER1.000.00Yes (X)$0$0$0
BOBBI JONES
MEMBER1.000.00Yes (X)$0$0$0
RAY PIKE
MEMBER1.000.00Yes (X)$0$0$0
LINDA BROWN
MEMBER1.000.00Yes (X)$0$0$0
TOM CRABB
MEMBER1.000.00Yes (X)$0$0$0
YOLANDE OWENS
CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$28,150$0$0
SUSIE WEATHERFORD
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$10,154$0$0
HARRY HICKEY
CHIEF FINANCIAL OFFICER20.000.00Yes (X)$40,370$0$0
DR RANSOME ETINDI
CHIEF MEDICAL OFFICER40.000.00Yes (X)$33,200$0$0
DAN SHEPHERD
INTERIM CHIEF EXECUTIVE OFFICER40.000.00Yes (X)$70,125$0$0
DR RUDOLFO URBY
INTERIM CHIEF MEDICAL OFFICER6.000.00Yes (X)$25,704$0$0
ELMER HODGES DDS
DENTIST32.000.00$101,178$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$308,881TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$7,791FundraisingAmt
Government Grants$1,309,423GovernmentGrantsAmt
All Other Contributions$268,037AllOtherContributionsAmt
Noncash Contributions$162,517NoncashContributionsAmt
Total Contributions$1,585,251TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business621110BusinessCd
Total Revenue Column$1,337,865TotalRevenueColumnAmt
Related Or Exempt Func Income$1,337,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,337,865TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,707TotalRevenueColumnAmt
Exclusion$2,707ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$7,791ContriRptFundraisingEventAmt
Fundraising Direct Expenses$7,338FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,338TotalRevenueColumnAmt
Exclusion-$7,338ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINCOME MEDICAL RECORDSDesc
Business621110BusinessCd
Total Revenue Column$3,759TotalRevenueColumnAmt
Related Or Exempt Func Income$3,759RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,759OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,922,244TotalRevenueColumnAmt
Related Or Exempt Func Income$1,341,624RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$4,631ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,351TotalAmt
Program Services$1,351ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$207,704TotalAmt
Program Services$182,317ProgramServicesAmt
Management And General$20,992ManagementAndGeneralAmt
Fundraising$4,395FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,375,099TotalAmt
Program Services$1,207,025ProgramServicesAmt
Management And General$138,980ManagementAndGeneralAmt
Fundraising$29,094FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$119,970TotalAmt
Program Services$55,392ProgramServicesAmt
Management And General$53,400ManagementAndGeneralAmt
Fundraising$11,178FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$151,177TotalAmt
Program Services$69,800ProgramServicesAmt
Management And General$67,290ManagementAndGeneralAmt
Fundraising$14,087FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$735TotalAmt
Management And General$735ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,041TotalAmt
Management And General$59,041ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$505,492TotalAmt
Program Services$444,198ProgramServicesAmt
Management And General$61,294ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,103TotalAmt
Program Services$4,103ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,243TotalAmt
Program Services$8,843ProgramServicesAmt
Management And General$8,600ManagementAndGeneralAmt
Fundraising$1,800FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$82,042TotalAmt
Program Services$36,122ProgramServicesAmt
Management And General$38,566ManagementAndGeneralAmt
Fundraising$7,354FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,854TotalAmt
Management And General$11,854ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,290TotalAmt
Program Services$800ProgramServicesAmt
Management And General$7,490ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,606TotalAmt
Management And General$3,803ManagementAndGeneralAmt
Fundraising$3,803FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,886TotalAmt
Program Services$26,233ProgramServicesAmt
Management And General$3,021ManagementAndGeneralAmt
Fundraising$632FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,317TotalAmt
Program Services$5,200ProgramServicesAmt
Management And General$5,058ManagementAndGeneralAmt
Fundraising$1,059FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$153,068$153,068
REPAIRS AND MAINTENANCE$18,490$18,490
PROFESSIONAL DUES$15,629$15,629
EQUIPMENT RENTAL$7,446$7,446

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$25,799TotalAmt
Program Services$9,708ProgramServicesAmt
Management And General$14,979ManagementAndGeneralAmt
Fundraising$1,112FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,815,342TotalAmt
Program Services$2,211,606ProgramServicesAmt
Management And General$529,222ManagementAndGeneralAmt
Fundraising$74,514FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$373BOYAmt
EOY$150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$36,106BOYAmt
EOY$144,931EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$74,562BOYAmt
EOY$71,230EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$743,636LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$202,347LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$557,762BOYAmt
EOY$541,289EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,145EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$668,803BOYAmt
EOY$758,745EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$155,001BOYAmt
EOY$189,044EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$47,601BOYAmt
EOY$34,703EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,796BOYAmt
EOY$87,691EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$328,398BOYAmt
EOY$311,438EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$340,405BOYAmt
EOY$447,307EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$340,405BOYAmt
EOY$447,307EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$668,803BOYAmt
EOY$758,745EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$106,902ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,870,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,071,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,367,420CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,598,820CurrentTaxYearMinus1YearAmt
Current Tax Year$1,585,251CurrentTaxYearAmt
Total$7,493,643TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,870,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,071,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,367,420CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,598,820CurrentTaxYearMinus1YearAmt
Current Tax Year$1,585,251CurrentTaxYearAmt
Total$7,493,643TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$7,493,643PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,990CurrentTaxYearMinus1YearAmt
Current Tax Year$2,707CurrentTaxYearAmt
Total$9,351TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$2,409CurrentTaxYearMinus3YearsAmt
Total$2,409TotalAmt
FieldValueIRS element (for citing)
Total Support$7,505,403TotalSupportAmt
Public Support CY1700.99840PublicSupportCY170Pct
Public Support PY1700.99870PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$40,203BeginningYearBalanceAmt
End Year Balance$40,203EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$40,203BeginningYearBalanceAmt
End Year Balance$40,203EndYearBalanceAmt

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,000OtherCostOrOtherBasisAmt
Book Value$19,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$505,187OtherCostOrOtherBasisAmt
Depreciation$66,961DepreciationAmt
Book Value$438,226BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,113OtherCostOrOtherBasisAmt
Depreciation$3,613DepreciationAmt
Book Value$6,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$144,313OtherCostOrOtherBasisAmt
Depreciation$66,750DepreciationAmt
Book Value$77,563BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,023OtherCostOrOtherBasisAmt
Depreciation$65,023DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$541,289TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LINE OF CREDIT VINTAGE BANK$50,421
VINTAGE BANK LOAN$26,428
LEAF PHONE LEASE$10,842
FieldValueIRS element (for citing)
Total Liability$87,691TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,929,582TotalRevEtcAuditedFinclStmtAmt
Other Revenue$7,338OtherRevenueAmt
Revenue Not Reported$7,338RevenueNotReportedAmt
Revenue Subtotal$2,922,244RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,922,244TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,822,680TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$7,338OtherExpensesIncludedAmt
Expenses Not Reported$7,338ExpensesNotReportedAmt
Expenses Subtotal$2,815,342ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,815,342TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CLINIC IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. THE CLINIC FOLLOWS THE GUIDANCE UNDER GAAP, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION, AND DISCLOSURE OF UNCERTAIN IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. MANAGEMENT BELIEVES THAT IT HAS NOT TAKEN A TAX POSITION THAT, IF CHALLENGED, WOULD HAVE A MATERIAL EFFECT ON THE CLINIC'S FINANCIAL STATEMENTS. THE CLINIC FILES FORM 990 IN THE UNITED STATES FEDERAL JURISDICTION WITHIN THE UNITED STATES AND NO TAX RETURNS ARE CURRENTLY UNDER EXAMINATION BY ANY TAX AUTHORITIES. TAX RETURNS SUBSEQUENT TO 2010 ARE OPEN FOR POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISER EXPENSES 7,338.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISER EXPENSES 7,338.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonYOLANDE OWENSPersonNm
Relationship With OrgFORMER CEORelationshipWithOrgTxt
Loan PurposeOPERATING LOANLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$107,000OriginalPrincipalAmt
Balance Due$34,703BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$34,703TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS:FormAndLineReferenceDesc
ExplanationIN AUGUST 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $30,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN SEPTEMBER 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $22,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN MARCH 2013, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $15,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.FROM TIME TO TIME, AND WITHOUT BOARD APPROVAL, THE CHIEF EXECUTIVE OFFICER MADE LOANS TO THE CLINIC IN THE FORM OF SHORT TERM ADVANCES TO FUND OPERATIONAL COSTS OF THE CLINIC. OUTSTANDING BALANCES OF THESE SHORT TERM ADVANCES TOTALED APPROXIMATELY $35,000 AT DECEMBER 31, 2014. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution23ContributionCnt
Noncash Contributions Rpt F990$158,517NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)EQUIPMENT3$3,000COST
Yes (X)OFFICE FURNITURE20$1,000COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 990 WAS REVIEWED BY THE CEO, CLINIC DIRECTOR, CFO, BOARD PRESIDENT AND FINANCE COMMITTEE MEMBER PRIOR TO FILING. THE FULL BOARD WAS PRESENTED A COPY AT A SUBSEQUENT MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD APPROVES A RANGE OF SALARIES DURING THE ANNUAL BUDGET PROCESS FOR ALL POSITIONS BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES UNDER HRSA TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 39,087. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,087. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 444,198. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 444,198. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,723. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 15,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,484.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.