CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC (EIN 64-0506107)
Tax period: 2012-12-01 to 2013-11-30
Filed: 2014-07-15
IRS object ID: 201401969349300020
Schema version: 2012v2.0
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 D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-07-15T15:23:23-07:00	Timestamp
Tax Period End Date	2013-11-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-12-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	640506107	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CENT	NameControl
Phone	6013645182	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O Box 3437	AddressLine1
City	Jackson	City
State	MS	State
ZIP Code	39207	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Techandra Mayes	Name
Title	Chief Financial Officer	Title
Phone	6013645182	Phone
Date Signed	2014-07-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Jasmin Chapman	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	P O Box 3437	AddressLine1
City	Jackson	City
State	MS	State
ZIP Code	39207	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	20591461	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.jackson-hinds.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	MS	StateLegalDomicile
Activity Or Mission Description	The mission is to provide quality, comprehensive primary and preventative healthcare and social services to the communities we serve. We are committed to serving the uninsured and the under insured.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	285	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	8265195	ContributionsGrantsPriorYear
Contributions Grants Current Year	6036587	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11623229	ProgramServiceRevenuePriorYear
Program Service Revenue CY	13595804	ProgramServiceRevenueCY
Investment Income Prior Year	4179	InvestmentIncomePriorYear
Investment Income Current Year	2189	InvestmentIncomeCurrentYear
Other Revenue Prior Year	166485	OtherRevenuePriorYear
Other Revenue Current Year	623675	OtherRevenueCurrentYear
Total Revenue Prior Year	20059088	TotalRevenuePriorYear
Total Revenue Current Year	20258255	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	12850037	SalariesEtcPriorYear
Salaries Etc Current Year	13940812	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5264728	OtherExpensePriorYear
Other Expenses Current Year	5560221	OtherExpensesCurrentYear
Total Expenses Prior Year	18114765	TotalExpensesPriorYear
Total Expenses Current Year	19501033	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1944323	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	757222	RevenuesLessExpensesCY
Total Assets BOY	16160241	TotalAssetsBOY
Total Assets EOY	17671923	TotalAssetsEOY
Total Liabilities BOY	3848917	TotalLiabilitiesBOY
Total Liabilities EOY	4603374	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12311324	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	13068549	NetAssetsOrFundBalancesEOY
Mission Description	The mission is to provide quality, comprehensive primary and preventive healthcare and social services to the communities we serve. We are committed to serving the uninsured and the under insured.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	15489325	Expense
Revenue	14221668	Revenue
Description	Health care programs, the center provided primary, preventative, and comprehensive services to the uninsured and the under insured.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	15489325	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	34	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	285	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Central Mississippi Civic Improvement Association Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6013625321	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3502 West Northside Drive	AddressLine1
City	Jackson	City
State	MS	State
ZIP Code	39213	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Alberta Johnson
Board Member	0	X	0	0	0
Connie Barnes Jones
Board Member	0	X	0	0	0
Donna Stamps
Board Member	0	X	0	0	0
Ethel Singleton
Board Member	0	X	0	0	0
Frances Frazier
Board Member	0	X	0	0	0
Irwin W Todd
Board Member	0	X	0	0	0
Ivy Cassel
Board Member	0	X	0	0	0
Jerlean Unice G Moore
Board Member	0	X	0	0	0
John A Peoples Jr
Board Member	0	X	0	0	0
Larry McMillan
Board Member	0	X	0	0	0
Lillie Ervin
Board Member	0	X	0	0	0
Lois Christian
Board Member	0	X	0	0	0
Marshall Lusk
Board Member	0	X	0	0	0
Mavis Collins
Board Member	0	X	0	0	0
W C Gorden
Board Member	0	X	0	0	0
Jasmin Chapman
Executive Director/CEO	40		204244	0	0	X
Techandra Mayes
Chief Financial Officer	40		55560	0	0	X
Debra Bartley Rice
Director of Adult Medicine	40		172545	0	0		X
John Patterson
Clinical Director	40		141720	0	0		X
Lynda Jackson-Assad
Medical Director	40		167532	0	0		X
Rose Straughter
Dental Director	40		133649	0	0		X
Edith Smith Rayford
Physician	40		243426	0	0			X
Nadine Zekum
Physician	40		274442	0	0			X
Nobel Attipoe
Director OB GYN	40		346750	0	0			X
Kesha Flantroy
Physician	40		307796	0	0			X
Samuel Brown
Physician	40		396092	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2443756	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	25	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Copeland and Johns Inc
P O Box 10448	Jackson	MS	39289	Construction	683851
eClinicalWorks LLC
P O Box 847950	Boston	MA	022847950	Patient Management	535336
Southern Roofing and Sheet Metal
P O Box 1475	Jackson	MS	39215	Roofing	312465
Delta Health Alliance
P O Box 277	Stoneville	MS	38776	Patient Management	277368
Quest Diagnostics
P O Box 841725	Dallas	TX	75284	Lab Services	271796

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	18	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	0	RelatedOrganizations
Government Grants	6021587	GovernmentGrants
All Other Contributions	15000	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	6036587	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Health Care Services	Description
Business Code	900099	BusinessCode
Total Revenue Column	11843519	TotalRevenueColumn
Related Or Exempt Function Income	11843519	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1752285	TotalRevenueColumn
Related Or Exempt Function Income	1752285	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	13595804	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2189	TotalRevenueColumn
Related Or Exempt Function Income	2189	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	345188	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	333206	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	11982	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	11982	TotalRevenueColumn
Related Or Exempt Function Income	11982	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	611693	TotalRevenueColumn
Related Or Exempt Function Income	611693	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	611693	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	20258255	TotalRevenueColumn
Related Or Exempt Function Income	14221668	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2443756	Total
Program Services	1866772	ProgramServices
Management And General	576984	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	9594280	Total
Program Services	8114494	ProgramServices
Management And General	1479786	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1902776	Total
Program Services	1429018	ProgramServices
Management And General	473758	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	427	Total
Program Services	427	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	27500	Total
Management And General	27500	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	44649	Total
Program Services	44649	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14408	Total
Program Services	6545	ProgramServices
Management And General	7863	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1591072	Total
Program Services	1539520	ProgramServices
Management And General	51552	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	722923	Total
Program Services	554043	ProgramServices
Management And General	168880	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	33973	Total
Program Services	26795	ProgramServices
Management And General	7178	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	22730	Total
Program Services	18625	ProgramServices
Management And General	4105	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2468	Total
Management And General	2468	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	479164	Total
Program Services	110206	ProgramServices
Management And General	368958	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	161013	Total
Management And General	161013	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Contractual Services	1346849	981434	365415
Building Repairs and Maintenance	271138	171556	99582
Security Services	179131	61219	117912
Waste Removal	217744	217744	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	445032	Total
Program Services	346278	ProgramServices
Management And General	98754	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	19501033	Total
Program Services	15489325	ProgramServices
Management And General	4011708	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1007198	BOY
EOY	855406	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1601480	BOY
EOY	1296635	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	129489	BOY
EOY	59321	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1646632	BOY
EOY	3163451	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	122319	BOY
EOY	123374	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	32590	BOY
EOY	34585	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	21855093	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9826921	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	11569048	BOY
EOY	12028172	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	43405	BOY
EOY	102899	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	8080	BOY
EOY	8080	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	16160241	BOY
EOY	17671923	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2471911	BOY
EOY	2433646	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	105035	BOY
EOY	184138	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	266223	BOY
EOY	133715	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1005748	BOY
EOY	1851875	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3848917	BOY
EOY	4603374	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12311324	BOY
EOY	13068549	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12311324	BOY
EOY	13068549	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	16160241	BOY
EOY	17671923	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	757222	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	0	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	3	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5852437	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5742422	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8256506	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8265195	CurrentTaxYearMinus1Year
Current Tax Year	6036587	CurrentTaxYear
Total	34153147	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5852437	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5742422	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	8256506	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	8265195	CurrentTaxYearMinus1Year
Current Tax Year	6036587	CurrentTaxYear
Total	34153147	Total

Field	Value	IRS element (for citing)
Public Support Total170	34153147	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	38985	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	17144	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6030	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4179	CurrentTaxYearMinus1Year
Current Tax Year	2189	CurrentTaxYear
Total	68527	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	63993	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	78235	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	730301	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	158395	CurrentTaxYearMinus1Year
Current Tax Year	611693	CurrentTaxYear
Total	1642617	Total

Field	Value	IRS element (for citing)
Total Support	35864291	TotalSupport
Public Support Pertcentage170	0.95229	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.9639	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	The other income category consists of records duplication income, reimbursements, vending, etc.	GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	823974	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Book Value	823974	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	15438267	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	5213250	Depreciation
Book Value	10225017	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5000071	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	4174034	Depreciation
Book Value	826037	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	592781	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	439637	Depreciation
Book Value	153144	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	12028172	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	20258255	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	20258255	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	20258255	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	19501033	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	19501033	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	19501033	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
Jasmin Chapman
Executive Director/CEO	204214	0	0	0	0	0	0	0	0	0	204214	0
Lynda Jackson-Assad
Medical Director	167532	0	0	0	0	0	0	0	0	0	167532	0
Nobel Attipoe
Director OB GYN	346750	0	0	0	0	0	0	0	0	0	346750	0
Debra Bartley Rice
Director of Adult Medicine	172545	0	0	0	0	0	0	0	0	0	172545	0
Nadine Zekum
Physician	274442	0	0	0	0	0	0	0	0	0	274442	0
Edith Smith Rayford
Physician	243426	0	0	0	0	0	0	0	0	0	243426	0
Kesha Flantroy
Physician	307796	0	0	0	0	0	0	0	0	0	307796	0
Samuel Brown
Physician	396092	0	0	0	0	0	0	0	0	0	396092	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The Chief Executive Officer and Chief Financial Officer will present the 990 form to the board at it's meeting for a review of the 990.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The Chief Executive Officer and the Director of Human Resources monitor the conflict of interest policy among board members and employees. Trainings are done periodically to educate employees on the conflict of interest policy.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	The governing body documents are available to the public upon request.
F990_P11_S00_L09	Form 990, Part XI, Line 9	Due to rounding error on the audit report, an adjustment of $3.00 was needed to balance the report.