SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC (EIN 64-0625076)
- Tax period
- 2013-02-01 to 2014-01-31
- Filed
- 2014-07-28
- IRS object ID
- 201402099349300715
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-07-28T07:51:27-07:00 | ReturnTs |
| Tax Period End | 2014-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry Horne CPA & Associates PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 West Main Street | AddressLine1 |
| City | Lebanon | City |
| State | TN | State |
| ZIP Code | 37087 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640625076 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 6015458700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5488 US HWY 49/PO BOX 1729 | AddressLine1 |
| City | HATTIESBURG | City |
| State | MS | State |
| ZIP Code | 394031729 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEROLDEAN DYSE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6015458700 | PhoneNum |
| Signature | 2014-07-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRY HORNE | PreparerPersonNm |
| Phone | 6154447293 | PhoneNum |
| Preparation | 2014-07-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GEROLDEAN DYSE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5488 US HWY 49 | AddressLine1 |
| City | HATTIESBURG | City |
| State | MS | State |
| ZIP Code | 39403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,086,771 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 264 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,780,469 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,983,319 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,447,201 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,056,191 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,179 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,963 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $17,258,849 | PYTotalRevenueAmt |
| CY Total Revenue | $18,055,473 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,085,716 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,404,010 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,361,432 | PYOtherExpensesAmt |
| CY Other Expenses | $5,799,028 | CYOtherExpensesAmt |
| PY Total Expenses | $16,447,148 | PYTotalExpensesAmt |
| CY Total Expenses | $18,203,038 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $811,701 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$147,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,255,394 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,329,990 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,003,416 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,247,006 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,251,978 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,082,984 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,524,283 | ExpenseAmt |
| Revenue | $10,056,191 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 89,855 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $14,524,283 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 264 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | POLLY EUBANKS | PersonNm |
| Phone | 6015458700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5488 US HWY 49 | AddressLine1 |
| City | HATTIESBURG | City |
| State | MS | State |
| ZIP Code | 39403 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KERMIT RAYBORN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL FOLKES | ||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KAREN SPEED | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOYCE WOULLARD | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GINGER BURKS | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NANNI T FREEMAN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DESSIE WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARENE CONERLY | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HULDAH INGRAM | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANKIE THOMAS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN G MILLER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| GEROLDEAN DYSE | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $165,881 | $0 | $80,537 | Yes (X) | |||
| JAMES GRIFFIN | ||||||||
| MEDICAL DIRECTOR | 40.00 | $212,201 | $0 | $48,582 | Yes (X) | |||
| POLLY EUBANKS | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $81,824 | $0 | $45,274 | Yes (X) | |||
| NATHANIEL SONES | ||||||||
| CHIEF INFORMATION OFFICER | 40 | $75,507 | $41,939 | Yes (X) | ||||
| JANICE ROBINSON | ||||||||
| CHIEF HUMAN RESOURCE OFFICER | 40 | $96,168 | $55,623 | Yes (X) | ||||
| HOPE THOMLEY | ||||||||
| FORMER CEO | 40 | $114,649 | Yes (X) | |||||
| KEITH KERSTEN | ||||||||
| DO | 40 | $208,442 | $67,269 | Yes (X) | ||||
| QUENYATTA ECHOLS-WILLIAMS | ||||||||
| PHYSICIAN | 40 | $182,917 | $64,482 | Yes (X) | ||||
| STEPHEN WASCOMB | ||||||||
| DO | 40 | $181,158 | $58,451 | Yes (X) | ||||
| HOSSEIN BEHNIAYE | ||||||||
| PHYSICIAN | 40 | $173,131 | $70,169 | Yes (X) | ||||
| HASSAN BEHNIAY | ||||||||
| PHYSICIAN | 40 | $172,771 | $70,217 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,664,649 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $602,543 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LABCORP OF AMERICA | |||||
| 231 MAPLE AVENUE | BURLINGTON | NC | 27215 | LAB SERVICES | $358,975 |
| ALLSCRIPTS | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 606731246 | COMPUTER SERVICES | $300,484 |
| FORREST GENERAL HOSPITAL | |||||
| PO BOX 16389 | HATTIESBURG | MS | 39404 | CONTRACT PHYSICIAN | $145,154 |
| REFLEC TECH | |||||
| 100 STREET A SUITE A | PICAYUNE | MS | 39466 | CONSTRUCTION | $325,859 |
| HANCO CORP | |||||
| PO BOX 17678 | HATTIESBURG | MS | 394047678 | CONSTRUCTION | $223,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,573,736 | GovernmentGrantsAmt |
| All Other Contributions | $1,409,583 | AllOtherContributionsAmt |
| Noncash Contributions | $645,935 | NoncashContributionsAmt |
| Total Contributions | $7,983,319 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $10,056,191 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,056,191 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,030 | TotalRevenueColumnAmt |
| Exclusion | $18,030 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $29,231 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $31,298 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,067 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,067 | TotalRevenueColumnAmt |
| Exclusion | -$2,067 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,055,473 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,056,191 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $15,963 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,230 | TotalAmt |
| Program Services | $212,201 | ProgramServicesAmt |
| Management And General | $534,029 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,070,415 | TotalAmt |
| Program Services | $7,981,473 | ProgramServicesAmt |
| Management And General | $1,088,942 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,854 | TotalAmt |
| Program Services | $589,179 | ProgramServicesAmt |
| Management And General | $120,675 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,207,871 | TotalAmt |
| Program Services | $1,014,694 | ProgramServicesAmt |
| Management And General | $193,177 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $669,640 | TotalAmt |
| Program Services | $555,801 | ProgramServicesAmt |
| Management And General | $113,839 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,065 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $4,065 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,570 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $58,570 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,273,890 | TotalAmt |
| Program Services | $761,820 | ProgramServicesAmt |
| Management And General | $512,070 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,860,162 | TotalAmt |
| Program Services | $2,205,496 | ProgramServicesAmt |
| Management And General | $654,666 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $699,983 | TotalAmt |
| Program Services | $660,100 | ProgramServicesAmt |
| Management And General | $39,883 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,671 | TotalAmt |
| Program Services | $90,794 | ProgramServicesAmt |
| Management And General | $169,877 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $590,176 | TotalAmt |
| Program Services | $443,611 | ProgramServicesAmt |
| Management And General | $146,565 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,511 | TotalAmt |
| Program Services | $9,114 | ProgramServicesAmt |
| Management And General | $42,397 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,203,038 | TotalAmt |
| Program Services | $14,524,283 | ProgramServicesAmt |
| Management And General | $3,678,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,764,652 | BOYAmt |
| EOY | $1,961,272 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,993 | BOYAmt |
| EOY | $3,752 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $726,103 | BOYAmt |
| EOY | $1,101,827 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,642 | BOYAmt |
| EOY | $383,191 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,197 | BOYAmt |
| EOY | $66,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,169,317 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,470,392 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,084,717 | BOYAmt |
| EOY | $6,698,925 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,121,090 | BOYAmt |
| EOY | $2,114,129 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,255,394 | BOYAmt |
| EOY | $12,329,990 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,289,510 | BOYAmt |
| EOY | $1,679,592 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,713,906 | BOYAmt |
| EOY | $2,567,414 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,003,416 | BOYAmt |
| EOY | $4,247,006 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,043,656 | BOYAmt |
| EOY | $7,848,366 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,322 | BOYAmt |
| EOY | $234,618 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,251,978 | BOYAmt |
| EOY | $8,082,984 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,255,394 | BOYAmt |
| EOY | $12,329,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$147,565 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $978,571 | PriorPeriodAdjustmentsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,324,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,178,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,099,390 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,780,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,983,319 | CurrentTaxYearAmt |
| Total | $36,365,924 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,324,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,178,218 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,099,390 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,780,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,983,319 | CurrentTaxYearAmt |
| Total | $36,365,924 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $36,365,924 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,373 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,763 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,179 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,030 | CurrentTaxYearAmt |
| Total | $190,190 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,556,114 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $45,906,888 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99480 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99370 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $360,525 | InvestmentCostOrOtherBasisAmt |
| Book Value | $360,525 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $9,796,880 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,833,920 | DepreciationAmt |
| Book Value | $5,962,960 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,011,912 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,636,472 | DepreciationAmt |
| Book Value | $375,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,698,925 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT | $1,130,062 |
| DEPOSITS | $5,496 |
| DEFERRED COMPENSATION | $978,571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,114,129 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $18,055,473 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $18,055,473 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $18,055,473 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,203,038 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $18,203,038 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $18,203,038 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| GEROLDEAN DYSE | |||
| $165,881 | $66,203 | $14,334 | $246,418 |
| JAMES GRIFFIN | |||
| $212,201 | $41,891 | $6,691 | $260,783 |
| JANICE ROBINSON | |||
| $96,168 | $47,840 | $7,783 | $151,791 |
| HOPE THOMLEY | |||
| $114,649 | $114,649 | ||
| KEITH KERSTEN | |||
| $208,442 | $11,645 | $55,624 | $275,711 |
| QUENYATTA ECHOLS-WILLIAMS | |||
| $182,917 | $10,822 | $53,659 | $247,398 |
| STEPHEN WASCOMB | |||
| $181,158 | $15,422 | $43,030 | $239,610 |
| HOSSEIN BEHNIAYE | |||
| $173,131 | $15,364 | $54,805 | $243,300 |
| HASSAN BEHNIAY | |||
| $172,771 | $15,488 | $54,728 | $242,987 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $100,000 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 12c | CONFLICT OF INTEREST IS MONITORED THROUGH VARIOUS COMPANIES SUCH AS: |
| Pt VI, Line 12c | ACCOUNTING POLICIES, EMPLOYMENT POLICIES AND COMPLIANCE POLICIES. WE CONSTANTLY |
| Pt VI, Line 12c | MONITOR TO IDENTIFY CONFLICTS OF INTEREST AND ADDRESS THOSE |
| Pt VI, Line 12c | ISSUES AS THEY RISE. |
| Pt VI, Line 15a | SALARY SURVEYS SUCH AS NACHC's ANNUAL SALARY SURVEY, HORNE LLP SALARY SURVEY |
| Pt VI, Line 15b | AND OTHER FQHC's HAVE BEEN CONTACTED FOR COMPARABLE SALARY INFORMATION. |
| Pt VI, Line 11b | EACH BOARD MEMBER IS PROVIDED A COPY OF THE FINAL AUDIT REPORT AND THE REPORT |
| Pt VI, Line 11b | IS DISCUSSED DURING THE BOARD MEETING. THE CEO AND CFO PROVIDE THE |
| Pt VI, Line 11b | INFORMATION FOR THE 990 TO BE COMPLETED AND REVIEW THE 990. |
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| Pt VI, Line 19 | POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| Pt XII, Line 2c | THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. |