THUNDER BAY COMMUNITY HEALTH SERVICE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: THUNDER BAY COMMUNITY HEALTH SERVICE INC (EIN 38-2290337)
Tax period: 2013-03-01 to 2014-02-28
Filed: 2014-07-01
IRS object ID: 201411829349300106
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
Form 990
Schedule A
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-07-01T08:12:31-05:00	ReturnTs
Tax Period End	2014-02-28	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	382963463	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	QUAST JANKE & CO CPA'S PC	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1010 N JOHNSON	AddressLine1
City	BAY CITY	City
State	MI	State
ZIP Code	48708	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-03-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	382290337	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THUNDER BAY COMMUNITY HEALTH SERVIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	THUN	BusinessNameControlTxt
Phone	9897424583	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15774 STATE ST PO BOX 427	AddressLine1
City	HILLMAN	City
State	MI	State
ZIP Code	49746	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHELLE STYMA	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	9897424583	PhoneNum
Signature	2014-06-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID G GWIZDALA CPA	PreparerPersonNm
PTIN	P00234130	PTIN
Phone	9898924549	PhoneNum
Preparation	2014-07-01	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	MICHELLE STYMA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15774 STATE STREET PO BOX 427	AddressLine1
City	HILLMAN	City
State	MI	State
ZIP Code	49746	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$13,216,273	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.TBCHS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	MI	LegalDomicileStateCd
Activity Or Mission	THE ORGANIZATION COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIAMRY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	142	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$4,536,057	PYContributionsGrantsAmt
CY Contributions Grants	$4,005,315	CYContributionsGrantsAmt
PY Program Service Revenue	$4,452,007	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,187,868	CYProgramServiceRevenueAmt
PY Investment Income	$8,698	PYInvestmentIncomeAmt
CY Investment Income	$23,090	CYInvestmentIncomeAmt
PY Other Revenue	$3,146,690	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$12,143,452	PYTotalRevenueAmt
CY Total Revenue	$13,216,273	CYTotalRevenueAmt
PY Grants And Similar Paid	$82,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,353,387	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,714,885	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$5,233,061	PYOtherExpensesAmt
CY Other Expenses	$6,232,691	CYOtherExpensesAmt
PY Total Expenses	$11,668,948	PYTotalExpensesAmt
CY Total Expenses	$12,947,576	CYTotalExpensesAmt
PY Revenues Less Expenses	$474,504	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$268,697	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,159,634	TotalAssetsBOYAmt
Total Assets EOY	$8,222,825	TotalAssetsEOYAmt
Total Liabilities BOY	$3,277,549	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,072,043	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,882,085	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,150,782	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE ORGANIZATION COMMITS ITS RESOURCES AND PASSION TO PROVIDE COMPREHENSIVE PRIAMRY HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$9,510,147	ExpenseAmt
Revenue	$9,187,868	RevenueAmt
Desc	THIS FEDEERALLY QUALIFIED COMMUNITY HELATH CENTER HAS APPROXIMATELY 12,600 PATIENTS AND PROVIDED MORE THAN 46,000 CLINICAL VISITS INCLUDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	THIS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER HAS APPROXIMATELY 12,600 PATIENTS AND PROVIDED MORE THAN 46,000 CLINICAL VISITS INCLUDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$9,510,147	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	false	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
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	16	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	142	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	Yes (true)	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEIGHANN VIERS	PersonNm
Phone	9893542197	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N RIPLEY SUITE E	AddressLine1
City	ALPENA	City
State	MI	State
ZIP Code	49707	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE WURTSMITH
BOARD CHAIR	1.00	Yes (X)	$0	$0	$0
NANCY DEXTROM
VICE CHAIR	1.00	Yes (X)	$0	$0	$0
TARRY DEO
DIRECTOR	1.00	Yes (X)	$0	$0	$0
AL MOE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
SHANNA JOHNSON
SECRETARY	1.00	Yes (X)	$0	$0	$0
ROD FULLERTON
DIRECTOR		Yes (X)	$0	$0	$0
NINA KENNARD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BEACH HALL
DIRECTOR	1.00	Yes (X)	$0	$0	$0
BEN BOLSER
TREASURER	1.00	Yes (X)	$0	$0	$0
ELEANOR LUTZE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MARY FITZGERALD
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JACQUELYN MCINTIRE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MICHELLE STYMA
CEO	40.00		$168,111	$0	$17,682	Yes (X)
MARION HAUTEA
CHIEF MEDICA	40.00		$227,100	$0	$19,323		Yes (X)
JEMELLEE JACALA-TADIAN
PHYSICIAN	40.00		$184,308	$0	$18,186			Yes (X)
DOUGLAS KING
PHYSICIAN	40.00		$164,746	$0	$16,549			Yes (X)
TIMOTHY HAYES
PHYSICIAN	40.00		$160,500	$0	$10,852			Yes (X)
TIA JEFFERS
DENTIST	40.00		$125,000	$0	$9,706			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,029,765	TotalReportableCompFromOrgAmt
Total Other Compensation	$92,298	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$2,100,882	GovernmentGrantsAmt
All Other Contributions	$1,904,433	AllOtherContributionsAmt
Noncash Contributions	$1,856,416	NoncashContributionsAmt
Total Contributions	$4,005,315	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES	$4,994,940	$4,994,940
PHARMACY SALES	$4,156,126	$4,156,126
RENTAL INCOME	$36,802	$36,802

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,187,868	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,090	TotalRevenueColumnAmt
Related Or Exempt Func Income	$23,090	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,216,273	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,210,958	RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$517,867	TotalAmt
Program Services	$349,756	ProgramServicesAmt
Management And General	$168,111	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,825,737	TotalAmt
Program Services	$3,363,618	ProgramServicesAmt
Management And General	$1,462,119	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$919,338	TotalAmt
Program Services	$461,680	ProgramServicesAmt
Management And General	$457,658	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$451,943	TotalAmt
Program Services	$306,886	ProgramServicesAmt
Management And General	$145,057	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$394,088	TotalAmt
Program Services	$101,025	ProgramServicesAmt
Management And General	$293,063	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$35,930	TotalAmt
Program Services	$28,115	ProgramServicesAmt
Management And General	$7,815	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$194,292	TotalAmt
Program Services	$123,405	ProgramServicesAmt
Management And General	$70,887	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$369,246	TotalAmt
Program Services	$171,708	ProgramServicesAmt
Management And General	$197,538	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,604	TotalAmt
Program Services	$54,223	ProgramServicesAmt
Management And General	$80,381	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$132,075	TotalAmt
Management And General	$132,075	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$332,307	TotalAmt
Program Services	$62,722	ProgramServicesAmt
Management And General	$269,585	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$29,992	TotalAmt
Program Services	$4,516	ProgramServicesAmt
Management And General	$25,476	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,352,448	$4,352,448
REPAIR AND MAINT	$160,047	$95,493	$64,554
DUES AND LICENSES	$62,511	$28,730	$33,781
OTHER	$35,151	$5,822	$29,329

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,947,576	TotalAmt
Program Services	$9,510,147	ProgramServicesAmt
Management And General	$3,437,429	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$685,328	BOYAmt
EOY	$461,574	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,204,045	BOYAmt
EOY	$1,621,109	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$646,794	BOYAmt
EOY	$547,123	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$109,195	BOYAmt
EOY	$195,267	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$83,471	BOYAmt
EOY	$121,559	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,606,629	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,432,165	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,430,801	BOYAmt
EOY	$5,174,464	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$101,729	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,159,634	BOYAmt
EOY	$8,222,825	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$715,295	BOYAmt
EOY	$636,958	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,562,254	BOYAmt
EOY	$2,435,085	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,277,549	BOYAmt
EOY	$3,072,043	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,881,552	BOYAmt
EOY	$5,150,782	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$533	BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,882,085	BOYAmt
EOY	$5,150,782	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,159,634	BOYAmt
EOY	$8,222,825	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$268,697	ReconcilationRevenueExpnssAmt
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)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

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)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$363,841	OtherCostOrOtherBasisAmt
Book Value	$363,841	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,763,385	OtherCostOrOtherBasisAmt
Depreciation	$1,552,684	DepreciationAmt
Book Value	$4,210,701	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,329	OtherCostOrOtherBasisAmt
Depreciation	$16,957	DepreciationAmt
Book Value	$47,372	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,415,074	OtherCostOrOtherBasisAmt
Depreciation	$862,524	DepreciationAmt
Book Value	$552,550	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,174,464	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$13,549,349	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$333,076	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$333,076	RevenueNotReportedAmt
Revenue Subtotal	$13,216,273	RevenueSubtotalAmt
Total Revenue Per Form990	$13,216,273	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,280,652	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$333,076	DonatedServicesUseFcltsAmt
Expenses Not Reported	$333,076	ExpensesNotReportedAmt
Expenses Subtotal	$12,947,576	ExpensesSubtotalAmt
Total Expenses Per Form990	$12,947,576	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
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 (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
MICHELLE STYMA
CEO	$168,111	$5,043	$12,639	$185,793
MARION HAUTEA
CHIEF MEDICAL OFFICE	$227,100	$6,813	$12,510	$246,423
JEMELLEE JACALA-TADIAN
PHYSICIAN	$184,308	$5,529	$12,657	$202,494
DOUGLAS KING
PHYSICIAN	$164,746	$4,942	$11,607	$181,295
TIMOTHY HAYES
PHYSICIAN	$160,500	$4,815	$6,037	$171,352

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,856,416	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6	BOARD MEMBERS ARE ALL VOLUNTEERS IN ADDITION TO COMMUNITY MEMBERS WHO DONATE TIME FOR VARIOUS CENTER ACTIVITIES
FORM 990, PAGE 2, PART III, LINE 4D	THIS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER HAS APPROXIMATELY 12,600 PATIENTS AND PROVIDED MORE THAN 46,000 CLINICAL VISITS INCLUDING MEDICAL, DENTAL AND MENTAL HEALTH SERVICES.
FORM 990, PAGE 6, PART VI, LINE 11B	AUDITOR REVIEWS RETURN WITH FINANCE COMMITTEE AND PRESENTS REVIEW TO ENTIRE BOARD PRIOR TO SUBMISSION
FORM 990, PAGE 6, PART VI, LINE 12C	BOARD MEMBERS SUBMIT WRITTEN STATEMENTS TO EXECUTIVE TEAM FOR REVIEW ON ANY CONFLICT OF INTEREST ISSUES
FORM 990, PAGE 6, PART VI, LINE 15A	CEO COMPENSATION IS DETERMINED BY EXECUTIVE COMMITTEE BASED UPON COMPARABILITY DATA FOR SIMILIAR POSTION. ENTIRE BOARD MAKES FINAL APPROVAL OF WAGE DETERMINATION
FORM 990, PAGE 6, PART VI, LINE 15B	BOARD APPROVES WAGES OF CEO AND KEY EMPLOYEES BASED UPON BOARD APPROVED WAGE SCALE
FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST, PREFERABLY IN WRITING. THE ORGANIZATION MAKES COPIES OF THE REQUESTED DOCUMENTS AND MAKES THEM AVAILABLE FOR PICK UP OR MAIL TO THE REQUESTEE.