HEALS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HEALS INC (EIN 63-1210889)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-12
IRS object ID
201413169349301436
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

FieldValueIRS element (for citing)
Return2014-11-12T08:02:22-08:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MERCER & ASSOCIATES PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 WILLIAMS AVENUE SUITE 280AddressLine1
CityHUNTSVILLECity
StateALState
ZIP Code35801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN631210889EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2564287560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MERIDIAN STREETAddressLine1
CityHUNTSVILLECity
StateALState
ZIP Code35801ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCONNIE CARNESPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2564287560PhoneNum
Signature2014-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJERRY MERCER CPAPreparerPersonNm
Phone2565364318PhoneNum
Preparation2014-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCONNIE CARNESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11100 MERIDIAN STAddressLine1
CityHUNTSVILLECity
StateALState
ZIP Code35801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,248,731GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateALLegalDomicileStateCd
Activity Or MissionTO PROVIDE SCHOOL BASED HEALTH AND DENTAL CARE FOR CHILDREN IN HUNTSVILLE ALABAMAActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee26TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$717,296PYContributionsGrantsAmt
CY Contributions Grants$660,094CYContributionsGrantsAmt
PY Program Service Revenue$280,999PYProgramServiceRevenueAmt
CY Program Service Revenue$377,451CYProgramServiceRevenueAmt
PY Investment Income$1,244PYInvestmentIncomeAmt
CY Investment Income$1,125CYInvestmentIncomeAmt
PY Other Revenue$136,555PYOtherRevenueAmt
CY Other Revenue$174,986CYOtherRevenueAmt
PY Total Revenue$1,136,094PYTotalRevenueAmt
CY Total Revenue$1,213,656CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$647,192PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$641,728CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,213CYTotalFundraisingExpenseAmt
PY Other Expenses$280,065PYOtherExpensesAmt
CY Other Expenses$362,584CYOtherExpensesAmt
PY Total Expenses$927,257PYTotalExpensesAmt
CY Total Expenses$1,004,312CYTotalExpensesAmt
PY Revenues Less Expenses$208,837PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$209,344CYRevenuesLessExpensesAmt
Total Assets BOY$648,208TotalAssetsBOYAmt
Total Assets EOY$854,804TotalAssetsEOYAmt
Total Liabilities BOY$14,397TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,649TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$633,811NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$843,155NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE SCHOOL BASED HEALTH AND DENTAL CAREMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$968,801ExpenseAmt
Revenue$1,213,656RevenueAmt
DescPROVIDE FREE ON SITE MEDICAL AND DENTAL CARE, MENTAL HEALTH COUNSELING AND SOCIAL SERIVES TO ALL STUDENTS AT LOCAL SCHOOLSDesc
Total Program Service Expenses$968,801TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee26EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JERRY MERCER CPABusinessNameLine1
FieldValueIRS element (for citing)
Phone2565364318PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 WILLIAMS AVEAddressLine1
CityHUNTSVILLECity
StateALState
ZIP Code35801ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CONNIE CARNES
EXECUTIVE DIRECTOR40.00Yes (X)$84,551$0$0
VINCENT BOLES
MEMBER1.00$0$0$0Yes (X)
TODD MCADAMS
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
GINGER HARPER
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
BILL JOHNSON
MEMBER1.00$0$0$0Yes (X)
TOM BUTLER
MEMBER1.00$0$0$0Yes (X)
KIM LEWIS
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ANDREA HATFIELD
MEMBER1.00$0$0$0Yes (X)
CHERYL DAVIS
MEMBER1.00$0$0$0Yes (X)
DAVID LITTLE
MEMBER1.00$0$0$0Yes (X)
CHARLES HALL DDS
DENTAL DIRECTOR1.00$0$0$0Yes (X)
MATT HANCOCK
MEMBER1.00$0$0$0Yes (X)
TRACY DOUGHTY
MEMBER1.00$0$0$0Yes (X)
ALGERNON STANLEY
MEMBER1.00$0$0$0Yes (X)
LAUREN BATTLE
MEMBER1Yes (X)
STEPHEN CUTTER
TREASURER1Yes (X)Yes (X)
EARL REED
MEMBER1Yes (X)
STEVEN WERDEHOFF MD
MEDICAL LIAISON1Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$84,551TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$660,094AllOtherContributionsAmt
Noncash Contributions$110,169NoncashContributionsAmt
Total Contributions$660,094TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
MEDICAL624100$254,670
DENTAL624100$122,781
FieldValueIRS element (for citing)
Total Program Service Revenue$377,451TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,125TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$210,061FundraisingGrossIncomeAmt
Fundraising Direct Expenses$35,075FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$174,986TotalRevenueColumnAmt
Exclusion$174,986ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,213,656TotalRevenueColumnAmt
Related Or Exempt Func Income$378,576RelatedOrExemptFuncIncomeAmt
Exclusion$174,986ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$84,551TotalAmt
Program Services$81,169ProgramServicesAmt
Management And General$3,382ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$477,292TotalAmt
Program Services$458,200ProgramServicesAmt
Management And General$19,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,849TotalAmt
Program Services$30,575ProgramServicesAmt
Management And General$1,274ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$48,036TotalAmt
Program Services$46,115ProgramServicesAmt
Management And General$1,921ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,900TotalAmt
Program Services$4,900ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,972TotalAmt
Program Services$1,072ProgramServicesAmt
Management And General$2,687ManagementAndGeneralAmt
Fundraising$4,213FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,718TotalAmt
Program Services$15,333ProgramServicesAmt
Management And General$385ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,326TotalAmt
Program Services$7,033ProgramServicesAmt
Management And General$293ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,103TotalAmt
Program Services$5,103ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,662TotalAmt
Program Services$2,269ProgramServicesAmt
Management And General$393ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,811TotalAmt
Program Services$37,811ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,655TotalAmt
Program Services$5,302ProgramServicesAmt
Management And General$1,353ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT LABOR$69,950$69,950$0$0
FEDERAL GRANT EXPENSES$3,766$3,615$151$0
NON CASH EXPENSES$110,169$110,169$0$0
MISCELLANEOUS$2,303$2,211$92$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$88,249TotalAmt
Program Services$87,974ProgramServicesAmt
Management And General$275ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,004,312TotalAmt
Program Services$968,801ProgramServicesAmt
Management And General$31,298ManagementAndGeneralAmt
Fundraising$4,213FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$196,823BOYAmt
EOY$323,605EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$175,331BOYAmt
EOY$125,400EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$80,068BOYAmt
EOY$92,435EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$466,946LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$154,145LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$195,411BOYAmt
EOY$312,801EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$575BOYAmt
EOY$563EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$648,208BOYAmt
EOY$854,804EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,397BOYAmt
EOY$11,649EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,397BOYAmt
EOY$11,649EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$633,811BOYAmt
EOY$843,155EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$633,811BOYAmt
EOY$843,155EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$648,208BOYAmt
EOY$854,804EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$209,344ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$731,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$749,088CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$849,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,069,628CurrentTaxYearMinus1YearAmt
Current Tax Year$1,102,362CurrentTaxYearAmt
Total$4,501,645TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$731,251CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$749,088CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$849,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,069,628CurrentTaxYearMinus1YearAmt
Current Tax Year$1,102,362CurrentTaxYearAmt
Total$4,501,645TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,501,645PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,552CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,244CurrentTaxYearMinus1YearAmt
Current Tax Year$1,125CurrentTaxYearAmt
Total$5,871TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$426CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,806CurrentTaxYearMinus3YearsAmt
Total$3,232TotalAmt
FieldValueIRS element (for citing)
Total Support$4,510,748TotalSupportAmt
Public Support CY1700.99800PublicSupportCY170Pct
Public Support PY1700.99760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$456,751InvestmentCostOrOtherBasisAmt
Depreciation$143,950DepreciationAmt
Book Value$312,801BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$10,195InvestmentCostOrOtherBasisAmt
Depreciation$10,195DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$312,801TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescPREPAID EXPENSESDesc
Book Value$563BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$563TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,213,656TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,213,656RevenueSubtotalAmt
Total Revenue Per Form990$1,213,656TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,004,312TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,004,312ExpensesSubtotalAmt
Total Expenses Per Form990$1,004,312TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1DANCING STARSNameOfEvent1Amt
Gross Receipts Event1$194,669GrossReceiptsEvent1Amt
Gross Revenue Event1$194,669GrossRevenueEvent1Amt
Other Direct Expenses Event1$31,082OtherDirectExpensesEvent1Amt
Name Of Event2TURKEY BOWLNameOfEvent2Amt
Gross Receipts Event2$13,867GrossReceiptsEvent2Amt
Gross Revenue Event2$13,867GrossRevenueEvent2Amt
Other Direct Expenses Event2$2,645OtherDirectExpensesEvent2Amt
Gross Receipts Total$208,536GrossReceiptsTotalAmt
Gross Revenue Total Events$208,536GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$33,727OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,727DirectExpenseSummaryEventsAmt
Net Income Summary$174,809NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution59ContributionCnt
Noncash Contributions Rpt F990$16,220NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)ADVERTISING4$12,750
Yes (X)BUILDING SUPPLIES19$48,111
Yes (X)FACILITIES3$13,620
Yes (X)SERVICES12$19,468
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bBOARD MEMBERS REVIEW THE 990 DISCUSS
Pt VI, Line 12cCONFLICTS OF INTEREST ARE MONITORED BY STAFF & BOARD MEMBERS.
Pt VI, Line 12cCONFLICTS ARE REPORTED TO EXECUTIVE COMMITTEE. NEW MEMBERS
Pt VI, Line 12cARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST, IF ANY
Pt VI, Line 15aCOMPENSATION OF KEY EMPLOYEES IS REVIEWED & APPROVED BY
Pt VI, Line 15aBOARD MEMBERS AFTER COMPARATIVE ANALYSIS
Pt VI, Line 15bCOMPENSATION OF KEY EMPLOYEES IS REVIEWED & APPROVED BY
Pt VI, Line 15bBOARD MEMBERS AFTER COMPARATIVE ANALYSIS
Form 990, Part IX, Line 24fMEDICAL EXPENSES 69888. 69888. 0. 0. NEW CLINIC EXPENSES 11485. 11485. 0. 0. PAYROLL EXPENSES 6876. 6601. 275. 0.

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