COMMUNITY CARE INCORPORATED: Form 990EZ, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE INCORPORATED (EIN 82-0562064)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-03-04
- IRS object ID
- 201420639349200312
- 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 | 2014-03-04T13:27:50-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIS BOATNER PUGH LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BROAD STREET 3RD FLOOR SUITE | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 359013714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820562064 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE INCORPORATED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2565438902 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8622 | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 359028622 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROGER MILLS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2565438902 | PhoneNum |
| Signature | 2014-02-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA R HOUSTON | PreparerPersonNm |
| PTIN | P00857654 | PTIN |
| Phone | 2565438902 | PhoneNum |
| Preparation | 2014-02-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | ETOWAHFREECLINIC.COM | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $36,787 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $35,332 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $1,455 | ProgramServiceRevenueAmt |
| Total Revenue | $36,787 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $23,054 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $4,610 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $6,963 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $260 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $17,354 | OtherExpensesTotalAmt |
| Total Expenses | $52,241 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$15,454 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $33,350 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,896 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,710 | BOYAmt |
| EOY | $13,949 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,985 | BOYAmt |
| EOY | $4,321 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,695 | BOYAmt |
| EOY | $18,270 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345 | BOYAmt |
| EOY | $374 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,350 | BOYAmt |
| EOY | $17,896 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $43,956 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $43,956 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (9 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| ROGER MILLS | ||
| PRESIDENT | 10.00 | $0 |
| JONATHON WELCH | ||
| VICE-PRESIDE | 1.00 | $0 |
| AMANDA HOUSTON | ||
| TREASURER | 5.00 | $0 |
| DEE SANDLIN | ||
| CLINIC DIREC | 32.00 | $13,380 |
| RANDY BROCK | ||
| DIRECTOR | 1.00 | $0 |
| SCOTT WOOD | ||
| DIRECTOR | 1.00 | $0 |
| EILEEN GRAHAM | ||
| DIRECTOR | 1.00 | $0 |
| CHIP GRIFFITH | ||
| DIRECTOR | 1.00 | $0 |
| STEVEN JONES | ||
| MEDICAL DIRE | 15.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIS BOATNER PUGH LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BROAD STREET 3RD FLR STE B | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 35901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2565438902 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,153 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,332 | CurrentTaxYearAmt |
| Total | $251,586 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,615 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,106 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,455 | CurrentTaxYearAmt |
| Total | $20,961 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,774 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,787 | CurrentTaxYearAmt |
| Total | $272,547 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $272,547 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,774 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,787 | CurrentTaxYearAmt |
| Total | $272,547 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE 2,396 INSURANCE 4,659 LAB FEES 5,101 MEDICAL SUPPLIES 3,071 NON-INVESTMENT DEPRECIATION 2,127 TOTAL 17,354 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 12,123 12,586 LESS ACCUMULATED DEPRECIATION 6,338 8,465 DEPOSITS 200 200 TOTAL 5,985 4,321 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 345 374 |
| FORM 990-EZ, PART III | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp (9 entries)
| ROGER MILLS |
| JONATHON WELCH |
| AMANDA HOUSTON |
| DEE SANDLIN |
| RANDY BROCK |
| SCOTT WOOD |
| EILEEN GRAHAM |
| CHIP GRIFFITH |
| STEVEN JONES |
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