ELLIS COUNTY COALITION FOR HEALTH OPTIONS: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ELLIS COUNTY COALITION FOR HEALTH OPTIONS (EIN 75-2813621)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201423219349308057
- Schema version
- 2013v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T14:28:56-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752393478 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITLEY PENN LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8343 DOUGLAS AVENUE STE 400 | AddressLine1 |
| City | DALLAS | City |
| State | TX | State |
| ZIP Code | 75225 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752813621 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLIS COUNTY COALITION FOR HEALTH OPTIONS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELLI | BusinessNameControlTxt |
| Phone | 9729232440 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 EAST JEFFERSON STREET | AddressLine1 |
| City | WAXAHACHIE | City |
| State | TX | State |
| ZIP Code | 75165 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAN SHEPHERD | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 9729232440 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CURTIS MAXFIELD | PreparerPersonNm |
| PTIN | P00445178 | PTIN |
| Phone | 2143939300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOPE CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAN SHEPHERD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 EAST JEFFERSON STREET | AddressLine1 |
| City | WAXAHACHIE | City |
| State | TX | State |
| ZIP Code | 75165 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,813,519 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOPECLINICELLISCOUNTY.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 48 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,427,113 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,598,820 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,032,178 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,208,243 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,534 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,990 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,667 | PYOtherRevenueAmt |
| CY Other Revenue | -$6,638 | CYOtherRevenueAmt |
| PY Total Revenue | $2,464,492 | PYTotalRevenueAmt |
| CY Total Revenue | $2,802,415 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $715 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,693,358 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,922,716 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $102,429 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $709,734 | PYOtherExpensesAmt |
| CY Other Expenses | $952,748 | CYOtherExpensesAmt |
| PY Total Expenses | $2,403,092 | PYTotalExpensesAmt |
| CY Total Expenses | $2,876,179 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $61,400 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$73,764 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $708,083 | TotalAssetsBOYAmt |
| Total Assets EOY | $668,803 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $289,768 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $328,398 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $418,315 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $340,405 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,282,417 | ExpenseAmt |
| Grant | $715 | GrantAmt |
| Revenue | $1,212,709 | RevenueAmt |
| Desc | PROVIDED HEALTH, DENTAL, AND MEDICAL CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $2,282,417 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 48 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA CLARK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9729232440 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 411 EAST JEFFERSON STREET | AddressLine1 |
| City | WAXAHACHIE | City |
| State | TX | State |
| ZIP Code | 75165 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DR JEFF KOSORIS DDS | ||||||||
| PRESIDENT | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SANDRA SMITH | ||||||||
| VICE PRESIDENT | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM CRABB | ||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOANN LIVINGSTON | ||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DALE MEYLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR PATTI POWELL | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JUANITA JOHNSON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRETT KEMP | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA BROWN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERTO ALVAREZ | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ELLA MCMAHAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JESSE DELEON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| YOLANDE OWENS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | Yes (X) | $86,967 | $0 | $0 | ||
| DAVID MORRISON | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | Yes (X) | $40,444 | $0 | $0 | ||
| CORY HOFFMAN | ||||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 0.00 | Yes (X) | $15,241 | $0 | $0 | ||
| HARRY HICKEY | ||||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 0.00 | Yes (X) | $23,429 | $0 | $0 | ||
| DR BEVERLY RICE | ||||||||
| DENTIST | 40.00 | 0.00 | $123,364 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $289,445 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $49,420 | FundraisingAmt |
| Government Grants | $1,253,144 | GovernmentGrantsAmt |
| All Other Contributions | $296,256 | AllOtherContributionsAmt |
| Noncash Contributions | $158,235 | NoncashContributionsAmt |
| Total Contributions | $1,598,820 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE FEES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $1,208,243 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,208,243 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,208,243 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,990 | TotalRevenueColumnAmt |
| Exclusion | $1,990 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,420 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,104 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,104 | TotalRevenueColumnAmt |
| Exclusion | -$11,104 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INCOME MEDICAL RECORDS | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $4,466 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,466 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,466 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,802,415 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,212,709 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$9,114 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715 | TotalAmt |
| Program Services | $715 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,081 | TotalAmt |
| Program Services | $144,104 | ProgramServicesAmt |
| Management And General | $17,115 | ManagementAndGeneralAmt |
| Fundraising | $4,862 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458,536 | TotalAmt |
| Program Services | $1,265,543 | ProgramServicesAmt |
| Management And General | $150,302 | ManagementAndGeneralAmt |
| Fundraising | $42,691 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,689 | TotalAmt |
| Program Services | $4,689 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,727 | TotalAmt |
| Program Services | $61,346 | ProgramServicesAmt |
| Management And General | $64,936 | ManagementAndGeneralAmt |
| Fundraising | $18,445 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,683 | TotalAmt |
| Program Services | $65,711 | ProgramServicesAmt |
| Management And General | $64,618 | ManagementAndGeneralAmt |
| Fundraising | $18,354 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,425 | TotalAmt |
| Management And General | $1,425 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,871 | TotalAmt |
| Program Services | $391,302 | ProgramServicesAmt |
| Management And General | $66,569 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,542 | TotalAmt |
| Program Services | $4,542 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,863 | TotalAmt |
| Program Services | $12,756 | ProgramServicesAmt |
| Management And General | $12,544 | ManagementAndGeneralAmt |
| Fundraising | $3,563 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,809 | TotalAmt |
| Program Services | $19,803 | ProgramServicesAmt |
| Management And General | $19,474 | ManagementAndGeneralAmt |
| Fundraising | $5,532 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,378 | TotalAmt |
| Management And General | $10,378 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,596 | TotalAmt |
| Program Services | $1,528 | ProgramServicesAmt |
| Management And General | $5,068 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,018 | TotalAmt |
| Management And General | $5,509 | ManagementAndGeneralAmt |
| Fundraising | $5,509 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,609 | TotalAmt |
| Program Services | $24,825 | ProgramServicesAmt |
| Management And General | $2,948 | ManagementAndGeneralAmt |
| Fundraising | $836 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,042 | TotalAmt |
| Program Services | $3,554 | ProgramServicesAmt |
| Management And General | $3,495 | ManagementAndGeneralAmt |
| Fundraising | $993 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBTS | $249,566 | $249,566 | |
| REPAIRS AND MAINTENANCE | $35,830 | $35,830 | |
| PROFESSIONAL DUES | $17,841 | $17,841 | |
| LICENSES | $15,711 | $15,711 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,647 | TotalAmt |
| Program Services | $16,722 | ProgramServicesAmt |
| Management And General | $13,281 | ManagementAndGeneralAmt |
| Fundraising | $1,644 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,876,179 | TotalAmt |
| Program Services | $2,282,417 | ProgramServicesAmt |
| Management And General | $491,333 | ManagementAndGeneralAmt |
| Fundraising | $102,429 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372 | BOYAmt |
| EOY | $373 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,563 | BOYAmt |
| EOY | $36,106 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $74,562 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,301 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $730,224 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $172,462 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $521,997 | BOYAmt |
| EOY | $557,762 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,083 | BOYAmt |
| EOY | $668,803 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $155,001 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,404 | BOYAmt |
| EOY | $47,601 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,364 | BOYAmt |
| EOY | $125,796 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,768 | BOYAmt |
| EOY | $328,398 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,315 | BOYAmt |
| EOY | $340,405 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,315 | BOYAmt |
| EOY | $340,405 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $708,083 | BOYAmt |
| EOY | $668,803 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$73,764 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$4,146 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $884,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,870,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,071,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,367,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,598,820 | CurrentTaxYearAmt |
| Total | $6,792,480 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $884,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,870,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,071,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,367,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,598,820 | CurrentTaxYearAmt |
| Total | $6,792,480 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $6,792,480 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,378 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,534 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,990 | CurrentTaxYearAmt |
| Total | $6,644 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,409 | CurrentTaxYearMinus2YearsAmt |
| Total | $2,409 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,801,533 | TotalSupportAmt |
| Public Support CY170 | 0.99870 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99770 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,203 | BeginningYearBalanceAmt |
| End Year Balance | $40,203 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $40,203 | BeginningYearBalanceAmt |
| End Year Balance | $40,203 | EndYearBalanceAmt |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,000 | OtherCostOrOtherBasisAmt |
| Book Value | $19,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $499,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,997 | DepreciationAmt |
| Book Value | $445,154 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,604 | DepreciationAmt |
| Book Value | $7,477 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $136,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $50,838 | DepreciationAmt |
| Book Value | $86,131 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,023 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,023 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $557,762 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT VINTAGE BANK | $70,389 |
| VINTAGE BANK LOAN | $36,233 |
| US BANK - LEASE #3 | $585 |
| LEAF PHONE LEASE | $18,589 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $125,796 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,813,519 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $11,104 | OtherRevenueAmt |
| Revenue Not Reported | $11,104 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,802,415 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,802,415 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,887,283 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $11,104 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $11,104 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,876,179 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,876,179 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CLINIC IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION. THE CLINIC FOLLOWS THE GUIDANCE UNDER GAAP, WHICH PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION, AND DISCLOSURE OF UNCERTAIN IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. MANAGEMENT BELIEVES THAT IT HAS NOT TAKEN A TAX POSITION THAT, IF CHALLENGED, WOULD HAVE A MATERIAL EFFECT ON THE CLINIC'S FINANCIAL STATEMENTS. THE CLINIC FILES FORM 990 IN THE UNITED STATES FEDERAL JURISDICTION WITHIN THE UNITED STATES AND NO TAX RETURNS ARE CURRENTLY UNDER EXAMINATION BY ANY TAX AUTHORITIES. TAX RETURNS SUBSEQUENT TO 2009 ARE OPEN FOR POTENTIAL EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISER EXPENSES 11,104. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISER EXPENSES 11,104. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | SEEDS OF HOPE | NameOfEvent1Amt |
| Gross Receipts Event1 | $43,295 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $43,295 | CharitableContriEvent1Amt |
| Food And Beverage Event1 | $3,064 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $4,732 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | MILES FOR HOPE | NameOfEvent2Amt |
| Gross Receipts Event2 | $6,125 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $6,125 | CharitableContriEvent2Amt |
| Food And Beverage Event2 | $433 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,875 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $49,420 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,420 | CharitableContributionsTotAmt |
| Food And Beverage Total Events | $3,497 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,607 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,104 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$11,104 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YOLANDE OWENS | PersonNm |
| Relationship With Org | CEO | RelationshipWithOrgTxt |
| Loan Purpose | OPERATING LOAN | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $107,000 | OriginalPrincipalAmt |
| Balance Due | $47,601 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | 0 | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $47,601 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: | FormAndLineReferenceDesc |
| Explanation | IN AUGUST 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $30,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN SEPTEMBER 2012, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $22,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.IN MARCH 2013, THE CLINIC ENTERED INTO A NOTE WITH THE CHIEF EXECUTIVE OFFICER IN THE AMOUNT OF $15,000. THE OUTSTANDING AMOUNT WAS PAID OFF BY THE MATURITY DATE OF MARCH 2014.FROM TIME TO TIME, AND WITHOUT BOARD APPROVAL, THE CHIEF EXECUTIVE OFFICER MADE LOANS TO THE CLINIC IN THE FORM OF SHORT TERM ADVANCES TO FUND OPERATIONAL COSTS OF THE CLINIC. OUTSTANDING BALANCES OF THESE SHORT TERM ADVANCES TOTALED APPROXIMATELY $35,000 AT DECEMBER 31, 2013. THESE SHORT TERM ADVANCES ARE CURRENTLY DUE AND DO NOT BEAR INTEREST. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | MEDICAL SUPPL | 20 | $150,082 | COST |
| Yes (X) | EQUIPMENT | 3 | $5,195 | COST |
| Yes (X) | OFFICE SUPPLI | 4 | $2,958 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS REVIEWED BY THE CEO, CLINIC DIRECTOR, CFO, BOARD PRESIDENT AND FINANCE COMMITTEE MEMBER PRIOR TO FILING. THE FULL BOARD WAS PRESENTED A COPY AT A SUBSEQUENT MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD APPROVES A RANGE OF SALARIES DURING THE ANNUAL BUDGET PROCESS FOR ALL POSITIONS BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES UNDER HRSA TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 37,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,760. PATIENT SERVICE EXPENSE : PROGRAM SERVICE EXPENSES 391,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 391,302. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,291. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,518. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,518. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED ITS PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT DURING THE CURRENT YEAR. |
Comments