PRIMARY CARE OF SOUTHWEST GEORGIA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRIMARY CARE OF SOUTHWEST GEORGIA (EIN 31-1840668)
Tax period: 2012-12-01 to 2013-11-30
Filed: 2014-03-18
IRS object ID: 201430779349301208
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-03-18T14:30:47-07:00	Timestamp
Tax Period End Date	2013-11-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENMARK AND BROWN PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	123 N MAIN ST	AddressLine1
City	STATESBORO	City
State	GA	State
ZIP Code	304585700	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-12-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	311840668	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRIMARY CARE OF SOUTHWEST GEORGIA INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PRIM	NameControl
Phone	2297232660	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	360 COLLEGE ST	AddressLine1
City	BLAKELY	City
State	GA	State
ZIP Code	39823	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWIN JAMES	Name
Title	CFO	Title
Date Signed	2014-03-18	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	FRANK DENMARK CPA	Name
PTIN	P00090471	PTIN
Phone	9127644123	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	3716047	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.pcswga.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2005	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	MEDICAL CARE	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	41	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1238145	ContributionsGrantsPriorYear
Contributions Grants Current Year	1396450	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1848455	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2189025	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	279773	OtherRevenuePriorYear
Other Revenue Current Year	130572	OtherRevenueCurrentYear
Total Revenue Prior Year	3366373	TotalRevenuePriorYear
Total Revenue Current Year	3716047	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2316037	SalariesEtcPriorYear
Salaries Etc Current Year	2608221	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	998866	OtherExpensePriorYear
Other Expenses Current Year	1100000	OtherExpensesCurrentYear
Total Expenses Prior Year	3314903	TotalExpensesPriorYear
Total Expenses Current Year	3708221	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	51470	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	7826	RevenuesLessExpensesCY
Total Assets BOY	1022013	TotalAssetsBOY
Total Assets EOY	1208194	TotalAssetsEOY
Total Liabilities BOY	169552	TotalLiabilitiesBOY
Total Liabilities EOY	347907	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	852461	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	860287	NetAssetsOrFundBalancesEOY
Mission Description	MEDICAL CARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2520703	Expense
Description	THE CLINIC PROVIDES MEDICAL CARE TO THE UNDERSERVED CHILDREN AND ADULTS OF EARLY, THOMAS, AND SURROUNDING COUNTIES.	Description
Total Program Service Expense	2520703	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	41	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	false	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	PRIMARY CARE OF SOUTHWEST GA	NamePerson
Telephone Number	2297232660	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	360 COLLEGE ST	AddressLine1
City	BLAKELY	City
State	GA	State
ZIP Code	39823	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BARBARA RAMBO
MEMBER	5.00	0.00	X	0	0	0
JOAN SIMPSON
MEMBER	5.00	0.00	X	0	0	0
WAYNE LAWSON
MEMBER	5.00	0.00	X	0	0	0
KEVIN TAYLOR
MEMBER	5.00	0.00	X	0	0	0
KATHERYN MITCHELL
MEMBER	5.00	0.00	X	0	0	0
NORMA HARRIS GREAT
MEMBER	5.00	0.00	X	0	0	0
FRED DANIELS
MEMBER	5.00	0.00	X	0	0	0
JACK WATSON
MEMBER	5.00	0.00	X	0	0	0
REGINA BARRON
MEMBER	5.00	0.00	X	0	0	0
DR BRENDA A ADDISON
CEO	50.00	0.00		141848	0	0	X
EDWIN JAMES
CFO	50.00	0.00		94045	0	0	X
WALLACE O'NEAL
VICE CHAIRMAN	5.00	0.00		0	0	0	X
BUCK GRIST
Chairman	5.00	0.00		0	0	0	X
MATTIE GRIMES
SECRETARY/TREAS	5.00	0.00		0	0	0	X
DR LUIS MURRAIN
MEDICAL DIRECTOR	0.00	0.00		230990	0	0		X
DR JAMES BROWN
PHYSICIAN	40.00	0.00		225000	0	0			X
DR CATHERINE PETERS-JAMES
PHYSICIAN	40.00	0.00		195000	0	0			X
GREGORY DODSON
PA	45.00	0.00		116277	0	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1003160	TotalReportableCompFromOrg
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
STATE HEALTH INSURANCE
PO BOX 931550	ATLANTA	GA	31193	INSURANCE	286240
MCKESSON
PO BOX 740215	CINCINNATI	OH	45274	MEDICAL SUPPLIES	76401
JOHN D ARCHBOLD
PO BOX 1018	THOMASVILLE	GA	31799	LEASE	64298

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	930562	GovernmentGrants
All Other Contributions	465888	AllOtherContributions
Noncash Contributions	65892	NoncashContributions
Total Contributions	1396450	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE	2128142	2128142
MANAGEMENT FEE INCOME	60883	60883

Field	Value	IRS element (for citing)
Total Program Service Revenue	2189025	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENT	24000	24000
EMR MEANINGFUL USE REIMB	46750	46750
340 B DRUG PROGRAM	36830	36830

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	22992	TotalRevenueColumn
Related Or Exempt Function Income	22992	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	130572	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3716047	TotalRevenueColumn
Related Or Exempt Function Income	2319597	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	272800	Total
Management And General	272800	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2335421	Total
Program Services	1848731	ProgramServices
Management And General	486690	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	22288	Total
Management And General	22288	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	22735	Total
Management And General	22735	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	95318	Total
Program Services	47659	ProgramServices
Management And General	47659	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	113245	Total
Program Services	84934	ProgramServices
Management And General	28311	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	67070	Total
Program Services	32019	ProgramServices
Management And General	35051	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	69116	Total
Management And General	69116	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	97020	Total
Program Services	89680	ProgramServices
Management And General	7340	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TELEPHONE AND COMMUNICATIONS	53945	10789	43156
MEDICAL AND DENTAL CONTRACTS	75879	75879
MEDICAL SUPPLIES	144163	144163
CONSULTING & PROFESSIONAL	172313	105046	67267

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	166908	Total
Program Services	81803	ProgramServices
Management And General	85105	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3708221	Total
Program Services	2520703	ProgramServices
Management And General	1187518	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	549711	BOY
EOY	713536	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	109306	BOY
EOY	117150	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5288	BOY
EOY	18752	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	654102	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	341238	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	356167	BOY
EOY	312864	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1541	BOY
EOY	45892	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1022013	BOY
EOY	1208194	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	148237	BOY
EOY	232264	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	98870	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	21314	BOY
EOY	16772	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1	BOY
EOY	1	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	169552	BOY
EOY	347907	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	852461	BOY
EOY	761417	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	98870	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	852461	BOY
EOY	860287	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1022013	BOY
EOY	1208194	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	7826	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1292975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1515363	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1498638	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1238145	CurrentTaxYearMinus1Year
Current Tax Year	1396450	CurrentTaxYear
Total	6941571	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1292975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1515363	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1498638	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1238145	CurrentTaxYearMinus1Year
Current Tax Year	1396450	CurrentTaxYear
Total	6941571	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	6941571	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	98326	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	104455	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	113325	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	279773	CurrentTaxYearMinus1Year
Current Tax Year	191455	CurrentTaxYear
Total	787334	Total

Field	Value	IRS element (for citing)
Total Support	7728905	TotalSupport
Gross Receipts From Admissions Etc	7740521	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.89810	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.90520	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	206931	OtherCostOrOtherBasis
Depreciation	53077	Depreciation
Book Value	153854	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32288	OtherCostOrOtherBasis
Depreciation	11301	Depreciation
Book Value	20987	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	414883	OtherCostOrOtherBasis
Depreciation	276860	Depreciation
Book Value	138023	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	312864	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Rounding	Description
Amount	$1	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	1	TotalOfAmounts

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
DR LUIS MURRAIN
MEDICAL DIRECTOR	184535	46455	230990
DR JAMES BROWN
PHYSICIAN	225000		225000
DR CATHERINE PETERS-JAMES
PHYSICIAN	195000		195000

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	No documents available to the public.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	THE HEALTH CENTER UTILIZES COMPARABLE COMPENSATION DATA FROM THE NACHC SALARY SURVEY AS WELL AS THE GAPHC SALARY SURVEY.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	EVERY YEAR, DURING THE ANNUAL BOARD STRATEGIC MEETING, THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	REVIEWED BY CEO & CFO & PRESENTED TO BOARD OF DIRECTORS BEFORE FILING.