FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY HEALTH SERVICE AGENCY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH SERVICE AGENCY INC (EIN 75-1528614)
Tax period
2013-02-01 to 2014-01-31
Filed
2014-12-15
IRS object ID
201433499349300133
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)
Return2014-12-15T08:37:27-08:00ReturnTs
Tax Period End2014-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ScottSingletonFincher & CoBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14815 King Street Suite AAddressLine1
CityGreenvilleCity
StateTXState
ZIP Code75401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751528614EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH SERVICE AGENCY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone9034555986PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1908AddressLine1
CityGREENVILLECity
StateTXState
ZIP Code75403ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAROL ARRINGTONPersonNm
Person TitleCFOPersonTitleTxt
Signature2014-12-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHannah C NelsonPreparerPersonNm
PTINP00448733PTIN
Phone9034554765PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE CARTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11660 GENA DRAddressLine1
CitySULPHER SPRINGSCity
StateTXState
ZIP Code75482ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$8,908,620GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.completemedicalhome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo provide community oriented primary health care, including, medical & dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee134TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,648,686PYContributionsGrantsAmt
CY Contributions Grants$4,015,635CYContributionsGrantsAmt
PY Program Service Revenue$4,858,723PYProgramServiceRevenueAmt
CY Program Service Revenue$4,866,119CYProgramServiceRevenueAmt
PY Investment Income$3,738PYInvestmentIncomeAmt
CY Investment Income$3,192CYInvestmentIncomeAmt
PY Other Revenue$26,766PYOtherRevenueAmt
CY Other Revenue$23,674CYOtherRevenueAmt
PY Total Revenue$8,537,913PYTotalRevenueAmt
CY Total Revenue$8,908,620CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,647,110PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,880,781CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,998,262PYOtherExpensesAmt
CY Other Expenses$3,016,258CYOtherExpensesAmt
PY Total Expenses$8,645,372PYTotalExpensesAmt
CY Total Expenses$8,897,039CYTotalExpensesAmt
PY Revenues Less Expenses-$107,459PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,581CYRevenuesLessExpensesAmt
Total Assets BOY$6,001,969TotalAssetsBOYAmt
Total Assets EOY$5,777,504TotalAssetsEOYAmt
Total Liabilities BOY$2,402,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,166,352TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,599,571NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,611,152NetAssetsOrFundBalancesEOYAmt
MissionTo provide community oriented primary health care, including, medical & dental care, education, and social services to the residents of Hunt, Fannin, Kaufman, Delta, and Collin counties, with a particular emphasis on those individuals and families that have difficulty accessing health care services because of financial, language, and/or cultural barriers.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$6,724,261ExpenseAmt
Revenue$4,889,793RevenueAmt
DescThe organization provided general health and family planning services to its service area. During the year the Agency provided over 65,000 patient encounters under the Section 330 grant, Medicaid and Medicare.Desc
Total Program Service Expenses$6,724,261TotalProgramServiceExpensesAmt
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document39IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee134EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonCAROL ARRINGTONPersonNm
Phone9034555986PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14500 WESLEY STREETAddressLine1
CityGREENVILLECity
StateTXState
ZIP Code75403ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
NONA JORDAN
Chairman2.000.00Yes (X)$0$0$0
PAUL PAINTER
Secretary2.000.00Yes (X)$0$0$0
BRENDA SUE CREGG
Treasurer2.000.00Yes (X)$0$0$0
SHANNON REIMER
Director2.000.00Yes (X)$0$0$0
TIFFANY WILLIS
Director2.000.00Yes (X)$0$0$0
STAN MCKEE
Director2.000.00Yes (X)$0$0$0
JAMES BARR PHD
Director2.000.00Yes (X)$0$0$0
KEITH WINTERS
Vice Chairman2.000.00Yes (X)$0$0$0
JANNA POWELL
Director2.000.00Yes (X)$0$0$0
ANDREW BENCH
Director2.000.00Yes (X)$0$0$0
MORAIMA RODRIGUEZ
Director2.000.00Yes (X)$0$0$0
CAROL ARRINGTON
CFO40.000.00$85,000$0$8,800Yes (X)
DAN SHEPHERD
Retired CEO40.000.00$65,764$0$541Yes (X)
MICHELLE CARTER
CEO40.000.00$126,990$0$9,826Yes (X)
RONALD PERON MD
MEDICAL DIRECTOR40.000.00$177,000$0$11,454Yes (X)
ANN MARIE LEDLEY OB
PHYSICIAN40.000.00$233,885$0$11,901Yes (X)
PRETEI LEMO
PHYSICIAN40.000.00$162,331$0$11,933Yes (X)
JAYAPRAKASH NARAYANA
PHYSICIAN40.000.00$160,000$0$6,348Yes (X)
JACK LEWIS DDS
DENTIST40.000.00$129,231$0$6,948Yes (X)
RENEA POWELL
NURSE PRACTITIONER40.000.00$125,000$0$6,348Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,265,201TotalReportableCompFromOrgAmt
Total Other Compensation$74,099TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LABCORPBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 12140AddressLine1
CityBURLINGTONCity
StateNCState
ZIP Code27216ZIPCode
FieldValueIRS element (for citing)
ServicesLABORATORY SRVCSServicesDesc
Compensation$261,663CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,592,190GovernmentGrantsAmt
All Other Contributions$423,445AllOtherContributionsAmt
Noncash Contributions$118,398NoncashContributionsAmt
Total Contributions$4,015,635TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID$2,841,224$2,841,224
PRIVATE PATIENT FEES$2,024,895$2,024,895
FieldValueIRS element (for citing)
Total Program Service Revenue$4,866,119TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,192TotalRevenueColumnAmt
Exclusion$3,192ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLAENOUS INCOMEDesc
Total Revenue Column$23,674TotalRevenueColumnAmt
Related Or Exempt Func Income$23,674RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,674OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,908,620TotalRevenueColumnAmt
Related Or Exempt Func Income$4,889,793RelatedOrExemptFuncIncomeAmt
Exclusion$3,192ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$485,375TotalAmt
Program Services$94,227ProgramServicesAmt
Management And General$391,148ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,244,644TotalAmt
Program Services$3,502,627ProgramServicesAmt
Management And General$742,017ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,751TotalAmt
Program Services$28,848ProgramServicesAmt
Management And General$7,903ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$709,722TotalAmt
Program Services$557,098ProgramServicesAmt
Management And General$152,624ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$404,289TotalAmt
Program Services$317,348ProgramServicesAmt
Management And General$86,941ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$30,421TotalAmt
Program Services-$1,823ProgramServicesAmt
Management And General$32,244ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$478,625TotalAmt
Program Services$470,692ProgramServicesAmt
Management And General$7,933ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,012TotalAmt
Program Services$14,422ProgramServicesAmt
Management And General$4,590ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$781,108TotalAmt
Program Services$641,781ProgramServicesAmt
Management And General$139,327ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$324,239TotalAmt
Program Services$240,661ProgramServicesAmt
Management And General$83,578ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$463,679TotalAmt
Program Services$335,166ProgramServicesAmt
Management And General$128,513ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$128,097TotalAmt
Program Services$16,662ProgramServicesAmt
Management And General$111,435ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$371,322TotalAmt
Program Services$183,946ProgramServicesAmt
Management And General$187,376ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT PROVISION$122,040$122,040
DONATED PHARMACY$118,398$118,398
MEMBERSHIPS$84,488$15,380$69,108
RECRUITMENT & TRAINING$70,832$48,049$22,783

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,997TotalAmt
Program Services$18,739ProgramServicesAmt
Management And General$5,258ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,897,039TotalAmt
Program Services$6,724,261ProgramServicesAmt
Management And General$2,172,778ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$232,830BOYAmt
EOY$151,395EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,055,703BOYAmt
EOY$1,172,368EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$333,738BOYAmt
EOY$354,163EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$54,295BOYAmt
EOY$77,259EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,249,099LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,226,780LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,325,403BOYAmt
EOY$4,022,319EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,001,969BOYAmt
EOY$5,777,504EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$789,019BOYAmt
EOY$739,622EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$103,941BOYAmt
EOY$91,667EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,453,739BOYAmt
EOY$1,297,919EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,699BOYAmt
EOY$37,144EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,402,398BOYAmt
EOY$2,166,352EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,570,590BOYAmt
EOY$3,587,035EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,981BOYAmt
EOY$24,117EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,599,571BOYAmt
EOY$3,611,152EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,001,969BOYAmt
EOY$5,777,504EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$11,581ReconcilationRevenueExpnssAmt
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 CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$3,372,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,655,853CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,479,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,648,686CurrentTaxYearMinus1YearAmt
Current Tax Year$4,015,635CurrentTaxYearAmt
Total$19,171,612TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,372,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,655,853CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,479,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,648,686CurrentTaxYearMinus1YearAmt
Current Tax Year$4,015,635CurrentTaxYearAmt
Total$19,171,612TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$19,171,612PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,311CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,048CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,738CurrentTaxYearMinus1YearAmt
Current Tax Year$3,192CurrentTaxYearAmt
Total$35,587TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$26,766CurrentTaxYearMinus1YearAmt
Current Tax Year$23,674CurrentTaxYearAmt
Total$58,903TotalAmt
FieldValueIRS element (for citing)
Total Support$19,266,102TotalSupportAmt
Public Support CY1700.99510PublicSupportCY170Pct
Public Support PY1700.99470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,168OtherCostOrOtherBasisAmt
Book Value$230,168BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,311,978OtherCostOrOtherBasisAmt
Depreciation$1,042,154DepreciationAmt
Book Value$3,269,824BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,221,831OtherCostOrOtherBasisAmt
Depreciation$1,787,840DepreciationAmt
Book Value$433,991BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$485,122OtherCostOrOtherBasisAmt
Depreciation$396,786DepreciationAmt
Book Value$88,336BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,022,319TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASES PAYABLEDesc
Amt$37,144Amt
FieldValueIRS element (for citing)
Total Liability$37,144TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,908,620TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$8,908,620RevenueSubtotalAmt
Total Revenue Per Form990$8,908,620TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,897,039TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$8,897,039ExpensesSubtotalAmt
Total Expenses Per Form990$8,897,039TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationTHE AGENCY ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES (PREVIOUSLY KNOW AS FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). MANAGEMENT BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS, AND ACCORDINGLY THERE IS NO LIABILITY RECORDED FOR UNRECOGNIZED TAX BENEFITS AT JANUARY 31, 2014 AND 2013.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ANN MARIE LEDLEY OB
PHYSICIAN$233,885$5,553$6,348$245,786
JAYAPRAKASH NARAYANA
PHYSICIAN$160,000$6,348$166,348
PRETEI LEMO
PHYSICIAN$162,331$5,585$6,348$174,264
RONALD PERON MD
MEDICAL DIRECTOR$177,000$5,106$6,348$188,454

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$118,398NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MKT VALUEMethodOfDeterminingRevenuesTxt
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE CEO AND CFO OF THE AGENCY WILL PARTICIPATE IN COMPLETING THE FORM 990 AS WELL AS REVIEWING THE 990 BEFORE SUBMISSION. THE AGENCY'S CFO WILL REVIEW THE FORM 990 WITH THE BOARD OF DIRECTORS BEFORE SUBMISSION.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHIS POLICY IS PART OF A CODE OF CONDUCT THAT ALL EMPLOYEES AND THE BOARD OF DIRECTORS SIGN. IT IS ALSO PART OF THE BYLAWS OF THE AGENCY AND INCLUDED IN THE BOARD OF DIRECTORS ORIENTATION. THIS POLICY IS REVIEWED AT ANNUAL BOARD TRAININGS.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION FOR KEY MANAGEMENT, INCLUDING THE CEO AND CFO, IS COMPARED TO REGIONAL & STATE SALARY SURVEYS BASED ON BUDGET, ANNUAL ENCOUNTERS, AND YEARS OF SERVICE. THIS SALARY SURVEY IS SPECIFIC TO COMMUNITY HEALTH CENTERS. SALARY COMPARISONS FOR KEY EMPLOYEES ARE ALSO COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. THE CEO'S COMPENSATION PACKAGE IS DETERMINED, REVIEWED, AND APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesSALARY COMPARISONS FOR KEY EMPLOYEES ARE COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.