EAU CLAIRE COOPERATIVE HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- EAU CLAIRE COOPERATIVE HEALTH CENTER INC (EIN 57-0965445)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-07-10
- IRS object ID
- 201441919349300704
- Schema version
- 2013v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-07-10T07:32:36-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Terry Horne CPA & Associates PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 West Main Street | AddressLine1 |
| City | Lebanon | City |
| State | TN | State |
| ZIP Code | 37087 | 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 | 570965445 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAU CLAIRE COOPERATIVE HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAUC | BusinessNameControlTxt |
| Phone | 8037335969 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR STUART HAMILTON | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8037335969 | PhoneNum |
| Signature | 2014-07-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRY HORNE | PreparerPersonNm |
| Phone | 6154447293 | PhoneNum |
| Preparation | 2014-07-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR STUART HAMILTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,938,535 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ecchc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 452 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,907,652 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,348,929 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,302,748 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,583,416 | CYProgramServiceRevenueAmt |
| PY Investment Income | $410 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,384 | CYInvestmentIncomeAmt |
| PY Other Revenue | $800 | PYOtherRevenueAmt |
| CY Other Revenue | $1,200 | CYOtherRevenueAmt |
| PY Total Revenue | $23,211,610 | PYTotalRevenueAmt |
| CY Total Revenue | $27,935,929 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,720,244 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,292,649 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,626,096 | PYOtherExpensesAmt |
| CY Other Expenses | $5,682,850 | CYOtherExpensesAmt |
| PY Total Expenses | $22,346,340 | PYTotalExpensesAmt |
| CY Total Expenses | $25,975,499 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $865,270 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,960,430 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,948,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,192,318 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,520,572 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,804,007 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,427,881 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,388,311 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,013,004 | ExpenseAmt |
| Revenue | $18,583,416 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 163,777 VISITS WERE PROVIDED DURING THE YEAR. | Desc |
| Total Program Service Expenses | $18,013,004 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 452 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SONJA MCCAUSLAND | PersonNm |
| Phone | 8037335969 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ASHLEY MYERS | |||||||
| BOARD CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| PAULETTE KINDLER | |||||||
| CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| GLADYS E COLES | |||||||
| SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN BALLENTINE | |||||||
| TREASURER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| WALLACE CUNNINGHAM | |||||||
| VICE CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| JULIA COOK EASTERLIN | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA FINCH | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| TIGERRON WELLS | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| LEOLA GRIPPER | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL HAWKINS | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE STAPLES | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| BESSIE WATSON | |||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| HAROLD JETER | |||||||
| IT DIRECTOR | 40.00 | $80,615 | $0 | $766 | Yes (X) | ||
| STUART HAMILTON | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $141,450 | $0 | $13,081 | Yes (X) | ||
| SONJA D MCCAUSLAND | |||||||
| CHIEF FINANCIAL OFFICER | 40 | $88,771 | $7,807 | Yes (X) | |||
| GLORIA WARNER | |||||||
| CHIEF OPERATIONAL OFFICER | 40 | $90,000 | $2,880 | Yes (X) | |||
| ERIC SCHLUETER | |||||||
| MEDICAL DIRECTOR | 40 | $156,940 | $7,868 | Yes (X) | |||
| JANET LAY | |||||||
| HR DIRECTOR | 40 | $84,000 | $1,251 | Yes (X) | |||
| ANDRENA ZEIGLER | |||||||
| NURSING DIRECTOR | 40 | $58,562 | $9,642 | Yes (X) | |||
| LANETTE GASS | |||||||
| BILLING DIRECTOR | 40 | $65,718 | $4,067 | Yes (X) | |||
| GARRY JAMES | |||||||
| DIRECTOR OF PATIENT SERVICES | 40 | $58,093 | $542 | Yes (X) | |||
| ABOAGYE AGYENIM-BOATENG | |||||||
| PHYSICIAN | 40 | $220,730 | $10,291 | Yes (X) | |||
| KADIJAH JONES | |||||||
| PHYSICIAN | 40 | $160,157 | $5,533 | Yes (X) | |||
| NITA THAPA | |||||||
| PHYSICIAN | 40 | $219,332 | $11,407 | Yes (X) | |||
| WOODROW BELL | |||||||
| PHYSICIAN | 40 | $155,366 | $7,723 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,901,014 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $101,472 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LABORATORY CORPORATION OF AMERICA | |||||
| 231 MAPLE AVE | BURLINGTON | NC | 27215 | LABS | $155,246 |
| SUCCESSEHS INC | |||||
| PO BOX 204485 | DALLAS | TX | 753204485 | CONTRACTUAL PT CARE | $425,760 |
| JANI KING OF COLUMBIA | |||||
| 801 JONES FRANKLIN ROAD SUITE 230 | RALEIGH | NC | 27606 | CONTRACTUAL NON PT CARE | $209,610 |
| HARDEE CONSTRUCTION COMPANY | |||||
| 1254 WILSON HALL ROAD | SUMTER | SC | 29150 | BUILDING IMPROVEMENTS | $1,101,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,013,278 | GovernmentGrantsAmt |
| All Other Contributions | $2,335,651 | AllOtherContributionsAmt |
| Total Contributions | $9,348,929 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES & MISC | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $18,583,416 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,583,416 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,990 | TotalRevenueColumnAmt |
| Exclusion | $4,990 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,200 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Exclusion | $1,200 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,606 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,606 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,606 | TotalRevenueColumnAmt |
| Exclusion | -$2,606 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,935,929 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,583,416 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,584 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,404 | TotalAmt |
| Program Services | $156,940 | ProgramServicesAmt |
| Management And General | $793,464 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,457,829 | TotalAmt |
| Program Services | $11,987,020 | ProgramServicesAmt |
| Management And General | $4,470,809 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,252 | TotalAmt |
| Program Services | $25,376 | ProgramServicesAmt |
| Management And General | $10,876 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,656,991 | TotalAmt |
| Program Services | $1,159,894 | ProgramServicesAmt |
| Management And General | $497,097 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,191,173 | TotalAmt |
| Program Services | $833,821 | ProgramServicesAmt |
| Management And General | $357,352 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,756 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $29,756 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,980 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $59,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395,842 | TotalAmt |
| Program Services | $949,662 | ProgramServicesAmt |
| Management And General | $446,180 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,423,662 | TotalAmt |
| Program Services | $1,855,772 | ProgramServicesAmt |
| Management And General | $567,890 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $971,489 | TotalAmt |
| Program Services | $668,286 | ProgramServicesAmt |
| Management And General | $303,203 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,580 | TotalAmt |
| Program Services | $48,997 | ProgramServicesAmt |
| Management And General | $48,583 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,797 | TotalAmt |
| Program Services | $23,878 | ProgramServicesAmt |
| Management And General | $15,919 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,474 | TotalAmt |
| Program Services | $303,238 | ProgramServicesAmt |
| Management And General | $354,236 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,270 | TotalAmt |
| Program Services | $120 | ProgramServicesAmt |
| Management And General | $7,150 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,975,499 | TotalAmt |
| Program Services | $18,013,004 | ProgramServicesAmt |
| Management And General | $7,962,495 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $539,051 | BOYAmt |
| EOY | $1,286,605 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,367 | BOYAmt |
| EOY | $337,911 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,770,649 | BOYAmt |
| EOY | $2,198,957 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,061 | BOYAmt |
| EOY | $80,036 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,024 | BOYAmt |
| EOY | $10,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,770,928 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,306,632 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,507,638 | BOYAmt |
| EOY | $11,464,296 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $726,663 | BOYAmt |
| EOY | $814,478 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,948,453 | BOYAmt |
| EOY | $16,192,318 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,962,245 | BOYAmt |
| EOY | $2,208,603 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,233 | BOYAmt |
| EOY | $68,068 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,806 | BOYAmt |
| EOY | $30,806 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,888,462 | BOYAmt |
| EOY | $5,929,361 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $516,826 | BOYAmt |
| EOY | $567,169 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,520,572 | BOYAmt |
| EOY | $8,804,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,425,861 | BOYAmt |
| EOY | $7,388,311 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,020 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,427,881 | BOYAmt |
| EOY | $7,388,311 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,948,453 | BOYAmt |
| EOY | $16,192,318 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,960,430 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $3,712,134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,139,208 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,710,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,907,652 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,348,929 | CurrentTaxYearAmt |
| Total | $27,818,796 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,712,134 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,139,208 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,710,873 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,907,652 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,348,929 | CurrentTaxYearAmt |
| Total | $27,818,796 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $27,818,796 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,791 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,190 | CurrentTaxYearAmt |
| Total | $44,907 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $27,863,703 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $71,651,658 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99760 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,295,258 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,295,258 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $11,001,246 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,609,818 | DepreciationAmt |
| Book Value | $9,391,428 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $3,474,424 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,696,814 | DepreciationAmt |
| Book Value | $777,610 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,464,296 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| VARIABLE ANNUITY | $385,047 |
| LOAN ACQUISTION COST, NET OF ACCUM. AMORTIZATION | $97,407 |
| INVESTMENT AMERICUS HEALTH, LLC | $75,000 |
| GOODWILL, NET OF ACCUM. AMORTIZATION | $4,774 |
| SECURITY DEPOSITS | $2,250 |
| LOAN RESERVE | $250,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $814,478 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $182,122 |
| ANNUITY PAYABLE | $385,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $567,169 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| STUART HAMILTON | |||
| $141,450 | $12,581 | $500 | $154,531 |
| ERIC SCHLUETER | |||
| $156,940 | $7,368 | $500 | $164,808 |
| ABOAGYE AGYENIM-BOATENG | |||
| $220,730 | $10,291 | $231,021 | |
| KADIJAH JONES | |||
| $160,157 | $5,033 | $500 | $165,690 |
| NITA THAPA | |||
| $219,332 | $10,907 | $500 | $230,739 |
| WOODROW BELL | |||
| $155,366 | $7,223 | $500 | $163,089 |
| DEBORAH J DAVIS | |||
| $195,025 | $11,357 | $500 | $206,882 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR STUART HAMILTON | PersonNm |
| Relationship With Org | CEO | RelationshipWithOrgTxt |
| Loan Purpose | SALARY DEFERRALS | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $241,451 | OriginalPrincipalAmt |
| Balance Due | $30,806 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $30,806 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR STUART HAMILTON | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | THE CEO OF THE CENTER IS ALSO THE PAID CONSULTANT OF AN HMO | RelationshipDescriptionTxt |
| Transaction | THE HEALTH CENTER RECEIVES INSURANCE PAYMENTS ON BEHALF OF ITS PATIENTS FROM THIS HMO. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV LINE 1B | THE CEO OF THE HEALTH CENTER IS ALSO A PAID CONSULTANT OF AN HMO. |
| PART IV LINE 1D | THE HEALTH CENTER RECEIVES INSURANCE PAYMENTS ON BEHALF OF ITS PATIENTS FROM THIS HMO. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XII, Line 2c | THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT |
| Pt XII, Line 2c | ENGAGEMENT. |
| Pt VI, Line 11b | THE ORGANIZATIONS FORM 990 IS REVIEWED BY THE CFO OF THE ORGANIZATION. |
| Pt VI, Line 12c | THE ORGANIZATION MONITORS THIS POLICY THROUGH OBSERVATION |
| Pt VI, Line 12c | AND INQUIRY OF OFFICERS, DIRECTORS, AND EMPLOYEES. |
| Pt VI, Line 15a | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| Pt VI, Line 15b | FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY |
| Pt VI, Line 15b | AND SALARY INCREASES ARE APPROVED BY THE CHIEF EXECUTIVE OFFICER; |
| Pt VI, Line 15b | CEO COMPENSATION IS BOARD APPROVED. |
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| Pt VI, Line 19 | POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| Pt XI | PAGE 12 ITEM#5-CHANGE IN NET BALANCE DUE TO DECREASE IN TEMPORARILY |
| Pt XI | RESTRICTED NET ASSETS. |
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