LONGVIEW WELLNESS CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LONGVIEW WELLNESS CENTER INC (EIN 75-2723993)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349302665
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T08:43:01-08:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Henry & Peters PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1127 Judson Road Ste 233 | AddressLine1 |
| City | Longview | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 752723993 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LONGVIEW WELLNESS CENTER INC | BusinessNameLine1 |
| Business Name Line2 | DBA WELLNESS POINTE | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LONG | NameControl |
| Phone | 9037582610 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 3647 | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75606 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TALIA PETERSON | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rodney Overman | Name |
| PTIN | P00088727 | PTIN |
| Phone | 9037580648 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL CLARK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 NJ LAKE CHEROKEE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75603 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10635813 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | MEDICAL CARE FOR THE UNDERPRIVILEGED AND UNDERSERVED | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 203 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6144061 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4285269 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5190404 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6306717 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 26272 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14353 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 335674 | OtherRevenuePriorYear |
| Other Revenue Current Year | 29474 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11696411 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10635813 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7632897 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8561417 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4010095 | OtherExpensePriorYear |
| Other Expenses Current Year | 3341066 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11642992 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11902483 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 53419 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1266670 | RevenuesLessExpensesCY |
| Total Assets BOY | 7577283 | TotalAssetsBOY |
| Total Assets EOY | 6578123 | TotalAssetsEOY |
| Total Liabilities BOY | 1146943 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1414453 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6430340 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5163670 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | MEDICAL CARE FOR THE UNDERPRIVILEGED AND UNDERSERVED | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6758561 | Expense |
| Revenue | 6306717 | Revenue |
| Description | PROVIDED MEDICAL CARE, OBSTETRIC & PEDIATRIC CARE, DENTAL SERVICES, PRENATAL AND NEWBORN HEALTH CARE,AND PSYCHIATRIC AND BEHAVIOR COUNSELING TO INDIGENT, UNINSURED AND UNDER-INSURED PATIENTS. OVER 27,000 PATIENTS WERE SERVED IN 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 877266 | Expense |
| Description | ADMINISTERED THE WOMEN'S, INFANTS', CHILDREN'S (WIC) PROGRAM TO PROVIDE NUTRITIONAL EDUCATION AND VOUCHERS FOR WIC APPROVED NUTRITIONAL FOODS. ALSO PROVIDED TRAINING AND SUPPORT FOR BREAST FEEDING FOR NEW MOTHERS. HAD AN AVERAGE OF 5,700 PARTICIPANTS PER MONTH IN THE WIC PROGRAM. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 585693 | Expense |
| Description | PROVIDED COUNSELING DURING 2012 TO APPROXIMATELY 200 PATIENTS SUFFERING FROM ALCOHOL AND DRUG RELATED PROBLEMS AS WELL AS VIOLENCE COUNSELING. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 885176 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 9106696 | 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 | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | false | 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 | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 47 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 203 | 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 | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 | true | 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 | false | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Other Explain In Sch O | X | OtherExplainInSchO |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHAD JONES TALIA PETERSON | NamePerson |
| Telephone Number | 9037582610 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1205A EAST MARSHALL AVENUE | AddressLine1 |
| City | LONGVIEW | City |
| State | TX | State |
| ZIP Code | 75601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 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 | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JONATHAN FOY | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| MARRY ANN MILLER | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| SUSAN IDDINGS | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| ANGELICA AGUILAR | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| AMY ALLEN | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| MICHAEL CLARK | ||||||||
| Chairman | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| RANDY ROSE | ||||||||
| Treasurer | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| DEENA SHELTON | ||||||||
| VICE-CHAIR | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| ERICKA VAUGHN-FEGGETT | ||||||||
| Secretary | 1.00 | 0.00 | X | 0 | 0 | 0 | X | |
| J POWERS BRANCH | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| CARL WALTERS II | ||||||||
| CEO | 41.00 | 0.00 | 115556 | 0 | 0 | X | ||
| TALIA PETERSON | ||||||||
| CFO | 0.00 | 0.00 | 0 | 0 | 0 | X | ||
| SHAHROKH SAFARIMARYAKI | ||||||||
| PSYCHIATRIST | 29.00 | 0.00 | 257231 | 0 | 9655 | X | ||
| HAROLD CAMPBELL | ||||||||
| PHYSICIAN | 32.00 | 0.00 | 255899 | 0 | 12034 | X | ||
| DONNA DAVIS | ||||||||
| PHYSICIAN CHIEF | 39.00 | 0.00 | 192913 | 0 | 10404 | X | ||
| MARCY HALL | ||||||||
| NURSE PRACTITIONER | 33.00 | 0.00 | 121144 | 0 | 7526 | X | ||
| MITCHELL LANE | ||||||||
| PHYSICIAN ASSISTAN | 30.00 | 0.00 | 96053 | 0 | 6597 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1038796 | TotalReportableCompFromOrg |
| Total Other Compensation | 46216 | TotalOtherCompensation |
| 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 |
|---|---|---|---|---|---|
| JOHN L KIRK | |||||
| P O BOX 3647 | LONGVIEW | TX | 75606 | PHYSICIAN | 322693 |
| DAMON W SPENCER DDS | |||||
| 6320 MISTY TRAIL | DALLAS | TX | 75248 | DENTAL SERVICES | 220408 |
| ADVANTAGE BUILDING SERVICES | |||||
| PO BOX 387 | LONGVIEW | TX | 75606 | JANATORIAL SERVICE | 170669 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 4273306 | GovernmentGrants |
| All Other Contributions | 11963 | AllOtherContributions |
| Total Contributions | 4285269 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PRIVATE PAY & INSURANCE | 1703752 | 1703752 |
| MEDICARE/MEDICAID PYMTS | 4602965 | 4602965 |
| CONTRACT SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6306717 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14353 | TotalRevenueColumn |
| Exclusion | $14,353 | ExclusionAmount |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC. OTHER | Description |
| Total Revenue Column | 29474 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29474 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 29474 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10635813 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6336191 | RelatedOrExemptFunctionIncome |
| Exclusion | $14,353 | ExclusionAmount |
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 | 429196 | Total |
| Management And General | 429196 | 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 | 7050325 | Total |
| Program Services | 6546660 | ProgramServices |
| Management And General | 503665 | 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 | 540464 | Total |
| Program Services | 477330 | ProgramServices |
| Management And General | 63134 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 541432 | Total |
| Program Services | 460116 | ProgramServices |
| Management And General | 81316 | ManagementAndGeneral |
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 | 8856 | Total |
| Management And General | 8856 | ManagementAndGeneral |
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 | 110920 | Total |
| Program Services | 40739 | ProgramServices |
| Management And General | 70181 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78486 | Total |
| Program Services | 21221 | ProgramServices |
| Management And General | 57265 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381541 | Total |
| Program Services | 313331 | ProgramServices |
| Management And General | 68210 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131262 | Total |
| Program Services | 116683 | ProgramServices |
| Management And General | 14579 | 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 | 21767 | Total |
| Management And General | 21767 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 496412 | Total |
| Management And General | 496412 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78972 | Total |
| Program Services | 53470 | ProgramServices |
| Management And General | 25502 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM SUPPLIES | 165216 | 136089 | 29127 |
| SOFTWARE SUPPORT | 195170 | 2990 | 192180 |
| BAD DEBT EXPENSE | 244509 | 244509 | |
| MEDICAL SUPPLIES | 326091 | 325513 | 578 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1101864 | Total |
| Program Services | 612554 | ProgramServices |
| Management And General | 489310 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11902483 | Total |
| Program Services | 9106696 | ProgramServices |
| Management And General | 2795787 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1999593 | BOY |
| EOY | 930717 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1505590 | BOY |
| EOY | 1505590 | 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 | 928678 | BOY |
| EOY | 1188206 | 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) |
|---|---|---|
| BOY | 9025 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17354 | BOY |
| EOY | 17280 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5727322 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2790992 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3117043 | BOY |
| EOY | 2936330 | 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) |
|---|---|---|
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7577283 | BOY |
| EOY | 6578123 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 466694 | BOY |
| EOY | 787138 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 680249 | BOY |
| EOY | 627315 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1146943 | BOY |
| EOY | 1414453 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6430340 | BOY |
| EOY | 5163670 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6430340 | BOY |
| EOY | 5163670 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7577283 | BOY |
| EOY | 6578123 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -1266670 | 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 | true | 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 | 7977342 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7298284 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6848000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6144061 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4285269 | CurrentTaxYear |
| Total | 32552956 | 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 | 7977342 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7298284 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6848000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6144061 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4285269 | CurrentTaxYear |
| Total | 32552956 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 0 | AmountsSubstContributorsTotal |
| Public Support Total170 | 32552956 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34900 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40232 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40583 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26272 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14353 | CurrentTaxYear |
| Total | 156340 | 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 Minus1 Year | 335674 | CurrentTaxYearMinus1Year |
| Current Tax Year | 29474 | CurrentTaxYear |
| Total | 365148 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 33074444 | TotalSupport |
| Gross Receipts From Admissions Etc | 30572753 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98420 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98600 | 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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146267 | OtherCostOrOtherBasis |
| Book Value | 146267 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2820718 | OtherCostOrOtherBasis |
| Depreciation | 1410594 | Depreciation |
| Book Value | 1410124 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 105894 | OtherCostOrOtherBasis |
| Depreciation | 52956 | Depreciation |
| Book Value | 52938 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2654443 | OtherCostOrOtherBasis |
| Depreciation | 1327442 | Depreciation |
| Book Value | 1327001 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2936330 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 10391304 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -244509 | OtherRevenues |
| Revenue Not Rptd F990 | -244509 | RevenueNotRptdF990 |
| Revenue Subtotal | 10635813 | RevenueSubtotal |
| Total Revenue Per Form990 | 10635813 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11657974 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 11657974 | ExpensesSubtotal |
| Other Expenses Not Included | 244509 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 244509 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11902483 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XII, Line 4b | Identifier |
| Return Reference | Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | ReturnReference |
| Explanation | BAD DEBT EXPENSE $244509 | Explanation |
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 | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| SHAHROKH SAFARIMARYAKI | ||||
| PSYCHIATRIST | 257231 | 5349 | 4306 | 266886 |
| HAROLD CAMPBELL | ||||
| PHYSICIAN | 255899 | 7728 | 4306 | 267933 |
| DONNA DAVIS | ||||
| PHYSICIAN CHIEF | 192913 | 6098 | 4306 | 203317 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Available through GuideStar.org |
| Form 990, Part VI, Line 18 | Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection | Wellness Pointe is not a governmental agency required to make records 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 Center's senior management and board utilize compensation comparability data provided annually by the National Association of Community Health Centers in establishing compensation for senior officials and managers. |
| Form 990, Part VI, Line 15a | Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Center's senior management and board utilize compensation comparability data provided annually by the National Association of Community Health Centers in establishing compensation for senior officials and managers. |
| Form 990, Part VI, Line 12c | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | All senior management and managers are reminded to be vigilant to recognize conflicts of interest at they may arise. The Center, it employees, and the board members are located in a relatively small town where business interests and relationships are well known. |
| Form 990, Part VI, Line 11b | Form 990, Part VI, Line 11b: Form 990 Review Process | Form 990 is prepared by outside accounting firm and is reviewed by the chief operating officer, executive directors, finance director, and board chair. Form 990 is provided to the entire board. |
| Form 990, Part III, Line 4d | Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: ADMINISTERED THE WOMEN'S, INFANTS', CHILDREN'S (WIC) PROGRAM TO PROVIDE NUTRITIONAL EDUCATION AND VOUCHERS FOR WIC APPROVED NUTRITIONAL FOODS. ALSO PROVIDED TRAINING AND SUPPORT FOR BREAST FEEDING FOR NEW MOTHERS. HAD AN AVERAGE OF 5,700 PARTICIPANTS PER MONTH IN THE WIC PROGRAM. OTHER PROGRAM SERVICES 5: OTHER PROGRAM SERVICES 6: PROVIDED HIV PREVENTION AND TREATMENT RELATED SERVICES TO APPROXIMATELY 140 MINORITY WOMEN IN 2012. |
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