COMMUNITY CARE INCORPORATED: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE INCORPORATED (EIN 82-0562064)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-02-20
- IRS object ID
- 201310519349200006
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-02-20T10:38:18-06:00 | 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 | WILLIS BOATNER & WHITESIDE LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BROAD STREET 3RD FLOOR SUITE | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 359013714 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820562064 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE INCORPORATED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 2565438902 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8622 | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 359028622 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROGER MILLS | Name |
| Title | PRESIDENT | Title |
| Phone | 2565438902 | Phone |
| Date Signed | 2013-02-08 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMANDA R HOUSTON | Name |
| Phone | 2565438902 | Phone |
| Date Prepared | 2013-02-20 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | ETOWAHFREECLINIC.COM | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 63410 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 59858 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 3552 | ProgramServiceRevenue |
| Total Revenue | 63410 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 22884 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 4960 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 6726 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 472 | PrintingPublicationsPostage |
| Other Expenses Total | 17117 | OtherExpensesTotal |
| Total Expenses | 52159 | TotalExpenses |
| Excess Or Deficit For Year | 11251 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 22099 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33350 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14821 | BOY |
| EOY | 27710 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7938 | BOY |
| EOY | 5985 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22759 | BOY |
| EOY | 33695 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 660 | BOY |
| EOY | 345 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22099 | BOY |
| EOY | 33350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA | DescriptionProgramServiceAccom |
| Program Service Expenses | 40579 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 40579 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| ROGER MILLS | ||
| PRESIDENT | 1.00 | 0 |
| JONATHON WELCH | ||
| VICE-PRESIDE | 1.00 | 0 |
| AMANDA HOUSTON | ||
| TREASURER | 5.00 | 0 |
| DEE SANDLIN | ||
| MEDICAL DIRE | 32.00 | 13380 |
| LARRY GRIMES | ||
| DIRECTOR | 1.00 | 0 |
| RANDY BROCK | ||
| DIRECTOR | 1.00 | 0 |
| MICHEAL COTTON | ||
| DIRECTOR | 1.00 | 0 |
| EILEEN GRAHAM | ||
| DIRECTOR | 1.00 | 0 |
| CHIP GRIFFITH | ||
| DIRECTOR | 1.00 | 0 |
| STEVEN JONES | ||
| MEDICAL DIRE | 10.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIS BOATNER & WHITESIDE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 BROAD STREET 3RD FLR STE B | AddressLine1 |
| City | GADSDEN | City |
| State | AL | State |
| ZIP Code | 35901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2565438902 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32828 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 50575 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 63668 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 42153 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59858 | CurrentTaxYear |
| Total | 249082 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5364 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5615 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5106 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3552 | CurrentTaxYear |
| Total | 24870 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38192 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 68774 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47386 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63410 | CurrentTaxYear |
| Total | 273952 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 273952 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38192 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 56190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 68774 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 47386 | CurrentTaxYearMinus1Year |
| Current Tax Year | 63410 | CurrentTaxYear |
| Total | 273952 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 1.00000 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING 210 OFFICE 3,130 INSURANCE 4,814 LAB FEES 4,757 MEDICAL SUPPLIES 2,153 NON-INVESTMENT DEPRECIATION 2,053 TOTAL 17,117 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 12,023 12,123 LESS ACCUMULATED DEPRECIATION 4,285 6,338 DEPOSITS 200 200 TOTAL 7,938 5,985 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 660 345 |
| PRIMARY EXEMPT PURPOSE | FORM 990-EZ, PART III | PROVIDE FREE MEDICAL SERVICES TO PERSONS UNABLE TO AFFORD TREATMENT IN ETOWAH COUNTY, ALABAMA |
Compensation Explanation CompensationExplanation
Compensation Compensation (10 entries)
| ROGER MILLS |
| JONATHON WELCH |
| AMANDA HOUSTON |
| DEE SANDLIN |
| LARRY GRIMES |
| RANDY BROCK |
| MICHEAL COTTON |
| EILEEN GRAHAM |
| CHIP GRIFFITH |
| STEVEN JONES |
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