COASTAL FAMILY HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- COASTAL FAMILY HEALTH CENTER INC (EIN 64-0592416)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-03
- IRS object ID
- 201311239349300966
- 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 | 2013-05-03T10:17:11-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 631110081 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | S W Chiepalich CPA P C | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5905 Airport Blvd | AddressLine1 |
| City | Mobile | City |
| State | AL | State |
| ZIP Code | 36608 | 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 | 640592416 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Coastal Family Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COAS | NameControl |
| Phone | 2283742494 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 475 | AddressLine1 |
| City | Bilox | City |
| State | MS | State |
| ZIP Code | 39533 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Angel Greer | Name |
| Title | Chief Executive Officer | Title |
| Phone | 2283742494 | Phone |
| Date Signed | 2013-04-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Steve Chiepalich | Name |
| PTIN | P01277684 | PTIN |
| Phone | 2516103792 | Phone |
| Date Prepared | 2013-03-29 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Angel Greer | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Post Office Box 475 | AddressLine1 |
| City | Biloxi | City |
| State | MS | State |
| ZIP Code | 39533 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13945081 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | Coastalfamilyhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 255 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9048249 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8874320 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5055558 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4927302 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -22753 | InvestmentIncomePriorYear |
| Investment Income Current Year | 110773 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 15980 | OtherRevenuePriorYear |
| Other Revenue Current Year | 11364 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14097034 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13923759 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8840454 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8719794 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5172627 | OtherExpensePriorYear |
| Other Expenses Current Year | 4232693 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14013081 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12952487 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 83953 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 971272 | RevenuesLessExpensesCY |
| Total Assets BOY | 13820252 | TotalAssetsBOY |
| Total Assets EOY | 15047392 | TotalAssetsEOY |
| Total Liabilities BOY | 910170 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1166038 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12910082 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13881354 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7720628 | Expense |
| Revenue | 4223139 | Revenue |
| Description | Medical Services - Providing high quality medical services primarily to the uninsured and the under-insured is one of our primary exempt purposes. During 2012, our organization had 67,708 patient medical appointments for various medical conditions which were seen by family physicians or physician assistants, internists, pediatricians, or nurse practitioners. These appointments involved a total of 26,093 of our patients | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 633047 | Expense |
| Grants | 0 | Grants |
| Revenue | 91616 | Revenue |
| Description | HIV Services - Our organization provided, on an outpatient basis, high-quality early intervention services and primary care related to HIV patients. We provided a continuum of HIV preventions for at-risk individuals who are HIV-infected. During 2012, we provided these services to approximately 350 such patients, who had a cumulative total of approximately 1,000 appointments. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 783965 | Expense |
| Grants | 0 | Grants |
| Revenue | 448661 | Revenue |
| Description | Dental Services - Our organization also provides dental services primarily to the uninsured and the under-insured. During 2012, we had 9,566 dental appointments provided by one of our dentists to 4,487 of our dental patients. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2053790 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | Other services | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2053790 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 11191430 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 255 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Katherine Hill | NamePerson |
| Telephone Number | 2283742494 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 Division Street | AddressLine1 |
| City | Biloxi | City |
| State | MS | State |
| ZIP Code | 39533 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|
| Kwantrell Green | ||||||
| President | 2 | X | 0 | 0 | 0 | |
| Martha Milner | ||||||
| Vice-President | 1 | X | 0 | 0 | 0 | |
| Bertha J Oatis | ||||||
| Secretary | 1 | X | 0 | 0 | 0 | |
| Brandon Jacobs | ||||||
| Treasurer | 1 | X | 0 | 0 | 0 | |
| Judy Jones | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Paulette Briscoe | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Christine McLeod | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Judy Grant | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Gary Herbert | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Joseph Hudson | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| L E Parker | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Karlyn Stephens | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Roy Tolbert | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Ethel Davis | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Judy Roberts | ||||||
| Director | 1 | X | 0 | 0 | 0 | |
| Angel Greer | ||||||
| Chief Executive Officer | 40 | 127939 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 127939 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2 |
|---|---|---|---|---|---|---|
| J W Puckett & Co | ||||||
| 12284 Intraplex Parkway | Gulfport | MS | 39503 | Clinic construction | 1385385 | |
| Laboratory Corporation of America | ||||||
| P O Box 12140 | Burlington | NC | 27216 | Medical lab tests | 485290 | |
| Mike Dorcik P A | ||||||
| 12511 McCully Drive | Bilox | MS | 39532 | Contract medical services | 138806 | |
| AT & T | ||||||
| 85 Annex | Atlanta | GA | 30385 | Communication services | 138462 | |
| Emmon Enterprises LLC | ||||||
| 122 W Pine Street | Ponchatoula | LA | 70454 | Janitorial | 132687 | Jani-King of Mississippi Coast |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 7338182 | GovernmentGrants |
| All Other Contributions | 1536138 | AllOtherContributions |
| Noncash Contributions | 0 | NoncashContributions |
| Total Contributions | 8874320 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Medical Services | 621990 | 4223139 | 4223139 | 0 | $0 |
| Dental services | 621210 | 448661 | 448661 | 0 | $0 |
| Optometry services | 621320 | 163886 | 163886 | 0 | $0 |
| HIV services | 621990 | 91616 | 91616 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4927302 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3085 | TotalRevenueColumn |
| Exclusion | $3,085 | ExclusionAmount |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 129010 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 21322 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 107688 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 107688 | TotalRevenueColumn |
| Related Or Exempt Function Income | 107688 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11364 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11364 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 11364 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13923759 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5046354 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,085 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127939 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 127939 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 7015762 | Total |
| Program Services | 6273497 | ProgramServices |
| Management And General | 742265 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 206483 | Total |
| Program Services | 181338 | ProgramServices |
| Management And General | 25145 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 829151 | Total |
| Program Services | 728414 | ProgramServices |
| Management And General | 100737 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540459 | Total |
| Program Services | 474824 | ProgramServices |
| Management And General | 65635 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12851 | Total |
| Management And General | 12851 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25849 | Total |
| Management And General | 25849 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51005 | Total |
| Management And General | 51005 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 779531 | Total |
| Program Services | 482972 | ProgramServices |
| Management And General | 296559 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34922 | Total |
| Program Services | 25575 | ProgramServices |
| Management And General | 9347 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 620822 | Total |
| Program Services | 543232 | ProgramServices |
| Management And General | 77590 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116865 | Total |
| Program Services | 72861 | ProgramServices |
| Management And General | 44004 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical, dental & lab supplies | 799537 | 799537 | 0 | 0 |
| Contract lab & medical services | 1161552 | 1161552 | 0 | 0 |
| Licenses & dues | 287504 | 215772 | 71732 | 0 |
| Education, dues & publications | 125371 | 91587 | 33784 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 216884 | Total |
| Program Services | 140269 | ProgramServices |
| Management And General | 76615 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12952487 | Total |
| Program Services | 11191430 | ProgramServices |
| Management And General | 1761057 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2270555 | BOY |
| EOY | 3073863 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 514608 | BOY |
| EOY | 562413 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1544046 | BOY |
| EOY | 1119285 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36318 | BOY |
| EOY | 34933 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56644 | BOY |
| EOY | 72828 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14383227 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4202372 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9394866 | BOY |
| EOY | 10180855 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3215 | BOY |
| EOY | 3215 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13820252 | BOY |
| EOY | 15047392 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 616521 | BOY |
| EOY | 867387 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 293649 | BOY |
| EOY | 298651 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 910170 | BOY |
| EOY | 1166038 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12910082 | BOY |
| EOY | 13881354 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12910082 | BOY |
| EOY | 13881354 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13820252 | BOY |
| EOY | 15047392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 971272 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 0 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | 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 | 10110515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9216936 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10282880 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9116771 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9196795 | CurrentTaxYear |
| Total | 47923897 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10110515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9216936 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10282880 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9116771 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9196795 | CurrentTaxYear |
| Total | 47923897 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 47923897 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 42640 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 35068 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10250 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4723 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3085 | CurrentTaxYear |
| Total | 95766 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 43604 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5121 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 27923 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15980 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11364 | CurrentTaxYear |
| Total | 103992 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 48123655 | TotalSupport |
| Public Support Pertcentage170 | 0.99585 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99523 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | Small, inconsequential cash receipts throughout the year. | GeneralExplanation |
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) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 331630 | OtherCostOrOtherBasis |
| Book Value | 331630 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 10025086 | OtherCostOrOtherBasis |
| Depreciation | 2234609 | Depreciation |
| Book Value | 7790477 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 85910 | OtherCostOrOtherBasis |
| Depreciation | 5011 | Depreciation |
| Book Value | 80899 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2424768 | OtherCostOrOtherBasis |
| Depreciation | 1962752 | Depreciation |
| Book Value | 462016 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1515833 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 1515833 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10180855 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 14157602 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 75129 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 266402 | OtherRevenues |
| Revenue Not Rptd F990 | 341531 | RevenueNotRptdF990 |
| Revenue Subtotal | 13816071 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 107688 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 107688 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 13923759 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13027616 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 75129 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 75129 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12952487 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12952487 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P11_S00_L02d | Schedule D, Part XI, Line 2d | Refundable grant revenues are netted in revenues on the tax return but shown as as other expense item on the audited financial statement. |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | Gain on sale of assets other than inventory is included in revenues on the tax return but shown as an other income item on the audited financial statement. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P03_S00_L04d | Form 990, Part III, Line 4d | In addition to the above services, our organization provides mental health, lab, nutrition, patient transportation, OB/GYN, pharmacy, and other ancillary services. Our pharmacy fills over 150 prescriptions per day and our total patient count is over 30,000. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The Form 990 is reviewed in detail with the Chief Financial Officer before filing. The Form 990 is reviewed and signed by the Chief Executive Officer. It is subsequently discussed on a cursory basis with the Board by the organization's independent auditor. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | The Conflict of Interest Policy is monitored and enforced by the CEO through close oversight of, and frequent interaction with, department heads and the Board. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | A comprehensive market survey was performed in 2008 by the Board's Personnel Committee to evaluate and adjust the Chief Executive Officer's compensation package to reflect the local market. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The organization is not required to, and does not, make its governing documents or conflict of interest policy available to the public. Its Form 990, however, is prepared from its annual audited financial statements and, as such, its annual financial statements are available to the public through review of its annual tax return. |
Comments