MAINLINE HEALTH SYSTEMS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MAINLINE HEALTH SYSTEMS INC (EIN 71-0623643)
Tax period: 2012-02-01 to 2013-01-31
Filed: 2013-10-31
IRS object ID: 201313049349300341
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-10-31T11:27:02-05:00	Timestamp
Tax Period End Date	2013-01-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3667	AddressLine1
City	LITTLE ROCK	City
State	AR	State
ZIP Code	722033667	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-02-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710623643	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MAINLINE HEALTH SYSTEMS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MAINLINE HEALTH SYSTEMS INC	InCareOfName
Name Control	MAIN	NameControl
Phone	8705385414	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100	AddressLine1
Address Line2	Suite	AddressLine2
City	PORTLAND	City
State	AR	State
ZIP Code	71663	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GARY ALLAN NICHOLS	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	5013721040	Phone
Date Signed	2013-09-25	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ERNIE SKYRME	Name
Phone	5013721040	Phone

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	G ALLAN NICHOLS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 100	AddressLine1
City	PORTLAND	City
State	AR	State
ZIP Code	71663	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6389850	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MAINLINEHEALTH.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1986	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	76	TotalNbrEmployees
Total Nbr Volunteers	14	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4108904	ContributionsGrantsPriorYear
Contributions Grants Current Year	4041823	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2522245	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2096474	ProgramServiceRevenueCY
Investment Income Prior Year	-7863	InvestmentIncomePriorYear
Investment Income Current Year	4124	InvestmentIncomeCurrentYear
Other Revenue Prior Year	900	OtherRevenuePriorYear
Other Revenue Current Year	247429	OtherRevenueCurrentYear
Total Revenue Prior Year	6624186	TotalRevenuePriorYear
Total Revenue Current Year	6389850	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	3286604	SalariesEtcPriorYear
Salaries Etc Current Year	3599109	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	2674461	OtherExpensePriorYear
Other Expenses Current Year	2605919	OtherExpensesCurrentYear
Total Expenses Prior Year	5961065	TotalExpensesPriorYear
Total Expenses Current Year	6205028	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	663121	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	184822	RevenuesLessExpensesCY
Total Assets BOY	5180794	TotalAssetsBOY
Total Assets EOY	5389853	TotalAssetsEOY
Total Liabilities BOY	1594375	TotalLiabilitiesBOY
Total Liabilities EOY	1618612	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3586419	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3771241	NetAssetsOrFundBalancesEOY
Mission Description	TO IMPROVE THE QUALITY OF LIFE FOR THE POPULATION WITHIN THE SCOPE OF OPERATION THROUGH THE DELIVERY OF HIGH QUALITY ACCESSIBLE COMPREHENSIVE HEALTH CARE. SERVICES INCLUDE MEDICAL, DENTAL, MENTAL HEALTH AND PREVENTIVE HEALTH SERVICES FOR THE ENTIRE FAMILY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4287486	Expense
Revenue	2096474	Revenue
Description	PROVIDED MEDICAL SERVICES TO 8,233 PATIENTS AND DENTAL SERVICES TO 3,232 PATIENTS IN SOUTHEAST ARKANSAS; SERVED RESIDENTS OF BOTH ASHLEY AND CHICOT COUNTIES.	Description
Total Program Service Expense	4287486	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	true	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
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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	29	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	76	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	NumberIndependentVotingMembers
Family Or Business Relationship	true	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	true	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	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MAINLINE HEALTH SYSTEMS INC	NamePerson
Telephone Number	8705385414	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	108 E SPEEDWAY	AddressLine1
City	DERMOTT	City
State	AR	State
ZIP Code	71638	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
MARILYN NEWCOME
SECRETARY	0.25	X	X	0	0	0
MARY HOLLINS-SCOTT RN
BOARD MEMBER	0.25	X		0	0	0
FRANK HENRY JR
BOARD MEMBER	0.25	X		0	0	0
GERALD MERCER
BOARD MEMBER	0.25	X		0	0	0
ROBERT THOMAS
VICE PRESIDENT	0.25	X	X	0	0	0
NANCY O'NEAL
BOARD MEMBER	0.25	X		0	0	0
LEILA DOCKERY
BOARD MEMBER	0.25	X		0	0	0
RICHARD STOCK
BOARD MEMBER	0.25	X		0	0	0
RON MILLER
PRESIDENT	1.0	X	X	0	0	0
JIMMY PARKERSON
BOARD MEMBER	0.5	X		0	0	0
ESBEIDA HIGGINBOTHAM
BOARD MEMBER	0.1	X		0	0	0
EUGENE BUTLER
BOARD MEMBER	0.25	X		0	0	0
MICHELLE DUNBAR
BOARD MEMBER	0.25	X		0	0	0
KEITH WILLIAMS
BOARD MEMBER	0.5	X		0	0	0
GARY ALLAN NICHOLS
EXECUTIVE DIRECTOR	40.0		X	84325	0	14277
TAFTA MCCAIN
CFO	40.0		X	56239	0	7831
DR FELICIA WATKINS-BROWN
MEDICAL DOCTOR	40.0			123184	0	9466	X
DR MICHAEL MCDANIELS
DENTIST & CLINICAL DIRECTOR	40.0			135878	0	21506	X
DR DON BALL
MEDICAL DOCTOR	40.0			169286	0	23606	X
DR TEJASWI B THIPPESWAMY
MEDICAL DOCTOR	40.0			157819	0	16919	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	726731	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	93605	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	NONE	NamePerson

Field	Value	IRS element (for citing)
Address Of Contractor		AddressOfContractor

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	3281979	GovernmentGrants
All Other Contributions	759844	AllOtherContributions
Noncash Contributions	635256	NoncashContributions
Total Contributions	4041823	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT REVENUE	Description
Business Code	621110	BusinessCode
Total Revenue Column	2096474	TotalRevenueColumn
Related Or Exempt Function Income	2096474	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2096474	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4124	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$4,124	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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	600	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	600	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	600	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$600	ExclusionAmount

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 (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
COST REPORT REVENUE	900099	6755	$6,755
340B REVENUE	900099	6669	$6,669
OTHER EXPENSES	900099	233405	$233,405

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	233405	TotalRevenueColumn
Exclusion	$233,405	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	246829	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6389850	TotalRevenueColumn
Related Or Exempt Function Income	2096474	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$251,553	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	142377	Total
Management And General	142377	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	2893437	Total
Program Services	1914994	ProgramServices
Management And General	978443	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	66849	Total
Program Services	44243	ProgramServices
Management And General	22606	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	261775	Total
Program Services	173253	ProgramServices
Management And General	88522	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	234671	Total
Program Services	155315	ProgramServices
Management And General	79356	ManagementAndGeneral
Fundraising	0	Fundraising

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	252	Total
Program Services	167	ProgramServices
Management And General	85	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	55167	Total
Program Services	36512	ProgramServices
Management And General	18655	ManagementAndGeneral
Fundraising	0	Fundraising

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	357287	Total
Program Services	236467	ProgramServices
Management And General	120820	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	199661	Total
Program Services	132144	ProgramServices
Management And General	67517	ManagementAndGeneral
Fundraising	0	Fundraising

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	110589	Total
Program Services	73192	ProgramServices
Management And General	37397	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	81845	Total
Program Services	54168	ProgramServices
Management And General	27677	ManagementAndGeneral
Fundraising	0	Fundraising

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	56958	Total
Program Services	37697	ProgramServices
Management And General	19261	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	243938	Total
Program Services	161448	ProgramServices
Management And General	82490	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	42533	Total
Program Services	28150	ProgramServices
Management And General	14383	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	635256	635256	0
SUPPLIES	258287	170945	87342
BAD DEBT EXPENSES	177902	177902	0
REPAIRS& MAINTENANCE EXPENSES	127312	84260	43052

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	258932	Total
Program Services	171373	ProgramServices
Management And General	87559	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6205028	Total
Program Services	4287486	ProgramServices
Management And General	1917542	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1154484	BOY
EOY	1752652	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	249000	BOY
EOY	249000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	310133	BOY
EOY	71509	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	242417	BOY
EOY	160114	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	151685	BOY
EOY	182373	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	54256	BOY
EOY	57918	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4464301	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2001014	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2628309	BOY
EOY	2463287	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	390510	BOY
EOY	453000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	5180794	BOY
EOY	5389853	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	240161	BOY
EOY	272640	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	33	BOY
EOY	9533	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1354181	BOY
EOY	1336439	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1594375	BOY
EOY	1618612	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3586419	BOY
EOY	3771241	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	3586419	BOY
EOY	3771241	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5180794	BOY
EOY	5389853	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	184822	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	3408882	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3952908	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4814669	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4108904	CurrentTaxYearMinus1Year
Current Tax Year	4041823	CurrentTaxYear
Total	20327186	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	3408882	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3952908	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4814669	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4108904	CurrentTaxYearMinus1Year
Current Tax Year	4041823	CurrentTaxYear
Total	20327186	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	20327186	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	450	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1873	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2930	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2250	CurrentTaxYearMinus1Year
Current Tax Year	4124	CurrentTaxYear
Total	11627	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 Minus4 Years	41	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	246829	CurrentTaxYear
Total	246870	Total

Field	Value	IRS element (for citing)
Total Support	20585683	TotalSupport
Public Support Pertcentage170	0.98744	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.81074	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Current Year Minus3 Years		CurrentYearMinus3Years
Current Year Minus4 Years		CurrentYearMinus4Years
Land		Land

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2806963	OtherCostOrOtherBasis
Depreciation	987735	Depreciation
Book Value	1819228	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1657338	OtherCostOrOtherBasis
Depreciation	1013279	Depreciation
Book Value	644059	BookValue

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildings
Total Of Book Value Land Buildings	2463287	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	FQHC COST REPORT RECEIVABLE	Description
Book Value	453000	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	453000	TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt	6222061	TotRevenueEtcAuditedFinclStmt
Other Revenues	10113	OtherRevenues
Revenue Not Rptd F990	10113	RevenueNotRptdF990
Revenue Subtotal	6211948	RevenueSubtotal
Other Revenues Not Included	177902	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	177902	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	6389850	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6037239	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	10113	OtherExpensesIncluded
Expenses Not Rptd F990	10113	ExpensesNotRptdF990
Expenses Subtotal	6027126	ExpensesSubtotal
Other Expenses Not Included	177902	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	177902	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	6205028	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 DISCLOSURE	FORM 990, SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATMENTS.
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN	FORM 990, SCHEDULE D, PART XI, LINE 4B	BAD DEBT EXPENSE $177,902
EXPENSE INCLUDED IN REVENUE PER AUDIT, INCLUDED AS EXPENSE PER RETURN	FORM 990, SCHEDULE D, PART XII, LINE 4B	BAD DEBT EXPENSE $177,902
PRIOR PERIOD ADJUSTMENT	FORM 990, SCHEDULE D, PART XI, LINE 2D	PRIOR PERIOD ADJUSTMENT $10,113
PRIOR PERIOD ADJUSTMENT	FORM 990, SCHEDULE D, PART XII, LINE 2D	PRIOR PERIOD ADJUSTMENT $10,113

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
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	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR MICHAEL MCDANIELS
DENTIST & CLINICAL DIRECTOR	135878	0	0	0	0	0	14000	0	7506	0	157384	0	0	0
DR DON BALL
MEDICAL DOCTOR	169286	0	0	0	0	0	11900	0	11706	0	192892	0	0	0
DR TEJASWI B THIPPESWAMY
MEDICAL DOCTOR	157819	0	0	0	0	0	4967	0	11952	0	174738	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	NON-FIXED PAYMENTS	Identifier
Return Reference	SCH. J, PART 1, LINE 7	ReturnReference
Explanation	INCENTIVE PAY IS OFFERED FOR PROVIDERS AND CLINICAL STAFF WHO MEET VARIOUS PRODUCTIVITY GOALS AND FINANCIAL AND QUALITY MEASURES ON A QUARTERLY BASIS. PROVIDERS: LEVEL 1 = $2,500 LEVEL 2 = $5,000 LEVEL 3 = $7,500 CLINICAL STAFF: LEVEL 1 = $250 LEVEL 2 = $500 LEVEL 3 = $1,000	Explanation

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty
Securities Publicly Traded		SecuritiesPubliclyTraded
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	635256	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REVIEW OF FORM 990	FORM 990, PART VI, SECTION B, LINE 11B	CFO REVIEWS FORM 990 AND PRESENTS IT TO THE BOARD FOR REVIEW PRIOR TO FILING.
MONITORING AND ENFORCING CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12(C)	MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION AS NECESSARY.
BUSINESS RELATIONSHIP AMONG DIRECTORS	FORM 990, PART VI, SECTION A, LINE 2	RICHARD STOCK AND RON MILLER ARE DIRECTORS AT BOTH MAINLINE HEALTH SYSTEMS AND BAYOU GRAIN.
DETERMINATION OF COMPENSATION	FORM 990, PART VI, SECTION B, LINE 15(A) AND 15(B)	15(A): COMPENSATION COMMITTEE BASES EXECUTIVE DIRECTOR'S COMPENSATION ON THE NUMBER OF SITES SERVED. THE COMMITTEE COMPARES TO OTHER SYSTEMS IN THE STATE WITH REGARD TO THE NUMBER OF SITES SERVED TO DETERMINE COMPENSATION. COMPENSATION COMMITTEE PRESENTS PROPOSED COMPENSATION TO THE BOARD FOR APPROVAL. THERE IS A WRITTEN EMPLOYMENT CONTRACT WHICH PROVIDES FOR AN INCREASE IN PAY AFTER 90 DAYS OF EMPLOYMENT. 15(B): THE EXECUTIVE DIRECTOR DETERMINES THE CFO'S SALARY. THE LAST REVIEW WAS IN 2012.
AVAILABILITY OF DOCUMENTS	FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.