CARECONNECT HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARECONNECT HEALTH INC (EIN 58-1335405)
Tax period
2012-02-01 to 2013-01-31
Filed
2013-06-12
IRS object ID
201331639349300208
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

FieldValueIRS element (for citing)
Timestamp2013-06-12T08:17:53-07:00Timestamp
Tax Period End Date2013-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581335405EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST GEORGIA HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone2298873324Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 357AddressLine1
CityRICHLANDCity
StateGAState
ZIP Code31825ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAJAY GEHLOTName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2298873324Phone
Date Signed2013-05-30DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2013-06-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAJAY GEHLOTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 357AddressLine1
CityRICHLANDCity
StateGAState
ZIP Code31825ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8048888GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees120TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3252084ContributionsGrantsPriorYear
Contributions Grants Current Year3325395ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3976915ProgramServiceRevenuePriorYear
Program Service Revenue CY4711334ProgramServiceRevenueCY
Investment Income Prior Year12815InvestmentIncomePriorYear
Investment Income Current Year12159InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7241814TotalRevenuePriorYear
Total Revenue Current Year8048888TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5042000SalariesEtcPriorYear
Salaries Etc Current Year5559067SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2127353OtherExpensePriorYear
Other Expenses Current Year1919200OtherExpensesCurrentYear
Total Expenses Prior Year7169353TotalExpensesPriorYear
Total Expenses Current Year7478267TotalExpensesCurrentYear
Revenues Less Expenses Prior Year72461RevenuesLessExpensesPriorYear
Revenues Less Expenses CY570621RevenuesLessExpensesCY
Total Assets BOY3767091TotalAssetsBOY
Total Assets EOY4258287TotalAssetsEOY
Total Liabilities BOY1142279TotalLiabilitiesBOY
Total Liabilities EOY1062854TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2624812NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3195433NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5223532Expense
Revenue4711334Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 60,400 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense5223532TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees120NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJESSICA SNIPESNamePerson
Telephone Number2298873324TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1220 ALSTON STREETAddressLine1
CityRICHLANDCity
StateGAState
ZIP Code31825ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LINDA MCELROY
BOARD MEMBER1.00X000
WALTER ROSSO
BOARD MEMBER1.00X000
LARRY SMITH
BOARD MEMBER1.00X000
WL ROY YOUNG
BOARD MEMBER1.00X000
MARK PACE
BOARD MEMBER1.00X000
MIKE DURDEN
BOARD MEMBER1.00X000
CP REDDING
BOARD MEMBER1.00X000
KATHERINE LEWIS
BOARD MEMBER1.00X000
ANDREW THOMAS
BOARD MEMBER1.00X000
AJAY GEHLOT
CHIEF EXECUTIVE OFFICER40.00241777014649X
NAGMA LOTT
MEDICAL DIRECTOR40.00161705010358X
JESSICA SNIPES
CHIEF FINANCIAL OFFICER40.0010538108894X
SHELLEY SAMUEL
PHYSICIAN40.0018741809017X
ANURAG KUMBHAM
PHYSICIAN40.00184315012129X
GATSON MORAN CELAYES
PHYSICIAN401839926334X
MICHELLE PENNINGTON
PHYSICIAN401784913562X
ANREA BRETAL
PHYSICIAN401625666334X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1405645TotalReportableCompFromOrg
Total Other Compensation71277TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRITT MILLER'S CONTRACTINGBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1213 ALBANY ANNEX ROADAddressLine1
CityAMERICUSCity
StateGAState
ZIP Code31719ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesRENOVATIONSDescriptionOfServices
Compensation223060Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2934926GovernmentGrants
All Other Contributions390469AllOtherContributions
Noncash Contributions37968NoncashContributions
Total Contributions3325395TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column4711334TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue4711334TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12159TotalRevenueColumn
Exclusion$12,159ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8048888TotalRevenueColumn
Related Or Exempt Function Income4711334RelatedOrExemptFunctionIncome
Exclusion$12,159ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total508863Total
Program Services161705ProgramServices
Management And General347158ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4450318Total
Program Services3484387ProgramServices
Management And General965931ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total65051Total
Program Services48138ProgramServices
Management And General16913ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total265118Total
Program Services195347ProgramServices
Management And General69771ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total269717Total
Program Services199591ProgramServices
Management And General70126ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8977Total
Program Services0ProgramServices
Management And General8977ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23518Total
Program Services0ProgramServices
Management And General23518ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total338234Total
Program Services133881ProgramServices
Management And General204353ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total743876Total
Program Services504208ProgramServices
Management And General239668ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total445242Total
Program Services408085ProgramServices
Management And General37157ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total71670Total
Program Services20488ProgramServices
Management And General51182ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total16155Total
Program Services14540ProgramServices
Management And General1615ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total243540Total
Program Services27973ProgramServices
Management And General215567ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total27988Total
Program Services25189ProgramServices
Management And General2799ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7478267Total
Program Services5223532ProgramServices
Management And General2254735ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY34497BOY
EOY296943EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY472250BOY
EOY604486EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY301113BOY
EOY349533EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY27709BOY
EOY6542EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4734087LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1733304LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2931522BOY
EOY3000783EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3767091BOY
EOY4258287EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY396879BOY
EOY515992EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY745400BOY
EOY546862EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1142279BOY
EOY1062854EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2595040BOY
EOY3165661EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY29772BOY
EOY29772EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2624812BOY
EOY3195433EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3767091BOY
EOY4258287EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses570621ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2899605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4300349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4945452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3252084CurrentTaxYearMinus1Year
Current Tax Year3325395CurrentTaxYear
Total18722885Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2899605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4300349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4945452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3252084CurrentTaxYearMinus1Year
Current Tax Year3325395CurrentTaxYear
Total18722885Total
FieldValueIRS element (for citing)
Public Support Total17018722885PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12815CurrentTaxYearMinus1Year
Current Tax Year12159CurrentTaxYear
Total67004Total
FieldValueIRS element (for citing)
Total Support18789889TotalSupport
Gross Receipts From Admissions Etc16379150GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99640PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99640PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis438507InvestmentCostOrOtherBasis
Book Value438507BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2448082InvestmentCostOrOtherBasis
Depreciation575822Depreciation
Book Value1872260BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1847498InvestmentCostOrOtherBasis
Depreciation1157482Depreciation
Book Value690016BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3000783TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt8048888TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8048888RevenueSubtotal
Total Revenue Per Form9908048888TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7478267TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7478267ExpensesSubtotal
Total Expenses Per Form9907478267TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
AJAY GEHLOT
241777110873562256426
NAGMA LOTT
16170567963562172063
SHELLEY SAMUEL
18741854553562196435
ANURAG KUMBHAM
18431585673562196444
GATSON MORAN CELAYES
18399227723562190326
MICHELLE PENNINGTON
1784913562182053
ANREA BRETAL
16256627723562168900

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions760NumberOfContributions
Noncash Contribs Rptd F99037988NoncashContribsRptdF990
Method Of Determining Revenues# OF CONTRIBUTIONS ARE EST @ FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 12cWHEN THE BOARD IS NOMINATED THEY MUST DECLARE ANY CONFLICT
OF INTEREST AT THAT TIME. WHEN EMPLOYEES ARE HIRED THEY MUST SIGN
PERSONNEL POLICIES HANDBOOK DECLARING NO CONFLICT OF INTEREST.
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.
Pt XII, Line 2cTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION
AND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE CEO AND CFO REVIEWS THE FORM 990 BEFORE SUBMITTING.

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