FOOTHILLS COMMUNITY HEALTH CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FOOTHILLS COMMUNITY HEALTH CARE (EIN 26-2735317)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-08-23
IRS object ID
201332359349300503
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-23T10:30:20-04:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN570811785EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ACCUDATA INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1634AddressLine1
CitySENECACity
StateSCState
ZIP Code29679ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN262735317EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOOTHILLS COMMUNITY HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFOOTNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 OLD GREENVILLE HWY PMB 308AddressLine1
CityCLEMSONCity
StateSCState
ZIP Code29631ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBOARD MEMBERName
TitleTRICIA P HENRYTitle
Phone8648887310Phone
Date Signed2013-08-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameERIC ROTHELLName
PTINP01391286PTIN
Phone8648823282Phone
Date Prepared2013-08-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HERITAGE ESSENTIAL MED SRVCS FBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA KINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11011 TIGER BLVD SUITE 200AddressLine1
CityCLEMSONCity
StateSCState
ZIP Code29631ZIPCode
FieldValueIRS element (for citing)
Gross Receipts542465GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2008YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPROVIDE COMP PRIMARY HEALTH CAREActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year542415ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year50OtherRevenueCurrentYear
Total Revenue Current Year542465TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year172525SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY17223TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year17223TotalFundrsngExpCurrentYear
Other Expenses Current Year193297OtherExpensesCurrentYear
Total Expenses Current Year383045TotalExpensesCurrentYear
Revenues Less Expenses CY159420RevenuesLessExpensesCY
Total Assets BOY545TotalAssetsBOY
Total Assets EOY210456TotalAssetsEOY
Total Liabilities EOY50491TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY545NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY159965NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE COMP PRIMARY HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense252298Expense
Revenue542465Revenue
DescriptionWE BEGAN SEEING PATIENTS APRIL 16 2013 AFTER RENOVATIONS TO CONNECT 2 SUITES. WE HAVE BRAND NEW EQUIPMENT IN 6 EXAM ROOMS, A LAB RUN BY LABCORP, OFFICE SPACE FOR MEDICAL PROVIDERS AND STAFFDescription
Total Program Service Expense252298TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiestrueReportOtherLiabilities
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 FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees10NumberOfEmployees
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
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDEBRA KINGNamePerson
Telephone Number8648887310TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11011 TIGER BLVD SUITE 200AddressLine1
CityCLEMSONCity
StateSCState
ZIP Code29631ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
BOB HIOTT
TREASURER0.00X000
C J ROSENBERG
BOARD MEMBER0.00X000
CHRIS BENSON
BOARD MEMBER0.00X000
CINDY TRIMMIER LEE
BOARD MEMBER0.00X000
DONNA REID
VICE CHAIR0.00X000
GLYNIS HANCE
SECRETARY0.00X000
JOEL DEWEESE
BOARD MEMBER0.00X000
JUSTIN CLEGG
BOARD MEMBER0.00X000
LINDA JOHNSON
BOARD MEMBER0.00X000
RAY BROWN
BOARD MEMBER5.00X000
TOM OWINO
BOARD MEMBER5.00X000
TRICIA HENRY
CHAIRMAN0.00X000
DEBRA KING
CEO40.008999600X
FieldValueIRS element (for citing)
Total Reportable Comp From Org89996TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants540215GovernmentGrants
All Other Contributions2200AllOtherContributions
Total Contributions542415TotalContributions

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCDescription
Business Code900099BusinessCode
Total Revenue Column50TotalRevenueColumn
Related Or Exempt Function Income50RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue50TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column542465TotalRevenueColumn
Related Or Exempt Function Income50RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total89996Total
Management And General89996ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total68547Total
Program Services68547ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1075Total
Program Services1075ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12907Total
Program Services7957ProgramServices
Management And General4950ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1625Total
Management And General1625ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3400Total
Management And General3400ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total17223Total
Fundraising17223Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total20231Total
Program Services20231ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32336Total
Program Services32336ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total59599Total
Program Services59599ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total10362Total
Management And General10362ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total667Total
Management And General667ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15114Total
Program Services15114ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2524Total
Management And General2524ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EDUCATION AND TRAINING3471034710
DUES AND PUBLICATIONS64926492
MEALS AND ENTERTAINMENT29802980
SECURITY914914

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2343Total
Program Services2343ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total383045Total
Program Services252298ProgramServices
Management And General113524ManagementAndGeneral
Fundraising17223Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY545BOY
EOY23143EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY22497EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis173198LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15114LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY158084EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY6732EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY545BOY
EOY210456EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY19954EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY30537EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY50491EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY545BOY
EOY159965EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY545BOY
EOY159965EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY545BOY
EOY210456EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses159420ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
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 Years5560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1342CurrentTaxYearMinus1Year
Current Tax Year517179CurrentTaxYear
Total536448Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1964CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1342CurrentTaxYearMinus1Year
Current Tax Year517179CurrentTaxYear
Total536448Total
FieldValueIRS element (for citing)
Public Support Total170536448PublicSupportTotal170
Total Support536448TotalSupport
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis66064OtherCostOrOtherBasis
Depreciation702Depreciation
Book Value65362BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis107134OtherCostOrOtherBasis
Depreciation14412Depreciation
Book Value92722BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings158084TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEPOSITSDescription
Book Value6732BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets6732TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYROLL TAXES$3,816
CAPITAL LEASE PAYABLE$26,721
FieldValueIRS element (for citing)
Total Of Amounts30537TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt542465TotRevenueEtcAuditedFinclStmt
Revenue Subtotal542465RevenueSubtotal
Total Revenue Per Form990542465TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt383045TotExpensesEtcAuditedFinclStmt
Expenses Subtotal383045ExpensesSubtotal
Total Expenses Per Form990383045TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref FundraisingfalseAgreementRefFundraising

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Form 990 governing body review Part VI line 11NO REVIEW WAS CONDUCTED OR WILL BE CONDUCTED
O02Governing documents etc available to public Part VI line 19DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST

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