ELLIS COUNTY COALITION FOR HEALTH OPTIONS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ELLIS COUNTY COALITION FOR HEALTH OPTIONS (EIN 75-2813621)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-29
IRS object ID
201332419349300758
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)
Timestamp2013-08-29T17:11:18-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN272602152EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKM SOWAN HORAN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line115301 DALLAS PARKWAY SUITE 960AddressLine1
CityADDISONCity
StateTXState
ZIP Code75001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752813621EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELLIS COUNTY COALITION FOR HEALTH OPTIONS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELLINameControl
Phone9729232440Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1
CityWAXAHACHIECity
StateTXState
ZIP Code75165ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHARRY HICKEYName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9729232440Phone
Date Signed2013-08-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRAD MARCKXName
PTINP00570005PTIN
Phone2145453965Phone
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 Line1HOPE CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonHARRY HICKEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11016 ASPEN LNAddressLine1
CityMANSFIELDCity
StateTXState
ZIP Code76063ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2472953GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOPECLINICELLISCOUNTY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS. THESE SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees38TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1071547ContributionsGrantsPriorYear
Contributions Grants Current Year1427113ContributionsGrantsCurrentYear
Program Service Revenue Prior Year832284ProgramServiceRevenuePriorYear
Program Service Revenue CY1032178ProgramServiceRevenueCY
Investment Income Prior Year1378InvestmentIncomePriorYear
Investment Income Current Year1534InvestmentIncomeCurrentYear
Other Revenue Prior Year2409OtherRevenuePriorYear
Other Revenue Current Year3667OtherRevenueCurrentYear
Total Revenue Prior Year1907618TotalRevenuePriorYear
Total Revenue Current Year2464492TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1314320SalariesEtcPriorYear
Salaries Etc Current Year1693358SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year82542TotalFundrsngExpCurrentYear
Other Expense Prior Year563072OtherExpensePriorYear
Other Expenses Current Year709734OtherExpensesCurrentYear
Total Expenses Prior Year1877392TotalExpensesPriorYear
Total Expenses Current Year2403092TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30226RevenuesLessExpensesPriorYear
Revenues Less Expenses CY61400RevenuesLessExpensesCY
Total Assets BOY639365TotalAssetsBOY
Total Assets EOY708083TotalAssetsEOY
Total Liabilities BOY165775TotalLiabilitiesBOY
Total Liabilities EOY289768TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY473590NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY418315NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2073490Expense
DescriptionPROVIDED HEALTH, DENTAL, AND MENTAL CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY.Description
Total Program Service Expense2073490TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees38NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BARBARA CLARK ELLIS COUNTY COALITION FOR HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9729232440TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1
CityWAXAHACHIECity
StateTXState
ZIP Code75165ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
DR JEFF KOSORIS DDS
PRESIDENT5.00XX000
SANDRA SMITH
VICE PRESIDENT2.00XX000
TOM CRABB
TREASURER2.00XX000
JOANN LIVINGSTON
SECRETARY2.00XX000
DALE MEYLER
DIRECTOR1.00X000
DR PATTI POWELL
DIRECTOR1.00X000
JUANITA JOHNSON
DIRECTOR1.00X000
BRETT KEMP
DIRECTOR1.00X000
LEAH WILSON
DIRECTOR1.00X000
ROBERTO ALVAREZ
DIRECTOR1.00X000
YOLANDE OWENS
CHIEF EXECUTIVE OFFICER40.00X9208100
DAVID MORRISON
CHIEF INFORMATION OFFICER40.00X6186900
CORY HOFFMAN
CHIEF FINANCIAL OFFICER20.00X3000000
TONJOLIQUE JACKSON
DENTIST40.0011886200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org302812TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events50826FundraisingEvents
Government Grants1205736GovernmentGrants
All Other Contributions170551AllOtherContributions
Noncash Contributions97984NoncashContributions
Total Contributions1427113TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERIVCE FEES,Description
Business Code621110BusinessCode
Total Revenue Column1032178TotalRevenueColumn
Related Or Exempt Function Income1032178RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1032178TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1534TotalRevenueColumn
Exclusion$1,534ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events8461GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events42365CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses8461FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INCOME MEDICAL RECORDS33273327
HEALTH FAIR DONATIONS340340
FieldValueIRS element (for citing)
Total Other Revenue3667TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2464492TotalRevenueColumn
Related Or Exempt Function Income1035845RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,534ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total183950Total
Program Services167468ProgramServices
Management And General11255ManagementAndGeneral
Fundraising5227Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1274396Total
Program Services1160208ProgramServices
Management And General77974ManagementAndGeneral
Fundraising36214Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1616Total
Program Services1616ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total128814Total
Program Services96891ProgramServices
Management And General21797ManagementAndGeneral
Fundraising10126Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total104582Total
Program Services95213ProgramServices
Management And General6397ManagementAndGeneral
Fundraising2972Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2253Total
Management And General2253ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12270Total
Program Services12270ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total368684Total
Program Services303854ProgramServices
Management And General64830ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7741Total
Program Services7741ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total34706Total
Program Services32521ProgramServices
Management And General2185ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7015Total
Program Services3787ProgramServices
Management And General3228ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6594Total
Program Services3297ProgramServices
Management And General3297ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33918Total
Program Services30508ProgramServices
Management And General2328ManagementAndGeneral
Fundraising1082Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3969Total
Program Services3613ProgramServices
Management And General243ManagementAndGeneral
Fundraising113Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBTS7116071160
LICENSES/PERMITS/FEES4028840288
UTILITIES20609187621261586
REPAIRS & MAINTENANCE1946919469

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total81058Total
Program Services24293ProgramServices
Management And General30543ManagementAndGeneral
Fundraising26222Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2403092Total
Program Services2073490ProgramServices
Management And General247060ManagementAndGeneral
Fundraising82542Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10862BOY
EOY372EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17628BOY
EOY34563EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY111098BOY
EOY150301EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis661704LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec139707LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY498927BOY
EOY521997EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY850BOY
EOY850EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY639365BOY
EOY708083EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY60404EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY36450BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY129325BOY
EOY229364EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY165775BOY
EOY289768EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY362312BOY
EOY418315EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71075BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY40203BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY473590BOY
EOY418315EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY639365BOY
EOY708083EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses61400ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-112529ReconcilationPriorAdjustment
Reconcilation Other Changes-4146ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years161906CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years884088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1870605CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1071547CurrentTaxYearMinus1Year
Current Tax Year1367420CurrentTaxYear
Total5355566Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years161906CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years884088CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1870605CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1071547CurrentTaxYearMinus1Year
Current Tax Year1367420CurrentTaxYear
Total5355566Total
FieldValueIRS element (for citing)
Public Support Total1705355566PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5349CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years1742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1378CurrentTaxYearMinus1Year
Current Tax Year1534CurrentTaxYear
Total10003Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year2409CurrentTaxYearMinus1Year
Total2409Total
FieldValueIRS element (for citing)
Total Support5367978TotalSupport
Public Support Pertcentage1700.99770PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance40203BeginningOfYearBalance
End Of Year Balance40203EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance40203BeginningOfYearBalance
End Of Year Balance40203EndOfYearBalance

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis19000OtherCostOrOtherBasis
Book Value19000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis435842OtherCostOrOtherBasis
Depreciation36875Depreciation
Book Value398967BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis10081OtherCostOrOtherBasis
Depreciation1598Depreciation
Book Value8483BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis131758OtherCostOrOtherBasis
Depreciation36211Depreciation
Book Value95547BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis65023OtherCostOrOtherBasis
Depreciation65023Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings521997TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT VINTAGE BANK$70,042
VINTAGE BANK LOAN$45,732
US BANK - LEASE #3$585
LEAF PHONE LEASE$18,633
ACCRUED COMPENSATION$59,693
ACCRUED VACATION$3,604
CURRENT PORTION OF CAPITAL LEASE$7,250
OVERDRAFT LIABILITY$23,825
FieldValueIRS element (for citing)
Total Of Amounts229364TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt2464492TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal2464492RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902464492TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2407238TotExpensesEtcAuditedFinclStmt
Other Expenses Included4146OtherExpensesIncluded
Expenses Not Rptd F9904146ExpensesNotRptdF990
Expenses Subtotal2403092ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902403092TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART XII, LINE 2D - OTHER ADJUSTMENTS:Identifier
ExplanationDEPRECIATION ADJUSTMENTExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SEEDS OF HOPENameOfEvent1
Gross Receipts Event150826GrossReceiptsEvent1
Charitable Contributions Event142365CharitableContributionsEvent1
Gross Revenue Event18461GrossRevenueEvent1
Other Direct Expenses Event18461OtherDirectExpensesEvent1
Gross Receipts Total50826GrossReceiptsTotal
Charitable Contributions Total42365CharitableContributionsTotal
Gross Revenue Total Events8461GrossRevenueTotalEvents
Other Direct Expenses Total Events8461OtherDirectExpensesTotalEvents
Direct Expense Summary Events8461DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule L IRS990ScheduleL

Loan Table LoanTable

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1YOLANDE OWENS OPERATIONSBusinessNameLine1
FieldValueIRS element (for citing)
Relationship With OrganizationCEORelationshipWithOrganization
Purpose Of LoanOPERATING LOANPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$107,000OriginalPrincipalAmount
Balance Due60404BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due60404TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

FieldValueIRS element (for citing)
Sharing Of Revenues0SharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMEDICAL SERVICES17750COST
XMEDICAL SUPPLIES281849COST
XOFFICE SUPPLIES52885COST
XEQUIPMENT15500COST
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE RETURN WAS PRESENTED TO THE BOARD, FORMALLY DISCUSSED AND APPROVED AT THE BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CENFORCEMENT OF CONFLICTS POLICY - THE BOARD AND STAFF ARE ASKED TO REVIEW AND SIGN A NEW FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR OFFICERS - THE BOARD APPROVES A RANGE OF SALARIES DURING THE ANNUAL BUDGET PROCESS FOR ALL POSITIONS BASED ON RESEARCH AND COMPARABLES AT THE FEDERAL LEVEL USING GUIDELINES UNDER HRSA TO ENSURE COMPETITIVE SALARIES FOR ALL POSITIONS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,840. OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,287. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,449. PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,094. PATIENT SERVICE EXPENSE: PROGRAM SERVICE EXPENSES 302,014. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 302,014.OTHER FEES
FORM 990, PART XI, LINE 9:DIFFERENCE IN DEPRECIATION PER GAAP AND TAX -4,146.CHANGES IN NET ASSETS OR FUND BALANCES:

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