OCRACOKE HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OCRACOKE HEALTH CENTER INC (EIN 56-1273237)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-13
IRS object ID
201333179349305493
Schema version
2012v2.3
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)
Timestamp2013-11-13T15:38:15-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEILER SINGLETON & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 1628AddressLine1
CityWASHINGTONCity
StateNCState
ZIP Code27889ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561273237EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCRACOKE HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOCRANameControl
Phone2529281511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 543AddressLine1
CityOCRACOKECity
StateNCState
ZIP Code27960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN C PENTZName
TitleCHAIRMANTitle
Phone2529281511Phone
Date Signed2013-10-29DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID F SINGLETONName
Phone2529468052Phone
Date Prepared2013-10-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN PENTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 543AddressLine1
CityOCRACOKECity
StateNCState
ZIP Code27960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts754471GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionPRIMARY CARE UNITActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year373030ContributionsGrantsPriorYear
Contributions Grants Current Year457367ContributionsGrantsCurrentYear
Program Service Revenue Prior Year205806ProgramServiceRevenuePriorYear
Program Service Revenue CY285099ProgramServiceRevenueCY
Investment Income Prior Year7InvestmentIncomePriorYear
Investment Income Current Year-6355InvestmentIncomeCurrentYear
Other Revenue Prior Year12000OtherRevenuePriorYear
Other Revenue Current Year12000OtherRevenueCurrentYear
Total Revenue Prior Year590843TotalRevenuePriorYear
Total Revenue Current Year748111TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year512843SalariesEtcPriorYear
Salaries Etc Current Year510178SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year171202OtherExpensePriorYear
Other Expenses Current Year229763OtherExpensesCurrentYear
Total Expenses Prior Year684045TotalExpensesPriorYear
Total Expenses Current Year739941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-93202RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8170RevenuesLessExpensesCY
Total Assets BOY564993TotalAssetsBOY
Total Assets EOY585479TotalAssetsEOY
Total Liabilities BOY40749TotalLiabilitiesBOY
Total Liabilities EOY53065TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY524244NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY532414NetAssetsOrFundBalancesEOY
Mission DescriptionPRIMARY CARE UNITMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense692554Expense
DescriptionPRIMARY CARE UNIT - MEDICAL - 3,500 PATIENTS EMERGENCY MEDICAL SERVICES FOR ISLAND RESIDENTS AND VISITORS.Description
Total Program Service Expense692554TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 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 FundraisingfalseProfessionalFundraising
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonOCRACOKE HEALTH CENTERNamePerson
Telephone Number2529281511TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 543AddressLine1
CityOCRACOKECity
StateNCState
ZIP Code27960ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SUE PENTZ
CHARIMAN1.00XX000
AMY HILTON
SECRETARY1.00XX000
JASON WELLS
TREASURER1.00XX000
BENJI HART
MEMBER1.00X000
ANN BORLAND
MEMBER1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants419959GovernmentGrants
All Other Contributions37408AllOtherContributions
Total Contributions457367TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Total Revenue Column285099TotalRevenueColumn
Related Or Exempt Function Income285099RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue285099TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5TotalRevenueColumn
Related Or Exempt Function Income5RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other6360Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6360Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6360TotalRevenueColumn
Related Or Exempt Function Income-6360RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHYDE CO. EMS BUILDING RENTDescription
Total Revenue Column12000TotalRevenueColumn
Related Or Exempt Function Income12000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column748111TotalRevenueColumn
Related Or Exempt Function Income290744RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total419740Total
Program Services390358ProgramServices
Management And General29382ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total59204Total
Program Services55060ProgramServices
Management And General4144ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total31234Total
Program Services29048ProgramServices
Management And General2186ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7150Total
Program Services6650ProgramServices
Management And General500ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total21813Total
Program Services20288ProgramServices
Management And General1525ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total602Total
Program Services560ProgramServices
Management And General42ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28379Total
Program Services28379ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total39622Total
Program Services36848ProgramServices
Management And General2774ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PHYSICIAN COVERAGE4886348863
CONSUMABLES3600936009
PHARMACY PURCHASES2388723887
COMMUNICATIONS1100311003

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12435Total
Program Services5601ProgramServices
Management And General6834ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total739941Total
Program Services692554ProgramServices
Management And General47387ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1573BOY
EOY9312EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY512BOY
EOY9863EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY55283BOY
EOY58015EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3498BOY
EOY3565EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16109BOY
EOY13774EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis828286LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec337336LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY488018BOY
EOY490950EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY564993BOY
EOY585479EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3630BOY
EOY27927EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY23462BOY
EOY18342EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13657BOY
EOY6796EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40749BOY
EOY53065EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY524244BOY
EOY532414EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY524244BOY
EOY532414EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY564993BOY
EOY585479EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8170ReconcilationRevenueExpenses
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 RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis47135OtherCostOrOtherBasis
Book Value47135BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis579970OtherCostOrOtherBasis
Depreciation212265Depreciation
Book Value367705BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis27165OtherCostOrOtherBasis
Depreciation16573Depreciation
Book Value10592BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis157348OtherCostOrOtherBasis
Depreciation95041Depreciation
Book Value62307BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16668OtherCostOrOtherBasis
Depreciation13457Depreciation
Book Value3211BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings490950TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYROLL TAXES PAYABLEDescription
Amount$6,796Amount
FieldValueIRS element (for citing)
Total Of Amounts6796TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt748111TotRevenueEtcAuditedFinclStmt
Revenue Subtotal748111RevenueSubtotal
Total Revenue Per Form990748111TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt739941TotExpensesEtcAuditedFinclStmt
Expenses Subtotal739941ExpensesSubtotal
Total Expenses Per Form990739941TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BRETURN REVIEWED BY DIRECTOR BEFORE FILING. THEN REPORTED ON AND PRESENTED TO BOD.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CDISCUSSED ANNUALLY AT BOARD MEETINGS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AREVIEW ANNUALLY BY ENTIRE BOD
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL EMPLOYEES TREATED THE SAME CONCERNING COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.

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