SANDHILLS MEDICAL FOUNDATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SANDHILLS MEDICAL FOUNDATION INC (EIN 57-0672342)
- Tax period
- 2012-06-01 to 2013-05-31
- Filed
- 2013-11-05
- IRS object ID
- 201343099349301124
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-05T11:06:16-08:00 | Timestamp |
| Tax Period End Date | 2013-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY HORNE CPA & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 732 WEST MAIN STREET | AddressLine1 |
| City | LEBANON | City |
| State | TN | State |
| ZIP Code | 37087 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570672342 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANDHILLS MEDICAL FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAND | NameControl |
| Phone | 8436583006 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 366 | AddressLine1 |
| City | MCBEE | City |
| State | SC | State |
| ZIP Code | 29101 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WARREN B HIX | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 8436583006 | Phone |
| Date Signed | 2013-11-02 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY HORNE | Name |
| Phone | 6154447293 | Phone |
| Date Prepared | 2013-11-05 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WARREN B HIX | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 366 | AddressLine1 |
| City | MCBEE | City |
| State | SC | State |
| ZIP Code | 29101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8559192 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1977 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | THE 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 Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 87 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1946182 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1831713 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6074699 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 6713189 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2736 | InvestmentIncomePriorYear |
| Investment Income Current Year | -148724 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12000 | OtherRevenuePriorYear |
| Other Revenue Current Year | 12000 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8035617 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8408178 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3824929 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4616174 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3442194 | OtherExpensePriorYear |
| Other Expenses Current Year | 3780469 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7267123 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8396643 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 768494 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11535 | RevenuesLessExpensesCY |
| Total Assets BOY | 6999005 | TotalAssetsBOY |
| Total Assets EOY | 7196583 | TotalAssetsEOY |
| Total Liabilities BOY | 3453079 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3639122 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3545926 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3557461 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6837938 | Expense |
| Revenue | 6713189 | Revenue |
| Description | THE 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 26,900 VISITS WERE PROVIDED DURING THE YEAR. | Description |
| Total Program Service Expense | 6837938 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | 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 | false | 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 | false | 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 |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 87 | 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 |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | 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 |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHRIS DIXON | NamePerson |
| Telephone Number | 8433358291 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HIGHWAY 1 SOUTH | AddressLine1 |
| City | MCBEE | City |
| State | SC | State |
| ZIP Code | 29101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JANET DEFEE | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| GLENN ODOM | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | ||
| E WAYNE WALLACE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LAVILLA EVANS | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | ||
| STEPHEN BARRINEAU | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WANDA GARDNER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| REV DON ROBINSON | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | ||
| DORETHIA RUTLEDGE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHELE REEDER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SUZAN J MYERS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WARREN B HIX | |||||||
| CHIEF EXEC. OFFICER | 40.00 | 165443 | 0 | 11556 | X | ||
| ATUL DOGRA | |||||||
| MEDICAL DIRECTOR | 40.00 | 139920 | 0 | 10191 | X | ||
| CHRISTOPHER DIXON | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 136057 | 0 | 7476 | X | ||
| CRYSTAL MAXWELL | |||||||
| PHYSICIAN | 40.00 | 146683 | 0 | 10537 | X | ||
| MEHA MINHAS | |||||||
| PHYSICIAN | 40 | 144477 | 8629 | X | |||
| ALYSSA NORWOOOD | |||||||
| PHARMACIST | 40 | 124066 | 13223 | X | |||
| MEGHANA SHAH | |||||||
| PHYSICIAN | 40 | 127720 | 9506 | X | |||
| NNEKA ONWUTEAKA | |||||||
| PHARMACIST | 40 | 122262 | 9452 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1106628 | TotalReportableCompFromOrg |
| Total Other Compensation | 80570 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LIFEFORTE ASSOCIATES | |||||
| PO BOX 492 | CAMDEN | SC | 29021 | CONTRACTUAL PHYSICIAN | 130429 |
| LAB CORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | LAB SERVICES | 141758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 1394290 | GovernmentGrants |
| All Other Contributions | 437423 | AllOtherContributions |
| Total Contributions | 1831713 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 6713189 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 6713189 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2290 | TotalRevenueColumn |
| Exclusion | $2,290 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12000 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12000 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12000 | TotalRevenueColumn |
| Exclusion | $12,000 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 151014 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -151014 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -151014 | TotalRevenueColumn |
| Exclusion | -$151,014 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8408178 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6713189 | RelatedOrExemptFunctionIncome |
| Exclusion | -$136,724 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441420 | Total |
| Program Services | 139920 | ProgramServices |
| Management And General | 301500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3492299 | Total |
| Program Services | 3058357 | ProgramServices |
| Management And General | 433942 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58952 | Total |
| Program Services | 48341 | ProgramServices |
| Management And General | 10611 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366270 | Total |
| Program Services | 293517 | ProgramServices |
| Management And General | 72753 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257233 | Total |
| Program Services | 210931 | ProgramServices |
| Management And General | 46302 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5534 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5534 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23880 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 23880 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 721663 | Total |
| Program Services | 507401 | ProgramServices |
| Management And General | 214262 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2460887 | Total |
| Program Services | 2222634 | ProgramServices |
| Management And General | 238253 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264741 | Total |
| Program Services | 239178 | ProgramServices |
| Management And General | 25563 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105018 | Total |
| Program Services | 45684 | ProgramServices |
| Management And General | 59334 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181979 | Total |
| Program Services | 56885 | ProgramServices |
| Management And General | 125094 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16767 | Total |
| Program Services | 15090 | ProgramServices |
| Management And General | 1677 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8396643 | Total |
| Program Services | 6837938 | ProgramServices |
| Management And General | 1558705 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317515 | BOY |
| EOY | 680790 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 904742 | BOY |
| EOY | 951374 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 722940 | BOY |
| EOY | 670071 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229149 | BOY |
| EOY | 276688 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29387 | BOY |
| EOY | 68653 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5636485 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1248767 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4695061 | BOY |
| EOY | 4387718 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100211 | BOY |
| EOY | 161289 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6999005 | BOY |
| EOY | 7196583 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565162 | BOY |
| EOY | 531750 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7000 | BOY |
| EOY | 7000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2880917 | BOY |
| EOY | 3100372 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3453079 | BOY |
| EOY | 3639122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3498215 | BOY |
| EOY | 3498672 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47711 | BOY |
| EOY | 58789 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3545926 | BOY |
| EOY | 3557461 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6999005 | BOY |
| EOY | 7196583 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 11535 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 | 1671317 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1946085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1982851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1946182 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1831713 | CurrentTaxYear |
| Total | 9378148 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1671317 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1946085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1982851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1946182 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1831713 | CurrentTaxYear |
| Total | 9378148 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9378148 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 300 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12435 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12871 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14736 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14290 | CurrentTaxYear |
| Total | 54632 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 9432780 | TotalSupport |
| Gross Receipts From Admissions Etc | 25507611 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99420 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99830 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 145095 | InvestmentCostOrOtherBasis |
| Book Value | 145095 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4653653 | InvestmentCostOrOtherBasis |
| Depreciation | 665686 | Depreciation |
| Book Value | 3987967 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 156865 | InvestmentCostOrOtherBasis |
| Depreciation | 27233 | Depreciation |
| Book Value | 129632 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 680872 | InvestmentCostOrOtherBasis |
| Depreciation | 555848 | Depreciation |
| Book Value | 125024 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4387718 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 8408178 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 8408178 | RevenueSubtotal |
| Total Revenue Per Form990 | 8408178 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8396643 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 8396643 | ExpensesSubtotal |
| Total Expenses Per Form990 | 8396643 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| WARREN B HIX | |||
| 165443 | 3563 | 7993 | 176999 |
| ATUL DOGRA | |||
| 139920 | 4013 | 6178 | 150111 |
| CRYSTAL MAXWELL | |||
| 146683 | 4350 | 6186 | 157219 |
| MEHA MINHAS | |||
| 144477 | 4317 | 4313 | 153107 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. | |
| Pt VI, Line 11b | THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW PRIOR TO FILING. |
| Pt VI, Line 15a | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| Pt VI, Line 15b | FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY |
| AND SALARY INCREASES ARE BOARD APPROVED. | |
| Pt VI, Line 12c | BOARD IS APPRISED ANNUALLY OF THE POLICY. DISCUSSIONS THAT MAY GIVE A MEMBER A |
| POSSIBLE CONFLICT, REQUIRE THE MEMBER TO STEP OUT OF THE BOARD MEETING. | |
| Pt XII, Line 2c | THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION |
| AND AUDIT ENGAGEMENT. | |
| Pt VI, Line 2 | A BOARD MEMBER IS CO-OWNER IN THE PHARMACY WHICH ADMINISTERS THE |
| 340 (B) DRUG PROGRAM. THIS PHARMACY ALSO RENTS SPACE FROM THE ORGANIZATION | |
| FOR $1000 PER MONTH. |
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