UNITED HEALTH CENTERS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNITED HEALTH CENTERS (EIN 05-0589120)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-05
IRS object ID
201200659349301045
Schema version
2010v3.4
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)
Timestamp2012-03-05T19:30:38-00:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Linell Johnson CPA PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1657 Doe Run DriveAddressLine1
CityKernersvilleCity
StateNCState
ZIP Code27284ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050589120EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SouthSide United Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone3362938728Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13009A Waughtown StreetAddressLine1
CityWInston SalemCity
StateNCState
ZIP Code27107ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLavatian GlennName
TitleBoard ChairTitle
Date Signed2012-03-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLinell JohnsonName
Phone3367237679Phone
Date Prepared2012-03-05DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SouthSide United Health & Wellness CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonLavastian GlennNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1310 Wayside DriveAddressLine1
CityWinston SalemCity
StateNCState
ZIP Code27107ZIPCode
FieldValueIRS element (for citing)
Gross Receipts98797GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTo improve health outcomes and overall wellness of residents living in southeast Winston Salem and Forsyth County by providing high-quality, affordable, culturally competent comprehensive health care services and health education activities to all. To improve health outcomes and overall wellness of residents living in southeast Winston Salem and Forsyth County by providing high-quality, affordable, culturally competent comprehensive health care services and health education activities to all.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year112991ContributionsGrantsPriorYear
Contributions Grants Current Year30000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25571ProgramServiceRevenuePriorYear
Program Service Revenue CY68797ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year417OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year138979TotalRevenuePriorYear
Total Revenue Current Year98797TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year51401SalariesEtcPriorYear
Salaries Etc Current Year67317SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year105873OtherExpensePriorYear
Other Expenses Current Year151996OtherExpensesCurrentYear
Total Expenses Prior Year157274TotalExpensesPriorYear
Total Expenses Current Year219313TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-18295RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-120516RevenuesLessExpensesCY
Total Assets BOY161735TotalAssetsBOY
Total Assets EOY40000TotalAssetsEOY
Total Liabilities BOY4510TotalLiabilitiesBOY
Total Liabilities EOY3291TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY157225NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY36709NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve health outcomes and overall wellness of residents. living in southeast Winston Salem and Forsyth County by providing high-quality, affordable, culturally competent comprehensive health care services and health education activities to all.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense183189Expense
Grants30000Grants
Revenue68797Revenue
DescriptionHealth and WellnessDescription
Total Program Service Expense183189TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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
Transaction Related EntityfalseTransactionRelatedEntity
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 Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSuzanne NewsomeNamePerson
Telephone Number3369452403TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16350 Shallowford RoadAddressLine1
CityLewisvilleCity
StateNCState
ZIP Code27023ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Mr Julius Davis
Board Chair001.00X000
Lavastian Glenn
Interim Exe. Director001.00X000
Rosetta WIlliams
Board Member001.00X000
Robert Leak
Board Treasurer001.00X000
Suzanne Newsome
Board Secretary001.00X000
Michele Collins
Board Member001.00X000
Lesbia Castillo
Board Member001.00X000
David Mount
Board Member001.00X000
K Hairston
Board Member001.00X000
Brady Brake
Board Member001.00X000
Richard Lord
Board Member001.00X000
Peggy Valentine
Board Member001.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions30000AllOtherContributions
Total Contributions30000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ReveneDescription
Total Revenue Column68797TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue68797TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column98797TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total62133Total
Program Services41391ProgramServices
Management And General20742ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5184Total
Program Services4666ProgramServices
Management And General518ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1480Total
Management And General1480ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total113942Total
Program Services112700ProgramServices
Management And General1242ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total12231Total
Program Services4905ProgramServices
Management And General7326ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total17856Total
Program Services16070ProgramServices
Management And General1786ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total263Total
Program Services237ProgramServices
Management And General26ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total75Total
Management And General75ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total1844Total
Management And General1844ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone26602394266
Postage91782691
Misc619619
License and Permit5050

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total59Total
Management And General59ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total219313Total
Program Services183189ProgramServices
Management And General36124ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY135071BOY
EOY40000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY26664BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY161735BOY
EOY40000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4510BOY
EOY3291EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4510BOY
EOY3291EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-87972BOY
EOY-238488EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY245197BOY
EOY275197EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY157225BOY
EOY36709EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY161735BOY
EOY40000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-120516ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212003CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138979CurrentTaxYearMinus1Year
Current Tax Year98797CurrentTaxYear
Total450026Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years247CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years212003CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138979CurrentTaxYearMinus1Year
Current Tax Year98797CurrentTaxYear
Total450026Total
FieldValueIRS element (for citing)
Public Support Total170450026PublicSupportTotal170
Total Support450026TotalSupport
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

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

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPayroll LiabilitiesDescription
Amount$3,291Amount
FieldValueIRS element (for citing)
Total Of Amounts3291TotalOfAmounts
Total Revenue98797TotalRevenue
Total Expenses219313TotalExpenses
Excess Or Deficit For Year-120516ExcessOrDeficitForYear
Excess Or Deficit Per FS-120516ExcessOrDeficitPerFS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part XI15aThe board meets to go over new hires and recommendations to hire to keep the organization in compliance with policy and procedures
Form 990 Part XI15bThe Board meets to go over any new hires and recommendationfor hire to stay within compliance of the personnel polices
Form 990 Part XI Section b Line 15a The board meets to go over new hires and recommendations to hire to keep the organization in compliance with policy and procedures Form 990 Part XI Section b Line 15b The Board meets to go over any new hires and recommendationfor hire to stay within compliance of the personnel polices

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