BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES INC (EIN 57-0523586)
Tax period
2010-06-01 to 2011-05-31
Filed
2012-04-17
IRS object ID
201201099349300500
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)
Timestamp2012-04-17T22:14:45-05:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGREGOR AND COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 135AddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570523586EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BEAUFORT-JASPER-HAMPTON COMPREHENSIVEBusinessNameLine1
Business Name Line2HEALTH SERVICES INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlBEAUNameControl
Phone8439877400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 357AddressLine1
CityRIDGELANDCity
StateSCState
ZIP Code29936ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROLAND J GARDNER EXEC DIRECTORName
TitleCFOTitle
Phone8439877400Phone
Date Signed2012-04-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLESLEY KELLYName
Phone8037870003Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROLAND J GARDNERNameOfPrincipalOfficerPerson
Gross Receipts18290561GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteBJHCHS.COMWebSite
Activity Or Mission DescriptionAMBULATORY HEALTH CAREActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees202TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9699696ContributionsGrantsPriorYear
Contributions Grants Current Year10952520ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6929427ProgramServiceRevenuePriorYear
Program Service Revenue CY7311634ProgramServiceRevenueCY
Investment Income Prior Year45017InvestmentIncomePriorYear
Investment Income Current Year29963InvestmentIncomeCurrentYear
Other Revenue Prior Year20040OtherRevenuePriorYear
Other Revenue Current Year-3556OtherRevenueCurrentYear
Total Revenue Prior Year16694180TotalRevenuePriorYear
Total Revenue Current Year18290561TotalRevenueCurrentYear
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 Year10730655SalariesEtcPriorYear
Salaries Etc Current Year11115965SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5583384OtherExpensePriorYear
Other Expenses Current Year5819004OtherExpensesCurrentYear
Total Expenses Prior Year16314039TotalExpensesPriorYear
Total Expenses Current Year16934969TotalExpensesCurrentYear
Revenues Less Expenses Prior Year380141RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1355592RevenuesLessExpensesCY
Total Assets BOY10958544TotalAssetsBOY
Total Assets EOY12609063TotalAssetsEOY
Total Liabilities BOY3196239TotalLiabilitiesBOY
Total Liabilities EOY3250425TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7762305NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9358638NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF BEAUFORT-JASPER-HAMPTON COMPREHENSIVE HEALTH SERVICES, INC. IS TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE AND COMPREHENSIVE HEALTH CARE SERVICES TO THE SOUTH CAROLINA LOWCOUNTRY COMMUNITYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12262255Expense
Revenue7301256Revenue
DescriptionTHE ORGANIZATION PROVIDES AMBULATORY HEALTH CARE SERVICES TO THE POPULATION OF BEAUFORT, SC AND SURROUNDING AREAS.Description
Total Program Service Expense12262255TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees202NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN PARHAM CPABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8439877400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1HWY 170 PO 357AddressLine1
CityRIDGELANDCity
StateSCState
ZIP Code29936ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EDWARD J ALLEN
BOARD CHAIR0.50X000
ANDERSON TAYLOR
VICE CHAIR0.50X000X
ETHEL DENMARK
SECRETARY0.50X000X
EDITH YOUNG
BOARD MEMBER0.50X000
LINDA JENKINS
TREASURER0.50X000X
BAXTER MCLENDON MD
BOARD MEMBER0.50X000
EARTHILEE J GRAY
BOARD MEMBER0.50X000
ANGELA HABERSHAM
BOARD MEMBER0.50X000
MARY CABANISS
BOARD MEMBER0.50X000
MANUEL PIRES
BOARD MEMBER0.50X000
ESILDA I SANTIAGO
BOARD MEMBER0.50X000
ROLAND J GARDNER
EXECUTIVE DIRECTOR40.0021379200XXX
JOHN PARHAM
CHIEF FINANCIAL OFFICER40.0012036600XX
J BRANDON GAFFNEY
CHIEF OPERATING OFFICER40.0010285900X
CATHY BAGLEY
PHYSICIAN40.0019027500X
MARY LAFRANCE FERGUSON
CHIEF MED OFFICER40.0016967400X
ALLAHNA COGGINS
PHYSICIAN40.0020389800X
SAMAI SUPAN
PHYSICIAN40.0015305200X
LAWRENCE POLKEY FAITH
PHYSICIAN40.0018774200X
CLAUDE TOLBERT
PHYSICIAN40.0023943200X
EDWARD J MCNEIL
PHYSICIAN40.0023865000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1716881TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9686281GovernmentGrants
All Other Contributions1266239AllOtherContributions
Noncash Contributions88229NoncashContributions
Total Contributions10952520TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES73012567301256
RENTAL INCOME1037810378
FieldValueIRS element (for citing)
Total Program Service Revenue7311634TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29963TotalRevenueColumn
Exclusion$29,963ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3250Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3250Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3250TotalRevenueColumn
Exclusion$3,250ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON DISPOSITIONDescription
Total Revenue Column-6806TotalRevenueColumn
Related Or Exempt Function Income-6806RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-6806TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18290561TotalRevenueColumn
Related Or Exempt Function Income7304828RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,213ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9567143Total
Program Services6638314ProgramServices
Management And General2928829ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1548822Total
Program Services1068687ProgramServices
Management And General480135ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total122730Total
Management And General122730ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total257601Total
Program Services79856ProgramServices
Management And General177745ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total120323Total
Program Services117564ProgramServices
Management And General2759ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total115896Total
Program Services79968ProgramServices
Management And General35928ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total548747Total
Program Services378636ProgramServices
Management And General170111ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total115599Total
Program Services91441ProgramServices
Management And General24158ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES MEDICAL AND OT13740851239991134094
OTHER OPERATING EXPENSE607940419479188461
CONTRACTUAL SERVICES55060250175348849
PATIENT CARE EXPENSES549753549753
CONSULTING SERVICES512479267724244755

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total943249Total
Program Services829089ProgramServices
Management And General114160ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16934969Total
Program Services12262255ProgramServices
Management And General4672714ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1522562BOY
EOY2287616EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1061130BOY
EOY823100EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY328919BOY
EOY258050EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1221022BOY
EOY1530649EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1180BOY
EOY2325EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY126556BOY
EOY104241EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY142047BOY
EOY110446EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15867860LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8486190LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6387554BOY
EOY7381670EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY82542BOY
EOY106536EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY85032BOY
EOY4430EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10958544BOY
EOY12609063EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1568966BOY
EOY1282810EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY46201BOY
EOY104271EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1581072BOY
EOY1863344EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3196239BOY
EOY3250425EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6877727BOY
EOY8590902EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY817898BOY
EOY701056EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY66680BOY
EOY66680EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7762305BOY
EOY9358638EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10958544BOY
EOY12609063EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1355592ReconcilationRevenueExpenses
Reconcilation Other Changes240741ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8570805CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8658976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8701160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9699969CurrentTaxYearMinus1Year
Current Tax Year10952520CurrentTaxYear
Total46583430Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8570805CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8658976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8701160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9699969CurrentTaxYearMinus1Year
Current Tax Year10952520CurrentTaxYear
Total46583430Total
FieldValueIRS element (for citing)
Public Support Total17046583430PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96915CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83532CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54020CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45017CurrentTaxYearMinus1Year
Current Tax Year29963CurrentTaxYear
Total309447Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10800CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16800CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15950CurrentTaxYearMinus1Year
Current Tax Year-3556CurrentTaxYear
Total51494Total
FieldValueIRS element (for citing)
Total Support46944371TotalSupport
Gross Receipts From Admissions Etc35458807GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99230PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99410PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Basis514022OtherCostOrOtherBasis
Book Value514022BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15353838OtherCostOrOtherBasis
Depreciation8486190Depreciation
Book Value6867648BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7381670TotalOfBookValueLandBuildings
Total Revenue18290561TotalRevenue
Total Expenses16934969TotalExpenses
Excess Or Deficit For Year1355592ExcessOrDeficitForYear
Other$240,741OtherAmount
Total Adjustments240741TotalAdjustments
Excess Or Deficit Per FS1596333ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18290561TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments23994NetUnrealizedGainsInvestments
Revenue Not Rptd F99023994RevenueNotRptdF990
Revenue Subtotal18266567RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018266567TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16934696TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16934696ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016934696TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROLAND J GARDNER
213792000000000213792000
JOHN PARHAM
CATHY BAGLEY
190275000000000190275000
MARY LAFRANCE FERGUSON
169674000000000169674000
ALLAHNA COGGINS
203898000000000203898000
SAMAI SUPAN
153052000000000153052000
LAWRENCE POLKEY FAITH
187742000000000187742000
CLAUDE TOLBERT
239432000000000239432000
EDWARD J MCNEIL
238650000000000238650000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99088229NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT PROVIDES A COY OF THE FINANCIAL STATEMENTS TO THE EXECUTIVE COMMITTEE AS WELL AS THE BOARD OF DIRECTORS PRIOR TO FINALIZATION.
THE ORGANIZATION REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLYFORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:RECORD PRIOR PERIOD ADJUSTMENT TO RECOGNIZE REVENUE IN PROPER PERIOD 240,741. TOTAL TO FORM 990, PART XI, LINE 5: 240,741.FORM 990, PART XI, LINE 5:
THE BOARD OF DIRECTORS REVIEW THE ANNUAL AND ALL LETTERS OF COMMUNICATION WITH THE AUDITORS PRIOR TO THE ISSUANCE OF THE AUDIT REPORT.

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