BATON ROUGE PRIMARY CARE COLLABORATIVE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: BATON ROUGE PRIMARY CARE COLLABORATIVE INC (EIN 41-2114148)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-08
IRS object ID: 201201299349301035
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-08T11:22:34-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FAULK & WINKLER LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6811 JEFFERSON HIGHWAY	AddressLine1
City	BATON ROUGE	City
State	LA	State
ZIP Code	70806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	412114148	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BATON ROUGE PRIMARY CARE COLLABORATIVE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BATO	NameControl
Phone	2257741120	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2326	AddressLine1
City	BATON ROUGE	City
State	LA	State
ZIP Code	708212326	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LYNNE MEDLEY-LONG	Name
Title	CEO	Title
Phone	2257741120	Phone
Date Signed	2012-04-27	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TOMMY LEJEUNE	Name
Phone	2259276811	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LYNNE MEDLEY-LONG	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2326	AddressLine1
City	BATON ROUGE	City
State	LA	State
ZIP Code	708212326	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1303495	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	LA	StateLegalDomicile
Activity Or Mission Description	PROVIDE HEALTH CARE REGARDLESS OF PATIENT'S ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	33	TotalNbrEmployees
Total Nbr Volunteers	11	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1057409	ContributionsGrantsPriorYear
Contributions Grants Current Year	935983	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	470532	ProgramServiceRevenuePriorYear
Program Service Revenue CY	365639	ProgramServiceRevenueCY
Investment Income Prior Year	296	InvestmentIncomePriorYear
Investment Income Current Year	230	InvestmentIncomeCurrentYear
Other Revenue Prior Year	221	OtherRevenuePriorYear
Other Revenue Current Year	1643	OtherRevenueCurrentYear
Total Revenue Prior Year	1528458	TotalRevenuePriorYear
Total Revenue Current Year	1303495	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	656326	SalariesEtcPriorYear
Salaries Etc Current Year	871214	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	29044	TotalFundrsngExpCurrentYear
Other Expense Prior Year	550795	OtherExpensePriorYear
Other Expenses Current Year	644908	OtherExpensesCurrentYear
Total Expenses Prior Year	1207121	TotalExpensesPriorYear
Total Expenses Current Year	1516122	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	321337	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-212627	RevenuesLessExpensesCY
Total Assets BOY	530597	TotalAssetsBOY
Total Assets EOY	469125	TotalAssetsEOY
Total Liabilities BOY	139724	TotalLiabilitiesBOY
Total Liabilities EOY	290879	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	390873	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	178246	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE HIGH QUALITY COMPREHENSIVE HEALTH CARE SERVICES FOR THE UNDER-SERVED POPULATION OF EAST BATON ROUGE PARISH AND THE SURROUNDING AREAS REGARDLESS OF ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	864988	Expense
Revenue	367282	Revenue
Description	PROMOTED HEALTH CARE BY PROVIDING COMPREHENSIVE OUTPATIENT MEDICAL SERVICES TO PERSONS RESIDING WITHIN THE VICINITY OF TWO MEDICAL CLINICS.	Description
Total Program Service Expense	864988	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	22	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	33	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	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	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ORGANIZATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2257741120	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7855 HOWELL BLVD STE 330	AddressLine1
City	BATON ROUGE	City
State	LA	State
ZIP Code	70807	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
PATRICIA A MELSON
PRESIDENT	2.00	X	X	0	0	0
VALERIE JACKSON JONES
VICE PRESIDENT	2.00	X	X	0	0	0
WALTER EDWARDS
SECRETARY	2.00	X	X	0	0	0
ELDRIDGE ETIENNE
TREASURER	2.00	X	X	0	0	0
MARTHA FORBES
BOARD MEMBER	2.00	X		0	0	0
STEVE SELLARS
BOARD MEMBER	2.00	X		0	0	0
LONNIE WILKINSON
BOARD MEMBER	2.00	X		0	0	0
ANDREW DAVIS
BOARD MEMBER	2.00	X		0	0	0
JAMES L FORBES
PARLIAMENTARIAN	2.00	X		0	0	0
EVENS RODNEY
BOARD MEMBER	2.00	X		0	0	0
REBECCA SINGLETON
INTERIM CEO	40.00		X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	935983	GovernmentGrants
Total Contributions	935983	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Business Code	621110	BusinessCode
Total Revenue Column	365639	TotalRevenueColumn
Related Or Exempt Function Income	365639	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	365639	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	230	TotalRevenueColumn
Exclusion	$230	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	900099	BusinessCode
Total Revenue Column	1643	TotalRevenueColumn
Related Or Exempt Function Income	1643	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	1643	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1303495	TotalRevenueColumn
Related Or Exempt Function Income	367282	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$230	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	752913	Total
Program Services	536531	ProgramServices
Management And General	216382	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	55987	Total
Program Services	55987	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	62314	Total
Program Services	46400	ProgramServices
Management And General	15914	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	59184	Total
Management And General	59184	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	54285	Total
Management And General	54285	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	208230	Total
Program Services	72210	ProgramServices
Management And General	136020	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	13502	Total
Program Services	11869	ProgramServices
Management And General	1143	ManagementAndGeneral
Fundraising	490	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	76255	Total
Program Services	698	ProgramServices
Management And General	52890	ManagementAndGeneral
Fundraising	22667	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	20607	Total
Management And General	20607	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	79882	Total
Program Services	73294	ProgramServices
Management And General	6588	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	12094	Total
Program Services	738	ProgramServices
Management And General	7949	ManagementAndGeneral
Fundraising	3407	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	8268	Total
Management And General	5788	ManagementAndGeneral
Fundraising	2480	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36193	Total
Program Services	8208	ProgramServices
Management And General	27985	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6353	Total
Program Services	2977	ProgramServices
Management And General	3376	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	46117	46117
DUES AND SUBSCRIPTIONS	9236	5079	4157
REPAIRS & MAINTENANCE	7175	2941	4234
TRAINING & RECRUITMENT	3964	1939	2025
LOSS ON DISPOSAL OF ASS	3014		3014

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	549	Total
Management And General	549	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1516122	Total
Program Services	864988	ProgramServices
Management And General	622090	ManagementAndGeneral
Fundraising	29044	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	195859	BOY
EOY	90667	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	61847	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	81391	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	69147	BOY
EOY	17219	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	466781	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	105542	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	122353	BOY
EOY	361239	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	530597	BOY
EOY	469125	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	83022	BOY
EOY	166879	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	56702	BOY
EOY	124000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	139724	BOY
EOY	290879	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	390873	BOY
EOY	178246	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	390873	BOY
EOY	178246	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	530597	BOY
EOY	469125	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-212627	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	861614	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	795732	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	709132	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1057409	CurrentTaxYearMinus1Year
Current Tax Year	935983	CurrentTaxYear
Total	4359870	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	217789	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	204103	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	304515	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	470532	CurrentTaxYearMinus1Year
Current Tax Year	365639	CurrentTaxYear
Total	1562578	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1079403	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	999835	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1013647	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1527941	CurrentTaxYearMinus1Year
Current Tax Year	1301622	CurrentTaxYear
Total	5922448	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	5922448	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	27223	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	509	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	296	CurrentTaxYearMinus1Year
Current Tax Year	230	CurrentTaxYear
Total	28258	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	27223	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	509	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	296	CurrentTaxYearMinus1Year
Current Tax Year	230	CurrentTaxYear
Total	28258	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	421	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	221	CurrentTaxYearMinus1Year
Current Tax Year	1643	CurrentTaxYear
Total	2285	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1079403	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1027058	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1014577	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1528458	CurrentTaxYearMinus1Year
Current Tax Year	1303495	CurrentTaxYear
Total	5952991	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99490	PublicSupportPercentage509
Prior Year Support Percentage	0.99470	PriorYearSupportPercentage
Investment Income Percentage	0.00470	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00520	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISC. INCOME	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	172804	OtherCostOrOtherBasis
Book Value	172804	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	265438	OtherCostOrOtherBasis
Depreciation	94618	Depreciation
Book Value	170820	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28539	OtherCostOrOtherBasis
Depreciation	10924	Depreciation
Book Value	17615	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	361239	TotalOfBookValueLandBuildings
Total Revenue	1303495	TotalRevenue
Total Expenses	1516122	TotalExpenses
Excess Or Deficit For Year	-212627	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	-212627	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1303495	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1303495	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1303495	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1516122	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1516122	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1516122	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3	REBECCA SINGLETON IS AN OFFICER ASSIGNED BY THE UNITED STATES PUBLIC HEALTH SERVICE (USPHS) COMMISSION CORPS TO MANAGE THE ORGANIZATION. REBECCA WORKED FULL TIME FOR THE ORGANIATION BUT WAS COMPENSATED FOR HER SERVICES BY THE UNITED STATES PUBLIC HEALTH SERVICE COMMISSION CORPS, WHICH IS NOT A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	FORM 990 WAS SUBMITTED ELECTRONICALLY TO THE BOARD MEMBERS FOR REVIEW AND APPROVED AT A BOARD MEETING PRIOR TO FILING WITH THE IRS.
	EACH EMPLOYEE AND BOARD MEMBER MUST ANNUALLY COMPLETE A DISCLOSURE FORM AND DISCLOSE ANY CONFLICT OF INTEREST TO THE ORGANIZATION. ADDITIONALLY, THEY MUST REPORT ANY POTENTIAL ISSUES, WHICH COULD GIVE RISE TO CONFLICT OF INTEREST TO THE CHAIR OF BOARD MEETING TO DISCUSS IN THE BOARD MEETING PRIOR TO UNDERTAKING SUCH MATTERS. THOSE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING.	FORM 990, PART VI, SECTION B, LINE 12C
	HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) REVIEWS THE COMPENSATION OF KEY EMPLOYEES.	FORM 990, PART VI, SECTION B, LINE 15B
	THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19