SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC (EIN 64-0625076)
Tax period: 2011-02-01 to 2012-01-31
Filed: 2012-06-04
IRS object ID: 201201569349300510
Schema version: 2011v1.2
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 D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-06-04T13:47:19-07:00	Timestamp
Tax Period End Date	2012-01-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TERRY HORNE CPA & ASSOCIATES	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	2011-02-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	640625076	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SOUT	NameControl
Phone	6015458700	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5488 US HWY 49/PO BOX 1729	AddressLine1
City	HATTIESBURG	City
State	MS	State
ZIP Code	394031729	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GEROLDEAN DYSE	Name
Title	CHIEF EXECUTIVE OFFICER	Title
Phone	6015458700	Phone
Date Signed	2012-04-26	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TERRY HORNE	Name
Phone	6154447293	Phone
Date Prepared	2012-06-04	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GEROLDEAN DYSE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5488 US HWY 49	AddressLine1
City	HATTIESBURG	City
State	MS	State
ZIP Code	39403	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	16317986	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1979	YearFormation
State Legal Domicile	MS	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	261	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	7178218	ContributionsGrantsPriorYear
Contributions Grants Current Year	7099390	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	8862196	ProgramServiceRevenuePriorYear
Program Service Revenue CY	9178833	ProgramServiceRevenueCY
Investment Income Prior Year	35825	InvestmentIncomePriorYear
Investment Income Current Year	39763	InvestmentIncomeCurrentYear
Other Revenue Prior Year	20020	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	16096259	TotalRevenuePriorYear
Total Revenue Current Year	16317986	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9609210	SalariesEtcPriorYear
Salaries Etc Current Year	10401456	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5229023	OtherExpensePriorYear
Other Expenses Current Year	4840042	OtherExpensesCurrentYear
Total Expenses Prior Year	14838233	TotalExpensesPriorYear
Total Expenses Current Year	15241498	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	1258026	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1076488	RevenuesLessExpensesCY
Total Assets BOY	9876320	TotalAssetsBOY
Total Assets EOY	10811167	TotalAssetsEOY
Total Liabilities BOY	4512531	TotalLiabilitiesBOY
Total Liabilities EOY	4370890	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5363789	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	6440277	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION PROVIDES HEALTH CARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	12732674	Expense
Revenue	9178833	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 91,100 VISITS WERE PROVIDED DURING THE YEAR.	Description
Total Program Service Expense	12732674	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	true	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	28	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	261	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	false	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	false	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	MS	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	POLLY EUBANKS	NamePerson
Telephone Number	6015458700	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5488 US HWY 49	AddressLine1
City	HATTIESBURG	City
State	MS	State
ZIP Code	39403	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 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
KERMIT RAYBORN
BOARD MEMBER	1.00	X	0	0	0
BILL FOLKES
PRESIDENT	1.00	X	0	0	0
KAREN SPEED
BOARD MEMBER	1.00	X	0	0	0
JOYCE WOULLARD
TREASURER	1.00	X	0	0	0
GINGER BURKS
VICE PRESIDENT	1.00	X	0	0	0
NANNI T FREEMAN
BOARD MEMBER	1.00	X	0	0	0
DESSIE WILLIAMS
BOARD MEMBER	1.00	X	0	0	0
SHARENE CONERLY
SECRETARY	1.00	X	0	0	0
HULDAH INGRAM
BOARD MEMBER	1.00	X	0	0	0
FRANKIE THOMAS
BOARD MEMBER	1.00	X	0	0	0
GEROLDEAN DYSE
CHIEF EXECUTIVE OFFICER	40.00		101875	0	68938	X
BRANDON COLEMAN
MEDICAL DIRECTOR	40.00		230948	0	69915	X
POLLY EUBANKS
CHIEF FINANCIAL OFFICER	40.00		65350	0	55135	X
NATHANIEL SONES
CHIEF INFORMATION OFFICER	40.00		59943	0	26623	X
JANICE ROBINSON
CHIEF HUMAN RESOURCE OFFICER	40		57835		28654	X
KEITH KERSTEN
PHYSICIAN	40		175555		72143		X
JAMES GRIFFIN
PHYSICIAN	40		160973		65103		X
QUENYATTA ECHOLS-WILLIAMS
PHYSICIAN	40		148119		69438		X
HOSSEIN BEHNIAYE
PHYSICIAN	40		154385		12108		X
HASSAN BEHNIAY
PHYSICIAN	40		130049		10264		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1285032	TotalReportableCompFromOrg
Total Other Compensation	478321	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LABCORP OF AMERICA
231 MAPLE AVENUE	BURLINGTON	NC	27215	LAB SERVICES	328857
ALLSCRIPTS
24630 NETWORK PLACE	CHICAGO	IL	606731246	COMPUTER SERVICES	327250
MORGAN BUILDING SYSTEMS
PO BOX 660280	DALLAS	TX	752660280	CONTRACTUAL CONSTRUCTION SERVICES	254086
PIERCON
23 LIBERTY PLACE	HATTIESBURG	MS	39402	CONTRACTUAL CONSTRUCTION SERVICES	219905
CDW-G COMPUTER CENTERS INC
75 REMITTANCE DR SUITE 1515	CHICAGO	IL	606751515	SOFTWARE SUPPORT	122061

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	6066245	GovernmentGrants
All Other Contributions	1033145	AllOtherContributions
Total Contributions	7099390	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT FEES	Description
Business Code	624100	BusinessCode
Total Revenue Column	9178833	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Program Service Revenue	9178833	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	39763	TotalRevenueColumn
Exclusion	$39,763	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16317986	TotalRevenueColumn
Related Or Exempt Function Income	9178833	RelatedOrExemptFunctionIncome
Exclusion	$39,763	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	398173	Total
Program Services	230948	ProgramServices
Management And General	167225	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	7800479	Total
Program Services	7024960	ProgramServices
Management And General	775519	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	804596	Total
Program Services	716090	ProgramServices
Management And General	88506	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	895016	Total
Program Services	785551	ProgramServices
Management And General	109465	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	503192	Total
Program Services	447841	ProgramServices
Management And General	55351	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3166	Total
Program Services	0	ProgramServices
Management And General	3166	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	33633	Total
Program Services	0	ProgramServices
Management And General	33633	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1233817	Total
Program Services	827626	ProgramServices
Management And General	406191	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1897855	Total
Program Services	1390436	ProgramServices
Management And General	507419	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	727157	Total
Program Services	642415	ProgramServices
Management And General	84742	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	233667	Total
Program Services	95229	ProgramServices
Management And General	138438	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	677260	Total
Program Services	541812	ProgramServices
Management And General	135448	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	33487	Total
Program Services	29766	ProgramServices
Management And General	3721	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	15241498	Total
Program Services	12732674	ProgramServices
Management And General	2508824	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	834141	BOY
EOY	1736222	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	734138	BOY
EOY	921355	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	363783	BOY
EOY	427617	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	113205	BOY
EOY	78262	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10883009	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4327029	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6778105	BOY
EOY	6555980	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1052948	BOY
EOY	1091731	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9876320	BOY
EOY	10811167	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	859887	BOY
EOY	1179917	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3652644	BOY
EOY	3190973	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4512531	BOY
EOY	4370890	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5208060	BOY
EOY	6258252	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	155729	BOY
EOY	182025	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5363789	BOY
EOY	6440277	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9876320	BOY
EOY	10811167	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1076488	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
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	5273719	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5611133	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6324528	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7178218	CurrentTaxYearMinus1Year
Current Tax Year	7099390	CurrentTaxYear
Total	31486988	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5273719	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5611133	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6324528	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7178218	CurrentTaxYearMinus1Year
Current Tax Year	7099390	CurrentTaxYear
Total	31486988	Total

Field	Value	IRS element (for citing)
Public Support Total170	31486988	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	46294	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	44779	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	45373	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	55845	CurrentTaxYearMinus1Year
Current Tax Year	39763	CurrentTaxYear
Total	232054	Total

Field	Value	IRS element (for citing)
Total Support	31719042	TotalSupport
Gross Receipts From Admissions Etc	41889418	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99270	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99240	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	260525	InvestmentCostOrOtherBasis
Book Value	260525	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	8778303	InvestmentCostOrOtherBasis
Depreciation	2925709	Depreciation
Book Value	5852594	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1844181	InvestmentCostOrOtherBasis
Depreciation	1401320	Depreciation
Book Value	442861	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6555980	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
INVESTMENT	1084003
DEPOSITS	7728

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1091731	TotalBookValueOtherAssets
Total Revenue	16317986	TotalRevenue
Total Expenses	15241498	TotalExpenses
Excess Or Deficit For Year	1076488	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1076488	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	16317986	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	16317986	RevenueSubtotal
Total Revenue Per Form990	16317986	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	15241498	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	15241498	ExpensesSubtotal
Total Expenses Per Form990	15241498	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 (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
GEROLDEAN DYSE
101875	57012	11925	170812	149282
BRANDON COLEMAN
230948	64034	5881	300863	316167
KEITH KERSTEN
175555	62906	9237	247698	237984
JAMES GRIFFIN
160973	59804	5298	226075	135263
QUENYATTA ECHOLS-WILLIAMS
148119	60818	8620	217557	208614
HOSSEIN BEHNIAYE
154385	492	11615	166492

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 12c	CONFLICT OF INTEREST IS MONITORED THROUGH VARIOUS COMPANIES SUCH AS:
	ACCOUNTING POLICIES, EMPLOYMENT POLICIES AND COMPLIANCE POLICIES. WE CONSTANTLY
	MONITOR TO IDENTIFY CONFLICTS OF INTEREST AND ADDRESS THOSE
	ISSUES AS THEY RISE.
Pt VI, Line 15	SALARY SURVEYS SUCH AS NACHC's ANNUAL SALARY SURVEY, HORNE LLP SALARY SURVEY
	AND OTHER FQHC's HAVE BEEN CONTACTED FOR COMPARABLE SALARY INFORMATION.
Pt VI, Line 11a	EACH BOARD MEMBER IS PROVIDED A COPY OF THE FINAL AUDIT REPORT AND THE REPORT
	IS DISCUSSED DURING THE BOARD MEETING. THE CEO AND CFO PROVIDE THE
	INFORMATION FOR THE 990 TO BE COMPLETED AND REVIEW THE 990.
Pt VI, Line 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
	POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2c	THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.