EAU CLAIRE COOPERATIVE HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- EAU CLAIRE COOPERATIVE HEALTH CENTER INC (EIN 57-0965445)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-07-02
- IRS object ID
- 201221849349300612
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-07-02T09:34:32-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570965445 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAU CLAIRE COOPERATIVE HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EAUC | NameControl |
| Phone | 8037335969 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DR STUART HAMILTON | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 8037335969 | Phone |
| Date Signed | 2012-06-22 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY HORNE | Name |
| Phone | 6154447293 | Phone |
| Date Prepared | 2012-07-02 | 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 | DR STUART HAMILTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17227363 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | ecchc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 284 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 3139208 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4710873 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12302383 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12501822 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -474818 | InvestmentIncomePriorYear |
| Investment Income Current Year | 14668 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14966773 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17227363 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10912640 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12089219 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3518480 | OtherExpensePriorYear |
| Other Expenses Current Year | 4129003 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14431120 | TotalExpensesPriorYear |
| Total Expenses Current Year | 16218222 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 535653 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1009141 | RevenuesLessExpensesCY |
| Total Assets BOY | 11202554 | TotalAssetsBOY |
| Total Assets EOY | 12631050 | TotalAssetsEOY |
| Total Liabilities BOY | 7636198 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8061375 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3566356 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4569675 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11336229 | Expense |
| Revenue | 12501822 | 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 138,800 VISITS WERE PROVIDED DURING THE YEAR. | Description |
| Total Program Service Expense | 11336229 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | 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 | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | 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 | 40 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 284 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SONJA MCCAUSLAND | NamePerson |
| Telephone Number | 8037335969 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1228 HARDEN STREET | AddressLine1 |
| City | COLUMBIA | City |
| State | SC | State |
| ZIP Code | 29204 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 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 |
|---|---|---|---|---|---|---|---|
| MARTINE NAAR | |||||||
| BOARD CHAIR | 5.00 | X | 0 | 0 | 0 | ||
| PAULETTE KINDLER | |||||||
| VICE CHAIR | 5.00 | X | 0 | 0 | 0 | ||
| GLADYS E COLES | |||||||
| SECRETARY | 5.00 | X | 0 | 0 | 0 | ||
| JEAN BALLENTINE | |||||||
| TREASURER | 5.00 | X | 0 | 0 | 0 | ||
| WALLACE CUNNINGHAM | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| OTHA R DILLIHAY SR | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| C MEL ELLISON JR | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| TIGERRON WELLS | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| LEOLA GRIPPER | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| EVA PELE | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| GEORGE STAPLES | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| BESSIE WATSON | |||||||
| BOARD MEMBER | 5.00 | X | 0 | 0 | 0 | ||
| STUART HAMILTON | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 132726 | 0 | 11071 | X | ||
| SONJA D MCCAUSLAND | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 83977 | 0 | 6465 | X | ||
| GLORIA WARNER | |||||||
| CHIEF OPERATIONAL OFFICER | 40 | 83884 | 6072 | X | |||
| KADIJAH JONES | |||||||
| MEDICAL DIRECTOR | 40 | 144860 | 3782 | X | |||
| JAMES L PRUITT | |||||||
| MEDICAL DIRECTOR | 40 | 140127 | 6542 | X | |||
| MARIE C SMITH | |||||||
| PHYSICIAN | 40 | 198500 | 6264 | X | |||
| DIANNA D RAVENELL | |||||||
| PHYSICIAN | 40 | 200000 | 1232 | X | |||
| K AZELIA M PROVIDENCE | |||||||
| PHYSICIAN | 40 | 183581 | 4845 | X | |||
| OLUSEYI K OGUNLEYE | |||||||
| PHYSICIAN | 40 | 177913 | 7914 | X | |||
| DEBORAH DAVIS | |||||||
| PHYSICIAN | 40 | 166440 | 9029 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1512008 | TotalReportableCompFromOrg |
| Total Other Compensation | 63216 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALL SCRIPTS LLC | |||||
| 24630 NETWORK PLACE | CHICAGO | IL | 60673 | COMPUTER SOFTWARE & SUPPORT | 166881 |
| EHS | |||||
| ONE METROPLEX DRIVE STE 500 | BIRMINGHAM | AL | 35209 | COMPUTER SOFTWARE & SUPPORT | 618434 |
| JANI KING OF COLUMBIA | |||||
| 5000 THURMOND MALL STE 110 | COLUMBIA | SC | 29201 | JANITORIAL SERVICES | 134360 |
| HARDEE CONSTRUCTION COMPANY | |||||
| 1254 WILSON HALL ROAD | SUMTER | SC | 29150 | BUILDING IMPROVEMENTS | 132318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 2043703 | GovernmentGrants |
| All Other Contributions | 2667170 | AllOtherContributions |
| Noncash Contributions | 994917 | NoncashContributions |
| Total Contributions | 4710873 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES & MISC | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 12501822 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12501822 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9067 | TotalRevenueColumn |
| Exclusion | $9,067 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5601 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5601 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5601 | TotalRevenueColumn |
| Exclusion | $5,601 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17227363 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12501822 | RelatedOrExemptFunctionIncome |
| Exclusion | $14,668 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 585574 | Total |
| Program Services | 284987 | ProgramServices |
| Management And General | 300587 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9990072 | Total |
| Program Services | 7053756 | ProgramServices |
| Management And General | 2936316 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 889900 | Total |
| Program Services | 613849 | ProgramServices |
| Management And General | 276051 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 623673 | Total |
| Program Services | 436571 | ProgramServices |
| Management And General | 187102 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31773 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 31773 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31500 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 31500 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 955488 | Total |
| Program Services | 612210 | ProgramServices |
| Management And General | 343278 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1562746 | Total |
| Program Services | 1304451 | ProgramServices |
| Management And General | 258295 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 941110 | Total |
| Program Services | 752888 | ProgramServices |
| Management And General | 188222 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55433 | Total |
| Program Services | 13520 | ProgramServices |
| Management And General | 41913 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41755 | Total |
| Program Services | 33404 | ProgramServices |
| Management And General | 8351 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 502376 | Total |
| Program Services | 225135 | ProgramServices |
| Management And General | 277241 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6822 | Total |
| Program Services | 5458 | ProgramServices |
| Management And General | 1364 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16218222 | Total |
| Program Services | 11336229 | ProgramServices |
| Management And General | 4881993 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000366 | BOY |
| EOY | 384512 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 493307 | BOY |
| EOY | 989234 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1282865 | BOY |
| EOY | 1538789 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61350 | BOY |
| EOY | 68137 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9876 | BOY |
| EOY | 11840 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12362205 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3091098 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8024300 | BOY |
| EOY | 9271107 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 330490 | BOY |
| EOY | 367431 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11202554 | BOY |
| EOY | 12631050 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1162245 | BOY |
| EOY | 1433235 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 369420 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174806 | BOY |
| EOY | 126806 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5707400 | BOY |
| EOY | 5586121 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 591747 | BOY |
| EOY | 545793 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7636198 | BOY |
| EOY | 8061375 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3551450 | BOY |
| EOY | 4560591 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14906 | BOY |
| EOY | 9084 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3566356 | BOY |
| EOY | 4569675 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11202554 | BOY |
| EOY | 12631050 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1009141 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5822 | ReconcilationOtherChanges |
| 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 | 2229335 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2585318 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3712134 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3139208 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4710873 | CurrentTaxYear |
| Total | 16376868 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2229335 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2585318 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3712134 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3139208 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4710873 | CurrentTaxYear |
| Total | 16376868 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 16376868 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 59919 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11635 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10918 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15941 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9067 | CurrentTaxYear |
| Total | 107480 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 16484348 | TotalSupport |
| Gross Receipts From Admissions Etc | 69233623 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99350 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98710 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1012409 | InvestmentCostOrOtherBasis |
| Book Value | 1012409 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8221327 | InvestmentCostOrOtherBasis |
| Depreciation | 1094253 | Depreciation |
| Book Value | 7127074 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 37578 | InvestmentCostOrOtherBasis |
| Depreciation | 18789 | Depreciation |
| Book Value | 18789 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3090891 | InvestmentCostOrOtherBasis |
| Depreciation | 1978056 | Depreciation |
| Book Value | 1112835 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9271107 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $308,809 |
| ANNUITY PAYABLE | $236,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 545793 | TotalOfAmounts |
| Total Revenue | 17227363 | TotalRevenue |
| Total Expenses | 16218222 | TotalExpenses |
| Excess Or Deficit For Year | 1009141 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 1009141 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 17227363 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 17227363 | RevenueSubtotal |
| Total Revenue Per Form990 | 17227363 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16218222 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 16218222 | ExpensesSubtotal |
| Total Expenses Per Form990 | 16218222 | 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 (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|
| MARIE C SMITH | ||
| 198500 | 6264 | 204764 |
| DIANNA D RAVENELL | ||
| 200000 | 1232 | 201232 |
| K AZELIA M PROVIDENCE | ||
| 183581 | 4845 | 188426 |
| OLUSEYI K OGUNLEYE | ||
| 177913 | 7914 | 185827 |
| DEBORAH DAVIS | ||
| 166440 | 9029 | 175469 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR STUART HAMILTON | NamePerson |
| Purpose Of Loan | SALARY DEFERRALS | PurposeOfLoan |
| Loan To Organization | X | LoanToOrganization |
| Original Principal | $241,451 | OriginalPrincipalAmount |
| Balance Due | 126806 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 126806 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DR STUART HAMILTON | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | THE CEO OF THE CENTER IS ALSO THE PAID CONSULTANT OF AN HMO | Relationship |
| Description Of Transaction | THE HEALTH CENTER RECEIVES INSURANCE PAYMENTS ON BEHALF OF ITS PATIENTS FROM THIS HMO. | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART IV LINE 1B | THE CEO OF THE HEALTH CENTER IS ALSO A PAID CONSULTANT OF AN HMO. |
| PART IV LINE 1D | THE HEALTH CENTER RECEIVES INSURANCE PAYMENTS ON BEHALF OF ITS PATIENTS FROM THIS HMO. |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercial
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 552968 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2003 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 200309 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | EQUIPMENT | 1 | 106664 | FAIR MARKET VALUE |
| X | DONATED ELIGIBILITY WORKERS | 2 | 57226 | FAIR MARKET VALUE |
| X | DONATED AMERICORP VISTAS WORKERS | 2 | 77750 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt XII, Line 2c | THE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT |
| ENGAGEMENT. | |
| Pt VI, Line 11a | THE ORGANIZATIONS FORM 990 IS REVIEWED BY THE CFO OF THE ORGANIZATION. |
| Pt VI, Line 12c | THE ORGANIZATION MONITORS THIS POLICY THROUGH OBSERVATION |
| AND INQUIRY OF OFFICERS, DIRECTORS, AND EMPLOYEES. | |
| Pt VI, Line 15 | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY | |
| AND SALARY INCREASES ARE BOARD APPROVED. | |
| Pt VI, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. | |
| Pt XI | PAGE 12 ITEM#5-CHANGE IN NET BALANCE DUE TO DECREASE IN TEMPORARILY |
| RESTRICTED NET ASSETS. |
Comments