OCRACOKE HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OCRACOKE HEALTH CENTER INC (EIN 56-1273237)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-14
IRS object ID
201223199349302767
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

FieldValueIRS element (for citing)
Timestamp2012-11-14T10:35:16-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEILER SINGLETON & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO DRAWER 1628AddressLine1
CityWASHINGTONCity
StateNCState
ZIP Code27889ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561273237EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCRACOKE HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOCRANameControl
Phone2529281511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 543AddressLine1
CityOCRACOKECity
StateNCState
ZIP Code27960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN C PENTZName
TitleCHAIRMANTitle
Phone2529281511Phone
Date Signed2012-11-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDENNIS W SEILERName
Phone2529468052Phone
Date Prepared2012-11-02DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts590843GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionPRIMARY CARE UNITActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year433115ContributionsGrantsPriorYear
Contributions Grants Current Year373030ContributionsGrantsCurrentYear
Program Service Revenue Prior Year210640ProgramServiceRevenuePriorYear
Program Service Revenue CY205806ProgramServiceRevenueCY
Investment Income Prior Year-4977InvestmentIncomePriorYear
Investment Income Current Year7InvestmentIncomeCurrentYear
Other Revenue Prior Year12000OtherRevenuePriorYear
Other Revenue Current Year12000OtherRevenueCurrentYear
Total Revenue Prior Year650778TotalRevenuePriorYear
Total Revenue Current Year590843TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year455979SalariesEtcPriorYear
Salaries Etc Current Year512843SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year228654OtherExpensePriorYear
Other Expenses Current Year171202OtherExpensesCurrentYear
Total Expenses Prior Year684633TotalExpensesPriorYear
Total Expenses Current Year684045TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-33855RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-93202RevenuesLessExpensesCY
Total Assets BOY661433TotalAssetsBOY
Total Assets EOY564993TotalAssetsEOY
Total Liabilities BOY43987TotalLiabilitiesBOY
Total Liabilities EOY40749TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY617446NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY524244NetAssetsOrFundBalancesEOY
Mission DescriptionPRIMARY CARE UNITMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense645136Expense
DescriptionPRIMARY CARE UNIT - MEDICAL - 3,500 PATIENTS EMERGENCY MEDICAL SERVICES FOR ISLAND RESIDENTS AND VISITORS.Description
Total Program Service Expense645136TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonOCRACOKE HEALTH CENTERNamePerson
Telephone Number2529281511TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 543AddressLine1
CityOCRACOKECity
StateNCState
ZIP Code27960ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SUE PENTZ
CHARIMAN1.00XX000
AMY HILTON
SECRETARY1.00XX000
JASON WELLS
TREASURER1.00XX000
BENJI HART
MEMBER1.00X000
ANN BORLAND
MEMBER1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants373030GovernmentGrants
Total Contributions373030TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Total Revenue Column205806TotalRevenueColumn
Related Or Exempt Function Income205806RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue205806TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7TotalRevenueColumn
Related Or Exempt Function Income7RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionHYDE CO. EMS BUILDING RENTDescription
Total Revenue Column12000TotalRevenueColumn
Related Or Exempt Function Income12000RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue12000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column590843TotalRevenueColumn
Related Or Exempt Function Income217813RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total422475Total
Program Services392902ProgramServices
Management And General29573ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total56802Total
Program Services52825ProgramServices
Management And General3977ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33566Total
Program Services31217ProgramServices
Management And General2349ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6700Total
Program Services6231ProgramServices
Management And General469ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16234Total
Program Services15097ProgramServices
Management And General1137ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2680Total
Program Services2492ProgramServices
Management And General188ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31072Total
Program Services31072ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHYSICIAN CONVERAGE4202942029
CONSUMABLES2533825338
PHARMACY PURCHASES1399713997
INSURANCE1262711743884

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total20525Total
Program Services20193ProgramServices
Management And General332ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total684045Total
Program Services645136ProgramServices
Management And General38909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY35023BOY
EOY1573EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10076BOY
EOY512EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY88393BOY
EOY55283EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5648BOY
EOY3498EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3204BOY
EOY16109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis874997LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec386979LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY519089BOY
EOY488018EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY661433BOY
EOY564993EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3709BOY
EOY3630EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY34966BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY23462EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5312BOY
EOY13657EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43987BOY
EOY40749EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY617446BOY
EOY524244EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY617446BOY
EOY524244EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY661433BOY
EOY564993EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-93202ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis47135OtherCostOrOtherBasis
Book Value47135BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis579970OtherCostOrOtherBasis
Depreciation197765Depreciation
Book Value382205BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24398OtherCostOrOtherBasis
Depreciation15349Depreciation
Book Value9049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis223494OtherCostOrOtherBasis
Depreciation173865Depreciation
Book Value49629BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings488018TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYROLL TAXES PAYABLEDescription
Amount$13,657Amount
FieldValueIRS element (for citing)
Total Of Amounts13657TotalOfAmounts
Total Revenue590843TotalRevenue
Total Expenses684045TotalExpenses
Excess Or Deficit For Year-93202ExcessOrDeficitForYear
Excess Or Deficit Per FS-93202ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt590843TotRevenueEtcAuditedFinclStmt
Revenue Subtotal590843RevenueSubtotal
Total Revenue Per Form990590843TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt684045TotExpensesEtcAuditedFinclStmt
Expenses Subtotal684045ExpensesSubtotal
Total Expenses Per Form990684045TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BRETURN REVIEWED BY DIRECTOR BEFORE FILING. THEN REPORTED ON AND PRESENTED TO BOD.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CDISCUSSED ANNUALLY AT BOARD MEETINGS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AREVIEW ANNUALLY BY ENTIRE BOD
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BALL EMPLOYEES TREATED THE SAME CONCERNING COMPENSATION.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.