RURAL HEALTH SERVICES INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- RURAL HEALTH SERVICES INC (EIN 23-7085643)
- Tax period
- 2009-06-01 to 2010-05-31
- Filed
- 2010-12-29
- IRS object ID
- 201110139349300616
- Schema version
- 2009v1.3
- 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 | 2010-12-29T12:59:02-08:00 | Timestamp |
| Tax Period End Date | 2010-05-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIMMONS RICHEY & COMPANY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 937 | AddressLine1 |
| City | LITHONIA | City |
| State | GA | State |
| ZIP Code | 300580937 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237085643 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RURAL HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RURA | NameControl |
| Phone | 8035939283 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 29822 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT T REEL JR | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8035939283 | Phone |
| Date Signed | 2010-12-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LEWIS J SIMMONS | Name |
| Phone | 7704849322 | Phone |
| Date Prepared | 2010-12-29 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT T REEL JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 298220277 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3198944 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.mjwchc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 45 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1472593 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1396321 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1996190 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1802288 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 854 | InvestmentIncomePriorYear |
| Investment Income Current Year | 335 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3469637 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3198944 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1657418 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1580132 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1841790 | OtherExpensePriorYear |
| Other Expenses Current Year | 1757922 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3499208 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3338054 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -29571 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -139110 | RevenuesLessExpensesCY |
| Total Assets BOY | 736267 | TotalAssetsBOY |
| Total Assets EOY | 650568 | TotalAssetsEOY |
| Total Liabilities BOY | 1078952 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1132363 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -342685 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -481795 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDES HEALTH CARE SERVICES | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2489059 | Expense |
| Revenue | 1802288 | Revenue |
| Description | THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SC AND SURROUNDING AREAS. THE ORGANIZATION HAD APPROXIMATELY 22,399 PATIENT ENCOUNTERS FOR THE PERIOD. | Description |
| Total Program Service Expense | 2489059 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 | false | 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 | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 45 | 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 |
| 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 | SC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT T REEL JR CFO | NamePerson |
| Telephone Number | 8035939283 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 29822 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MONA FLANIGAN | ||||||||
| BOARD CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| KEN BALDWIN | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LILLIE JUMPP | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANTOINETTE NOBLE-WEBB | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHN FRANKLIN | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SANDY MCCOLLUM | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DIEGA GARCIA | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR ROSA ISHMAL | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROLAND SMITH | ||||||||
| BOARDMEMEBER | 1.00 | X | 0 | 0 | 0 | |||
| HARVEY TOLLISON | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROBERT T REEL JR | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 20352 | 0 | 0 | X | |||
| ERIC M SCHLEUTER | ||||||||
| MEDICAL DIRECTOR | 40.00 | 127544 | 0 | 0 | X | X | ||
| UDAY K DOPPALAPUDI | ||||||||
| MEDICAL DOCTOR | 40.00 | 100242 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 248138 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LLOYD P DANIELS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 2471 | AddressLine1 |
| City | AIKEN | City |
| State | SC | State |
| ZIP Code | 29801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | PHYSICIAN OB/GYN | DescriptionOfServices |
| Compensation | 101250 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 1064997 | GovernmentGrants |
| All Other Contributions | 331324 | AllOtherContributions |
| Noncash Contributions | 325324 | NoncashContributions |
| Total Contributions | 1396321 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT CARE REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 1802288 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1802288 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1802288 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 335 | TotalRevenueColumn |
| Exclusion | $335 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3198944 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1802288 | RelatedOrExemptFunctionIncome |
| Exclusion | $335 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156334 | Total |
| Program Services | 108114 | ProgramServices |
| Management And General | 48220 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1238543 | Total |
| Program Services | 826785 | ProgramServices |
| Management And General | 411758 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80578 | Total |
| Program Services | 72287 | ProgramServices |
| Management And General | 8291 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104677 | Total |
| Program Services | 71863 | ProgramServices |
| Management And General | 32814 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246312 | Total |
| Program Services | 246312 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2232 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2232 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12004 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 12004 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63237 | Total |
| Program Services | 4330 | ProgramServices |
| Management And General | 58907 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25946 | Total |
| Program Services | 4636 | ProgramServices |
| Management And General | 21310 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14587 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 14587 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59826 | Total |
| Program Services | 7869 | ProgramServices |
| Management And General | 51957 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5192 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5192 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 482043 | 482043 | 0 | 0 |
| MEDICAL AND OTHER SUPPLIES | 181206 | 151613 | 29593 | 0 |
| PROFESSIONAL FEES | 88972 | 0 | 88972 | 0 |
| DONATED DRUGS | 326818 | 326818 | 0 | 0 |
| TELEPHONE | 45844 | 699 | 45145 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203703 | Total |
| Program Services | 185690 | ProgramServices |
| Management And General | 18013 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3338054 | Total |
| Program Services | 2489059 | ProgramServices |
| Management And General | 848995 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22771 | BOY |
| EOY | 40846 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 449802 | BOY |
| EOY | 168932 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28473 | BOY |
| EOY | 21228 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1599225 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1184633 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 235221 | BOY |
| EOY | 414592 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4970 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 736267 | BOY |
| EOY | 650568 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 908256 | BOY |
| EOY | 924860 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 70592 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170696 | BOY |
| EOY | 132718 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 4193 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1078952 | BOY |
| EOY | 1132363 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -444539 | BOY |
| EOY | -487284 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101854 | BOY |
| EOY | 5489 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -342685 | BOY |
| EOY | -481795 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 736267 | BOY |
| EOY | 650568 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 662355 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1275445 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 720961 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1024603 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1461937 | CurrentTaxYear |
| Total | 5145301 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 662355 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1275445 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 720961 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1024603 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1461937 | CurrentTaxYear |
| Total | 5145301 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 2087002 | AmountsSubstContributorsTotal |
| Public Support Total170 | 3058299 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4565 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2359 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2143 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 854 | CurrentTaxYearMinus1Year |
| Current Tax Year | 335 | CurrentTaxYear |
| Total | 10256 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5155557 | TotalSupport |
| Public Support Pertcentage170 | 0.59320 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.43110 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $1 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt II-B Line 1i | Identifier |
| Explanation | THE ORGANIZATION PAYS DUES TO THE S. C. PRIMARY CARE ASSOCIATION WHICH IN TURN EXPENDS FUNDS TO LOBBY ON BEHALF OF COMMUNITY HEALTH CENTERS. THE AMOUNT EXPENDED BY THE ASSOCIATION CANNOT BE READILY DETERMINED | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51068 | OtherCostOrOtherBasis |
| Book Value | 51068 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 804501 | OtherCostOrOtherBasis |
| Depreciation | 763730 | Depreciation |
| Book Value | 40771 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93218 | OtherCostOrOtherBasis |
| Depreciation | 26788 | Depreciation |
| Book Value | 66430 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 628448 | OtherCostOrOtherBasis |
| Depreciation | 380650 | Depreciation |
| Book Value | 247798 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21990 | OtherCostOrOtherBasis |
| Depreciation | 13465 | Depreciation |
| Book Value | 8525 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 414592 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEPOSIT | Description |
| Book Value | 4970 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4970 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAPITAL LEASE | Description |
| Amount | $4,193 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4193 | TotalOfAmounts |
| Total Revenue | 3198944 | TotalRevenue |
| Total Expenses | 3338054 | TotalExpenses |
| Excess Or Deficit For Year | -139110 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -139110 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3212719 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 13775 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 13775 | RevenueNotRptdF990 |
| Revenue Subtotal | 3198944 | RevenueSubtotal |
| Total Revenue Per Form990 | 3198944 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3351829 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 13775 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 13775 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3338054 | ExpensesSubtotal |
| Total Expenses Per Form990 | 3338054 | TotalExpensesPerForm990 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 325324 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-B, Line 11A | THE CEO AND CFO REVIEW THE 990 PRIOR TO FILING WITH THE IRS. |
| Pt VI-B, Line 12c | ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF |
| Pt VI-B, Line 12c | INTEREST STATEMENT COMPLIES WITH THE CONFLICT OF INTEREST |
| Pt VI-B, Line 12c | POLICY. |
| Pt VI-B, Line 15 | THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION |
| Pt VI-B, Line 15 | OF COMMUNITY HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE |
| Pt VI-B, Line 15 | COMPLETED COMPENSATION SURVEYS THAT LIST COMPENSATION BY |
| Pt VI-B, Line 15 | FUNCTION AND REGION OF EMPLOYMENT. USING THIS SURVEY IS |
| Pt VI-B, Line 15 | THE INITIAL STAGE OF COMPENSATION EVALUATION. THE |
| Pt VI-B, Line 15 | ORGANIZATION ALSO WILL REVIEW THE APPLICANTS REQUESTED |
| Pt VI-B, Line 15 | COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY |
| Pt VI-B, Line 15 | BUDGETED BASELINES AS APPROVED BY THE BOARD. |
| Pt VI-C, Line 19 | THESE DOCUMENTS ARE AVAILABLE IN COMPLIANCE WITH THE |
| Pt VI-C, Line 19 | FREEDOM OF INFORMATION ACT THROUGH HRSA. |
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