SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE INC (EIN 64-0625076)
Tax period: 2010-02-01 to 2011-01-31
Filed: 2011-06-02
IRS object ID: 201111539349300311
Schema version: 2010v3.2
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	2011-06-02T09:33:43-07:00	Timestamp
Tax Period End Date	2011-01-31	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	2010-02-01	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	INTERIM CHIEF EXECUTIVE OFFICER	Title
Phone	6015458700	Phone
Date Signed	2011-04-26	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TERRY HORNE	Name
Phone	6154447293	Phone
Date Prepared	2011-06-02	DatePrepared

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	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	16096259	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	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	223	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	6324528	ContributionsGrantsPriorYear
Contributions Grants Current Year	7178218	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	8362467	ProgramServiceRevenuePriorYear
Program Service Revenue CY	8862196	ProgramServiceRevenueCY
Investment Income Prior Year	23133	InvestmentIncomePriorYear
Investment Income Current Year	35825	InvestmentIncomeCurrentYear
Other Revenue Prior Year	21840	OtherRevenuePriorYear
Other Revenue Current Year	20020	OtherRevenueCurrentYear
Total Revenue Prior Year	14731968	TotalRevenuePriorYear
Total Revenue Current Year	16096259	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	9126350	SalariesEtcPriorYear
Salaries Etc Current Year	9609210	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4918393	OtherExpensePriorYear
Other Expenses Current Year	5229023	OtherExpensesCurrentYear
Total Expenses Prior Year	14044743	TotalExpensesPriorYear
Total Expenses Current Year	14838233	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	687225	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1258026	RevenuesLessExpensesCY
Total Assets BOY	9562047	TotalAssetsBOY
Total Assets EOY	9876320	TotalAssetsEOY
Total Liabilities BOY	5456284	TotalLiabilitiesBOY
Total Liabilities EOY	4512531	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4105763	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5363789	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION PROVIDES HEALTH CARE	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	12061714	Expense
Revenue	8862196	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 88,100 VISITS WERE PROVIDED DURING THE YEAR.	Description
Total Program Service Expense	12061714	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	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
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	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	223	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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	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	false	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 (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
KERMIT RAYBORN
BOARD PRESIDENT	1.00	X	0	0	0
BILL FOLKES
BOARD VICE PRESIDENT	1.00	X	0	0	0
KAREN SPEED
SECRETARY	1.00	X	0	0	0
JOYCE WOULLARD
TREASURER	1.00	X	0	0	0
GINGER BURKS
BOARD MEMBER	1.00	X	0	0	0
NANNI T FREEMAN
BOARD MEMBER	1.00	X	0	0	0
ERIC J BRADLEY
BOARD MEMBER	1.00	X	0	0	0
DESSIE WILLIAMS
BOARD MEMBER	1.00	X	0	0	0
SHARENE CONERLY
BOARD MEMBER	1.00	X	0	0	0
HULDAH INGRAM
BOARD MEMBER	1.00	X	0	0	0
FRANKINE THOMAS
BOARD MEMBER	1.00	X	0	0	0
HOPE THOMLEY
CHIEF EXECUTIVE OFFICER	40.00		123713	0	61451	X
BRANDON COLEMAN
MEDICAL DIRECTOR	40.00		244475	0	71692	X
MICAH POOLE
CHIEF FINANCIAL OFFICER	40.00		83511	0	60486	X
GEROLDEAN DYSE
CHIEF OPERATIONAL OFFICER	40.00		83263	0	66019	X
GRADY SWANN
CHIEF INFORMATION OFFICER	40.00		73007	0	57126	X
CHRIS WOOTEN
CHIEF HUMAN RESOURCE OFFICER	40.00		69016	0	56137	X
KEITH KERSTEN
PHYSICIAN	40		168534		69450		X
QUENYATTA ECHOLS-WILLIAMS
PHYSICIAN	40		142151		66463		X
LAWRENCE NAYLOR
DENTIST	40		121108		65917		X
MICHELLE LAI-VELEZ
PHYSICIAN	40		121825		26239		X
JAMES GRIFFIN
PHYSICIAN	40		129370		5893		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1359973	TotalReportableCompFromOrg
Total Other Compensation	606873	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	360829
ALLSCRIPTS
24630 NETWORK PLACE	CHICAGO	IL	606731246	COMPUTER SERVICES	284655
FORREST GENERAL HOSPITAL
PO BOX 16389	HATTIESBURG	MS	39404	X-RAY & OB SERVICES	261049
PIERCON
23 LIBERTY PLACE	HATTIESBURG	MS	39402	CONTRACTUAL CONSTRUCTION SERVICES	523073
CDW-G COMPUTER CENTERS INC
75 REMITTANCE DR SUITE 1515	CHICAGO	IL	606751515	SOFTWARE SUPPORT	160823

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	6683247	GovernmentGrants
All Other Contributions	494971	AllOtherContributions
Total Contributions	7178218	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT FEES	Description
Business Code	624100	BusinessCode
Total Revenue Column	8862196	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Program Service Revenue	8862196	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	35825	TotalRevenueColumn
Exclusion	$35,825	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	20020	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	20020	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	20020	TotalRevenueColumn
Exclusion	$20,020	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	16096259	TotalRevenueColumn
Related Or Exempt Function Income	8862196	RelatedOrExemptFunctionIncome
Exclusion	$55,845	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	676985	Total
Program Services	244475	ProgramServices
Management And General	432510	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6831138	Total
Program Services	6289197	ProgramServices
Management And General	541941	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	821736	Total
Program Services	714910	ProgramServices
Management And General	106826	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	793110	Total
Program Services	694001	ProgramServices
Management And General	99109	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	486241	Total
Program Services	423030	ProgramServices
Management And General	63211	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3818	Total
Program Services	0	ProgramServices
Management And General	3818	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	23750	Total
Program Services	0	ProgramServices
Management And General	23750	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1413251	Total
Program Services	995211	ProgramServices
Management And General	418040	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2074422	Total
Program Services	1360115	ProgramServices
Management And General	714307	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	830105	Total
Program Services	738548	ProgramServices
Management And General	91557	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	200955	Total
Program Services	80728	ProgramServices
Management And General	120227	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	647336	Total
Program Services	489652	ProgramServices
Management And General	157684	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	35386	Total
Program Services	31847	ProgramServices
Management And General	3539	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	14838233	Total
Program Services	12061714	ProgramServices
Management And General	2776519	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	825100	BOY
EOY	834141	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	547516	BOY
EOY	734138	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	366674	BOY
EOY	363783	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	204390	BOY
EOY	113205	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10446081	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3667976	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6601190	BOY
EOY	6778105	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1017177	BOY
EOY	1052948	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9562047	BOY
EOY	9876320	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1278983	BOY
EOY	859887	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	4177301	BOY
EOY	3652644	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	5456284	BOY
EOY	4512531	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3976330	BOY
EOY	5208060	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	129433	BOY
EOY	155729	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4105763	BOY
EOY	5363789	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9562047	BOY
EOY	9876320	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	1258026	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	4313255	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5273719	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5611133	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6324528	CurrentTaxYearMinus1Year
Current Tax Year	7178218	CurrentTaxYear
Total	28700853	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4313255	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	5273719	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5611133	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	6324528	CurrentTaxYearMinus1Year
Current Tax Year	7178218	CurrentTaxYear
Total	28700853	Total

Field	Value	IRS element (for citing)
Public Support Total170	28700853	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26940	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	46294	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	44779	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	45373	CurrentTaxYearMinus1Year
Current Tax Year	55845	CurrentTaxYear
Total	219231	Total

Field	Value	IRS element (for citing)
Total Support	28920084	TotalSupport
Gross Receipts From Admissions Etc	39036801	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99240	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99160	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	8410521	InvestmentCostOrOtherBasis
Depreciation	2526344	Depreciation
Book Value	5884177	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1775035	InvestmentCostOrOtherBasis
Depreciation	1141632	Depreciation
Book Value	633403	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6778105	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
DEPOSITS	6653
INVESTMENTS	1046295

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1052948	TotalBookValueOtherAssets
Total Revenue	16096259	TotalRevenue
Total Expenses	14838233	TotalExpenses
Excess Or Deficit For Year	1258026	ExcessOrDeficitForYear
Excess Or Deficit Per FS	1258026	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	16096259	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	16096259	RevenueSubtotal
Total Revenue Per Form990	16096259	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	14838233	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	14838233	ExpensesSubtotal
Total Expenses Per Form990	14838233	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	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg
HOPE THOMLEY
123713	54868	6583	185164	207486
BRANDON COLEMAN
244475	64529	7163	316167	280190
KEITH KERSTEN
168534	58454	10996	237984	234889
QUENYATTA ECHOLS-WILLIAMS
142151	56343	10120	208614	200682
LAWRENCE NAYLOR
121108	54660	11258	187026	201586

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI-B, 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-B, 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-B, 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-C, 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.