OCRACOKE HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OCRACOKE HEALTH CENTER INC (EIN 56-1273237)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-14
IRS object ID
201113189349303906
Schema version
2010v3.4
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)
Timestamp2011-11-14T11:21:23-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2011-11-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDENNIS W SEILERName
Phone2529468052Phone
Date Prepared2011-11-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts655863GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionPRIMARY CARE UNITActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year423845ContributionsGrantsPriorYear
Contributions Grants Current Year433115ContributionsGrantsCurrentYear
Program Service Revenue Prior Year174793ProgramServiceRevenuePriorYear
Program Service Revenue CY210640ProgramServiceRevenueCY
Investment Income Prior Year24InvestmentIncomePriorYear
Investment Income Current Year-4977InvestmentIncomeCurrentYear
Other Revenue Prior Year12000OtherRevenuePriorYear
Other Revenue Current Year12000OtherRevenueCurrentYear
Total Revenue Prior Year610662TotalRevenuePriorYear
Total Revenue Current Year650778TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year394087SalariesEtcPriorYear
Salaries Etc Current Year455979SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year268710OtherExpensePriorYear
Other Expenses Current Year228654OtherExpensesCurrentYear
Total Expenses Prior Year662797TotalExpensesPriorYear
Total Expenses Current Year684633TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-52135RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-33855RevenuesLessExpensesCY
Total Assets BOY667527TotalAssetsBOY
Total Assets EOY661433TotalAssetsEOY
Total Liabilities BOY16226TotalLiabilitiesBOY
Total Liabilities EOY43987TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY651301NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY617446NetAssetsOrFundBalancesEOY
Mission DescriptionPRIMARY CARE UNITMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense649116Expense
DescriptionPRIMARY CARE UNIT - MEDICAL - 3,500 PATIENTS EMERGENCY MEDICAL SERVICES FOR ISLAND RESIDENTS AND VISITORS.Description
Total Program Service Expense649116TotalProgramServiceExpense
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 RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SUSAN DODD
VICE CHAIR1.00XX000
SUE PENTZ
CHARIMAN1.00XX000
AMY HILTON
SECRETARY1.00XX000
JASON WELLS
TREASURER1.00XX000
MARSHALL BURGESS
MEMBER1.00X000
ANN BORLAND
MEMBER1.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants430838GovernmentGrants
All Other Contributions2277AllOtherContributions
Total Contributions433115TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Total Revenue Column210640TotalRevenueColumn
Related Or Exempt Function Income210640RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue210640TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column108TotalRevenueColumn
Related Or Exempt Function Income108RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other5085Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-5085Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5085TotalRevenueColumn
Related Or Exempt Function Income-5085RelatedOrExemptFunctionIncome

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 Column650778TotalRevenueColumn
Related Or Exempt Function Income217663RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total378742Total
Program Services352230ProgramServices
Management And General26512ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total46642Total
Program Services44007ProgramServices
Management And General2635ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total30595Total
Program Services28571ProgramServices
Management And General2024ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5850Total
Program Services5440ProgramServices
Management And General410ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19974Total
Program Services18813ProgramServices
Management And General1161ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total7278Total
Program Services7278ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31167Total
Program Services31167ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHYSICIAN COVERAGE6112161121
OUTSIDE LABRATORY22458208861572
PHARMACY PURCHASES1725217252
CONSUMABLES-PHARMACEUTICA1257712577
INSURANCE1124910462787

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total39728Total
Program Services39312ProgramServices
Management And General416ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total684633Total
Program Services649116ProgramServices
Management And General35517ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13357BOY
EOY35023EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY52696BOY
EOY10076EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY42329BOY
EOY88393EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7350BOY
EOY5648EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1208BOY
EOY3204EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis874997LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec355908LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY550587BOY
EOY519089EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY667527BOY
EOY661433EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16226BOY
EOY3709EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
EOY34966EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY5312EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16226BOY
EOY43987EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY651301BOY
EOY617446EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY651301BOY
EOY617446EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY667527BOY
EOY661433EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-33855ReconcilationRevenueExpenses
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
Depreciation183266Depreciation
Book Value396704BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis24398OtherCostOrOtherBasis
Depreciation12796Depreciation
Book Value11602BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis223494OtherCostOrOtherBasis
Depreciation159846Depreciation
Book Value63648BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings519089TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPAYROLL TAXES PAYABLEDescription
Amount$5,312Amount
FieldValueIRS element (for citing)
Total Of Amounts5312TotalOfAmounts
Total Revenue650778TotalRevenue
Total Expenses684633TotalExpenses
Excess Or Deficit For Year-33855ExcessOrDeficitForYear
Excess Or Deficit Per FS-33855ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt650778TotRevenueEtcAuditedFinclStmt
Revenue Subtotal650778RevenueSubtotal
Total Revenue Per Form990650778TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt684633TotExpensesEtcAuditedFinclStmt
Expenses Subtotal684633ExpensesSubtotal
Total Expenses Per Form990684633TotalExpensesPerForm990

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.