HEALTH SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEALTH SERVICES INC (EIN 63-0568762)
Tax period
2010-02-01 to 2011-01-31
Filed
2011-09-13
IRS object ID
201122569349300332
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)
Timestamp2011-09-13T13:23:04-05:00Timestamp
Tax Period End Date2011-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCKEAN & ASSOCIATES PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13224 EXECUTIVE PARK CIRCLEAddressLine1
CityMOBILECity
StateALState
ZIP Code36606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630568762EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone3342632301Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O DRAWER 70365AddressLine1
CityMONTGOMERYCity
StateALState
ZIP Code361070365ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameC BERNELL MAPPName
TitleCEOTitle
Phone3342632301Phone
Date Signed2011-09-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameREBECCA S REIBLINGName
Phone2514713800Phone
Date Prepared2011-09-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonC BERNELL MAPPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14178 LOMAC STREETAddressLine1
CityMONTGOMERYCity
StateALState
ZIP Code36106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22238576GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HSERVINC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1968YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVEDActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees305TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7514477ContributionsGrantsPriorYear
Contributions Grants Current Year12374187ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7489808ProgramServiceRevenuePriorYear
Program Service Revenue CY9817560ProgramServiceRevenueCY
Investment Income Prior Year2827InvestmentIncomePriorYear
Investment Income Current Year1555InvestmentIncomeCurrentYear
Other Revenue Prior Year35120OtherRevenuePriorYear
Other Revenue Current Year42761OtherRevenueCurrentYear
Total Revenue Prior Year15042232TotalRevenuePriorYear
Total Revenue Current Year22236063TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10449452SalariesEtcPriorYear
Salaries Etc Current Year12527193SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4302328OtherExpensePriorYear
Other Expenses Current Year5158855OtherExpensesCurrentYear
Total Expenses Prior Year14751780TotalExpensesPriorYear
Total Expenses Current Year17686048TotalExpensesCurrentYear
Revenues Less Expenses Prior Year290452RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4550015RevenuesLessExpensesCY
Total Assets BOY4507839TotalAssetsBOY
Total Assets EOY10914426TotalAssetsEOY
Total Liabilities BOY2503820TotalLiabilitiesBOY
Total Liabilities EOY4360392TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2004019NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6554034NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTHCARE TO THE MEDICALLY UNDERSERVEDMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12519180Expense
Revenue9817560Revenue
DescriptionHEALTHCARE AND ANCILLARY SERVICES TO THE MEDICALLY UNDERSERVED. WE SERVE APPROXIMATELY 30,000 PATIENTS.Description
Total Program Service Expense12519180TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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 AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 RequiredtrueScheduleJRequired
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 ContributionstrueDeductibleNonCashContributions
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 With1096162NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees305NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGEORGE WALDROPNamePerson
Telephone Number3342632301TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO DRAWER 70365AddressLine1
CityMONTGOMERYCity
StateALState
ZIP Code361070365ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BERRY SANDRA
DIRECTOR1.00X000
BINION JESSIE
DIRECTOR1.00X000
BROWN JAMES
VICE CHAIRPE1.00X000X
CALDWELL ELIZABETH
TREASURER1.00X000X
DOUGLAS CLAUDE
DIRECTOR1.00X000
DUBOSE JANICE
DIRECTOR1.00X000
DURR JANICE
DIRECTOR1.00X000
DARRINGTON GILBERT
CHAIRPERSON1.00X000X
DOWNES JEFF
DIRECTOR1.00X000
JOHNSON MAGGIE
DIRECTOR1.00X000
ROBERTSON TERRY
DIRECTOR1.00X000
OWES JAUNITA
DIRECTOR1.00X000
STEWART PAMELA
SECRETARY1.00X000X
RUSSELL NICOLETTE
DIRECTOR1.00X000
THOMAS CLASSIE
DIRECTOR1.00X000
WHITTINGTON DR LYNN
DIRECTOR1.00X000
YOUNG-WHITE CLARA
DIRECTOR1.00X000
MAPP C BERNELL
CEO40.00238259042468X
MCINTYRE JULIAN
MEDICAL DIR40.00365000015598X
THOMAS GEORGE
PHYSICIAN40.00228421016315X
FERLISI JOSEPH
PHYSICIAN40.00185584013510X
ZAIED MAHMOOD
PHYSICIAN40.00181887013979X
HOLLOWAY ALBERT
PHYSICIAN40.0017544509220X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1374596TotalReportableCompFromOrg
Total Other Compensation111090TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonLAB CORPNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 12140AddressLine1
CityBURLINGTONCity
StateNCState
ZIP Code272162140ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLAB SERVICESDescriptionOfServices
Compensation261700Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns25043FederatedCampaigns
Government Grants11291253GovernmentGrants
All Other Contributions1057891AllOtherContributions
Noncash Contributions887627NoncashContributions
Total Contributions12374187TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYMENTS74716817471681
SELF PAY13517031351703
THIRD PARTY INSURANCE623083623083
GIFT OF LIFE290335290335
HEALTH MGMT REPORT INCOME5033850338

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column30420TotalRevenueColumn
Related Or Exempt Function Income30420RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9817560TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4068TotalRevenueColumn
Exclusion$4,068ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2513Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2513Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2513TotalRevenueColumn
Related Or Exempt Function Income-2513RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL RECORDS3308233082
HPSA INCOME90439043
MISCELLANEOUS636636
FieldValueIRS element (for citing)
Total Other Revenue42761TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22236063TotalRevenueColumn
Related Or Exempt Function Income9857808RelatedOrExemptFunctionIncome
Exclusion$4,068ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total238259Total
Management And General238259ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10408860Total
Program Services8159152ProgramServices
Management And General2249708ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total471327Total
Management And General471327ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total690049Total
Management And General690049ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total718698Total
Program Services547684ProgramServices
Management And General171014ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total40713Total
Management And General40713ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21691Total
Management And General21691ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1018264Total
Program Services719635ProgramServices
Management And General298629ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total92140Total
Program Services86197ProgramServices
Management And General5943ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2103113Total
Program Services1956340ProgramServices
Management And General146773ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1227409Total
Program Services690517ProgramServices
Management And General536892ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total153569Total
Program Services86243ProgramServices
Management And General67326ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48865Total
Program Services30085ProgramServices
Management And General18780ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total87718Total
Program Services16706ProgramServices
Management And General71012ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total161342Total
Program Services151975ProgramServices
Management And General9367ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total94661Total
Program Services2976ProgramServices
Management And General91685ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER EXPENSES6456164561
DUES & SUBSCRIPTIONS44809710937700

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17686048Total
Program Services12519180ProgramServices
Management And General5166868ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY26020BOY
EOY87669EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY791072BOY
EOY1778337EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY529872BOY
EOY373041EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1396688BOY
EOY1539134EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY207700BOY
EOY115190EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24703BOY
EOY54269EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7691138LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1567869LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1531509BOY
EOY6123269EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY275BOY
EOY843517EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4507839BOY
EOY10914426EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1634141BOY
EOY2330890EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY869679BOY
EOY2029502EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2503820BOY
EOY4360392EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1996565BOY
EOY6544580EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7454BOY
EOY9454EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2004019BOY
EOY6554034EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4507839BOY
EOY10914426EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4550015ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7262641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7304194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7207349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7514477CurrentTaxYearMinus1Year
Current Tax Year12374187CurrentTaxYear
Total41662848Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7262641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7304194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7207349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7514477CurrentTaxYearMinus1Year
Current Tax Year12374187CurrentTaxYear
Total41662848Total
FieldValueIRS element (for citing)
Public Support Total17041662848PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years29941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2827CurrentTaxYearMinus1Year
Current Tax Year4068CurrentTaxYear
Total61778Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75241CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25053CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21735CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35120CurrentTaxYearMinus1Year
Current Tax Year42761CurrentTaxYear
Total199910Total
FieldValueIRS element (for citing)
Total Support41924536TotalSupport
Gross Receipts From Admissions Etc40732765GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99380PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99170PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

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 Basis265265OtherCostOrOtherBasis
Book Value265265BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis841115OtherCostOrOtherBasis
Depreciation233804Depreciation
Book Value607311BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis198725OtherCostOrOtherBasis
Depreciation170654Depreciation
Book Value28071BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1493124OtherCostOrOtherBasis
Depreciation1067326Depreciation
Book Value425798BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4892909OtherCostOrOtherBasis
Depreciation96085Depreciation
Book Value4796824BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6123269TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
GOODWILL843517
SOFTWARE (NET OF AMORTIZATION)
FieldValueIRS element (for citing)
Total Book Value Other Assets843517TotalBookValueOtherAssets
Total Revenue22236063TotalRevenue
Total Expenses17686048TotalExpenses
Excess Or Deficit For Year4550015ExcessOrDeficitForYear
Excess Or Deficit Per FS4550015ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22405275TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities169212DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990169212RevenueNotRptdF990
Revenue Subtotal22236063RevenueSubtotal
Total Revenue Per Form99022236063TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17855260TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities169212DonatedServicesUseOfFacilities
Expenses Not Rptd F990169212ExpensesNotRptdF990
Expenses Subtotal17686048ExpensesSubtotal
Total Expenses Per Form99017686048TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MAPP C BERNELL
23743661762391323336280727
MCINTYRE JULIAN
36468161258122503348380598
THOMAS GEORGE
22759861762119474368244736
FERLISI JOSEPH
18428761123695863924199094
ZAIED MAHMOOD
1816886113896114368195866
HOLLOWAY ALBERT
150384250618794426184665

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990887627NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CONTROLLER, CFO, AND CEO REVIEW SUPPORT DOCUMENTS AND AUDITED FINANCIAL STATEMENTS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CMONITORED BY THE CORPORATE COMPLIANCE OFFICER
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS UTILIZE AN INDEPENDENT NATIONAL LEGAL FIRM OF THE ORGANIZATION'S ASSOCIATION TO DETERMINE APPROPRIATE CEO COMPENSATION.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BOTHER KEY EMPLOYEE COMPENSATION IS DETERMINED BY USING PUBLISHED MATERIALS AND LOCAL COMPARABILITY DATA.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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