BATON ROUGE PRIMARY CARE COLLABORATIVE INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BATON ROUGE PRIMARY CARE COLLABORATIVE INC (EIN 41-2114148)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-02-28
IRS object ID: 201130599349300358
Schema version: 2009v1.7
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 B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-28T18:05:26-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Faulk & Winkler LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6811 Jefferson Highway	AddressLine1
City	Baton Rouge	City
State	LA	State
ZIP Code	70806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	412114148	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Baton Rouge Primary Care Collaborative Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BATO	NameControl
Phone	2257741120	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	7855 Howell Blvd No 330	AddressLine1
City	Baton Rouge	City
State	LA	State
ZIP Code	70807	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Rebecca Singleton	Name
Title	Interim CEO	Title
Phone	2257741120	Phone
Date Signed	2011-02-21	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Faulk Winkler LLC	Name
Phone	2259276811	Phone
Self Employed	X	SelfEmployed

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	Rebecca Singleton	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	7855 Howell Blvd No 330	AddressLine1
City	Baton Rouge	City
State	LA	State
ZIP Code	70807	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1528458	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	LA	StateLegalDomicile
Activity Or Mission Description	Provide health care regardless of patient's ability to pay.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	24	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	709132	ContributionsGrantsPriorYear
Contributions Grants Current Year	1057409	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	304515	ProgramServiceRevenuePriorYear
Program Service Revenue CY	470532	ProgramServiceRevenueCY
Investment Income Prior Year	509	InvestmentIncomePriorYear
Investment Income Current Year	296	InvestmentIncomeCurrentYear
Other Revenue Prior Year	421	OtherRevenuePriorYear
Other Revenue Current Year	221	OtherRevenueCurrentYear
Total Revenue Prior Year	1014577	TotalRevenuePriorYear
Total Revenue Current Year	1528458	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	712742	SalariesEtcPriorYear
Salaries Etc Current Year	656326	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	31535	TotalFundrsngExpCurrentYear
Other Expense Prior Year	429910	OtherExpensePriorYear
Other Expenses Current Year	550795	OtherExpensesCurrentYear
Total Expenses Prior Year	1142652	TotalExpensesPriorYear
Total Expenses Current Year	1207121	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-128075	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	321337	RevenuesLessExpensesCY
Total Assets BOY	277193	TotalAssetsBOY
Total Assets EOY	530597	TotalAssetsEOY
Total Liabilities BOY	166621	TotalLiabilitiesBOY
Total Liabilities EOY	139724	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	110572	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	390873	NetAssetsOrFundBalancesEOY
Mission Description	To provide high quality comprehensive health care services for the under-served population of East Baton Rouge Parish and the surrounding areas regardless of ability to pay.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	726581	Expense
Revenue	470753	Revenue
Description	Promoted health care by providing comprehensive outpatient medical services to persons residing within the vicinity of two medical clinics.	Description
Total Program Service Expense	726581	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	14	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	24	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	0	ConflictOfInterestPolicy
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	0	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Organization	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	2257741120	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7855 Howell Blvd Ste 330	AddressLine1
City	Baton rouge	City
State	LA	State
ZIP Code	70807	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Patricia Melson
President	2.00	X	X	0	0	0
Valerie jackson-Jones
Vice President	2.00	X	X	0	0	0
Walter Edwards
Secretary	2.00	X	X	0	0	0
Inger Chew
Treasurer	2.00	X	X	0	0	0
Martha Forbes
Board member	2.00	X		0	0	0
Steve sellars
board member	2.00	X		0	0	0
Lonnie Wilkinson
board member	2.00	X		0	0	0
Andrew Davis
board member	2.00	X		0	0	0
JL Forbes
board member	2.00	X		0	0	0
Evens rodney
board member	2.00	X		0	0	0
Rebecca Singleton
Interim CEO	40.00		X	0	0	0
Edward Madison III
Doctor	40.00			115198	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	115198	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	1057409	GovernmentGrants
Total Contributions	1057409	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Services	Description
Business Code	621110	BusinessCode
Total Revenue Column	470532	TotalRevenueColumn
Related Or Exempt Function Income	470532	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	470532	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	296	TotalRevenueColumn
Exclusion	$296	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous Income	Description
Business Code	900099	BusinessCode
Total Revenue Column	221	TotalRevenueColumn
Related Or Exempt Function Income	221	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	221	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1528458	TotalRevenueColumn
Related Or Exempt Function Income	470753	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$296	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	565400	Total
Program Services	349805	ProgramServices
Management And General	215595	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	44214	Total
Program Services	44214	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	46712	Total
Program Services	30842	ProgramServices
Management And General	15870	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2013	Total
Management And General	2013	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	4000	Total
Management And General	4000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	195061	Total
Program Services	129202	ProgramServices
Management And General	65859	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	12059	Total
Program Services	9851	ProgramServices
Management And General	1546	ManagementAndGeneral
Fundraising	662	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	80794	Total
Program Services	1805	ProgramServices
Management And General	55292	ManagementAndGeneral
Fundraising	23697	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	19538	Total
Management And General	19538	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	58735	Total
Program Services	55588	ProgramServices
Management And General	3147	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	14513	Total
Management And General	10159	ManagementAndGeneral
Fundraising	4354	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	9405	Total
Management And General	6583	ManagementAndGeneral
Fundraising	2822	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23725	Total
Program Services	6839	ProgramServices
Management And General	16886	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7939	Total
Program Services	5681	ProgramServices
Management And General	2258	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	68252	68252
Training & Recruitment	20685	2788	17897
Repairs & Maintenance	20042	14337	5705
Dues and Subscriptions	11390	6264	5126
Donation	1531		1531

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1113	Total
Program Services	1113	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1207121	Total
Program Services	726581	ProgramServices
Management And General	449005	ManagementAndGeneral
Fundraising	31535	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	136073	BOY
EOY	195859	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	56761	BOY
EOY	61847	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	81391	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27680	BOY
EOY	69147	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	196727	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	74374	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	56679	BOY
EOY	122353	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	277193	BOY
EOY	530597	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	53217	BOY
EOY	83022	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	113404	BOY
EOY	56702	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	166621	BOY
EOY	139724	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	110572	BOY
EOY	390873	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	110572	BOY
EOY	390873	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	277193	BOY
EOY	530597	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	612825	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	861614	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	795732	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	709132	CurrentTaxYearMinus1Year
Current Tax Year	1057409	CurrentTaxYear
Total	4036712	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	170032	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	217789	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	204103	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	304515	CurrentTaxYearMinus1Year
Current Tax Year	470532	CurrentTaxYear
Total	1366971	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	782857	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1079403	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	999835	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1013647	CurrentTaxYearMinus1Year
Current Tax Year	1527941	CurrentTaxYear
Total	5403683	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	5403683	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	79	CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years	27223	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	509	CurrentTaxYearMinus1Year
Current Tax Year	296	CurrentTaxYear
Total	28107	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	79	CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years	27223	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	509	CurrentTaxYearMinus1Year
Current Tax Year	296	CurrentTaxYear
Total	28107	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	421	CurrentTaxYearMinus1Year
Current Tax Year	221	CurrentTaxYear
Total	642	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	782936	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1079403	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1027058	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1014577	CurrentTaxYearMinus1Year
Current Tax Year	1528458	CurrentTaxYear
Total	5432432	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99470	PublicSupportPercentage509
Prior Year Support Percentage	0.99280	PriorYearSupportPercentage
Investment Income Percentage	0.00520	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00710	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	Schedule A, Part IV, Supplemental Information: Part III, Section B, Line 12: Miscellaneous Income	GeneralExplanation

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 D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	179356	OtherCostOrOtherBasis
Depreciation	63799	Depreciation
Book Value	115557	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17371	OtherCostOrOtherBasis
Depreciation	10575	Depreciation
Book Value	6796	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	122353	TotalOfBookValueLandBuildings
Total Revenue	1528458	TotalRevenue
Total Expenses	1207121	TotalExpenses
Excess Or Deficit For Year	321337	ExcessOrDeficitForYear
Prior Period Adjustments	-41036	PriorPeriodAdjustments
Total Adjustments	-41036	TotalAdjustments
Excess Or Deficit Per FS	280301	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1528458	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1528458	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1528458	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1207121	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1207121	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1207121	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 3	Rebecca Singleton is an officer assigned by the United States Public Health Service (USPHS) Commission Corps to manage the organization. Rebecca worked full time for the organiation but was compensated for her services by the United States Public Health Service Commission Corps, which is not a related organization.
Form 990, Part VI, Section B, line 11	Form 990 was submitted electronically to the board members for review and approved at a board meeting prior to filing with the IRS.
Form 990, Part VI, Section B, line 15b	The Interim CEO reviews the compensation of key employees.
Form 990, Part VI, Section C, line 19	The documents are available to the public upon request.
Part XI, Line 2C:	The Board is in the process of voting in qualified members to be on the finance committee.