CHOTA COMMUNITY HEALTH SERVICES: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHOTA COMMUNITY HEALTH SERVICES (EIN 68-0560048)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-10-31
- IRS object ID
- 201133049349300018
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-31T07:37:25-07:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | 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 | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680560048 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHOTA COMMUNITY HEALTH SERVICES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHOT | NameControl |
| Phone | 4234427268 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1206 HWY 411 | AddressLine1 |
| City | VONORE | City |
| State | TN | State |
| ZIP Code | 37885 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA LEVIN MD | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 4234427268 | Phone |
| Date Signed | 2011-10-25 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY HORNE | Name |
| Phone | 6154447293 | Phone |
| Date Prepared | 2011-10-31 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARBARA LEVIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1206 HWY 411 | AddressLine1 |
| City | VONORE | City |
| State | TN | State |
| ZIP Code | 37885 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6444802 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | TN | 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 115 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 968164 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1482841 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4718537 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4941415 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2364 | InvestmentIncomePriorYear |
| Investment Income Current Year | 506 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 28760 | OtherRevenuePriorYear |
| Other Revenue Current Year | 20040 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5717825 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6444802 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4461937 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4687655 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1543280 | OtherExpensePriorYear |
| Other Expenses Current Year | 1507076 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6005217 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6194731 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -287392 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 250071 | RevenuesLessExpensesCY |
| Total Assets BOY | 1615790 | TotalAssetsBOY |
| Total Assets EOY | 2176897 | TotalAssetsEOY |
| Total Liabilities BOY | 1408429 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1743055 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 207361 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 433842 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES HEALTH CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4182048 | Expense |
| Revenue | 4941415 | 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 56,000 VISITS WERE PROVIDED DURING THE YEAR. | Description |
| Total Program Service Expense | 4182048 | 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 | false | 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 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 115 | 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 | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | 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 | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MELISSA COFFELT | NamePerson |
| Telephone Number | 4238847271 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1206 HIGHWAY 411 | AddressLine1 |
| City | VONORE | City |
| State | TN | State |
| ZIP Code | 37855 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 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 |
|---|---|---|---|---|---|---|---|
| PETER ALLIMAN | |||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| ALLAN BENTON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD BERNSTEIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BRUCE CHRISTOPHER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ART FOWLER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DON KEEBLE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID KEFAUVER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JUDITH LEE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM O'DONNELL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MELVIN TALLENT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RAY TALLENT | |||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | ||
| CHERYL WEST | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | ||
| BARBARA LEVIN MD | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 211946 | 0 | 14432 | X | ||
| JOSHUA GETTINGER | |||||||
| MEDICAL DIRECTOR | 40.00 | 201582 | 0 | 14699 | X | ||
| LAURA HARRIS | |||||||
| CHIEF OPERATIONAL OFFICER | 40.00 | 47950 | 0 | 0 | X | ||
| TRACEY BEVERLEY | |||||||
| PHYSICIAN | 40.00 | 190286 | 0 | 7363 | X | ||
| TOM COX | |||||||
| PHYSICIAN | 40.00 | 151778 | 0 | 7486 | X | ||
| JOEL BURROUGHS | |||||||
| PHYSICIAN | 40 | 120474 | 2775 | X | |||
| LAWRENCE MILLER | |||||||
| PHYSICIAN | 40 | 105091 | 109 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1029107 | TotalReportableCompFromOrg |
| Total Other Compensation | 46864 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COORD SCHOOL HEALTH | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 OAK GROVE ROAD | AddressLine1 |
| City | MADISONVILLE | City |
| State | TN | State |
| ZIP Code | 37354 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | SCHOOL BASED CLINIC PERSONNEL | DescriptionOfServices |
| Compensation | 141618 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 1384153 | GovernmentGrants |
| All Other Contributions | 98688 | AllOtherContributions |
| Total Contributions | 1482841 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 4941415 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4941415 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 506 | TotalRevenueColumn |
| Exclusion | $506 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20040 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20040 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20040 | TotalRevenueColumn |
| Exclusion | $20,040 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6444802 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4941415 | RelatedOrExemptFunctionIncome |
| Exclusion | $20,546 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461478 | Total |
| Program Services | 201582 | ProgramServices |
| Management And General | 259896 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3453808 | Total |
| Program Services | 2619255 | ProgramServices |
| Management And General | 834553 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46108 | Total |
| Program Services | 33198 | ProgramServices |
| Management And General | 12910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 482346 | Total |
| Program Services | 347290 | ProgramServices |
| Management And General | 135056 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243915 | Total |
| Program Services | 175619 | ProgramServices |
| Management And General | 68296 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2950 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2950 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23189 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 23189 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297355 | Total |
| Program Services | 134298 | ProgramServices |
| Management And General | 163057 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588380 | Total |
| Program Services | 312151 | ProgramServices |
| Management And General | 276229 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270805 | Total |
| Program Services | 227496 | ProgramServices |
| Management And General | 43309 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29127 | Total |
| Program Services | 5611 | ProgramServices |
| Management And General | 23516 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37951 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 37951 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198843 | Total |
| Program Services | 80445 | ProgramServices |
| Management And General | 118398 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58476 | Total |
| Program Services | 45103 | ProgramServices |
| Management And General | 13373 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6194731 | Total |
| Program Services | 4182048 | ProgramServices |
| Management And General | 2012683 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11515 | BOY |
| EOY | 92693 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 607283 | BOY |
| EOY | 605946 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113747 | BOY |
| EOY | 10034 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1961676 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 493452 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 883245 | BOY |
| EOY | 1468224 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1615790 | BOY |
| EOY | 2176897 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 647940 | BOY |
| EOY | 1330048 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 760489 | BOY |
| EOY | 413007 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1408429 | BOY |
| EOY | 1743055 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207361 | BOY |
| EOY | 433842 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207361 | BOY |
| EOY | 433842 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1615790 | BOY |
| EOY | 2176897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 250071 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -23590 | ReconcilationOtherChanges |
| 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 | 817647 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 602629 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 756798 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 968164 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1482841 | CurrentTaxYear |
| Total | 4628079 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 817647 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 602629 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 756798 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 968164 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1482841 | CurrentTaxYear |
| Total | 4628079 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 4628079 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3310 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1349 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2459 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2364 | CurrentTaxYearMinus1Year |
| Current Tax Year | 20546 | CurrentTaxYear |
| Total | 30028 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 4658107 | TotalSupport |
| Gross Receipts From Admissions Etc | 15693589 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99360 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99710 | 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 | 140192 | InvestmentCostOrOtherBasis |
| Book Value | 140192 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 531988 | InvestmentCostOrOtherBasis |
| Depreciation | 36820 | Depreciation |
| Book Value | 495168 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1289496 | InvestmentCostOrOtherBasis |
| Depreciation | 456632 | Depreciation |
| Book Value | 832864 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1468224 | TotalOfBookValueLandBuildings |
| Total Revenue | 6444802 | TotalRevenue |
| Total Expenses | 6194731 | TotalExpenses |
| Excess Or Deficit For Year | 250071 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 250071 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6444802 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 6444802 | RevenueSubtotal |
| Total Revenue Per Form990 | 6444802 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6194731 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 6194731 | ExpensesSubtotal |
| Total Expenses Per Form990 | 6194731 | 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 (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|
| BARBARA LEVIN MD | ||||
| 211946 | 7992 | 6440 | 226378 | 249846 |
| JOSHUA GETTINGER | ||||
| 201582 | 8259 | 6440 | 216281 | 214134 |
| TRACEY BEVERLEY | ||||
| 190286 | 7195 | 168 | 197649 | 173103 |
| TOM COX | ||||
| 151778 | 1064 | 6421 | 159263 | 162171 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-C, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST |
| POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. | |
| Pt VI-B, Line 11a | THE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990 AND THEN PRESENTS TO FULL BOARD. |
| Pt VI-B, Line 15 | STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS |
| FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY | |
| AND SALARY INCREASES ARE BOARD APPROVED. | |
| Pt XII, Line 2c | THE CEO OVERSEES FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT. |
| Pt VI-B, Line 12c | ANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND |
| REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM | |
| ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN. | |
| Pt VI-A, Line 2 | THE CEO AND MEDICAL DIRECTOR HAVE A PERSONAL RELATIONSHIP. THESE TWO |
| INDIVIDUALS ARE MARRIED AND REPORT TO THE GOVERNING BODY. | |
| PT XI, LINE 6 | PRIOR PERIOD ADJUSTMENT=(23,590) |
Comments