ELLIS COUNTY COALITION FOR HEALTH OPTIONS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ELLIS COUNTY COALITION FOR HEALTH OPTIONS (EIN 75-2813621)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349307863
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)
Timestamp2011-11-14T19:37:23-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERYL HAZELWOOD-ESTES CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13440 MINDY LANEAddressLine1
CityMIDLOTHIANCity
StateTXState
ZIP Code76065ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN752813621EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELLIS COUNTY COALITION FOR HEALTHBusinessNameLine1
Business Name Line2OPTIONS INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlELLINameControl
Phone9729232440Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1
CityWAXAHACHIECity
StateTXState
ZIP Code75165ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCORY HOFFMANName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9729232440Phone
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHERYL HAZELWOOD-ESTES CPAName
Phone9727755102Phone
Date Prepared2011-11-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOPE CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonYOLANDE OWENSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1
CityWAXAHACHIECity
StateTXState
ZIP Code75165ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2817266GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOPECLINICELLISCOUNTY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees45TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year884088ContributionsGrantsPriorYear
Contributions Grants Current Year1870605ContributionsGrantsCurrentYear
Program Service Revenue Prior Year682018ProgramServiceRevenuePriorYear
Program Service Revenue CY944919ProgramServiceRevenueCY
Investment Income Prior Year3087InvestmentIncomePriorYear
Investment Income Current Year1742InvestmentIncomeCurrentYear
Other Revenue Prior Year2662OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1571855TotalRevenuePriorYear
Total Revenue Current Year2817266TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1061359SalariesEtcPriorYear
Salaries Etc Current Year1326476SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year46676TotalFundrsngExpCurrentYear
Other Expense Prior Year607984OtherExpensePriorYear
Other Expenses Current Year1072730OtherExpensesCurrentYear
Total Expenses Prior Year1669343TotalExpensesPriorYear
Total Expenses Current Year2399206TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-97488RevenuesLessExpensesPriorYear
Revenues Less Expenses CY418060RevenuesLessExpensesCY
Total Assets BOY393297TotalAssetsBOY
Total Assets EOY952840TotalAssetsEOY
Total Liabilities BOY321566TotalLiabilitiesBOY
Total Liabilities EOY463049TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY71731NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY489791NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDES HEALTH, DENTAL, AND MENTAL CARE, AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND INDIGENT CITIZENS OF ELLIS COUNTY, TEXAS AND SURROUNDING AREAS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1523423Expense
DescriptionPROVIDED HEALTH, DENTAL, AND MENTAL CARE AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY AND SURROUNDING AREAS AND TO INDIGENT CITIZENS OF ELLIS COUNTY REGARDLESS OF THEIR ABILITY TO PAY.Description
Total Program Service Expense1523423TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 ActivitiestrueFundraisingActivities
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 DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
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 With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees45NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ELLIS COUNTY COALITION FOR HEALTHBusinessNameLine1
Business Name Line2OPTIONS INCBusinessNameLine2
FieldValueIRS element (for citing)
Telephone Number9729232440TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1411 EAST JEFFERSON STREETAddressLine1
CityWAXAHACHIECity
StateTXState
ZIP Code75165ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SANDRA SMITH
DIRECTOR1.00X000
JEFF KOSORIS DDS
TREASURER2.00X000X
PATTI POWELL MD
DIRECTOR1.00X000
RUSTY CREECH
DIRECTOR1.00X000
DALE MEYLER
DIRECTOR1.00X000X
TOM CRABB
DIRECTOR1.00X000
JASON DICKENSON
DIRECTOR1.00X000
PAMELA HALL
DIRECTOR1.00X000
NANCY BROWN
DIRECTOR1.00X000
SHARON VERIGAN
DIRECTOR1.00X000
MARY B FELTY
MEDICAL DIRE40.0012697000XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org126970TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events138261FundraisingEvents
Government Grants1447984GovernmentGrants
All Other Contributions284360AllOtherContributions
Noncash Contributions35328NoncashContributions
Total Contributions1870605TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICES FEES, NETDescription
Business Code621110BusinessCode
Total Revenue Column944919TotalRevenueColumn
Related Or Exempt Function Income944919RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue944919TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1742TotalRevenueColumn
Exclusion$1,742ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events138261CntrbtnsRprtdFundraisingEvents

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2817266TotalRevenueColumn
Related Or Exempt Function Income944919RelatedOrExemptFunctionIncome
Exclusion$1,742ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total197346Total
Program Services175642ProgramServices
Management And General10852ManagementAndGeneral
Fundraising10852Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total955395Total
Program Services859816ProgramServices
Management And General76850ManagementAndGeneral
Fundraising18729Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2164Total
Program Services2032ProgramServices
Management And General99ManagementAndGeneral
Fundraising33Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total81070Total
Program Services72733ProgramServices
Management And General6234ManagementAndGeneral
Fundraising2103Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total90501Total
Program Services81294ProgramServices
Management And General6885ManagementAndGeneral
Fundraising2322Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total425Total
Program Services425ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13250Total
Program Services13250ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total38909Total
Program Services37698ProgramServices
Fundraising1211Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2076Total
Program Services581ProgramServices
Fundraising1495Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total51959Total
Program Services36361ProgramServices
Management And General14274ManagementAndGeneral
Fundraising1324Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34035Total
Program Services16237ProgramServices
Management And General14836ManagementAndGeneral
Fundraising2962Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total12296Total
Program Services1848ProgramServices
Management And General10448ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10884Total
Program Services3273ProgramServices
Management And General7611ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9335Total
Program Services4667ProgramServices
Management And General4668ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total25292Total
Program Services25292ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total7626Total
Program Services6850ProgramServices
Management And General581ManagementAndGeneral
Fundraising195Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
BAD DEBTS671603671603
PATIENT SERVICES157640157640
PROFESSONAL DUES14264224512019
REPAIRS AND MAINTENANCE1054510545
EQUIPMENT PURCHASES52205220

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7371Total
Management And General1921ManagementAndGeneral
Fundraising5450Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2399206Total
Program Services1523423ProgramServices
Management And General829107ManagementAndGeneral
Fundraising46676Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37416BOY
EOY41084EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY73076BOY
EOY297532EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8418BOY
EOY44765EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY90314BOY
EOY141508EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8116BOY
EOY8966EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis196598LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec72910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY148978BOY
EOY123688EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26979BOY
EOY295297EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY393297BOY
EOY952840EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25283BOY
EOY191547EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY141159BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY110654EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY155124BOY
EOY160848EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY321566BOY
EOY463049EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY44752BOY
EOY381672EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY11901BOY
EOY67916EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15078BOY
EOY40203EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY71731BOY
EOY489791EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY393297BOY
EOY952840EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses418060ReconcilationRevenueExpenses
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 Years95411CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years161906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year884088CurrentTaxYearMinus1Year
Current Tax Year1870605CurrentTaxYear
Total3089334Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95411CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77324CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years161906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year884088CurrentTaxYearMinus1Year
Current Tax Year1870605CurrentTaxYear
Total3089334Total
FieldValueIRS element (for citing)
Public Support Total1703089334PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4171CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5757CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5349CurrentTaxYearMinus2Years
Current Tax Year1742CurrentTaxYear
Total17019Total
FieldValueIRS element (for citing)
Total Support3106353TotalSupport
Gross Receipts From Admissions Etc2152451GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99450PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98730PublicSupportPertcentPriorYear
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance40203BeginningOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance15078BeginningOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance14621BeginningOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
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 Basis19000OtherCostOrOtherBasis
Book Value19000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis94646OtherCostOrOtherBasis
Depreciation17054Depreciation
Book Value77592BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis82952OtherCostOrOtherBasis
Depreciation55856Depreciation
Book Value27096BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings123688TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CONSTRUCTION IN PROGRESS - BUILDING295297
LONG-TERM INVESTMENTS - ENDOWMENT FU
CASH RESTRICTED FOR SPECIFIC PURPOSE
FieldValueIRS element (for citing)
Total Book Value Other Assets295297TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$85,000
ACCRUED COMPENSATION$43,701
LEASES PAYABLE$28,543
ACCRUED VACATION$3,604
PAYROLL LIABILITIES
FieldValueIRS element (for citing)
Total Of Amounts160848TotalOfAmounts
Total Revenue2817266TotalRevenue
Total Expenses2399206TotalExpenses
Excess Or Deficit For Year418060ExcessOrDeficitForYear
Excess Or Deficit Per FS418060ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2826686TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities9420DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F9909420RevenueNotRptdF990
Revenue Subtotal2817266RevenueSubtotal
Total Revenue Per Form9902817266TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2408626TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities9420DonatedServicesUseOfFacilities
Expenses Not Rptd F9909420ExpensesNotRptdF990
Expenses Subtotal2399206ExpensesSubtotal
Total Expenses Per Form9902399206TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CAPITAL CAMPAIGNameOfEvent1
Gross Receipts Event189405GrossReceiptsEvent1
Charitable Contributions Event189405CharitableContributionsEvent1
Name Of Event2SEEDS OF HOPENameOfEvent2
Gross Receipts Event248856GrossReceiptsEvent2
Charitable Contributions Event248856CharitableContributionsEvent2
Gross Receipts Total138261GrossReceiptsTotal
Charitable Contributions Total138261CharitableContributionsTotal

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonMARY B FELTYNamePerson
Base Compensation Filing Org126970BaseCompensationFilingOrg
Total Compensation Filing Org126970TotalCompensationFilingOrg

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonYOLANDE OWENSNamePerson
Purpose Of LoanOPERATIONSPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$107,000OriginalPrincipalAmount
Balance Due110654BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due110654TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonYOLANDE OWENSNamePerson
FieldValueIRS element (for citing)
RelationshipEXEC DIRECTORRelationship
Amount Of Transaction107000AmountOfTransaction
Description Of TransactionOPERATING LOANDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionSUPPLIESDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99035328NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6PHYSICIAN SERVICES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BREVIEWED BY CHIEF FINANCIAL OFFICER
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CFORMS ARE UPDATED ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ADETERMINED BY BOARD OF DIRECTORS DURING THE ANNUAL BUDGET PROCESS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BDETERMINED BY BOARD OF DIRECTORS DURING ANNUAL BUDGET PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST

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