RURAL HEALTH SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- RURAL HEALTH SERVICES INC (EIN 23-7085643)
- Tax period
- 2010-06-01 to 2011-05-31
- Filed
- 2011-08-22
- IRS object ID
- 201142349349300609
- 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 | 2011-08-22T10:50:30-07:00 | Timestamp |
| Tax Period End Date | 2011-05-31 | 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 | 2010-06-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237085643 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RURAL HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RURA | NameControl |
| Phone | 8035939283 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 29822 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT T REEL JR | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 8035939283 | Phone |
| Date Signed | 2011-08-20 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRY HORNE | Name |
| Phone | 6154447293 | Phone |
| Date Prepared | 2011-08-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT T REEL JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 298220277 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3310195 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MJWCHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | SC | StateLegalDomicile |
| Activity Or Mission Description | THIS 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 | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 54 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1396321 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1387600 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1802288 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1922543 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 335 | InvestmentIncomePriorYear |
| Investment Income Current Year | 52 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3198944 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3310195 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1580132 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1805747 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1757922 | OtherExpensePriorYear |
| Other Expenses Current Year | 1471633 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3338054 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3277380 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -139110 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 32815 | RevenuesLessExpensesCY |
| Total Assets BOY | 650568 | TotalAssetsBOY |
| Total Assets EOY | 778904 | TotalAssetsEOY |
| Total Liabilities BOY | 1132363 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1230558 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -481795 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -451654 | NetAssetsOrFundBalancesEOY |
| Mission Description | THIS ORGANIZATION PROVIDES HEALTH CARE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2180066 | Expense |
| Revenue | 1922543 | Revenue |
| Description | THE ORGANIZATION PROVIDES HEALTH CARE SERVICES TO RESIDENTS OF CLEARWATER, SOUTH CAROLINA AND SURROUNDING AREAS REGARDLESS OF THEIR ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THIER TAX EXEMPT PURPOSE. OVER 25,600 VISITS WERE PROVIDED DURING THE YEAR. | Description |
| Total Program Service Expense | 2180066 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | 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 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 54 | 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 | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | 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 |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROBERT T REEL JR CFO | NamePerson |
| Telephone Number | 8035939283 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 277 | AddressLine1 |
| City | CLEARWATER | City |
| State | SC | State |
| ZIP Code | 29822 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MONA FLANIGAN | ||||||||
| BOARD CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| KENNETH BALDWIN | ||||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | |||
| DIEGA GARCIA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR ROSA S ISHMAL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LILLIE JUMPP | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SANDY MCCOLLUM | ||||||||
| BAORD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SHEVONIE MEALER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ANTOINETTE NOBLE-WEB | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JASON PRICE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LIZ STEWART | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| HARVEY TOLLISON | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| CAROLYN EMANUEL-MCCLAIN | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 71407 | 0 | 2320 | X | |||
| ROBERT T REEL JR | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 72504 | 0 | 3361 | X | |||
| GIGINA WALKER | ||||||||
| CHIEF OPERATIONAL OFFICER | 40.00 | 48479 | 0 | 3361 | X | |||
| ERIC M SCHLEUTER | ||||||||
| MEDICAL DIRECTOR | 40.00 | 145473 | 0 | 7522 | X | X | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 337863 | TotalReportableCompFromOrg |
| Total Other Compensation | 16564 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 995531 | GovernmentGrants |
| All Other Contributions | 392069 | AllOtherContributions |
| Noncash Contributions | 254569 | NoncashContributions |
| Total Contributions | 1387600 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 1922543 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1922543 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 52 | TotalRevenueColumn |
| Exclusion | $52 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3310195 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1922543 | RelatedOrExemptFunctionIncome |
| Exclusion | $52 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 337863 | Total |
| Program Services | 145473 | ProgramServices |
| Management And General | 192390 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1243937 | Total |
| Program Services | 882913 | ProgramServices |
| Management And General | 361024 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95238 | Total |
| Program Services | 61905 | ProgramServices |
| Management And General | 33333 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128709 | Total |
| Program Services | 83661 | ProgramServices |
| Management And General | 45048 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 940 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 940 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 516664 | Total |
| Program Services | 386236 | ProgramServices |
| Management And General | 130428 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 694733 | Total |
| Program Services | 468085 | ProgramServices |
| Management And General | 226648 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70654 | Total |
| Program Services | 62715 | ProgramServices |
| Management And General | 7939 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41689 | Total |
| Program Services | 11632 | ProgramServices |
| Management And General | 30057 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35374 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 35374 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103150 | Total |
| Program Services | 69017 | ProgramServices |
| Management And General | 34133 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8429 | Total |
| Program Services | 8429 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3277380 | Total |
| Program Services | 2180066 | ProgramServices |
| Management And General | 1097314 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40846 | BOY |
| EOY | 66584 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168932 | BOY |
| EOY | 273650 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21228 | BOY |
| EOY | 17601 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1708852 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1287783 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414592 | BOY |
| EOY | 421069 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4970 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650568 | BOY |
| EOY | 778904 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 929053 | BOY |
| EOY | 1001863 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70592 | BOY |
| EOY | 28568 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132718 | BOY |
| EOY | 200127 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1132363 | BOY |
| EOY | 1230558 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -487284 | BOY |
| EOY | -454469 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5489 | BOY |
| EOY | 2815 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -481795 | BOY |
| EOY | -451654 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650568 | BOY |
| EOY | 778904 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 32815 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2674 | ReconcilationOtherChanges |
| 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 | 1275445 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 720961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1024603 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1461937 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1387600 | CurrentTaxYear |
| Total | 5870546 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1275445 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 720961 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1024603 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1461937 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1387600 | CurrentTaxYear |
| Total | 5870546 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 5870546 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2359 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2143 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 854 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 335 | CurrentTaxYearMinus1Year |
| Current Tax Year | 52 | CurrentTaxYear |
| Total | 5743 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5876289 | TotalSupport |
| Gross Receipts From Admissions Etc | 3724831 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99900 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.59320 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 51068 | InvestmentCostOrOtherBasis |
| Book Value | 51068 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 830552 | InvestmentCostOrOtherBasis |
| Depreciation | 792134 | Depreciation |
| Book Value | 38418 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 115208 | InvestmentCostOrOtherBasis |
| Depreciation | 40215 | Depreciation |
| Book Value | 74993 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 712024 | InvestmentCostOrOtherBasis |
| Depreciation | 455434 | Depreciation |
| Book Value | 256590 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 421069 | TotalOfBookValueLandBuildings |
| Total Revenue | 3310195 | TotalRevenue |
| Total Expenses | 3277380 | TotalExpenses |
| Excess Or Deficit For Year | 32815 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 32815 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3246426 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 3246426 | RevenueSubtotal |
| Total Revenue Per Form990 | 3246426 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3213611 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 3213611 | ExpensesSubtotal |
| Total Expenses Per Form990 | 3213611 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ERIC M SCHLEUTER | NamePerson |
| Base Compensation Filing Org | 145473 | BaseCompensationFilingOrg |
| Nontaxable Benefits Filing Org | 7522 | NontaxableBenefitsFilingOrg |
| Total Compensation Filing Org | 152995 | TotalCompensationFilingOrg |
| Comp Report Prior990 Filing Org | 127544 | CompReportPrior990FilingOrg |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2362 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 254569 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt XI | LINE 5: NET DECREASE IN TEMPORARILY RESTRICTED NET ASSETS |
| Pt VI-B, Line 11a | MANAGEMENT AND THE BOARD REVIEW AND APPROVE THE FORM 990 BEFORE |
| Pt VI-B, Line 11a | IT IS FILED WITH THE IRS. |
| Pt VI-B, Line 12c | ANNUALLY, THE BOARD IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST |
| Pt VI-B, Line 12c | STATEMENT THAT COMPLIES WIH THE CONFLICT OF INTEREST POLICY. |
| Pt VI-B, Line 15 | THE ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY |
| Pt VI-B, Line 15 | HEALTH CENTERS, AND WITH THIS MEMBERSHIP IS ABLE TO RECEIVE COMPLETED |
| Pt VI-B, Line 15 | COMPENSATION SURVEYS THAT LIST COMPENSATION BY FUNCTION AND REGION |
| Pt VI-B, Line 15 | OF EMPLOYMENT. USING THIS SURVEY IS THE INITIAL STATE OF COMPENSATION |
| Pt VI-B, Line 15 | EVAULATION. THE ORGANIZATION ALSO WILL REVIEW THE APPLICANT'S REQUESTED |
| Pt VI-B, Line 15 | COMPENSATION RANGE AND DETERMINE IF THIS MEETS PREVIOUSLY |
| Pt VI-B, Line 15 | BUDGETED BASELINES AS APPROVED BY THE BOARD. THESE DOCUMENTS ARE |
| Pt VI-B, Line 15 | AVAILABLE IN COMPLIANCE WITH THE FREEDOM OF INFORMATION ACT |
| Pt VI-B, Line 15 | THROUGH HRSA. |
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