HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS: Form 990, tax year 2025
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- Organization
- HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS (EIN 56-2117596)
- Tax period
- 2025-01-01 to 2025-06-30
- Filed
- 2026-05-07
- IRS object ID
- 202611279349304201
- Schema version
- 2025v4.1
- 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) |
|---|---|---|
| Return | 2026-05-07T18:08:38-06:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561816796 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baxter W Starnes CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1807 | AddressLine1Txt |
| City | Monroe | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562117596 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHQUEST OF UNION COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHRISTINA OLMSTEAD | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 7042262050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 EAST FRANKLIN STREET | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINA OLMSTEAD | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7042262050 | PhoneNum |
| Signature | 2026-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BAXTER W STARNES CPA | PreparerPersonNm |
| PTIN | P00350775 | PTIN |
| Phone | 7046358035 | PhoneNum |
| Preparation | 2026-05-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $352,178 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHQUESTPHARMACY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $601,813 | PYContributionsGrantsAmt |
| CY Contributions Grants | $299,779 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $56,858 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,729 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,619 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,670 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $684,290 | PYTotalRevenueAmt |
| CY Total Revenue | $352,178 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $566,476 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $292,436 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $32,797 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $179,939 | PYOtherExpensesAmt |
| CY Other Expenses | $90,875 | CYOtherExpensesAmt |
| PY Total Expenses | $746,415 | PYTotalExpensesAmt |
| CY Total Expenses | $383,311 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$62,125 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$31,133 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,428,079 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,396,153 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,111 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,857 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,383,968 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,353,296 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $314,687 | ExpenseAmt |
| Desc | PROVIDED PHARMACEUTICALS AND PRESCRIPTION MEDICATIONS TO INDIVIDUALS THAT HAVE NO PRESCRIPTION INSURANCE AND CANNOT AFFORD THEIR MEDICATIONS OTHERWISE. THE INDIVIDUALS SERVED RESIDE IN UNION, ANSON, AND STANLY COUNTIES IN NORTH CAROLINA, AND CHESTERFIELD AND LANCASTER COUNTIES IN SOUTH CAROLINA. THE ORGANIZATION ASSISTED APPROXIMATELY 584 UNDUPLICATED CLIENTS IN THE SHORT YEAR ENDED JUNE 30, 2025 AND FILLED APPROXIMATELY 10,442 PRESCRIPTIONS. | Desc |
| Total Program Service Expenses | $314,687 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACQUELYN GASKINS | PersonNm |
| Phone | 7042262050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 E FRANKLIN ST | AddressLine1Txt |
| City | MONROE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JULIE HELMS | |||||||
| FORMER CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROHIT SHETTY | |||||||
| AUDIT COMMITTEE | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SHARON LITTLE | |||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRIS TILLMAN | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TOMIE BENTON | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RAY BLACK | |||||||
| GOVERNANCE COMMITTEE | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GABE BROOME | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KELLY BYRD | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| LOGAN COBB | |||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SUSAN HENN | |||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEORGE HIBISH | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CHUCK HOOVER | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE HOWARD | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL JORDAN | |||||||
| BOARD CHAIR | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CARRIE KENNEDY | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NAVEED ULHAQ | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ANGELA WATKINS | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROB MCCAIN | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE MASSEY | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID SIMMONS | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JENN WILSON | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ELAINE WARTINGER | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| THALIA HERNANDEZ | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $85,798 | FundraisingAmt |
| Government Grants | $15,160 | GovernmentGrantsAmt |
| All Other Contributions | $198,821 | AllOtherContributionsAmt |
| Noncash Contributions | $39,500 | NoncashContributionsAmt |
| Total Contributions | $299,779 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLIENT FEES | 456110 | $34,617 | $34,617 |
| OTHER REVENUE | 456110 | $112 | $112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,729 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,670 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,670 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $85,798 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $352,178 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $52,399 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,631 | TotalAmt |
| Program Services | $185,483 | ProgramServicesAmt |
| Management And General | $21,758 | ManagementAndGeneralAmt |
| Fundraising | $16,390 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,805 | TotalAmt |
| Program Services | $56,768 | ProgramServicesAmt |
| Management And General | $6,768 | ManagementAndGeneralAmt |
| Fundraising | $5,269 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210 | TotalAmt |
| Management And General | $210 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,273 | TotalAmt |
| Program Services | $10,637 | ProgramServicesAmt |
| Management And General | $3,636 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,130 | TotalAmt |
| Program Services | $2,084 | ProgramServicesAmt |
| Management And General | $1,416 | ManagementAndGeneralAmt |
| Fundraising | $630 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,938 | TotalAmt |
| Program Services | $9,053 | ProgramServicesAmt |
| Management And General | $674 | ManagementAndGeneralAmt |
| Fundraising | $211 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60 | TotalAmt |
| Program Services | $48 | ProgramServicesAmt |
| Management And General | $9 | ManagementAndGeneralAmt |
| Fundraising | $3 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031 | TotalAmt |
| Program Services | $1,031 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,994 | TotalAmt |
| Program Services | $8,095 | ProgramServicesAmt |
| Management And General | $899 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,861 | TotalAmt |
| Program Services | $5,640 | ProgramServicesAmt |
| Management And General | $190 | ManagementAndGeneralAmt |
| Fundraising | $31 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PRINTING AND FORMS | $817 | $491 | $81 | $245 |
| MISCELLANEOUS & CONTINGENCY | $1,242 | $1,079 | $163 | |
| MEMBERSHIP DUES AND LICENSES | $1,254 | $1,168 | $23 | $63 |
| MERCHANT FEES & BANK CHARG | $1,259 | $1,153 | $106 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,806 | TotalAmt |
| Program Services | $31,957 | ProgramServicesAmt |
| Fundraising | $9,849 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,311 | TotalAmt |
| Program Services | $314,687 | ProgramServicesAmt |
| Management And General | $35,827 | ManagementAndGeneralAmt |
| Fundraising | $32,797 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,051 | BOYAmt |
| EOY | $217,057 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,381 | BOYAmt |
| EOY | $111,434 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,782 | BOYAmt |
| EOY | $108,980 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,142 | BOYAmt |
| EOY | $4,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $748,249 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $346,090 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $411,153 | BOYAmt |
| EOY | $402,159 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $539,570 | BOYAmt |
| EOY | $551,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,428,079 | BOYAmt |
| EOY | $1,396,153 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,111 | BOYAmt |
| EOY | $42,857 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,111 | BOYAmt |
| EOY | $42,857 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,274,186 | BOYAmt |
| EOY | $1,244,316 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,782 | BOYAmt |
| EOY | $108,980 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,383,968 | BOYAmt |
| EOY | $1,353,296 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,428,079 | BOYAmt |
| EOY | $1,396,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$31,133 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $461 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $505,765 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $676,545 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $862,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $477,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299,779 | CurrentTaxYearAmt |
| Total | $2,821,496 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $102,063 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $80,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $68,737 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,060 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,729 | CurrentTaxYearAmt |
| Total | $342,470 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $607,828 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $757,426 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $931,005 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $533,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $334,508 | CurrentTaxYearAmt |
| Total | $3,163,966 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,163,966 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,815 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,670 | CurrentTaxYearAmt |
| Total | $58,083 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,104 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,815 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,670 | CurrentTaxYearAmt |
| Total | $58,083 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $609,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $757,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $953,820 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $548,377 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $352,178 | CurrentTaxYearAmt |
| Total | $3,222,049 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98200 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98910 | PublicSupportPY509Pct |
| Investment Income CY | 0.02000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,000 | OtherCostOrOtherBasisAmt |
| Book Value | $150,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $474,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $233,463 | DepreciationAmt |
| Book Value | $241,435 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,088 | DepreciationAmt |
| Book Value | $2,435 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,539 | DepreciationAmt |
| Book Value | $8,289 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $402,159 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,036,168 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $683,990 | OtherRevenueAmt |
| Revenue Not Reported | $683,990 | RevenueNotReportedAmt |
| Revenue Subtotal | $352,178 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $352,178 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,129,426 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $746,115 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $746,115 | ExpensesNotReportedAmt |
| Expenses Subtotal | $383,311 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $383,311 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d-Other revenue included on Sch D but not on 990 | THE ORGANIZATION HAS ELECTED TO CHANGE THE FISCAL YEAR FOR THE ORGANIZATION FROM A CALENDAR YEAR TO A FISCAL YEAR OF JUNE 30. AS A RESULT OF THE CHANGE THE ORGANIZATION CHOSE TO HAVE AN AUDIT FOR THE 18 MONTH PERIOD FROM JANUARY 1, 2024 TO JUNE 30, 2025. THE AUDITED FINANCIAL STATEMENTS REVENUES ARE FOR THE FULL 18 MONTH PERIOD. THIS CHANGE REQUIRED A FORM 990 TO BE FILED FOR THE CALENDAR YEAR 2024 AND A FORM 990 FOR THE SHORT YEAR ENDING JUNE 30, 2025. THE REVENUES NOT INCLUDED ON THIS FORM 990 REPRESENTS THE REVENUES REPORTED ON THE FORM 990 FOR THE YEAR ENDED DECEMBER 31, 2024. |
| Part XII, Line 2d-Other expenses included on Sch D but not on 990 | THE ORGANIZATION HAS ELECTED TO CHANGE THE FISCAL YEAR FOR THE ORGANIZATION FROM A CALENDAR YEAR TO A FISCAL YEAR OF JUNE 30. AS A RESULT OF THE CHANGE THE ORGANIZATION CHOSE TO HAVE AN AUDIT FOR THE 18 MONTH PERIOD FROM JANUARY 1, 2024 TO JUNE 30, 2025. THE AUDITED FINANCIAL STATEMENTS EXPENSES ARE FOR THE FULL 18 MONTH PERIOD. THIS CHANGE REQUIRED A FORM 990 TO BE FILED FOR THE CALENDAR YEAR 2024 AND A FORM 990 FOR THE SHORT YEAR ENDING JUNE 30, 2025. THE EXPENSES NOT INCLUDED ON THIS FORM 990 REPRESENTS THE EXPENSES REPORTED ON THE FORM 990 FOR THE YEAR ENDED DECEMBER 31, 2024. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURN | Event1Nm |
| Gross Receipts Event1 | $49,327 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $49,327 | GrossRevenueEvent1Amt |
| Event2 | FR BREAKFAST | Event2Nm |
| Gross Receipts Event2 | $32,871 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $32,871 | GrossRevenueEvent2Amt |
| Gross Receipts Total | $82,198 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $82,198 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $82,198 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 6 | ContributionCnt |
| Noncash Contributions Rpt F990 | $39,500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | THE EXECUTIVE DIRECTOR AND AUDIT COMMITTEE CHAIRMAN REVIEW FORM 990 WITH THE TAX PREPARER BEFORE THE RETURN IS FILED TO ENSURE CORRECTNESS OF THE INFORMATION. DRAFT OF FORM 990 IS ALSO REVIEWED BY THE ORGANIZATIONS EXECUTIVE AND FINANCE COMMITTEE BEFORE FILING. |
| Conflict of interest policy compliance Part VI line 12c | BOARD REVIEWS POLICY WITH NEW MEMBERS AND IS REVIEWED WITH THE FULL BOARD ANNUALLY |
| CEO executive director top management comp Part VI line 15a | EXECUTIVE DIRECTORS SALARY IS CONTRACTED THROUGH ATRIUM HEALTH WHO DETERMINES THE ANNUAL SALARY UNDER THE AGREEMENT WITH ATRIUM HEALTH. |
| Governing documents etc available to public Part VI line 19 | UPON REQUEST. |
| Explanation of other changes in net assets or fund balances Part XI line 9 | THE OTHER CHANGES IN NET ASSETS IS TO RECONCILE THE ENDING NET ASSETS FOR THE SHORT YEAR ENDED JUNE 30, 2025 TO THE GENERAL LEDGER FOR THE 18 MONTH PERIOD THEN ENDED AS A RESULT OF CHANGING THE ORGANIZATIONS YEAR END FROM CALENDAR YEAR TO FISCAL YEAR. |
| List of other expenses Part IX line 24e | PHARMACEUTICALS $ 17,455 PHARMACY COMPUTER MAINTENANCE 3,708 DIABETIC SUPPLIES 3,601 NON MEDICATION SOFTWARE & INTERPRETERS 3,000 RX SUPPLIES & LABELS 2,522 ESCRIPT FEES & EXPENSES 1,053 EDUCATION & DEVELOPMENT 422 SECURITY OFFICER & SECURITY MONITORING 196 TOTAL $ 31,957 |
| General explanation attachment | THE BOARD OF DIRECTORS HAS ELECTED TO CHANGE THE FISCAL YEAR OF THE ORGANIZATION TO JUNE 30 BEGINNING JANUARY 1, 2025. A SHORT YEAR RETURN IS BEING FILED FOR THE SIX MONTH PERIOD ENDING JUNE 30, 2025 TO EFFECT THE CHANGE. THE AUDIT OF THE RECORDS FOR THIS SHORT YEAR PERIOD WAS INCLUDED IN THE AUDIT OF THE 18 MONTH PERIOD JANUARY 1, 2024 TO JUNE 30, 2025. |
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