FMRS HEALTH SYSTEMS INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FMRS HEALTH SYSTEMS INC (EIN 55-0520303)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-15
- IRS object ID
- 202631359349307448
- Schema version
- 2024v5.5
- 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 | 2026-05-15T12:20:40-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREET EAST SUITE 300 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550520303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FMRS HEALTH SYSTEMS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FMRS | BusinessNameControlTxt |
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RANDALL VENABLE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 3042567100 | PhoneNum |
| Signature | 2026-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MELISSA PRICE | PreparerPersonNm |
| PTIN | P00750418 | PTIN |
| Phone | 3043434188 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RANDALL VENABLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SOUTH EISENHOWER DRIVE | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,531,010 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 330 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,837,364 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,915,856 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,664,135 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,278,643 | CYProgramServiceRevenueAmt |
| PY Investment Income | $149,472 | PYInvestmentIncomeAmt |
| CY Investment Income | $114,723 | CYInvestmentIncomeAmt |
| PY Other Revenue | $280,761 | PYOtherRevenueAmt |
| CY Other Revenue | $221,788 | CYOtherRevenueAmt |
| PY Total Revenue | $15,931,732 | PYTotalRevenueAmt |
| CY Total Revenue | $18,531,010 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,013,203 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,422,031 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,880,908 | PYOtherExpensesAmt |
| CY Other Expenses | $4,000,924 | CYOtherExpensesAmt |
| PY Total Expenses | $16,894,111 | PYTotalExpensesAmt |
| CY Total Expenses | $18,422,955 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$962,379 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $108,055 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,719,029 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,552,868 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,251,613 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,679,085 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,467,416 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,873,783 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FMRS HEALTH SYSTEMS' MISSION IS TO SERVE INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH PREVENTION, TREATMENT AND RECOVERY SERVICES, ENSURING THAT HELP TODAY LEADS TO A BETTER TOMORROW. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,255,157 | ExpenseAmt |
| Revenue | $519,264 | RevenueAmt |
| Desc | SUBSTANCE ABUSE - FEDERALLY FUNDED PROGRAM OFFERING A COMPREHENSIVE ARRAY OF SUBSTANCE ABUSE ASSESSMENT AND TREATMENT SERVICES TO MEET THE VARYING NEEDS OF THOSE WHO ARE ABUSING OR ADDICTED TO ALCOHOL OR OTHER DRUGS OF ABUSE | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,895,920 | ExpenseAmt |
| Revenue | $2,562,530 | RevenueAmt |
| Desc | OUTPATIENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS ON AN OUTPATIENT BASIS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,636,693 | ExpenseAmt |
| Revenue | $1,801,462 | RevenueAmt |
| Desc | PHYSICIANS - PROGRAM DEDICATED TO ENHANCING THE EMOTIONAL AND BEHAVIORAL HEALTH THROUGH ADVOCACY, COMMUNITY INVOLVEMENT AND PROVISION OF THE HIGHEST QUALITY DIAGNOSTIC AND PROFESSIONAL TREATMENT SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,818,288 | ExpenseAmt |
| Revenue | $3,617,175 | RevenueAmt |
| Desc | CRISIS - COMPREHENSIVE ARRAY OF PROGRAMS DESIGNED TO STABILIZE THE CONDITIONS OF ACUTE OR SEVERE PSYCHIATRIC SYMPTOMS; DAY TREATMENT - PROGRAM FOCUSING ON THE DIAGNOSIS AND TREATMENT OF EMOTIONAL AND BEHAVIORAL HEALTH PROBLEMS IN A DAY TIME TREATMENT; COMMUNITY ENGAGEMENT ( FORMERLY CARE COORDINATOR) - PROGRAM TO DEVELOP A COMMUNITY SUPPORT SYSTEM FOR ADULTS WITH SERIOUS MENTAL ILLNESS AND CO-OCCURRING MENTAL ILLNESS AND/OR SUBSTANCE ABUSE AND/OR DEVELOPMENTAL DISABILITIES WHO ARE AT RISK OF HOSPITALIZATION; SERVICE COORDINATION - CASE MANAGEMENT PROGRAM DESIGNED TO PROVIDE A SINGLE POINT OF CONTACT TO ENSURE PATIENTS' NEEDS ARE MET; ACT - ASSERTIVE COMMUNITY TREATMENT. AN INCLUSIVE ARRAY OF COMMUNITY-BASED REHABILITATION SERVICES TO HIGH RISK CONSUMERS WHO HAVE A HISTORY OF FREQUENT HOSPITALIZATIONS AND/OR CRISIS CONTACTS; WAIVER SERVICES - STATE FUNDED MEDICAID PROGRAM DESIGNED TO DELIVER SERVICES TO INDIVIDUALS IN THEIR HOME AND COMMUNITY AS AN ALTERNATIVE TO RECEIVING SERVICES IN AN INTERMEDIATE CARE FACILITY | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $8,818,288 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,617,175 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,606,058 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 330 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JODIE C KEMLOCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3042567100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 S EISENHOWER DR | AddressLine1Txt |
| City | BECKLEY | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DANIEL CALVERT | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CLYDE SMITH | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANETT GREEN | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRAD WARTELLA | |||||||
| AT LARGE EXECUTIVE COMMITT | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANA CARR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA SELDOMRIDGE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHIL SUNSTROM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN HALL | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDALL VENABLE | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $140,454 | $0 | $12,555 | ||
| JODIE KEMLOCK | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $90,501 | $0 | $17,639 | ||
| EDWARD BEZ | |||||||
| PHYSICIAN | 40.00 | $443,553 | $0 | $33,848 | Yes (X) | ||
| MERCEDES WEIKLE | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $116,799 | $0 | $19,474 | Yes (X) | ||
| SCOTTY ROSE | |||||||
| PHYSICIANS ASSISTANT | 40.00 | $129,255 | $0 | $18,292 | Yes (X) | ||
| TAMMY SAULS | |||||||
| FAMILY NURSE PRACTITIONER | 40.00 | $121,477 | $0 | $16,759 | Yes (X) | ||
| ASHLEE THOMAS | |||||||
| PHYSICIANS ASSISTANT | 40.00 | $123,103 | $0 | $20,491 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,165,142 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $139,058 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| APPALACHIAN PSYCHIATRIC SERVICES PLLC | |||||
| PO BOX 1128 | BECKLEY | WV | 25802 | CONTRACTED PHYSICIANS | $265,945 |
| QUALIFACTS INC | |||||
| PO BOX 4577 | CAROL STREAM | IL | 60197 | CLINICAL SOFTWARE PROVIDER | $175,992 |
| AUTOMATED STATISTICS LLC | |||||
| PO BOX 532 | MARYSVILLE | WA | 98270 | GRANT EVALUATOR | $164,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,915,856 | GovernmentGrantsAmt |
| Total Contributions | $9,915,856 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES, NET | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,278,643 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,278,643 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,278,643 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109,689 | TotalRevenueColumnAmt |
| Exclusion | $109,689 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,034 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,034 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,034 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,034 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $221,788 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $221,788 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $221,788 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,531,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,505,465 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $109,689 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,490,062 | TotalAmt |
| Program Services | $1,098,064 | ProgramServicesAmt |
| Management And General | $391,998 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,885,540 | TotalAmt |
| Program Services | $8,334,754 | ProgramServicesAmt |
| Management And General | $1,550,786 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,619 | TotalAmt |
| Program Services | $445,103 | ProgramServicesAmt |
| Management And General | $119,516 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,544,315 | TotalAmt |
| Program Services | $1,217,422 | ProgramServicesAmt |
| Management And General | $326,893 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,495 | TotalAmt |
| Program Services | $739,051 | ProgramServicesAmt |
| Management And General | $198,444 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,834 | TotalAmt |
| Management And General | $21,834 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,057 | TotalAmt |
| Management And General | $71,057 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,036 | TotalAmt |
| Program Services | $614,435 | ProgramServicesAmt |
| Management And General | $25,601 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,360 | TotalAmt |
| Program Services | $104,645 | ProgramServicesAmt |
| Management And General | $476,715 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,870 | TotalAmt |
| Program Services | $657,638 | ProgramServicesAmt |
| Management And General | $386,232 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,337 | TotalAmt |
| Program Services | $47,743 | ProgramServicesAmt |
| Management And General | $3,594 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,037 | TotalAmt |
| Program Services | $143,024 | ProgramServicesAmt |
| Management And General | $77,013 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,203 | TotalAmt |
| Program Services | $258,152 | ProgramServicesAmt |
| Management And General | $86,051 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $975,751 | $907,448 | $68,303 |
| FURNITURE & FIXTURES | $51,439 | $38,579 | $12,860 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,422,955 | TotalAmt |
| Program Services | $14,606,058 | ProgramServicesAmt |
| Management And General | $3,816,897 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,017,146 | BOYAmt |
| EOY | $663,149 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,243,051 | BOYAmt |
| EOY | $265,579 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,356,169 | BOYAmt |
| EOY | $2,384,386 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,381,747 | BOYAmt |
| EOY | $1,962,461 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,018 | BOYAmt |
| EOY | $200,204 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,788,160 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,926,163 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,022,547 | BOYAmt |
| EOY | $1,861,997 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,491,351 | BOYAmt |
| EOY | $4,215,092 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,719,029 | BOYAmt |
| EOY | $11,552,868 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,178,006 | BOYAmt |
| EOY | $1,392,315 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,073,607 | BOYAmt |
| EOY | $286,770 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,251,613 | BOYAmt |
| EOY | $1,679,085 | 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 | $9,467,416 | BOYAmt |
| EOY | $9,873,783 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,467,416 | BOYAmt |
| EOY | $9,873,783 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,719,029 | BOYAmt |
| EOY | $11,552,868 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $108,055 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $298,312 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,779,463 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,892,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,240,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,837,364 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,915,856 | CurrentTaxYearAmt |
| Total | $45,666,028 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $335,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $335,556 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $335,556 | CurrentTaxYearAmt |
| Total | $1,677,780 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,115,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,228,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,576,172 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,172,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,251,412 | CurrentTaxYearAmt |
| Total | $47,343,808 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $47,343,808 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,494 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,378 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,035 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $109,689 | CurrentTaxYearAmt |
| Total | $377,271 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,800 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $185,553 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $213,914 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $280,762 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $221,788 | CurrentTaxYearAmt |
| Total | $1,027,817 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $48,748,896 | TotalSupportAmt |
| Public Support CY170 | 0.97120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $115,410 | OtherCostOrOtherBasisAmt |
| Book Value | $115,410 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,466,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,162,545 | DepreciationAmt |
| Book Value | $1,304,328 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,749,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,443,842 | DepreciationAmt |
| Book Value | $305,369 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $722,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $673,002 | DepreciationAmt |
| Book Value | $49,105 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $734,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $646,774 | DepreciationAmt |
| Book Value | $87,785 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,861,997 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $19,169,131 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $298,312 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $339,809 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $638,121 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,531,010 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,531,010 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,762,764 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $339,809 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $339,809 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,422,955 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,422,955 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD BEZ | ||||||||||||||
| PHYSICIAN | $443,553 | $0 | $0 | $0 | $0 | $0 | $21,273 | $0 | $12,575 | $0 | $477,401 | $0 | $0 | $0 |
| RANDALL VENABLE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $140,454 | $0 | $0 | $0 | $0 | $0 | $9,803 | $0 | $2,752 | $0 | $153,009 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPY REVIEWED BY FINANCE COMMITTEE BEFORE FILED WHEN PRACTICAL, OTHERWISE REVIEWED SUBSEQUENT TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEWED REGULARLY AND HANDLED ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | 15A: COMPENSATION DICTATED BY CONTRACT ESTABLISHED BY BOARD BASED ON MARKET VALUE AND REVIEWED ANNUALLY. 15B: REVIEWED ANNUALLY BASED ON MARKET VALUE OF POSITION. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
Comments