ACCESS CARROLL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ACCESS CARROLL INC (EIN 20-2146701)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202431369349306983
- Schema version
- 2022v5.0
- 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 | 2024-05-15T12:25:24-04:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251644159 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN PLUS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 EAST MAIN STREET | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202146701 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACCESS CARROLL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ACCE | BusinessNameControlTxt |
| Phone | 4108711478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 DISTILLERY DRIVE SUITE 200 | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS D WELLIVER | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 4108711478 | PhoneNum |
| Signature | 2024-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | THOMAS D | PersonFirstNm |
| Person Last | WELLIVER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WANDA K LYNN CPA | PreparerPersonNm |
| PTIN | P00726749 | PTIN |
| Phone | 4108763990 | PhoneNum |
| Preparation | 2024-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMMY BLACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 DISTILLERY DRIVE SUITE 200 | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,278,521 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACCESSCARROLL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO CHAMPION HEALTH AND PROVIDE QUALITY, INTEGRATED HEALTH CARE SERVICES FOR LOW-INCOME RESIDENTS OF CARROLL COUNTY, MARYLAND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 42 | TotalEmployeeCnt |
| Total Volunteers | 121 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,421,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,399,675 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $903,830 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $872,202 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7 | PYInvestmentIncomeAmt |
| CY Investment Income | -$194 | CYInvestmentIncomeAmt |
| CY Other Revenue | -$1,227 | CYOtherRevenueAmt |
| PY Total Revenue | $2,325,597 | PYTotalRevenueAmt |
| CY Total Revenue | $2,270,456 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,766,092 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,661,642 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,371 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $517,968 | PYOtherExpensesAmt |
| CY Other Expenses | $430,449 | CYOtherExpensesAmt |
| PY Total Expenses | $2,284,060 | PYTotalExpensesAmt |
| CY Total Expenses | $2,092,091 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,537 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $178,365 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,419,331 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,369,284 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $90,910 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,328,421 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,343,107 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CHAMPION HEALTH AND PROVIDE QUALITY, INTEGRATED HEALTH CARE SERVICES FOR LOW-INCOME RESIDENTS OF CARROLL COUNTY, MARYLAND. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,011,701 | ExpenseAmt |
| Revenue | $872,202 | RevenueAmt |
| Desc | PRIMARY HEALTH/DENTAL CARE - PROVIDE ON-SITE MEDICAL/DENTAL CARE, MEDICATION AND EDUCATIONAL SERVICES ON HEALTH-RELATED MATTERS. THE ORGANIZATION SERVED 9,801 INDIVIDUALS DURING THE FISCAL YEAR. THERE WERE A TOTAL OF 15,788 ENCOUNTERS DURING THE FISCAL YEAR INCLUDING 5,865 MEDICAL, 3,237 DENTAL, AND 6,686 BEHAVIORAL HEALTH. | Desc |
| Total Program Service Expenses | $2,011,701 | 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 | Yes (true) | 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 | Yes (true) | 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 |
| Employee | 42 | 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 |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMMY BLACK | PersonNm |
| Phone | 4108711478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 DISTILLERY DRIVE SUITE 200 | AddressLine1Txt |
| City | WESTMINSTER | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| TAMMY BLACK | |||||||
| EXEC DIR-SEE | 40.00 | Yes (X) | $130,642 | $0 | $11,007 | ||
| JASMINE GEAR | |||||||
| CHIEF DENTIS | 40.00 | $134,053 | $0 | $0 | Yes (X) | ||
| JOSEPH O'LEARY | |||||||
| PSYCHIATRIST | 15.50 | $104,644 | $0 | $0 | Yes (X) | ||
| JONATHAN ELDRIDGE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JOANN ELLINGHAUS-JONES | |||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ZOA D BARNES ESQUIRE | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DOROTHY L FOX | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| AMY JAGODA | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTINE KAY | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EDWIN F SINGER LEHS | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| SHARON MCCLERNAN RN BSN MBA | |||||||
| DIRECTOR | 3.00 | $0 | $0 | $0 | Yes (X) | ||
| FILIPA GOMES RN CNM MSN | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| FRANCES L ROCK | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| THOMAS D WELLIVER | |||||||
| CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $369,339 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $11,007 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (true) | CompensationFromOtherSrcsInd |
| Fundraising | $34,036 | FundraisingAmt |
| Government Grants | $139,022 | GovernmentGrantsAmt |
| All Other Contributions | $1,226,617 | AllOtherContributionsAmt |
| Noncash Contributions | $163,679 | NoncashContributionsAmt |
| Total Contributions | $1,399,675 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SERVICES REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $872,202 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $872,202 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $872,202 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20 | TotalRevenueColumnAmt |
| Exclusion | $20 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $214 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$214 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$214 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $6,624 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $34,036 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,851 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,227 | TotalRevenueColumnAmt |
| Exclusion | -$1,227 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,270,456 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $871,988 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$1,207 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,287 | TotalAmt |
| Program Services | $1,481,323 | ProgramServicesAmt |
| Management And General | $15,500 | ManagementAndGeneralAmt |
| Fundraising | $12,464 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,909 | TotalAmt |
| Program Services | $32,950 | ProgramServicesAmt |
| Management And General | $959 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,446 | TotalAmt |
| Program Services | $116,265 | ProgramServicesAmt |
| Management And General | $1,206 | ManagementAndGeneralAmt |
| Fundraising | $975 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,044 | TotalAmt |
| Management And General | $12,044 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,758 | TotalAmt |
| Program Services | $11,458 | ProgramServicesAmt |
| Management And General | $300 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49 | TotalAmt |
| Program Services | $49 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,397 | TotalAmt |
| Program Services | $16,651 | ProgramServicesAmt |
| Management And General | $12,120 | ManagementAndGeneralAmt |
| Fundraising | $626 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,531 | TotalAmt |
| Program Services | $69,531 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,316 | TotalAmt |
| Program Services | $10,184 | ProgramServicesAmt |
| Management And General | $1,132 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,584 | TotalAmt |
| Program Services | $3,584 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,705 | TotalAmt |
| Program Services | $60 | ProgramServicesAmt |
| Management And General | $3,645 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,539 | TotalAmt |
| Program Services | $4,801 | ProgramServicesAmt |
| Management And General | $432 | ManagementAndGeneralAmt |
| Fundraising | $306 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,605 | TotalAmt |
| Program Services | $54,535 | ProgramServicesAmt |
| Management And General | $15,070 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,418 | TotalAmt |
| Program Services | $52,374 | ProgramServicesAmt |
| Management And General | $44 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DENTAL | $112,387 | $112,387 | |
| MEDICAL SUPPLIES/LAB FEES | $40,894 | $40,894 | |
| VOLUNTEER/STAFF APPRECIAT | $3,303 | $3,303 | |
| PATIENT EDUCATION/SERVICE | $3,162 | $3,162 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,757 | TotalAmt |
| Program Services | $1,493 | ProgramServicesAmt |
| Management And General | $264 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,092,091 | TotalAmt |
| Program Services | $2,011,701 | ProgramServicesAmt |
| Management And General | $66,019 | ManagementAndGeneralAmt |
| Fundraising | $14,371 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,855 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27 | BOYAmt |
| EOY | $35,655 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,148,449 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $814,820 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,403,449 | BOYAmt |
| EOY | $1,333,629 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,419,331 | BOYAmt |
| EOY | $1,369,284 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,910 | BOYAmt |
| EOY | $26,177 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,910 | BOYAmt |
| EOY | $26,177 | 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 | $1,328,421 | BOYAmt |
| EOY | $1,343,107 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,421 | BOYAmt |
| EOY | $1,343,107 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,419,331 | BOYAmt |
| EOY | $1,369,284 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $178,365 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$163,679 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,633,906 | OtherCostOrOtherBasisAmt |
| Depreciation | $328,333 | DepreciationAmt |
| Book Value | $1,305,573 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $514,543 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,487 | DepreciationAmt |
| Book Value | $28,056 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,333,629 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYROLL TAX LIABILITIES | $16,167 |
| OBLIGATION UNDER FINANCE LEASE | $10,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,177 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,114,842 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $8,065 | OtherRevenueAmt |
| Revenue Not Reported | $8,065 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,106,777 | RevenueSubtotalAmt |
| Other Revenues Not Included | $163,679 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $163,679 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,270,456 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,100,156 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,065 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,065 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,092,091 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,092,091 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | FUNDRAISING EXPENSES 7,851 LOSS ON FIXED ASSET DISPOSAL 214 |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | DONATED ITEMS 163,679 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | FUNDRAISING EXPENSES 7,851 LOSS ON FIXED ASSET DISPOSAL 214 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BIG BAND EVENT | Event1Nm |
| Gross Receipts Event1 | $40,660 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $34,036 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,624 | GrossRevenueEvent1Amt |
| Entertainment Event1 | $6,575 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,276 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $40,660 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $34,036 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $6,624 | GrossRevenueTotalEventsAmt |
| Entertainment Total Events | $6,575 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,276 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,851 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,227 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMMY BLACK | PersonNm |
| Title | EXEC DIR-SEE SCH O | TitleTxt |
| Base Compensation Filing Org | $130,642 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $11,007 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $141,649 | TotalCompensationFilingOrgAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | PART II, LINE 2 - UNRELATED ORGANIZATION PROVIDING COMPENSATION IS CARROLL HOSPITAL CENTER, INC. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $41,469 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | TESTS/SUPPLIES | Desc |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $122,210 | NoncashContributionsRptF990Amt |
| 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR AND TREASURER REVIEW THE FORM 990 BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE EXECUTIVE DIRECTOR MONITORS THE SITUATION ON BEHALF OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE DIRECTOR AND FINANCE COMMITTEE APPROVES THE COMPENSATION OF TOP EMPLOYEES (OFFICE MANAGER AND DENTAL MANAGER). |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE DOCUMENTS ARE AVAILABLE AT THE OFFICES OF THE ORGANIZATION UPON REQUEST FROM THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VII | THE EXECUTIVE DIRECTOR IS EMPLOYED BY CARROLL HOSPITAL CENTER, INC., A 501 (C)3 ORGANIZATION. THE HOSPITAL IS CONSIDERED AN UNRELATED ORGANIZATION TO ACCESS CARROLL, INC. THE COMPENSATION LISTED IN PART VII IS FULLY PAID BY THE HOSPITAL. ACCESS CARROLL, INC. DOES NOT REIMBURSE THE HOSPITAL FOR THE EXECUTIVE DIRECTOR'S WAGES. |
| FORM 990, PART XI, LINE 9 | DONATED ITEMS -163,679 THE ORGANIZATION UTILIZES THE CASH BASIS OF ACCOUNTING AND THEREFORE DOES NOT RECORD DONATED ITEMS. |