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SOUTHEAST MISSOURI HEALTH NETWORK: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST MISSOURI HEALTH NETWORK (EIN 43-1253101)
Tax period
2021-04-01 to 2022-03-31
Filed
2023-02-03
IRS object ID
202340349349300544
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-02-03T15:48:33-06:00ReturnTs
Tax Period End2022-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621804252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WATKINS UIBERALL PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11661 AARON BRENNER DR STE 300AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431253101EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone5733132500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS JONESPersonNm
Person TitleCEOPersonTitleTxt
Phone5737482407PhoneNum
Signature2023-02-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISPersonFirstNm
Person LastJONESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE D WILLIAMSPreparerPersonNm
PTINP01307263PTIN
Phone9017612720PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$20,271,232GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SEMOHEALTHNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee181TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$11,750TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,816,733PYContributionsGrantsAmt
CY Contributions Grants$6,070,833CYContributionsGrantsAmt
PY Program Service Revenue$11,733,753PYProgramServiceRevenueAmt
CY Program Service Revenue$13,808,472CYProgramServiceRevenueAmt
PY Investment Income$22,324PYInvestmentIncomeAmt
CY Investment Income$28,682CYInvestmentIncomeAmt
PY Other Revenue$389,351PYOtherRevenueAmt
CY Other Revenue$351,495CYOtherRevenueAmt
PY Total Revenue$21,962,161PYTotalRevenueAmt
CY Total Revenue$20,259,482CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,823,115PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,155,958CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,586,373PYOtherExpensesAmt
CY Other Expenses$5,650,381CYOtherExpensesAmt
PY Total Expenses$15,409,488PYTotalExpensesAmt
CY Total Expenses$17,806,339CYTotalExpensesAmt
PY Revenues Less Expenses$6,552,673PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,453,143CYRevenuesLessExpensesAmt
Total Assets BOY$18,969,140TotalAssetsBOYAmt
Total Assets EOY$21,616,716TotalAssetsEOYAmt
Total Liabilities BOY$4,404,053TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,598,486TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,565,087NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,018,230NetAssetsOrFundBalancesEOYAmt
MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,945,551ExpenseAmt
Revenue$14,171,717RevenueAmt
DescSEMO HEALTH NETWORK PROVIDED 27,144 MEDICAL VISITS, 2,997 BEHAVIORAL HEALTH VISITS, 1,703 OBSTETRICAL AND GYNECOLOGICAL VISITS, 21,475 DENTAL VISITS, AND 142 NUTRITIONAL SERVICES IN SOUTHEAST MISSOURI THROUGH THE OPERATION OF MIGRANT AND COMMUNITY HEALTH CENTERS IN THE FISCAL YEAR.Desc
Total Program Service Expenses$13,945,551TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee181EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARA DEANEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5737482592PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DON MILLER
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
LANCE CRAWFORD
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARY DAVIS
TREASURER2.00Yes (X)Yes (X)$0$0$0
CINDY AMICK
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CATHERINE BOCKHOLD
DIRECTOR2.00Yes (X)$0$0$0
DAVID HOWARD
DIRECTOR2.00Yes (X)$0$0$0
JASON GINDER
DIRECTOR2.00Yes (X)$0$0$0
RICHARD RICKMAN
DIRECTOR2.00Yes (X)$0$0$0
SHELIA COOPER
DIRECTOR2.00Yes (X)$0$0$0
CHRIS JONES
CEO40.00Yes (X)$346,810$0$27,878
SARA BETH DEANE
CFO40.00Yes (X)$284,459$0$27,878
SCOTT LAWRENCE
COO40.00Yes (X)$131,018$0$11,426
TERESA RICHEY
CHIEF NURSING OFFICER40.00Yes (X)$116,779$0$1,426
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER40.00Yes (X)$256,606$0$19,882
DR MACK TAYLOR
DENTIST40.00$199,431$0$11,525Yes (X)
DR MOID KARWAA
DENTIST40.00$170,307$0$20,081Yes (X)
DR WILLIAM BLEDSOE
DENTIST40.00$181,458$0$439Yes (X)
DR NATHAN SPRENGEL
DOCTOR40.00$247,894$0$27,878Yes (X)
DR NELSON PEREZ
DOCTOR40.00$342,792$0$27,878Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,277,554TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$176,291TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PATRICIA MERKLEY LLC
1747 N KINGSHIGHWAYCAPE GIRARDEAUMO63701DENTAL SERVICES$949,158
MCKESSON MEDICAL SURGICAL
PO BOX 634404CINCINNATIOH45263SUPPLIES$798,751
ATHENA HEALTH
PO BOX 415615BOSTONMA02241EMR SOFTWARE$794,593
CONSOCIATE INC
PO BOX 1068DECATURIL62525INSURANCE$483,978
PATTERSON DENTAL SUPPLY INC
28244 NETWORK PLACECHICAGOIL60673SUPPLIES$270,282
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$6,070,833GovernmentGrantsAmt
Total Contributions$6,070,833TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE FEES621110$11,178,045$11,178,045
340B PHARMACY PROGRAM REVENUE621110$2,630,427$2,630,427
FieldValueIRS element (for citing)
Total Program Service Revenue$13,808,472TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,682TotalRevenueColumnAmt
Exclusion$28,682ExclusionAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,750RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$11,750RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,750TotalRevenueColumnAmt
Unrelated Business Revenue-$11,750UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621110BusinessCd
Total Revenue Column$363,245TotalRevenueColumnAmt
Related Or Exempt Func Income$363,245RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$363,245OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,259,482TotalRevenueColumnAmt
Related Or Exempt Func Income$14,171,717RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$11,750UnrelatedBusinessRevenueAmt
Exclusion$28,682ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,224,163TotalAmt
Program Services$473,836ProgramServicesAmt
Management And General$750,327ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,551,966TotalAmt
Program Services$7,602,052ProgramServicesAmt
Management And General$949,914ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,379,829TotalAmt
Program Services$1,273,857ProgramServicesAmt
Management And General$1,105,972ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,116TotalAmt
Program Services$20,823ProgramServicesAmt
Management And General$83,293ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$77,659TotalAmt
Program Services$45,225ProgramServicesAmt
Management And General$32,434ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$72,804TotalAmt
Program Services$62,059ProgramServicesAmt
Management And General$10,745ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,168,708TotalAmt
Program Services$918,030ProgramServicesAmt
Management And General$250,678ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$812,924TotalAmt
Program Services$591,663ProgramServicesAmt
Management And General$221,261ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$237,422TotalAmt
Program Services$168,579ProgramServicesAmt
Management And General$68,843ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,870TotalAmt
Program Services$889ProgramServicesAmt
Management And General$4,981ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$89,701TotalAmt
Program Services$15,391ProgramServicesAmt
Management And General$74,310ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$359,835TotalAmt
Program Services$286,827ProgramServicesAmt
Management And General$73,008ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$196,181TotalAmt
Program Services$96,481ProgramServicesAmt
Management And General$99,700ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$1,575,696$1,575,696
340B PHARMACY PROGRAM E$466,551$443,223$23,328
UTILITIES$154,213$135,851$18,362
DUES & SUBSCRIPTIONS$131,565$75,810$55,755

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$197,136TotalAmt
Program Services$159,259ProgramServicesAmt
Management And General$37,877ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,806,339TotalAmt
Program Services$13,945,551ProgramServicesAmt
Management And General$3,860,788ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,363,069BOYAmt
EOY$2,322,083EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,574,683BOYAmt
EOY$9,389,589EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$142,023BOYAmt
EOY$184,211EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,362,130BOYAmt
EOY$4,406,588EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$91,305BOYAmt
EOY$118,156EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,256,013LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,094,116LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,405,745BOYAmt
EOY$5,161,897EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$30,185BOYAmt
EOY$34,192EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,969,140BOYAmt
EOY$21,616,716EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,217,091BOYAmt
EOY$1,203,883EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,427,239BOYAmt
EOY$1,384,078EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$759,723BOYAmt
EOY$2,010,525EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,404,053BOYAmt
EOY$4,598,486EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,565,087BOYAmt
EOY$17,018,230EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,565,087BOYAmt
EOY$17,018,230EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,969,140BOYAmt
EOY$21,616,716EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,453,143ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,030,367CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,051,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,324,863CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,816,733CurrentTaxYearMinus1YearAmt
Current Tax Year$6,070,833CurrentTaxYearAmt
Total$28,294,482TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,030,367CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,051,686CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,324,863CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,816,733CurrentTaxYearMinus1YearAmt
Current Tax Year$6,070,833CurrentTaxYearAmt
Total$28,294,482TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$28,294,482PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,351CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,324CurrentTaxYearMinus1YearAmt
Current Tax Year$28,682CurrentTaxYearAmt
Total$127,325TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$256,580CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$171,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$248,564CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$358,345CurrentTaxYearMinus1YearAmt
Current Tax Year$363,245CurrentTaxYearAmt
Total$1,398,613TotalAmt
FieldValueIRS element (for citing)
Total Support$29,820,420TotalSupportAmt
Public Support CY1700.94880PublicSupportCY170Pct
Public Support PY1700.95250PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$412,454OtherCostOrOtherBasisAmt
Book Value$412,454BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$147,461InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,812,097OtherCostOrOtherBasisAmt
Depreciation$1,772,039DepreciationAmt
Book Value$4,187,519BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,692OtherCostOrOtherBasisAmt
Depreciation$31,829DepreciationAmt
Book Value$13,863BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,785,967OtherCostOrOtherBasisAmt
Depreciation$1,243,712DepreciationAmt
Book Value$542,255BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$52,342InvestmentCostOrOtherBasisAmt
Depreciation$46,536DepreciationAmt
Book Value$5,806BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,161,897TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$1,966,558
PATIENT OVERPAYMENT PAYABLE$43,967
FieldValueIRS element (for citing)
Total Liability$2,010,525TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$20,271,232TotalRevEtcAuditedFinclStmtAmt
Other Revenue$11,750OtherRevenueAmt
Revenue Not Reported$11,750RevenueNotReportedAmt
Revenue Subtotal$20,259,482RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,259,482TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,818,089TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$11,750OtherExpensesIncludedAmt
Expenses Not Reported$11,750ExpensesNotReportedAmt
Expenses Subtotal$17,806,339ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,806,339TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 11,750.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 11,750.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRIS JONES
CEO$346,810$0$0$0$0$0$0$0$27,878$0$374,688$0$0$0
DR NELSON PEREZ
DOCTOR$342,792$0$0$0$0$0$0$0$27,878$0$370,670$0$0$0
SARA BETH DEANE
CFO$284,459$0$0$0$0$0$0$0$27,878$0$312,337$0$0$0
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER$256,606$0$0$0$0$0$0$0$19,882$0$276,488$0$0$0
DR NATHAN SPRENGEL
DOCTOR$247,894$0$0$0$0$0$0$0$27,878$0$275,772$0$0$0
DR MACK TAYLOR
DENTIST$199,431$0$0$0$0$0$0$0$11,525$0$210,956$0$0$0
DR MOID KARWAA
DENTIST$170,307$0$0$0$0$0$0$0$20,081$0$190,388$0$0$0
DR WILLIAM BLEDSOE
DENTIST$181,458$0$0$0$0$0$0$0$439$0$181,897$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CONTRACTS ARE BROUGHT BEFORE THE BOARD AND THE SALARY IS DISCUSSED AND VOTED ON FOR EACH OFFICER DURING EXECUTIVE SESSIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITORS AND REVIEWED BY MANAGEMENT. A COPY IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANY CONFLICT BROUGHT TO LIGHT IS ADDRESSED AT THE BOARD MEETING AND A PLAN OF ACTION IS DECIDED BY THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION COMMITTEE MEETS AND REVIEWS PERFORMANCE APPRAISALS PREPARED BY ALL BOARD MEMBERS. THE COMMITTEE ALSO REVIEWS COMPENSATION OF OFFICIALS IN SIMILAR POSITIONS IN LIKE ORGANIZATIONS. AFTER THE REVIEW, THE EXECUTIVE DIRECTOR COMPENSATION IS THEN DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.