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LITTLE RIVER MEDICAL CENTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
LITTLE RIVER MEDICAL CENTER INC (EIN 57-0672117)
Tax period
2023-06-01 to 2024-05-31
Filed
2025-01-16
IRS object ID
202530169349302108
Schema version
2023v6.0
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

FieldValueIRS element (for citing)
Return2025-01-16T14:32:27-08:00ReturnTs
Tax Period End2024-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621867889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570672117EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LITTLE RIVER MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLITTBusinessNameControlTxt
Phone8436638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 547AddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAMELA DAVISPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8436638000PhoneNum
Signature2025-01-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY HORNE CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2025-01-09PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAMELA DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 547AddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,858,272GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee455TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,119,122PYContributionsGrantsAmt
CY Contributions Grants$13,282,205CYContributionsGrantsAmt
PY Program Service Revenue$28,306,633PYProgramServiceRevenueAmt
CY Program Service Revenue$33,316,846CYProgramServiceRevenueAmt
PY Investment Income$61,766PYInvestmentIncomeAmt
CY Investment Income-$137,896CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$42,487,521PYTotalRevenueAmt
CY Total Revenue$46,461,155CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,447,553PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,603,647CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,250,057PYOtherExpensesAmt
CY Other Expenses$20,722,468CYOtherExpensesAmt
PY Total Expenses$41,697,610PYTotalExpensesAmt
CY Total Expenses$46,326,115CYTotalExpensesAmt
PY Revenues Less Expenses$789,911PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$135,040CYRevenuesLessExpensesAmt
Total Assets BOY$33,919,270TotalAssetsBOYAmt
Total Assets EOY$34,063,996TotalAssetsEOYAmt
Total Liabilities BOY$10,123,960TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,489,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$23,795,310NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,574,452NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$39,304,546ExpenseAmt
Grant$0GrantAmt
Revenue$33,316,846RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 128,400 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$39,304,546TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document37IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee455EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER RICHARDSONPersonNm
Phone8436631013PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14303 LIVE OAK DRIVEAddressLine1Txt
CityLITTLE RIVERCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29566ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HOWARD GARRISON
BOARD MEMBER1.00Yes (X)$0$0$0
MAURICE JONES
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIE ANN HUCKS
BOARD MEMBER1.00Yes (X)$0$0$0
ELOUISE GORE YOUNG
BOARD MEMBER1.00Yes (X)$0$0$0
NATE ROHLER
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA GAUSE
BOARD MEMBER1.00Yes (X)$0$0$0
NICOLE CRISS
BOARD MEMBER1.00Yes (X)$0$0$0
DANA BLACK
BOARD MEMBER1.00Yes (X)$0$0$0
ELVIRA MEDINA
BOARD MEMBER1.00Yes (X)$0$0$0
COLEEN RENEE KENNEDY
BOARD MEMBER1.00Yes (X)$0$0$0
JACK FIELDS
BOARD MEMBER1.00Yes (X)$0$0$0
GREGORY THOMPSON
BOARD MEMBER1.00Yes (X)$0$0$0
PAM DAVIS
CHIEF EXECUTIVE OFFICER40.00$316,546$0$54,315Yes (X)
JENNIFER RICHARDSON
CHIEF FINANCIAL OFFICER40.00$182,163$0$34,827Yes (X)
KAREN CAGLE
CHIEF OPERATIONAL OFFICER40.00$166,951$0$19,166Yes (X)
CHRISTINE MCGINLEY
CHIEF MEDICAL OFFICER40.00$302,295$0$31,594Yes (X)
MARK JANOSKY
CHIEF DENTAL OFFICER40.00$216,644$0$18,865Yes (X)
KRISTOPHER CHIPLINSKI
DIRECTOR OF PHARMACY40.00$189,569$0$33,586Yes (X)
JOSE HERNANDEZ
PHYSICIAN40.00$221,113$0$8,332Yes (X)
LUIS INSIGNARES
PHYSICIAN40.00$226,998$0$42,964Yes (X)
BERNICE LIM
PHYSICIAN40.00$185,478$0$16,436Yes (X)
MARWAN AL ASWAD
PHYSICIAN40.00$214,921$0$27,888Yes (X)
KIMBERLY OXLEY
PHYSICIAN40.00$185,882$0$36,032Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,408,560TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$324,005TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MUHA CENTER FOR TELEHEALTH
171 ASHLEY AVENUECHARLESTONSC29407MEDICAL BILLING/CODING SERVICES$134,800
ECLINICALWORKS LLC
PO 847950BOSTONMA29425CONTRACT BILLING SERVICES$764,036
THE RADIOLOGY GROUP LLC
PO BOX 100038ATLANTAGA30348CONTRACT RADIOLOGY SERVICES$153,624
WACCAMAW MENTAL CENTER FOR MENTAL HEALTH
164 WACCAMAW MEDICAL PARK DRIVECONWAYSC29526CONTRACT MENTAL HEALTH SERVICES$162,443
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397CONTRACT LOCUM SERVICES$399,095
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$12,699,416GovernmentGrantsAmt
All Other Contributions$582,789AllOtherContributionsAmt
Noncash Contributions$199,810NoncashContributionsAmt
Total Contributions$13,282,205TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$33,316,846TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,316,846TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,221TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$49,221ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$210,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$397,117OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$187,117OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$187,117TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$187,117ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,461,155TotalRevenueColumnAmt
Related Or Exempt Func Income$33,316,846RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$137,896ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,418,037TotalAmt
Program Services$1,228,673ProgramServicesAmt
Management And General$189,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,786,761TotalAmt
Program Services$17,144,443ProgramServicesAmt
Management And General$2,642,318ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$550,168TotalAmt
Program Services$476,699ProgramServicesAmt
Management And General$73,469ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,328,718TotalAmt
Program Services$2,017,741ProgramServicesAmt
Management And General$310,977ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,519,963TotalAmt
Program Services$1,316,988ProgramServicesAmt
Management And General$202,975ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,155TotalAmt
Program Services$12,124ProgramServicesAmt
Management And General$3,031ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$55,882TotalAmt
Program Services$44,706ProgramServicesAmt
Management And General$11,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,609,072TotalAmt
Program Services$2,887,258ProgramServicesAmt
Management And General$721,814ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,582,417TotalAmt
Program Services$2,144,886ProgramServicesAmt
Management And General$437,531ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,115,023TotalAmt
Program Services$892,018ProgramServicesAmt
Management And General$223,005ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$532,928TotalAmt
Program Services$426,342ProgramServicesAmt
Management And General$106,586ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,062,547TotalAmt
Program Services$850,038ProgramServicesAmt
Management And General$212,509ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$577,679TotalAmt
Program Services$462,143ProgramServicesAmt
Management And General$115,536ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN AND DISPENSING FEES$1,267,064$1,013,651$253,413$0
DRUGS AND MEDICAL SUPPLIES$9,261,507$7,872,281$1,389,226$0
EHR FEES$643,194$514,555$128,639$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,326,115TotalAmt
Program Services$39,304,546ProgramServicesAmt
Management And General$7,021,569ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$73,754BOYAmt
EOY$60,823EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,838,165BOYAmt
EOY$10,580,809EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,008,160BOYAmt
EOY$422,564EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,780,478BOYAmt
EOY$2,804,668EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$667,496BOYAmt
EOY$664,333EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$725,556BOYAmt
EOY$459,973EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,165,552LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,977,325LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,896,402BOYAmt
EOY$18,188,227EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$141,036BOYAmt
EOY$182,385EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$788,223BOYAmt
EOY$700,214EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,919,270BOYAmt
EOY$34,063,996EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,171,262BOYAmt
EOY$2,894,310EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,065,476BOYAmt
EOY$6,807,474EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$867,222BOYAmt
EOY$767,760EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,123,960BOYAmt
EOY$10,489,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$23,227,314BOYAmt
EOY$23,153,751EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$567,996BOYAmt
EOY$420,701EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,795,310BOYAmt
EOY$23,574,452EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,919,270BOYAmt
EOY$34,063,996EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$135,040ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$41,349NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$249,952PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$147,295OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,474,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,649,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,417,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,119,122CurrentTaxYearMinus1YearAmt
Current Tax Year$13,282,205CurrentTaxYearAmt
Total$68,942,968TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,474,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,649,579CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,417,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,119,122CurrentTaxYearMinus1YearAmt
Current Tax Year$13,282,205CurrentTaxYearAmt
Total$68,942,968TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$68,942,968PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,645CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,779CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,319CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$61,766CurrentTaxYearMinus1YearAmt
Current Tax Year$49,221CurrentTaxYearAmt
Total$212,730TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$69,155,698TotalSupportAmt
Gross Receipts Rltd Activities$137,179,711GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99690PublicSupportCY170Pct
Public Support PY1700.99610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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)
Investment Cost Or Other Basis$3,048,702InvestmentCostOrOtherBasisAmt
Book Value$3,048,702BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$17,797,997InvestmentCostOrOtherBasisAmt
Depreciation$5,655,658DepreciationAmt
Book Value$12,142,339BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,122,712InvestmentCostOrOtherBasisAmt
Depreciation$5,321,667DepreciationAmt
Book Value$1,801,045BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,196,141InvestmentCostOrOtherBasisAmt
Book Value$1,196,141BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,188,227TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITIES$691,676
DEFERRED COMPENSATION 457(f) LIABILTY$76,084
FieldValueIRS element (for citing)
Total Liability$767,760TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$46,526,504TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$41,349NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$24,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$65,349RevenueNotReportedAmt
Revenue Subtotal$46,461,155RevenueSubtotalAmt
Total Revenue Per Form990$46,461,155TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,350,115TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$24,000DonatedServicesUseFcltsAmt
Expenses Not Reported$24,000ExpensesNotReportedAmt
Expenses Subtotal$46,326,115ExpensesSubtotalAmt
Total Expenses Per Form990$46,326,115TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

Base 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
PAM DAVIS
$316,546$0$0$0$0$0$12,032$0$42,283$0$370,861$0$0$0
JENNIFER RICHARDSON
$182,163$0$0$0$0$0$7,620$0$27,207$0$216,990$0$0$0
KAREN CAGLE
$166,951$0$0$0$0$0$6,831$0$12,335$0$186,117$0$0$0
CHRISTINE MCGINLEY
$302,295$0$0$0$0$0$7,691$0$23,903$0$333,889$0$0$0
MARK JANOSKY
$216,644$0$0$0$0$0$8,688$0$10,177$0$235,509$0$0$0
KRISTOPHER CHIPLINSKI
$189,569$0$0$0$0$0$7,335$0$26,251$0$223,155$0$0$0
JOSE HERNANDEZ
$221,113$0$0$0$0$0$3,348$0$4,984$0$229,445$0$0$0
LUIS INSIGNARES
$226,998$0$0$0$0$0$9,203$0$33,761$0$269,962$0$0$0
BERNICE LIM
$185,478$0$0$0$0$0$7,487$0$8,949$0$201,914$0$0$0
MARWAN AL ASWAD
$214,921$0$0$0$0$0$5,572$0$22,316$0$242,809$0$0$0
KIMBERLY OXLEY
$185,882$0$0$0$0$0$7,743$0$28,289$0$221,914$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution13321ContributionCnt
Noncash Contributions Rpt F990$199,810NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY
Pt VI, Line 19AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 11bTHE FORM 990 IS PREPARED BY THE CENTERS INDEPENDENT AUDITOR WITH REVIEW AND
Pt VI, Line 11bINFORMATION PROVIDED BY THE CEO & CFO. A COPY OF THE FORM 990 WILL BE GIVEN
Pt VI, Line 11bAND REVIEWED WITH THE BOARD AFTER COMPLETION AND SUBMISSION BY THE AUDITOR.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
Pt VI, Line 12cREVIEWED THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
Pt VI, Line 12cISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY
Pt VI, Line 15bAND CEO SALARY INCREASES ARE BOARD APPROVED.
Pt XII, Line 2cTHE CEO & CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt XILINE 9 REPRESENTS THE NET CHANGE IN NET ASSETS WITH
Pt XIDONOR RESTRICTIONS FOR THE YEAR.