FAMILY HEALTH CARE CLINIC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY HEALTH CARE CLINIC INC (EIN 64-0877375)
- Tax period
- 2021-02-01 to 2022-01-31
- Filed
- 2023-06-05
- IRS object ID
- 202341569349300224
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-06-05T08:09:17-07:00 | ReturnTs |
| Tax Period End | 2022-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 640669040 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brown Ewing & Co PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Highland Park Cove | AddressLine1Txt |
| City | Ridgeland | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640877375 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Family Health Care Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 6018257280 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Post Office Box 24116 | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392254116 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Margaret Gray | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6018257280 | PhoneNum |
| Signature | 2023-05-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Dr Margaret | PersonFirstNm |
| Person Last | Gray | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David Ewing Jr | PreparerPersonNm |
| PTIN | P00571682 | PTIN |
| Phone | 6013535423 | PhoneNum |
| Preparation | 2023-06-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | Carolyn Hartzog | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 198 | AddressLine1Txt |
| City | Prentiss | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39474 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,794,697 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | Familyhealthcareclinic.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | To provide quality, accessible, and cost effective primary health care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 223 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,404,771 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,463,181 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,011,353 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,627,602 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,420 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,084 | CYInvestmentIncomeAmt |
| PY Other Revenue | $380,777 | PYOtherRevenueAmt |
| CY Other Revenue | $699,830 | CYOtherRevenueAmt |
| PY Total Revenue | $20,801,321 | PYTotalRevenueAmt |
| CY Total Revenue | $21,794,697 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,615,779 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,014,164 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,555,959 | PYOtherExpensesAmt |
| CY Other Expenses | $8,264,682 | CYOtherExpensesAmt |
| PY Total Expenses | $18,171,738 | PYTotalExpensesAmt |
| CY Total Expenses | $20,278,846 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,629,583 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,515,851 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,024,389 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,513,267 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,916,523 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,098,549 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,107,866 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,414,718 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide quality, accessible, and cost effective primary health care services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,875,133 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,331,516 | RevenueAmt |
| Desc | Provides primary medical, dental and nutrition services to residents of 14 counties in the state of Mississippi, 5 counties in the state of Alabama and Washington Parish in the state of Louisiana. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $195,808 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | WIC Program - Provides nutritional food, education and medical services to low-income women, infants and childrens. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $166,346 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Mississippi Qualified Health Center Program (MQHC)- Provides Prenatal, dental and mental health service to women of child bearing age. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,237,287 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | Yes (true) | 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 | false | 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 | false | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 110 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 223 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Margaret A Gray | PersonNm |
| Phone | 6018257280 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4635 Highway 80 East | AddressLine1Txt |
| City | Pearl | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39208 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Michael Howard | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Louise Patterson | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Carolyn Hartzog | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Moses Johnson | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Charles Hatten | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cindy Bryan | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Helen Johnson | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lydia Gonzalez-Seals | |||||||||
| Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Melinda Ray | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Hills Sr | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Eddie Thames | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brenda Blakeslee | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cierra Hernandez | |||||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Margaret A Gray DPA | |||||||||
| President and CEO | 40.00 | $207,624 | $0 | $18,911 | Yes (X) | ||||
| Karina Clayton | |||||||||
| Chief Financial Officer | 40.00 | $102,601 | $0 | $15,237 | Yes (X) | ||||
| Clinton Mayes | |||||||||
| COO | 40.00 | $144,492 | $0 | $15,962 | Yes (X) | ||||
| Charles Curry MD | |||||||||
| CMO | 40.00 | $307,704 | $0 | $5,383 | Yes (X) | ||||
| TC Washington | |||||||||
| CIO | 40.00 | $95,330 | $0 | $6,808 | Yes (X) | ||||
| Dennis Adams MD | |||||||||
| Physician | 36.00 | $219,154 | $0 | $5,383 | Yes (X) | ||||
| Joe Ward MD | |||||||||
| Physician | 40.00 | $218,828 | $0 | $3 | Yes (X) | ||||
| Elizabeth Buffler MD | |||||||||
| Physician | 40.00 | $220,244 | $0 | $19,428 | Yes (X) | ||||
| Norman Underwood DMD | |||||||||
| Dentist | 40.00 | $186,513 | $0 | $5,383 | Yes (X) | ||||
| Cara Morgan Daughtry MD | |||||||||
| Physician | 40.00 | $179,480 | $0 | $14,290 | Yes (X) | ||||
| Anna Hodges Bruce | |||||||||
| Dentist | 40.00 | $135,404 | $0 | $0 | Yes (X) | ||||
| Rita Estep | |||||||||
| Physician | 40.00 | $132,385 | $0 | $0 | Yes (X) | ||||
| Charles I Misori | |||||||||
| Nurse Practitioner | 40.00 | $102,742 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,252,501 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $106,788 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medline Industries Inc | |||||
| Dept CH 14400 | Palatine | IL | 60555 | Medical Supplies | $2,151,413 |
| McKesson Medical Surgical | |||||
| PO Box 933027 | Atlanta | GA | 311933027 | Medical Supplies | $655,009 |
| AT&T | |||||
| 85 Annex | Atlanta | GA | 30385 | Telephone | $609,521 |
| Transportation Equipment Sales Corporation | |||||
| 6401 Seaman Road | Oregon | OH | 43618 | Mobile Medical Clinics | $576,603 |
| Blue Cross Blue Shield of MS | |||||
| PO Box 23082 | Jackson | MS | 392253082 | Employee Benefits | $991,654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,463,181 | GovernmentGrantsAmt |
| Total Contributions | $14,463,181 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Generated Income | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $6,627,602 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,627,602 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,084 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $699,830 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $699,830 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $699,830 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,794,697 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,331,516 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,753 | TotalAmt |
| Program Services | $547,527 | ProgramServicesAmt |
| Management And General | $310,226 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,388,086 | TotalAmt |
| Program Services | $5,983,081 | ProgramServicesAmt |
| Management And General | $3,405,005 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228,208 | TotalAmt |
| Program Services | $99,097 | ProgramServicesAmt |
| Management And General | $1,129,111 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,117 | TotalAmt |
| Program Services | $385,407 | ProgramServicesAmt |
| Management And General | $154,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,581 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $198,581 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,127,973 | TotalAmt |
| Program Services | $1,212,401 | ProgramServicesAmt |
| Management And General | $1,915,572 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,802,063 | TotalAmt |
| Program Services | $1,739,840 | ProgramServicesAmt |
| Management And General | $1,062,223 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,323,186 | TotalAmt |
| Program Services | $100,015 | ProgramServicesAmt |
| Management And General | $1,223,171 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,855 | TotalAmt |
| Program Services | $44,481 | ProgramServicesAmt |
| Management And General | $20,374 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,960 | TotalAmt |
| Program Services | $76,043 | ProgramServicesAmt |
| Management And General | $168,917 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,298 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $132,298 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Miscellaneous | $125,776 | $49,395 | $76,381 | $0 |
| Principal Paid on Debt | $202,725 | $0 | $202,725 | $0 |
| Dues and subscriptions | $42,265 | $0 | $42,265 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,278,846 | TotalAmt |
| Program Services | $10,237,287 | ProgramServicesAmt |
| Management And General | $10,041,559 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,980 | BOYAmt |
| EOY | $1,021,320 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,458,147 | BOYAmt |
| EOY | $233,922 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,786,633 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,182,591 | BOYAmt |
| EOY | $564,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,432,832 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,525,596 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,084,671 | BOYAmt |
| EOY | $4,907,236 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,024,389 | BOYAmt |
| EOY | $10,513,267 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,155 | BOYAmt |
| EOY | $1,622,470 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,325,315 | BOYAmt |
| EOY | $3,150,009 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $783,998 | BOYAmt |
| EOY | $655,593 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,055 | BOYAmt |
| EOY | $670,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,916,523 | BOYAmt |
| EOY | $6,098,549 | 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 | $5,107,866 | BOYAmt |
| EOY | $4,414,718 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,107,866 | BOYAmt |
| EOY | $4,414,718 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,024,389 | BOYAmt |
| EOY | $10,513,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,515,851 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,208,999 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,344,782 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,577,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,969,806 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,308,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,463,181 | CurrentTaxYearAmt |
| Total | $51,663,666 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,344,782 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,577,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,969,806 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,308,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,463,181 | CurrentTaxYearAmt |
| Total | $51,663,666 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $51,663,666 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,426,117 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,580,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $308 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,084 | CurrentTaxYearAmt |
| Total | $16,041,211 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $281,339 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $335,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,994,506 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,686,073 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,327,432 | CurrentTaxYearAmt |
| Total | $25,624,971 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $93,329,848 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $93,329,848 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.55360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.50610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II Ln 10 | FormAndLineReferenceDesc |
| Explanation | Other Income Part II, Line 10 Description: Program Generated Income from Health Care Services 2017: 281339. 2018: 335621. 2019: 8994506. 2020: 8686073. 2021: 6627602. Description: Other Income 2021: 699830. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $146,498 | OtherCostOrOtherBasisAmt |
| Book Value | $146,498 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,376,866 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,798,372 | DepreciationAmt |
| Book Value | $2,578,494 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,462,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $379,140 | DepreciationAmt |
| Book Value | $1,083,831 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,446,497 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,348,084 | DepreciationAmt |
| Book Value | $1,098,413 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,907,236 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| Payroll taxes payable | $278,788 |
| Salaries payable | $115,784 |
| Accrued annual leave | $271,589 |
| Accrued interest payable | $4,316 |
| Employer' Share Other | $0 |
| Payroll Deduction - Hospitalization | $0 |
| Employer-Group Health | $0 |
| Bank Overdraft | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $670,477 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,794,697 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $21,794,697 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $21,794,697 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,278,846 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $20,278,846 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $20,278,846 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | The corporation is exempt from corporate Federal income taxes under Section 501 (c) (3) of the Internal Revenue Code and from Mississippi income taxes. Therefore, no provision has been made for Federal or Mississippi corporate income taxes in the accompanying financial statements. In addition, the Organization has been determined by the Internal Revenue Service not to be a "private foundation" within the meaning of Section 509 (a) of the Code. The Organization has analyzed its tax position taken for filings with the Internal Revenue. It believes that its tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The Organization's federal and state income tax returns for adopted recently issued accounting principles related to uncertain tax positions for 2021, 2020, and 2019 are subject to examination by the federal, state and local taxing authorities, generally for three years after they are filed. | ExplanationTxt |
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 (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Margaret A Gray DPA | |||||||||||||
| $207,624 | $0 | $0 | $0 | $0 | $0 | $18,911 | $0 | $0 | $0 | $226,535 | $0 | $0 | $0 |
| Clinton Mayes | |||||||||||||
| $144,492 | $0 | $0 | $0 | $0 | $0 | $15,962 | $0 | $0 | $0 | $160,454 | $0 | $0 | $0 |
| Charles Curry MD | |||||||||||||
| $307,704 | $0 | $0 | $0 | $0 | $0 | $5,383 | $0 | $0 | $0 | $313,087 | $0 | $0 | $0 |
| Dennis Adams MD | |||||||||||||
| $219,154 | $0 | $0 | $0 | $0 | $0 | $5,383 | $0 | $0 | $0 | $224,537 | $0 | $0 | $0 |
| Joe Ward MD | |||||||||||||
| $218,828 | $0 | $0 | $0 | $0 | $0 | $3 | $0 | $0 | $0 | $218,831 | $0 | $0 | $0 |
| Elizabeth Buffler MD | |||||||||||||
| $220,244 | $0 | $0 | $0 | $0 | $0 | $19,428 | $0 | $0 | $0 | $239,672 | $0 | $0 | $0 |
| Norman Underwood DMD | |||||||||||||
| $186,513 | $0 | $0 | $0 | $0 | $0 | $5,383 | $0 | $0 | $0 | $191,896 | $0 | $0 | $0 |
| Cara Morgan Daughtry MD | |||||||||||||
| $179,480 | $0 | $0 | $0 | $0 | $0 | $14,290 | $0 | $0 | $0 | $193,770 | $0 | $0 | $0 |
| Anna Hodges Bruce | |||||||||||||
| $135,404 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $135,404 | $0 | $0 | $0 |
| Rita Estep | |||||||||||||
| $132,385 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $132,385 | $0 | $0 | $0 |
| Charles I Misori | |||||||||||||
| $102,742 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $102,742 | $0 | $0 | $0 |
| Karina Clayton | |||||||||||||
| $102,601 | $0 | $0 | $0 | $0 | $0 | $15,237 | $0 | $0 | $0 | $117,838 | $0 | $0 | $0 |
| TC Washington | |||||||||||||
| $95,330 | $0 | $0 | $0 | $0 | $0 | $6,808 | $0 | $0 | $0 | $102,138 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The Form 990 is first reviewed by the CEO and CFO. Afterwhich, it is presented for review by the Finance Committee of the Board of Directors. From there, it is presented for review and approval to the entire Board of Directors. |
| Pt VI, Line 12c | All employees and board members are required to complete and attest annually. All staff and board members are included in training sessions annually where policy violations are covered. |
| Pt VI, Line 15a | The CEO, CFO and other key employees' compensation is approved by the Board of Directors. |
| Pt VI, Line 15b | The Board of Directors, along with the recommendation of the CEO, approves compensation for other employees. |
| Pt VI, Line 19 | The Organization's Conflict of Interest policy and financial statements are available to the public upon request. |
| Pt XI | Other changes in net assets, principle payment of loan and acquisition on property and equipment. |
| Form 990, Part IX, Line 11g | Contractual Services 3127973. 1212401. 1915572. 0. |