COMPASSION HEALTH CARE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COMPASSION HEALTH CARE INC (EIN 59-1812757)
- Tax period
- 2022-06-01 to 2023-05-31
- Filed
- 2023-08-15
- IRS object ID
- 202342279349302184
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T13:17:18-04:00 | ReturnTs |
| Tax Period End | 2023-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541896113 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBINSON FARMER COX ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 SOUTHLAKE BLVD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23236 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591812757 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPASSION HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMP | BusinessNameControlTxt |
| Phone | 3366949331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1448439 US HIGHWAY 158 WEST | AddressLine1Txt |
| City | YANCEYVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27379 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM B CRUMPTON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3366949331 | PhoneNum |
| Signature | 2023-08-15 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | CRUMPTON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON B HAWKINS | PreparerPersonNm |
| PTIN | P01458736 | PTIN |
| Phone | 8043784200 | PhoneNum |
| Preparation | 2023-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM B CRUMPTON | PrincipalOfficerNm |
| Gross Receipts | $8,414,267 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COMPASSIONHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | THE 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 Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 87 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,356,718 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,221,086 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,347,948 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,131,546 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,932 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,761 | CYInvestmentIncomeAmt |
| PY Other Revenue | $29,521 | PYOtherRevenueAmt |
| CY Other Revenue | $49,874 | CYOtherRevenueAmt |
| PY Total Revenue | $7,736,119 | PYTotalRevenueAmt |
| CY Total Revenue | $8,414,267 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,212,743 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,545,832 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,304,815 | PYOtherExpensesAmt |
| CY Other Expenses | $2,297,421 | CYOtherExpensesAmt |
| PY Total Expenses | $7,567,558 | PYTotalExpensesAmt |
| CY Total Expenses | $7,843,253 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $168,561 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $571,014 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,963,320 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,527,928 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $480,918 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $663,013 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,482,402 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,864,915 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,638,881 | ExpenseAmt |
| Revenue | $5,131,546 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE 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. | Desc |
| Total Program Service Expenses | $5,638,881 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | 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 | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 87 | EmployeeCnt |
| Employment Tax Returns Filed | false | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBBIE FARIS | PersonNm |
| Phone | 3366949331 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1448 439 US HGWY 158 WEST | AddressLine1Txt |
| City | YANCEYVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27379 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| STEPHEN KIKEL | ||||||||
| CMO | 40.00 | Yes (X) | $234,355 | $0 | $7,760 | |||
| SHELBY REGISTER | ||||||||
| PHYSICIAN | 40.00 | $232,734 | $0 | $7,400 | Yes (X) | |||
| DOUGLAS BROWNING | ||||||||
| PHYSICIAN | 40.00 | $191,552 | $0 | $6,558 | Yes (X) | |||
| SERENA ZHOU-TALBERT | ||||||||
| PHYSICIAN | 40.00 | $181,457 | $0 | $0 | Yes (X) | |||
| DENISE HUNTER | ||||||||
| PHYSICIAN | 40.00 | $170,669 | $0 | $5,471 | Yes (X) | |||
| WILLIAM B CRUMPTON | ||||||||
| CEO | 40.00 | Yes (X) | $150,426 | $0 | $4,376 | |||
| LINDSEY STRADER | ||||||||
| PHYSICIAN | 40.00 | $113,229 | $0 | $3,749 | Yes (X) | |||
| SYLVIA BANKS | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JEANNINE EVERIDGE | ||||||||
| CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ANTHONY HEARN | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DEBORAH LANE | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| GINA LUNSFORD | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| TANGO MOORE | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DANIEL ORTIZ | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DIANE SAWYER | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY SICZ | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KAMEKA TOTTEN | ||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| STEPHANIE WILLIAMSON | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JEROME WILSON | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,274,422 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $35,314 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECLINICAL WORKS LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 TECHNOLOGY DRIVE | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | HEALTH RECORDS | ServicesDesc |
| Compensation | $111,452 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,809,802 | GovernmentGrantsAmt |
| All Other Contributions | $411,284 | AllOtherContributionsAmt |
| Noncash Contributions | $69,010 | NoncashContributionsAmt |
| Total Contributions | $3,221,086 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PATIENT REVENUE | $3,248,291 | $3,248,291 |
| CONTRACT 340B REVENUE | $1,645,819 | $1,645,819 |
| OTHER CONTRACT REVENUE | $237,436 | $237,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,131,546 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,761 | TotalRevenueColumnAmt |
| Exclusion | $11,761 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,957 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,957 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,957 | TotalRevenueColumnAmt |
| Exclusion | $8,957 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Total Revenue Column | $40,917 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,917 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $40,917 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,414,267 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,172,463 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $20,718 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,334 | TotalAmt |
| Program Services | $187,484 | ProgramServicesAmt |
| Management And General | $407,850 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,007,265 | TotalAmt |
| Program Services | $3,034,335 | ProgramServicesAmt |
| Management And General | $972,930 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,663 | TotalAmt |
| Program Services | $59,964 | ProgramServicesAmt |
| Management And General | $25,699 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,758 | TotalAmt |
| Program Services | $374,331 | ProgramServicesAmt |
| Management And General | $160,427 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,812 | TotalAmt |
| Program Services | $225,968 | ProgramServicesAmt |
| Management And General | $96,844 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,668 | TotalAmt |
| Management And General | $19,668 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,484 | TotalAmt |
| Management And General | $21,484 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,512 | TotalAmt |
| Program Services | $81,298 | ProgramServicesAmt |
| Management And General | $195,214 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,700 | TotalAmt |
| Program Services | $18,160 | ProgramServicesAmt |
| Management And General | $4,540 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,862 | TotalAmt |
| Program Services | $361,489 | ProgramServicesAmt |
| Management And General | $90,373 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,092 | TotalAmt |
| Program Services | $79,274 | ProgramServicesAmt |
| Management And General | $19,818 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,520 | TotalAmt |
| Program Services | $70,142 | ProgramServicesAmt |
| Management And General | $6,378 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108 | TotalAmt |
| Management And General | $108 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,659 | TotalAmt |
| Program Services | $35,732 | ProgramServicesAmt |
| Management And General | $142,927 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,667 | TotalAmt |
| Program Services | $22,134 | ProgramServicesAmt |
| Management And General | $5,533 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $664,998 | $637,828 | $27,170 |
| 340B ADMIN FEES | $354,058 | $354,058 | |
| 340B DISPENSING | $67,048 | $67,048 | |
| OTHER EXPENSES | $37,045 | $29,636 | $7,409 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,843,253 | TotalAmt |
| Program Services | $5,638,881 | ProgramServicesAmt |
| Management And General | $2,204,372 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,191,263 | BOYAmt |
| EOY | $2,036,809 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,855,429 | BOYAmt |
| EOY | $2,720,587 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,479 | BOYAmt |
| EOY | $13,831 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,721 | BOYAmt |
| EOY | $421,215 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,433 | BOYAmt |
| EOY | $10,199 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,420,519 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,428,279 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,946 | BOYAmt |
| EOY | $992,240 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,911 | BOYAmt |
| EOY | $67,552 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,138 | BOYAmt |
| EOY | $265,495 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,963,320 | BOYAmt |
| EOY | $6,527,928 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,918 | BOYAmt |
| EOY | $558,389 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $104,624 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $480,918 | BOYAmt |
| EOY | $663,013 | 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 | $4,948,964 | BOYAmt |
| EOY | $5,599,420 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,438 | BOYAmt |
| EOY | $265,495 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,482,402 | BOYAmt |
| EOY | $5,864,915 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,963,320 | BOYAmt |
| EOY | $6,527,928 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $571,014 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,372 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$181,129 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,559,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,646,575 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,740,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,356,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,221,086 | CurrentTaxYearAmt |
| Total | $15,524,402 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,559,523 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,646,575 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,740,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,356,718 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,221,086 | CurrentTaxYearAmt |
| Total | $15,524,402 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $15,524,402 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,296 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,611 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,306 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,226 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,718 | CurrentTaxYearAmt |
| Total | $88,157 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $15,612,559 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,539,638 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99440 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99350 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,525 | OtherCostOrOtherBasisAmt |
| Book Value | $13,525 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,360,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,463,628 | DepreciationAmt |
| Book Value | $896,753 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $768,347 | OtherCostOrOtherBasisAmt |
| Depreciation | $686,385 | DepreciationAmt |
| Book Value | $81,962 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $278,266 | OtherCostOrOtherBasisAmt |
| Depreciation | $278,266 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $992,240 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $8,414,267 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $8,414,267 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,414,267 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,843,253 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,843,253 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,843,253 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| STEPHEN KIKEL | ||||
| CMO | $234,355 | $7,760 | $11,109 | $242,115 |
| SHELBY REGISTER | ||||
| PHYSICIAN | $232,734 | $7,400 | $10,674 | $240,134 |
| DOUGLAS BROWNING | ||||
| PHYSICIAN | $191,552 | $6,558 | $10,806 | $198,110 |
| SERENA ZHOU-TALBERT | ||||
| PHYSICIAN | $181,457 | $4,501 | $181,457 | |
| DENISE HUNTER | ||||
| PHYSICIAN | $170,669 | $5,471 | $11,117 | $176,140 |
| WILLIAM B CRUMPTON | ||||
| CEO | $150,426 | $4,376 | $10,586 | $154,802 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $69,010 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE 990 IS REVIEWED BY JOINTLY BY THE EXECUTIVE DIRECTOR AND CFO BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED CONSISTENTLY THROUGH CONTINUED QUALITY IMPROVEMENT AND THE EXECUTIVE DIRECTOR AND CFO REVIEW TO ENSURE THERE ARE NO CONFLICTS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD, WITH THE INPUT FROM THE MANAGEMENT TEAM, PERFORMS THE EVALUATION OF THE EXECUTIVE DIRECTOR. THE BOARD MEETS WITH THE EXECUTIVE DIRECTOR TO DISCUSS EVALUATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | A PERFORMANCE EVALUATION IS COMPLETED FOR EACH KEY EMPLOYEE BY THE EXECUTIVE DIRECTOR WHO PROVIDES THE FORM TO AND DISCUSSES IT WITH, EACH KEY EMPLOYEE. SALARY DATA IS GATHERED PERIODICALLY FOR COMPARISON PURPOSES. ADJUSTMENTS IN ADDITION TO THE MERIT INCREASE MAY BE MADE TO AN EMPLOYEE'S SALARY IF THE CURRENT SALARY IS OUT OF LINE WITH COMPARATIVE POSITIONS AT OTHER COMMUNITY HEALTH CENTERS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE CONFLICT OF INTEREST POLICY IS INCORPORATED IN THE CORPORATE COMPLIANCE POLICY, WHICH IS APPROVED BY THE BOARD AND MADE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE PRESENTED AT MONTHLY BOARD MEETINGS, WHICH ARE OPEN TO THE PUBLIC. |