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HIGH COUNTRY COMMUNITY HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HIGH COUNTRY COMMUNITY HEALTH (EIN 27-3033445)
Tax period
2022-05-01 to 2023-04-30
Filed
2023-08-25
IRS object ID
202302379349301515
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

FieldValueIRS element (for citing)
Return2023-08-25T12:43:17-07:00ReturnTs
Tax Period End2023-04-30TaxPeriodEndDt

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 Begin2022-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273033445EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIGH COUNTRY COMMUNITY HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHIGHBusinessNameControlTxt
Phone8282623886PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1490AddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28607ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICE SALTHOUSEPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8282623886PhoneNum
Signature2023-08-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALICEPersonFirstNm
Person LastSALTHOUSEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY HORNE CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2023-08-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALICE SALTHOUSEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 DOCTORS DRIVEAddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,673,683GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHIS 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee225TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,037,390PYContributionsGrantsAmt
CY Contributions Grants$4,137,042CYContributionsGrantsAmt
PY Program Service Revenue$11,390,241PYProgramServiceRevenueAmt
CY Program Service Revenue$14,527,036CYProgramServiceRevenueAmt
PY Investment Income$5,139PYInvestmentIncomeAmt
CY Investment Income$3,812CYInvestmentIncomeAmt
PY Other Revenue$14,366PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$16,447,136PYTotalRevenueAmt
CY Total Revenue$18,667,890CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,695,763PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,307,926CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,488,433PYOtherExpensesAmt
CY Other Expenses$6,101,484CYOtherExpensesAmt
PY Total Expenses$13,184,196PYTotalExpensesAmt
CY Total Expenses$17,409,410CYTotalExpensesAmt
PY Revenues Less Expenses$3,262,940PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,258,480CYRevenuesLessExpensesAmt
Total Assets BOY$13,588,680TotalAssetsBOYAmt
Total Assets EOY$15,874,117TotalAssetsEOYAmt
Total Liabilities BOY$3,787,144TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,385,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,801,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,488,239NetAssetsOrFundBalancesEOYAmt
MissionTHIS 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$13,083,248ExpenseAmt
Grant$0GrantAmt
Revenue$14,527,036RevenueAmt
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 69,200 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$13,083,248TotalProgramServiceExpensesAmt
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee225EmployeeCnt
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
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIFFANY MELCHERSPersonNm
Phone8287735785PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1490AddressLine1Txt
CityBOONECityNm
State AbbreviationNCStateAbbreviationCd
ZIP38607ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HENRY ADORNO
BOARD MEMBER1.00Yes (X)$0$0$0
SUZANNE GERMAIN
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA DILLON
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID DIXON
BOARD MEMBER1.00Yes (X)$0$0$0
ANDI GELSTHORPE
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN JAMES
BOARD MEMBER1.00Yes (X)$0$0$0
KAT ELLER
BOARD MEMBER1.00Yes (X)$0$0$0
JOE LANDOWNE
BOARD MEMBER1.00Yes (X)$0$0$0
TINA HOUSTON
BOARD MEMBER1.00Yes (X)$0$0$0
SARAH STAMEY
BOARD MEMBER1.00Yes (X)$0$0$0
CHIP WATKIN
BOARD MEMBER1.00Yes (X)$0$0$0
DEEANNA BURLESON
BOARD MEMBER1.00Yes (X)$0$0$0
EMILY HAWES
BOARD MEMBER1.00Yes (X)$0$0$0
ALICE SALTHOUSE
CHIEF EXECUTIVE OFFICER40.00$209,355$0$15,515Yes (X)
PHILLIP VOIDA
CHIEF FINANCIAL OFFICER40.00$131,544$0$25,946Yes (X)
ALYSIA HOOVER - THOMPSON
DIRECTOR OF BEHAVIORAL HEALTH40.00$106,221$0$13,644Yes (X)
LEIGH ANN BYRD
CHIEF OPERATIONAL OFFICER40.00$106,135$0$17,237Yes (X)
LARRY ELKINS
FORMER MEDICAL DIRECTOR40.00$132,528$0$459Yes (X)
CORDELIA STEARNS
CURRENT MEDICAL DIRECTOR40.00$101,621$0$6,450Yes (X)
JENNIFER PIERCE
DENTAL DIRECTOR40.00$153,390$0$1,491Yes (X)
GLEN LIESEGANG
PHYSICIAN40.00$127,848$0$37,119Yes (X)
SHARON GOLDEN-MYERS
PHYSICIAN40.00$104,056$0$29,018Yes (X)
WILLIAM JOHANSON
PHYSICIAN40.00$159,285$0$3,931Yes (X)
BARBARA NAGY
PHYSICIAN40.00$151,182$0$9,717Yes (X)
COLEEN DAVIS
DENTIST40.00$145,390$0$13,369Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,628,555TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$173,896TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECLINICALWORKS LLC
PO BOX 847950BOSTONMA02284CONTRACT EHR SERVICES$374,141
MOZZAZ CORPORATION
1700 MARKET STREET SUITE 1005PHILADELPHIAPA19103CONTRACT REMOTE PATIENT MONITORING SERVICES$142,477
330 PARTNERS LLC
133 MATALIN COURTGREERSC29651CONTRACT CONSULTING SERVICES$202,504
SUPPORT STRATEGIES
100 CUMMINGS CENTER SUITE 207-P 232BEVERLYMA01915CONTRACT ACCOUNTING SERVICES$157,593
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$3,801,187GovernmentGrantsAmt
All Other Contributions$335,855AllOtherContributionsAmt
Noncash Contributions$52,140NoncashContributionsAmt
Total Contributions$4,137,042TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$14,527,036TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,527,036TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,605TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,605ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,793OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$5,793OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,793TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$5,793ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,667,890TotalRevenueColumnAmt
Related Or Exempt Func Income$14,527,036RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,812ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,038,872TotalAmt
Program Services$779,154ProgramServicesAmt
Management And General$259,718ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,557,799TotalAmt
Program Services$6,304,485ProgramServicesAmt
Management And General$2,253,314ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$159,592TotalAmt
Program Services$126,647ProgramServicesAmt
Management And General$32,945ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$883,825TotalAmt
Program Services$701,375ProgramServicesAmt
Management And General$182,450ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$667,838TotalAmt
Program Services$529,975ProgramServicesAmt
Management And General$137,863ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,476TotalAmt
Program Services$0ProgramServicesAmt
Management And General$35,476ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,132,899TotalAmt
Program Services$618,733ProgramServicesAmt
Management And General$514,166ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,422TotalAmt
Program Services$83,357ProgramServicesAmt
Management And General$42,065ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$663,337TotalAmt
Program Services$455,161ProgramServicesAmt
Management And General$208,176ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$485,572TotalAmt
Program Services$138,074ProgramServicesAmt
Management And General$347,498ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$546,454TotalAmt
Program Services$437,738ProgramServicesAmt
Management And General$108,716ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$155,039TotalAmt
Program Services$108,365ProgramServicesAmt
Management And General$46,674ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$324,054TotalAmt
Program Services$291,649ProgramServicesAmt
Management And General$32,405ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$94,512TotalAmt
Program Services$85,061ProgramServicesAmt
Management And General$9,451ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN & DISPENSING FEES$1,028,007$1,028,007$0$0
DRUGS & MEDICAL SUPPLIES$1,510,712$1,395,467$115,245$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,409,410TotalAmt
Program Services$13,083,248ProgramServicesAmt
Management And General$4,326,162ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$95,856BOYAmt
EOY$559,478EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,261,938BOYAmt
EOY$3,877,930EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$137,365BOYAmt
EOY$128,597EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,378,219BOYAmt
EOY$1,646,032EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,729BOYAmt
EOY$92,538EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,065,701LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,360,505LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,628,073BOYAmt
EOY$8,705,196EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,500BOYAmt
EOY$141,738EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$722,608EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,588,680BOYAmt
EOY$15,874,117EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$729,749BOYAmt
EOY$989,038EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,057,395BOYAmt
EOY$2,667,550EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$729,290EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,787,144BOYAmt
EOY$4,385,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,753,564BOYAmt
EOY$11,399,672EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,972BOYAmt
EOY$88,567EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,801,536BOYAmt
EOY$11,488,239EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,588,680BOYAmt
EOY$15,874,117EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,258,480ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$67,436NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$324,260PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$36,527OtherChangesInNetAssetsAmt
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$2,358,628CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,251,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,984,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,037,390CurrentTaxYearMinus1YearAmt
Current Tax Year$4,137,042CurrentTaxYearAmt
Total$20,769,590TotalAmt

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$2,358,628CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,251,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,984,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,037,390CurrentTaxYearMinus1YearAmt
Current Tax Year$4,137,042CurrentTaxYearAmt
Total$20,769,590TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$20,769,590PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,139CurrentTaxYearMinus1YearAmt
Current Tax Year$9,605CurrentTaxYearAmt
Total$16,468TotalAmt

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$20,786,058TotalSupportAmt
Gross Receipts Rltd Activities$44,597,978GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99920PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
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$3,098,052InvestmentCostOrOtherBasisAmt
Book Value$3,098,052BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,290,804InvestmentCostOrOtherBasisAmt
Depreciation$598,222DepreciationAmt
Book Value$4,692,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,676,845InvestmentCostOrOtherBasisAmt
Depreciation$762,283DepreciationAmt
Book Value$914,562BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,705,196TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE LIABILITIESDesc
Amt$729,290Amt
FieldValueIRS element (for citing)
Total Liability$729,290TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$18,735,326TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$67,436NetUnrealizedGainsInvstAmt
Revenue Not Reported$67,436RevenueNotReportedAmt
Revenue Subtotal$18,667,890RevenueSubtotalAmt
Total Revenue Per Form990$18,667,890TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,548,513TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$17,548,513ExpensesSubtotalAmt
Total Expenses Per Form990$17,548,513TotalExpensesPerForm990Amt

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 (7 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
ALICE SALTHOUSE
$209,355$0$0$0$0$0$14,351$0$1,164$0$224,870$0$0$0
PHILLIP VOIDA
$131,544$0$0$0$0$0$14,489$0$11,457$0$157,490$0$0$0
JENNIFER PIERCE
$153,390$0$0$0$0$0$0$0$1,491$0$154,881$0$0$0
GLEN LIESEGANG
$127,848$0$0$0$0$0$16,351$0$20,768$0$164,967$0$0$0
WILLIAM JOHANSON
$159,285$0$0$0$0$0$0$0$3,931$0$163,216$0$0$0
BARBARA NAGY
$151,182$0$0$0$0$0$9,289$0$428$0$160,899$0$0$0
COLEEN DAVIS
$145,390$0$0$0$0$0$11,964$0$1,405$0$158,759$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3476ContributionCnt
Noncash Contributions Rpt F990$52,140NoncashContributionsRptF990Amt
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 (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 SALARY INCREASES ARE BOARD APPROVED.
Pt VI, Line 11bTHE FORM 990 IS PREPARED BY THE CENTER'S INDEPENDENT AUDITOR WITH REVIEW AND
Pt VI, Line 11bINFORMATION PROVIDED BY THE CEO AND 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FORM 990 AVAILABLE UPON
Pt VI, Line 19WRITTEN REQUEST.
Pt VI, Line 12cLEADERSHIP STAFF MEMBERS RETAIN AWARENESS OF BOARD MEMBER'S INTERIM
Pt VI, Line 12cACTIVITIES AND REPORT TO CEO ANY FINDINGS THAT MAY INTERFERE WITH ORGANIZATION'S
Pt VI, Line 12cPOLICY. THE CEO ADDRESSES SUCH ISSUES BY DISCUSSING SAME WITH APPLICABLE
Pt VI, Line 12cBOARD MEMBER AND PRESENTS ACTION, IF NECESSARY, TO THE ENTIRE BOARD. THE
Pt VI, Line 12cBOARD MEETING MINUTES REFLECT THESE ACTIONS. IF SUCH ISSUES WERE TO ARISE,
Pt VI, Line 12cSUCH STAFF MEMBER WOULD THEN REPORT THEIR FINDINGS
Pt VI, Line 12cTO THE BOARD'S EXECUTIVE COMMITTEE.
Pt XILINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH DONOR
Pt XIRESTRICTIONS FOR THE YEAR AND REPRESENTS THE CUMULATIVE
Pt XIEFFECT ADJUSTMENT TO NET ASSETS WITHOUT DONOR RESTRICTIONS
Pt XIAS A RESULT OF THE ORGANIZATION'S IMPLENTATION OF FASB
Pt XIASC 842.