FETTER HEALTH CARE NETWORK INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FETTER HEALTH CARE NETWORK INC (EIN 57-0604703)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2022-02-15
- IRS object ID
- 202200469349303125
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-15T18:58:01-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 842256306 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DARVERKELLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 N MAIN STREET SUITE 1510 | AddressLine1Txt |
| City | GREENVILLE | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 570604703 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FETTER HEALTH CARE NETWORK INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O MICHAEL J SAVINO | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FETT | BusinessNameControlTxt |
| Phone | 8437224112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 51 NASSAU STREET | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL J SAVINO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8437224112 | PhoneNum |
| Signature | 2022-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | SAVINO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LESLEY KELLY | PreparerPersonNm |
| PTIN | P01338178 | PTIN |
| Phone | 8647516556 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J SAVINO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 51 NASSAU STREET | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,277,462 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FETTERHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | SC | 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 | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 216 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,749,826 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,190,247 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,865,916 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,946,008 | CYProgramServiceRevenueAmt |
| PY Investment Income | $33,380 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,706 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,396 | PYOtherRevenueAmt |
| CY Other Revenue | $135,501 | CYOtherRevenueAmt |
| PY Total Revenue | $17,730,518 | PYTotalRevenueAmt |
| CY Total Revenue | $23,277,462 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,034,935 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,835,855 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,295,630 | PYOtherExpensesAmt |
| CY Other Expenses | $9,283,283 | CYOtherExpensesAmt |
| PY Total Expenses | $17,330,565 | PYTotalExpensesAmt |
| CY Total Expenses | $20,119,138 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $399,953 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,158,324 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,965,750 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,054,357 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,252,431 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,746,179 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,713,319 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,308,178 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION'S MISSION IS TO DELIVER TIMELY, COMPREHENSIVE AND QUALITY HEALTH SERVICES WITH DIGNITY AND RESPECT REGARDLESS OF A PERSON'S ABILITY TO PAY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,153,172 | ExpenseAmt |
| Revenue | $11,083,785 | 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 OVER 17,833 PATIENTS WERE TREATED AND 71,733 PATIENT VISITS WERE PROVIDED DURING THE YEAR | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $862,223 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Revenue | $862,223 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,153,172 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 216 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL J SAVINO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8437224112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 51 NASSAU STREET | AddressLine1Txt |
| City | CHARESTON | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29403 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| MR CARLISLE HARRISON | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MS REBA HOUGH MARTIN | |||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MS ALISON MCCULLOUGH | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MS SHELLI QUENGA | |||||||
| CHAIR HUMAN RESOURCES | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR HAROLD RHODES | |||||||
| CHAIR STRATEGIC PLANNING | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MR ANTOINE SAUNDERS | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR NICHOLAS SHUNGU | |||||||
| CHAIR QA/QI COMPLIANCE AND | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR CATHERINE DURHAM | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR RICHARD FOSTER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS JACQUELYN S HEYWARD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS VICKY INGLES | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REV DEMETT JENKINS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MR IRVING SANCHEZ | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS MARY VOSBURGH | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MR LEONARD BROWN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS ENID JENKINS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS DARLENE WRIGHT | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MR ANIL PREMLALL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS ARETHA JONES | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $258,038 | $0 | $23,579 | ||
| MR MICHAEL J SAVINO | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $179,986 | $0 | $12,224 | ||
| MS NATASHA CHATMAN | |||||||
| CHIEF OPERATIPONS OFFICER | 40.00 | Yes (X) | $161,475 | $0 | $12,593 | ||
| DR SHARVETTE SLAUGHTER | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $262,092 | $0 | $4,054 | ||
| MR ANTHONY POOLE | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | Yes (X) | $179,986 | $0 | $13,612 | ||
| MS ELEANOR JENKINS-ALFORD | |||||||
| PHYSICIAN | 40.00 | $160,727 | $0 | $7,952 | Yes (X) | ||
| MR KEITH TAYLOR | |||||||
| PHYSICIAN | 40.00 | $180,971 | $0 | $8,849 | Yes (X) | ||
| MR CHARLES EFFIONG | |||||||
| PHYSICIAN | 40.00 | $189,275 | $0 | $10,193 | Yes (X) | ||
| MR LARRY WILSON | |||||||
| PHYSICIAN | 40.00 | $219,990 | $0 | $7,927 | Yes (X) | ||
| KEVIN KUMAR PATEL | |||||||
| PHYSICIAN | 40.00 | $164,702 | $0 | $4,001 | Yes (X) | ||
| KELLY MORALES | |||||||
| PHYSICIAN | 40.00 | $152,855 | $0 | $7,286 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,110,097 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $112,270 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ECLINICALWORKS LLC | |||||
| PO BX 847950 | BOSTON | MA | 02284 | MEDICAL | $298,466 |
| SERVICE MASTER OF CHARLESTON | |||||
| PO BOX 40549 | CHARLESTON | SC | 29423 | CLEANING | $219,167 |
| MAGNUM MOBILE SPECIALTY VEHICLES | |||||
| 23225 N 19 AVE | PHOENIX | AZ | 85027 | MOBILE UNIT WORK | $168,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,994,440 | GovernmentGrantsAmt |
| All Other Contributions | $1,195,807 | AllOtherContributionsAmt |
| Total Contributions | $11,190,247 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $11,083,785 | $11,083,785 |
| OTHER REVENUE | 621400 | $631,507 | $631,507 |
| PHARMACY REVENUE | 621400 | $230,716 | $230,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,946,008 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,706 | TotalRevenueColumnAmt |
| Exclusion | $5,706 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENTALS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $135,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $135,501 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $135,501 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,277,462 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,081,509 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,706 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,172,386 | TotalAmt |
| Program Services | $1,418,321 | ProgramServicesAmt |
| Management And General | $754,065 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,943,898 | TotalAmt |
| Program Services | $4,533,578 | ProgramServicesAmt |
| Management And General | $2,410,320 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,545 | TotalAmt |
| Program Services | $333,545 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,545 | TotalAmt |
| Program Services | $401,344 | ProgramServicesAmt |
| Management And General | $363,201 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,481 | TotalAmt |
| Program Services | $452,627 | ProgramServicesAmt |
| Management And General | $168,854 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,201 | TotalAmt |
| Program Services | $5,957 | ProgramServicesAmt |
| Management And General | $17,244 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,850 | TotalAmt |
| Program Services | $6,271 | ProgramServicesAmt |
| Management And General | $49,579 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,359,264 | TotalAmt |
| Program Services | $2,316,477 | ProgramServicesAmt |
| Management And General | $42,787 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,539 | TotalAmt |
| Program Services | $962 | ProgramServicesAmt |
| Management And General | $3,577 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,298 | TotalAmt |
| Management And General | $882,298 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,173 | TotalAmt |
| Program Services | $306,671 | ProgramServicesAmt |
| Management And General | $500,502 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,729 | TotalAmt |
| Program Services | $2,253 | ProgramServicesAmt |
| Management And General | $351,476 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,410 | TotalAmt |
| Program Services | $10,416 | ProgramServicesAmt |
| Management And General | $12,994 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,417 | TotalAmt |
| Program Services | $6,880 | ProgramServicesAmt |
| Management And General | $109,537 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $730,468 | TotalAmt |
| Management And General | $730,468 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,731 | TotalAmt |
| Program Services | $37,709 | ProgramServicesAmt |
| Management And General | $179,022 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM SUPPLIES | $2,247,398 | $2,247,398 | |
| BAD DEBT | $870,386 | $870,386 | |
| TELEPHONE | $325,235 | $150,148 | $175,087 |
| TAX AND LICENSE | $189,379 | $33,844 | $155,535 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,805 | TotalAmt |
| Program Services | $18,385 | ProgramServicesAmt |
| Management And General | $59,420 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,119,138 | TotalAmt |
| Program Services | $13,153,172 | ProgramServicesAmt |
| Management And General | $6,965,966 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,782 | BOYAmt |
| EOY | $3,622,213 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,260 | BOYAmt |
| EOY | $148,683 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,211 | BOYAmt |
| EOY | $522,592 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $939,727 | BOYAmt |
| EOY | $1,459,080 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,257 | BOYAmt |
| EOY | $68,817 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,440 | BOYAmt |
| EOY | $212,846 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,745,318 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,530,836 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,659,089 | BOYAmt |
| EOY | $8,214,482 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,326 | BOYAmt |
| EOY | $60,437 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,271 | BOYAmt |
| EOY | $73,416 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,387 | BOYAmt |
| EOY | $671,791 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,965,750 | BOYAmt |
| EOY | $15,054,357 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,922 | BOYAmt |
| EOY | $1,330,475 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,217 | BOYAmt |
| EOY | $165,143 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,515,292 | BOYAmt |
| EOY | $2,250,561 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252,431 | BOYAmt |
| EOY | $3,746,179 | 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 | $7,599,676 | BOYAmt |
| EOY | $11,118,351 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,643 | BOYAmt |
| EOY | $189,827 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,713,319 | BOYAmt |
| EOY | $11,308,178 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,965,750 | BOYAmt |
| EOY | $15,054,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,158,324 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $636,142 | DonatedServicesAndUseFcltsAmt |
| Prior Period Adjustments | -$199,607 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | 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 | $6,112,990 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,153,472 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,677,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,394,249 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,190,247 | CurrentTaxYearAmt |
| Total | $39,528,226 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,112,990 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,153,472 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,677,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,394,249 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,190,247 | CurrentTaxYearAmt |
| Total | $39,528,226 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $39,528,226 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,589 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,043 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,869 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,706 | CurrentTaxYearAmt |
| Total | $86,587 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $39,614,813 | TotalSupportAmt |
| Public Support CY170 | 0.99780 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99760 | 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 | $993,540 | OtherCostOrOtherBasisAmt |
| Book Value | $993,541 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,751,777 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,530,836 | DepreciationAmt |
| Book Value | $7,220,941 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,214,482 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UNCERTAIN TAX POSITIONS MANAGEMENT HAS ECALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR SHARVETTE SLAUGHTER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $262,092 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $262,092 | $0 | $0 | $0 |
| MS ARETHA JONES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $258,038 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $258,038 | $0 | $0 | $0 |
| MR LARRY WILSON | ||||||||||||||
| PHYSICIAN | $219,990 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $219,990 | $0 | $0 | $0 |
| MR CHARLES EFFIONG | ||||||||||||||
| PHYSICIAN | $189,275 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $189,275 | $0 | $0 | $0 |
| MR KEITH TAYLOR | ||||||||||||||
| PHYSICIAN | $180,971 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $180,971 | $0 | $0 | $0 |
| MR MICHAEL J SAVINO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $179,986 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $179,986 | $0 | $0 | $0 |
| MR ANTHONY POOLE | ||||||||||||||
| CHIEF CLINICAL OFFICER | $179,986 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $179,986 | $0 | $0 | $0 |
| KEVIN KUMAR PATEL | ||||||||||||||
| PHYSICIAN | $164,702 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $164,702 | $0 | $0 | $0 |
| MS NATASHA CHATMAN | ||||||||||||||
| CHIEF OPERATIPONS OFFICER | $161,475 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161,475 | $0 | $0 | $0 |
| MS ELEANOR JENKINS-ALFORD | ||||||||||||||
| PHYSICIAN | $160,727 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $160,727 | $0 | $0 | $0 |
| KELLY MORALES | ||||||||||||||
| PHYSICIAN | $152,855 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $152,855 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 517480 | ContributionCnt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW POLICY. THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFOMRATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. COPIES OF THE FORM 990 ARE GIVEN TO MEMBERS OF THE FINANCE COMMITTEE AND FULL BOARD TO REVIEW PRIOR TO FILING |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES. INDIVIDUALS ARE SCREENED FOR POTENTIAL CONFLICTS OF INTEREST. IN THE EVENT AN ISSUE ARISES, AN INVESTIGATION OCCURS BY THE HUMAN RESOURCES MANAGER FOR EMPLOYEES OR THE HUMAN RESOURCES COMMITTEE FOR OFFICERS OR BOARD MEMBERS AND CORRECTIVE ACTIONS ARE ENFORCED |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW DURING 2020, OFFICER COMPENSATION WAS REVIEWED BY THE BOARD OF DIRECTORS WITH ASSISTANCE FROM THE SOUTH CAROLINA PRIMARY CARE ASSOCIATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO HTE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,316,477. MANAGEMENT AND GENERAL EXPENSES 42,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,359,264. |