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MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED (EIN 56-1084427)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-02-02
IRS object ID
202210339349300241
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-02-02T14:48:39-08:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561084427EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKERSVILLE COMMUNITY MEDICAL CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBAKEBusinessNameControlTxt
Phone8286882104PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 27AddressLine1Txt
CityBAKERSVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28705ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAPRIL BRIGGSPersonNm
Person TitleFINANCE OFFICERPersonTitleTxt
Phone8286882104PhoneNum
Signature2022-02-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAPRILPersonFirstNm
Person LastBRIGGSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2022-02-02PreparationDt

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)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES SHELTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 N MITCHELL AVENUEAddressLine1Txt
CityBAKERSVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,172,058GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee113TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,906,597PYContributionsGrantsAmt
CY Contributions Grants$5,039,230CYContributionsGrantsAmt
PY Program Service Revenue$7,274,434PYProgramServiceRevenueAmt
CY Program Service Revenue$10,129,678CYProgramServiceRevenueAmt
PY Investment Income$6,709PYInvestmentIncomeAmt
CY Investment Income$3,150CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,187,740PYTotalRevenueAmt
CY Total Revenue$15,172,058CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,774,156PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,992,557CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,711,762PYOtherExpensesAmt
CY Other Expenses$4,608,712CYOtherExpensesAmt
PY Total Expenses$9,485,918PYTotalExpensesAmt
CY Total Expenses$11,601,269CYTotalExpensesAmt
PY Revenues Less Expenses$701,822PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,570,789CYRevenuesLessExpensesAmt
Total Assets BOY$4,355,927TotalAssetsBOYAmt
Total Assets EOY$6,830,594TotalAssetsEOYAmt
Total Liabilities BOY$1,778,974TotalLiabilitiesBOYAmt
Total Liabilities EOY$493,836TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,576,953NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,336,758NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,795,094ExpenseAmt
Grant$0GrantAmt
Revenue$10,129,678RevenueAmt
DescTHE 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 46,280 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$8,795,094TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee113EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 PolicyfalseWhistleblowerPolicyInd
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)
PersonAPRIL BRIGGSPersonNm
Phone8286882104PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line186 N MITCHELL AVENUEAddressLine1Txt
CityBAKERSVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28705ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ERON THIELE
CHAIR1.00Yes (X)$0$0$0
KATHLENE STITH
VICE CHAIR1.00Yes (X)$0$0$0
KEITH HOLTSCLAW
BOARD MEMEBER1.00Yes (X)$0$0$0
CHELSEA THAYER
BOARD MEMBER1.00Yes (X)$0$0$0
DANIEL BARRON
BOARD MEMBER1.00Yes (X)$0$0$0
DEAN DUNCAN
SECRETARY/TREASURER1.00Yes (X)$0$0$0
CYNTHIA NASH
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA WILSON
BOARD MEMBER1.00Yes (X)$0$0$0
JAMIE MCMAHAN
BOARD MEMBER1.00Yes (X)$0$0$0
AMBER BRIGGS
BOARD MEMBER1.00Yes (X)$0$0$0
MEGHAN GRAHAM
BOARD MEMBER1.00Yes (X)$0$0$0
STEPHANIE PITMAN
BOARD MEMBER1.00Yes (X)$0$0$0
STEVE GUNTER
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN FISH-CEDERGREN
BOARD MEMBER1.00Yes (X)$0$0$0
CHUCK SHELTON
CHIEF EXECUTIVE OFFICER40.00$149,437$0$16,665Yes (X)
APRIL BRIGGS
CHIEF FINANCIAL OFFICER40.00$98,934$0$11,338Yes (X)
ANGIE SILVER
FORMER CHIEF OPERATIONAL OFFICER40.00$81,317$0$8,450Yes (X)
JOSH NEWTON
MEDICAL DIRECTOR40.00$257,625$0$18,436Yes (X)
LACOSTA TIPTON
DIRECTOR OF OPERATIONS40.00$66,215$0$5,574Yes (X)
DWIGHT WILLETT
PHYSICIAN40.00$144,294$0$13,936Yes (X)
NICOLE ALLEN
PHYSICIAN40.00$147,585$0$16,318Yes (X)
JAMES CARROLL
PHYSICIAN40.00$144,099$0$14,320Yes (X)
JESSICA WHITE
PHYSICIAN40.00$162,837$0$15,037Yes (X)
PATRICIA HALL
PHYSICIAN40.00$164,949$0$15,120Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,417,292TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$135,194TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATHENAHEALTH INC
311 ARSENAL STREETWATERTOWNMA02472CONTRACT EMR AND BILLING SERVICES$362,075
PHARMACY DATA MANAGEMENT INC
8530 CROSSROADS DRIVEPOLANDOH44514CONTRACT 340B SERVICES$151,471
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,795,549GovernmentGrantsAmt
All Other Contributions$243,681AllOtherContributionsAmt
Noncash Contributions$63,500NoncashContributionsAmt
Total Contributions$5,039,230TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$10,129,678TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,129,678TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,150TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,150ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,172,058TotalRevenueColumnAmt
Related Or Exempt Func Income$10,129,678RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,150ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$653,528TotalAmt
Program Services$526,839ProgramServicesAmt
Management And General$126,689ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,159,016TotalAmt
Program Services$3,427,023ProgramServicesAmt
Management And General$1,731,993ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$207,953TotalAmt
Program Services$141,408ProgramServicesAmt
Management And General$66,545ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$555,365TotalAmt
Program Services$377,918ProgramServicesAmt
Management And General$177,447ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$416,695TotalAmt
Program Services$283,353ProgramServicesAmt
Management And General$133,342ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,004TotalAmt
Program Services$0ProgramServicesAmt
Management And General$67,004ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$813TotalAmt
Program Services$0ProgramServicesAmt
Management And General$813ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$393,475TotalAmt
Program Services$219,745ProgramServicesAmt
Management And General$173,730ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,595TotalAmt
Program Services$20,499ProgramServicesAmt
Management And General$20,096ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$299,307TotalAmt
Program Services$176,969ProgramServicesAmt
Management And General$122,338ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$577,386TotalAmt
Program Services$510,609ProgramServicesAmt
Management And General$66,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$109,700TotalAmt
Program Services$83,774ProgramServicesAmt
Management And General$25,926ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,154TotalAmt
Program Services$49,108ProgramServicesAmt
Management And General$21,046ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,278TotalAmt
Program Services$6,186ProgramServicesAmt
Management And General$1,092ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,708TotalAmt
Program Services$94,996ProgramServicesAmt
Management And General$40,712ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$102,083TotalAmt
Program Services$71,458ProgramServicesAmt
Management And General$30,625ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340 ADMIN AND DISPENSING FEES$1,097,537$1,097,537$0$0
MEDICAL SUPPLIES AND FURNITURE$975,714$975,714$0$0
PHARMACEUTICALS AND VACCINES$731,958$731,958$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,601,269TotalAmt
Program Services$8,795,094ProgramServicesAmt
Management And General$2,806,175ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$220,492EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,315,601BOYAmt
EOY$4,220,333EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$426,724BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$583,781BOYAmt
EOY$955,367EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$56,734BOYAmt
EOY$51,851EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,501,196LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,128,395LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$963,337BOYAmt
EOY$1,372,801EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,750BOYAmt
EOY$9,750EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,355,927BOYAmt
EOY$6,830,594EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$409,591BOYAmt
EOY$493,836EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$453,383BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$916,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,778,974BOYAmt
EOY$493,836EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,539,252BOYAmt
EOY$6,110,041EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,701BOYAmt
EOY$226,717EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,576,953BOYAmt
EOY$6,336,758EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,355,927BOYAmt
EOY$6,830,594EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,570,789ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$189,016OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,464,005CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,227,329CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,078,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,906,597CurrentTaxYearMinus1YearAmt
Current Tax Year$5,039,230CurrentTaxYearAmt
Total$12,715,282TotalAmt

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$1,464,005CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,227,329CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,078,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,906,597CurrentTaxYearMinus1YearAmt
Current Tax Year$5,039,230CurrentTaxYearAmt
Total$12,715,282TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$12,715,282PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$630CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$5,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,659CurrentTaxYearMinus1YearAmt
Current Tax Year$3,150CurrentTaxYearAmt
Total$4,918TotalAmt

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$12,720,200TotalSupportAmt
Gross Receipts Rltd Activities$34,392,140GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99960PublicSupportCY170Pct
Public Support PY1700.99790PublicSupportPY170Pct
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$65,632InvestmentCostOrOtherBasisAmt
Book Value$65,632BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,483,502InvestmentCostOrOtherBasisAmt
Depreciation$669,886DepreciationAmt
Book Value$813,616BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$894,733InvestmentCostOrOtherBasisAmt
Depreciation$458,509DepreciationAmt
Book Value$436,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$57,329InvestmentCostOrOtherBasisAmt
Book Value$57,329BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,372,801TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$15,232,058TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$60,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$60,000RevenueNotReportedAmt
Revenue Subtotal$15,172,058RevenueSubtotalAmt
Total Revenue Per Form990$15,172,058TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,661,269TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$60,000DonatedServicesUseFcltsAmt
Expenses Not Reported$60,000ExpensesNotReportedAmt
Expenses Subtotal$11,601,269ExpensesSubtotalAmt
Total Expenses Per Form990$11,601,269TotalExpensesPerForm990Amt

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
CHUCK SHELTON
$149,437$0$0$0$0$0$6,219$0$10,446$0$166,102$0$0$0
JOSH NEWTON
$257,625$0$0$0$0$0$10,743$0$7,693$0$276,061$0$0$0
DWIGHT WILLETT
$144,294$0$0$0$0$0$5,793$0$8,143$0$158,230$0$0$0
NICOLE ALLEN
$147,585$0$0$0$0$0$5,654$0$10,664$0$163,903$0$0$0
JAMES CARROLL
$144,099$0$0$0$0$0$5,884$0$8,436$0$158,419$0$0$0
JESSICA WHITE
$162,837$0$0$0$0$0$6,534$0$8,503$0$177,874$0$0$0
PATRICIA HALL
$164,949$0$0$0$0$0$6,617$0$8,503$0$180,069$0$0$0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution10ContributionCnt
Noncash Contributions Rpt F990$1,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3800ContributionCnt
Noncash Contributions Rpt F990$57,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescTABLETS AND TABLET CASESDesc
Contribution40ContributionCnt
Noncash Contributions Rpt F990$5,500NoncashContributionsRptF990Amt
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt XII, Line 2cTHE CEO AND FINANCE OFFICER OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE CEO, FINANCE OFFICER AND THE BOARD MEMBERS REVIEW THE FORM 990
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 AND SALARY INCREASES ARE BOARD APPROVED.
Pt XILINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH DONOR
Pt XIRESTRICTIONS FOR THE YEAR.