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LOW COUNTRY HEALTH CARE SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LOW COUNTRY HEALTH CARE SYSTEM (EIN 58-2366697)
Tax period
2020-12-01 to 2021-11-30
Filed
2022-02-24
IRS object ID
202220559349301232
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)
Return2022-02-24T11:05:01-08:00ReturnTs
Tax Period End2021-11-30TaxPeriodEndDt

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 Begin2020-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582366697EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOW COUNTRY HEALTH CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOWCBusinessNameControlTxt
Phone8036322533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 990AddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29827ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonASHLEY BARNESPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone8036322533PhoneNum
Signature2022-02-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstASHLEYPersonFirstNm
Person LastBARNESPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2022-02-24PreparationDt

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 OfficerASHLEY BARNESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 REVOLUTIONARY TRAILAddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29827ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,923,007GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateSCLegalDomicileStateCd
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee243TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,681,633PYContributionsGrantsAmt
CY Contributions Grants$10,684,678CYContributionsGrantsAmt
PY Program Service Revenue$13,992,799PYProgramServiceRevenueAmt
CY Program Service Revenue$15,213,599CYProgramServiceRevenueAmt
PY Investment Income$5,923PYInvestmentIncomeAmt
CY Investment Income-$6,415CYInvestmentIncomeAmt
PY Other Revenue$410,539PYOtherRevenueAmt
CY Other Revenue$19,800CYOtherRevenueAmt
PY Total Revenue$20,090,894PYTotalRevenueAmt
CY Total Revenue$25,911,662CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,201,513PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,966,638CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,506,558PYOtherExpensesAmt
CY Other Expenses$6,876,363CYOtherExpensesAmt
PY Total Expenses$19,708,071PYTotalExpensesAmt
CY Total Expenses$20,843,001CYTotalExpensesAmt
PY Revenues Less Expenses$382,823PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,068,661CYRevenuesLessExpensesAmt
Total Assets BOY$13,987,469TotalAssetsBOYAmt
Total Assets EOY$15,888,663TotalAssetsEOYAmt
Total Liabilities BOY$6,491,624TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,322,711TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,495,845NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,565,952NetAssetsOrFundBalancesEOYAmt
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$16,515,047ExpenseAmt
Grant$0GrantAmt
Revenue$15,213,599RevenueAmt
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 69,300 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$16,515,047TotalProgramServiceExpensesAmt
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
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 Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee243EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAROLYN TURNERPersonNm
Phone8036232533PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 REVOLUTIONARY TRAILAddressLine1Txt
CityFAIRFAXCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29827ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARSHALL MARTIN JR
CHAIRMAN1.00Yes (X)$0$0$0
DANIEL PACKER
TREASURER1.00Yes (X)$0$0$0
LISA FIRMENDER
BOARD MEMBER1.00Yes (X)$0$0$0
EDITH WEATHERSBEE
SECRETARY1.00Yes (X)$0$0$0
YOLONDA BUCHANAN
BOARD MEMBER1.00Yes (X)$0$0$0
TAYLOR ALEXANDER
BOARD MEMBER1.00Yes (X)$0$0$0
REID BOYLSTON
BOARD MEMBER1.00Yes (X)$0$0$0
EVELYN COKER
VICE CHAIRMAN1.00Yes (X)$0$0$0
LILLIAN HARRISON
BOARD MEMBER1.00Yes (X)$0$0$0
BILL GOODSON
BOARD MEMBER1.00Yes (X)$0$0$0
BETTY THOMPSON
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER SANDERS
BOARD MEMBER1.00Yes (X)$0$0$0
ASHLEY BARNES
CHIEF EXECUTIVE OFFICER40.00$208,566$0$17,640Yes (X)
KAROLYN TURNER
CHIEF FINANCIAL OFFICER40.00$73,646$0$11,921Yes (X)
RICHARD BOYLES
MEDICAL DIRECTOR40.00$251,966$0$19,166Yes (X)
BRYAN BURNETT
PHYSICIAN40.00$195,475$0$17,146Yes (X)
DEAN KOUKOS
PHYSICIAN40.00$270,133$0$12,345Yes (X)
ABRAHAM MOSKOW
PHYSICIAN40.00$204,512$0$10,382Yes (X)
JENNIFER RAHN
PHYSICIAN40.00$214,224$0$17,412Yes (X)
VERNON WHITLEY
PHYSICIAN40.00$205,185$0$17,446Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,623,707TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$123,458TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
APRIMA MEDICAL SOFTWARE INC
1010 E ARAPAHO RD SUITE 200RICHARDSONTX75081CONTRACT BILLING SERVICES$126,979
TYLER CONSTRUCTION
PO BOX 25037COLUMBIASC29224CONTRACT CONSTRUCTION SERVICES$883,861
LABORATORY CORPORATION OF AMERICA HOLDINGS
PO BOX 12140BURLINGTONNC27216CONTRACT LAB SERVICES$262,264
CHARTSPAN MEDICAL
PO BOX 3417GREENVILLESC29602CONTRACT PATIENT OUTREACH CALL SERVICES$341,993
EMDS INC
PO BOX 679493DALLASTX75267CONTRACT BILLING SERVICES$335,555
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$10,570,376GovernmentGrantsAmt
All Other Contributions$114,302AllOtherContributionsAmt
Noncash Contributions$87,900NoncashContributionsAmt
Total Contributions$10,684,678TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$15,213,599TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,213,599TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,930TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,930ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$19,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$19,800RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,800TotalRevenueColumnAmt
Exclusion$19,800ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$11,345OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$11,345OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,345TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$11,345ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,911,662TotalRevenueColumnAmt
Related Or Exempt Func Income$15,213,599RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,385ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$526,508TotalAmt
Program Services$463,095ProgramServicesAmt
Management And General$63,413ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,147,266TotalAmt
Program Services$8,538,854ProgramServicesAmt
Management And General$2,608,412ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$326,383TotalAmt
Program Services$251,315ProgramServicesAmt
Management And General$75,068ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,135,613TotalAmt
Program Services$877,004ProgramServicesAmt
Management And General$258,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$830,868TotalAmt
Program Services$639,768ProgramServicesAmt
Management And General$191,100ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,325TotalAmt
Program Services$0ProgramServicesAmt
Management And General$9,325ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$127,540TotalAmt
Program Services$16,371ProgramServicesAmt
Management And General$111,169ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,362,166TotalAmt
Program Services$893,110ProgramServicesAmt
Management And General$469,056ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,103TotalAmt
Program Services$31,399ProgramServicesAmt
Management And General$5,704ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$990,592TotalAmt
Program Services$609,853ProgramServicesAmt
Management And General$380,739ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$333,361TotalAmt
Program Services$327,899ProgramServicesAmt
Management And General$5,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$376,126TotalAmt
Program Services$325,205ProgramServicesAmt
Management And General$50,921ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$263,922TotalAmt
Program Services$235,286ProgramServicesAmt
Management And General$28,636ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$108,104TotalAmt
Program Services$86,483ProgramServicesAmt
Management And General$21,621ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$396,079TotalAmt
Program Services$363,077ProgramServicesAmt
Management And General$33,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$78,584TotalAmt
Program Services$62,867ProgramServicesAmt
Management And General$15,717ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN AND DISPENSING FEES$70,320$70,320$0$0
MEDICAL SUPPLIES AND PHARMACEUTICALS$2,723,141$2,723,141$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,843,001TotalAmt
Program Services$16,515,047ProgramServicesAmt
Management And General$4,327,954ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,579,527BOYAmt
EOY$5,021,148EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$263,133BOYAmt
EOY$104,133EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,228,496BOYAmt
EOY$1,316,962EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,516,950BOYAmt
EOY$1,433,054EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$142,841BOYAmt
EOY$153,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$252,435BOYAmt
EOY$231,088EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,317,142LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,653,651LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,092,970BOYAmt
EOY$6,663,491EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$891,924EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$73,416EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$911,117BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,987,469BOYAmt
EOY$15,888,663EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,224,684BOYAmt
EOY$1,330,332EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$914,865BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,352,075BOYAmt
EOY$1,992,379EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,491,624BOYAmt
EOY$3,322,711EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,475,485BOYAmt
EOY$12,537,291EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,360BOYAmt
EOY$28,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,495,845BOYAmt
EOY$12,565,952EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,987,469BOYAmt
EOY$15,888,663EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,068,661ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,855NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$8,301OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
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$4,014,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,605,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,742,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,681,633CurrentTaxYearMinus1YearAmt
Current Tax Year$10,684,678CurrentTaxYearAmt
Total$28,728,757TotalAmt

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$4,014,206CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,605,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,742,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,681,633CurrentTaxYearMinus1YearAmt
Current Tax Year$10,684,678CurrentTaxYearAmt
Total$28,728,757TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$28,728,757PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,921CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,175CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,723CurrentTaxYearMinus1YearAmt
Current Tax Year$24,730CurrentTaxYearAmt
Total$128,936TotalAmt

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$28,857,693TotalSupportAmt
Gross Receipts Rltd Activities$66,015,084GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99550PublicSupportCY170Pct
Public Support PY1700.99420PublicSupportPY170Pct
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$192,249InvestmentCostOrOtherBasisAmt
Book Value$192,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,529,205InvestmentCostOrOtherBasisAmt
Depreciation$1,972,268DepreciationAmt
Book Value$5,556,937BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,187,689InvestmentCostOrOtherBasisAmt
Depreciation$681,383DepreciationAmt
Book Value$506,306BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$407,999InvestmentCostOrOtherBasisAmt
Book Value$407,999BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,663,491TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescLONG TERM CD'SDesc
Book Value$891,924BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$891,924TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescPALMETTO STATE BANK CD (LONG TERM)Desc
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$0TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$25,904,807TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$6,855NetUnrealizedGainsInvstAmt
Revenue Not Reported-$6,855RevenueNotReportedAmt
Revenue Subtotal$25,911,662RevenueSubtotalAmt
Total Revenue Per Form990$25,911,662TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,843,001TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$20,843,001ExpensesSubtotalAmt
Total Expenses Per Form990$20,843,001TotalExpensesPerForm990Amt

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
ASHLEY BARNES
$208,566$0$0$0$0$0$8,386$0$9,254$0$226,206$0$0$0
RICHARD BOYLES
$251,966$0$0$0$0$0$10,396$0$8,770$0$271,132$0$0$0
BRYAN BURNETT
$195,475$0$0$0$0$0$8,040$0$9,106$0$212,621$0$0$0
DEAN KOUKOS
$270,133$0$0$0$0$0$2,712$0$9,633$0$282,478$0$0$0
ABRAHAM MOSKOW
$204,512$0$0$0$0$0$8,180$0$2,202$0$214,894$0$0$0
JENNIFER RAHN
$214,224$0$0$0$0$0$8,583$0$8,829$0$231,636$0$0$0
VERNON WHITLEY
$205,185$0$0$0$0$0$8,526$0$8,920$0$222,631$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5860ContributionCnt
Noncash Contributions Rpt F990$87,900NoncashContributionsRptF990Amt
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 INEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt VI, Line 11bTHE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990 AND THEN PRESENTS TO FULL BOARD.
Pt VI, Line 15aSTATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY AND SALARY INCREASES ARE BOARD APPROVED.
Pt XII, Line 2cTHE CEO OVERSEES FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
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 XITHIS LINE REPRESENTS THE CHANGE IN NET ASSETS WITH
Pt XIDONOR RESTRICTIONS FOR THE YEAR.