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REGIONAL HEALTH CARE AFFILIATES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
REGIONAL HEALTH CARE AFFILIATES INC (EIN 61-1043375)
Tax period
2021-03-01 to 2022-02-28
Filed
2022-05-27
IRS object ID
202231479349300328
Schema version
2021v4.1
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)
Return2022-05-27T09:04:14-07:00ReturnTs
Tax Period End2022-02-28TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621867889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN611043375EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH CARE AFFILIATES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREGIBusinessNameControlTxt
Phone2706677017PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 EAST MAIN STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42450ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHELLEY GOBINPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone2706677017PhoneNum
Signature2022-05-27SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHELLEYPersonFirstNm
Person LastGOBINPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2022-05-27PreparationDt

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)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHELLEY GOBINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 EAST MAIN STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42450ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,115,618GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateKYLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULLFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee125TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,794,562PYContributionsGrantsAmt
CY Contributions Grants$4,194,121CYContributionsGrantsAmt
PY Program Service Revenue$11,122,711PYProgramServiceRevenueAmt
CY Program Service Revenue$14,790,406CYProgramServiceRevenueAmt
PY Investment Income$79,880PYInvestmentIncomeAmt
CY Investment Income$98,830CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,997,153PYTotalRevenueAmt
CY Total Revenue$19,083,357CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,634,687PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,234,921CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,401,792PYOtherExpensesAmt
CY Other Expenses$7,771,924CYOtherExpensesAmt
PY Total Expenses$14,036,479PYTotalExpensesAmt
CY Total Expenses$16,006,845CYTotalExpensesAmt
PY Revenues Less Expenses$1,960,674PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,076,512CYRevenuesLessExpensesAmt
Total Assets BOY$10,321,108TotalAssetsBOYAmt
Total Assets EOY$13,143,435TotalAssetsEOYAmt
Total Liabilities BOY$792,864TotalLiabilitiesBOYAmt
Total Liabilities EOY$780,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,528,244NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,363,159NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULLFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,477,873ExpenseAmt
Grant$0GrantAmt
Revenue$14,790,406RevenueAmt
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 48,700 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$12,477,873TotalProgramServiceExpensesAmt
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee125EmployeeCnt
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
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRITTNEY DEVERPersonNm
Phone2706677017PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12251 WESTERFIELD DRIVE SUITE BAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationKYStateAbbreviationCd
ZIP42450ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VENITA MURPHY
BOARD MEMBER1.00Yes (X)$0$0$0
ANTHONY DOTSON
BOARD MEMBER1.00Yes (X)$0$0$0
CHERYL LADD
BOARD MEMBER1.00Yes (X)$0$0$0
DONNA BUMPUS
BOARD MEMBER1.00Yes (X)$0$0$0
RAEGINA SCOTT
BOARD MEMBER1.00Yes (X)$0$0$0
SHANNON LAYTON
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA GREEN
VICE CHAIR1.00Yes (X)$0$0$0
BRIAN SHORT
BOARD MEMBER1.00Yes (X)$0$0$0
ALI DRAKE
BOARD MEMBER1.00Yes (X)$0$0$0
AMANDA DAME
BOARD MEMBER1.00Yes (X)$0$0$0
JONELL BLANFORD
BOARD MEMBER1.00Yes (X)$0$0$0
BRITNEY MITCHELL
BOARD MEMBER1.00Yes (X)$0$0$0
STEPHANIE CHARVILLE
BOARD MEMBER1.00Yes (X)$0$0$0
JORDAN BAIZE
PRESIDENT1.00Yes (X)$0$0$0
SHELLEY GOBIN
CHIEF EXECUTIVE OFFICER40.00$171,872$0$29,374Yes (X)
BRITTNEY DEVER
CHIEF FINANCIAL OFFICER40.00$110,313$0$4,601Yes (X)
JACK MERRILL
CHIEF OPERATIONAL OFFICER40.00$102,741$0$12,798Yes (X)
JASON WATSON
CHIEF INFORMATION OFFICER40.00$74,343$0$23,687Yes (X)
TRISTAN LINEBERRY
MEDICAL DIRECTOR40.00$236,616$0$19,607Yes (X)
RONNAH ALEXANDER
CHIEF PHARMACY OFFICER40.00$146,818$0$22,764Yes (X)
KUMARASOORIYAR KUMARAVELU
PEDIATRICIAN40.00$145,295$0$33,946Yes (X)
JAMI PERRY
PHYSICIAN40.00$207,489$0$38,269Yes (X)
BETH A DEVINE
NURSE PRACTITIONER40.00$117,184$0$26,109Yes (X)
BRYCE GIBSON
PHYSICIAN40.00$242,488$0$39,930Yes (X)
RAYMOND T QUATRO
OB/GYN40.00$218,691$0$29,920Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,773,850TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$281,005TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ECLINICALWORKS LLC
PO BOX 847960BOSTONMA02284CONTRACT EMR SERVICES$159,452
ALTRUIS INC
9420 BUNSEN PARKWAY SUITE 204LOUISVILLEKY40220CONTRACT BILLING SERVICES$462,562
FERGUSON ENTERPRISES LLC
50 EAST MCGLAIGHLIN AVEMADISONVILLEKY42431CONTRACT CLEANING SERVICES$154,583
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,159,696GovernmentGrantsAmt
All Other Contributions$34,425AllOtherContributionsAmt
Noncash Contributions$34,425NoncashContributionsAmt
Total Contributions$4,194,121TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$14,790,406TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,790,406TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,091TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$131,091ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,261SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$32,261SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$32,261TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$32,261ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,083,357TotalRevenueColumnAmt
Related Or Exempt Func Income$14,790,406RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$98,830ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$831,924TotalAmt
Program Services$714,250ProgramServicesAmt
Management And General$117,674ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,665,918TotalAmt
Program Services$4,136,906ProgramServicesAmt
Management And General$1,529,012ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$104,339TotalAmt
Program Services$78,254ProgramServicesAmt
Management And General$26,085ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,190,871TotalAmt
Program Services$887,212ProgramServicesAmt
Management And General$303,659ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$441,869TotalAmt
Program Services$331,402ProgramServicesAmt
Management And General$110,467ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,525TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,525ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,871TotalAmt
Program Services$8,500ProgramServicesAmt
Management And General$100,371ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$978,083TotalAmt
Program Services$638,817ProgramServicesAmt
Management And General$339,266ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$97,068TotalAmt
Program Services$150ProgramServicesAmt
Management And General$96,918ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$948,386TotalAmt
Program Services$534,310ProgramServicesAmt
Management And General$414,076ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$269,847TotalAmt
Program Services$47,487ProgramServicesAmt
Management And General$222,360ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$342,306TotalAmt
Program Services$253,248ProgramServicesAmt
Management And General$89,058ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$84,525TotalAmt
Program Services$29,414ProgramServicesAmt
Management And General$55,111ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$244,726TotalAmt
Program Services$123,798ProgramServicesAmt
Management And General$120,928ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,620TotalAmt
Program Services$13,158ProgramServicesAmt
Management And General$1,462ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES AND PHARMACEUTICALS$2,162,707$2,162,707$0$0
CONTRACT 340B ADMIN AND DISPENSING FEES$2,518,260$2,518,260$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,006,845TotalAmt
Program Services$12,477,873ProgramServicesAmt
Management And General$3,528,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$487,405BOYAmt
EOY$350,657EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,520,405BOYAmt
EOY$2,523,637EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,296BOYAmt
EOY$12,948EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,005,938BOYAmt
EOY$1,528,515EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$101,188BOYAmt
EOY$105,773EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$243,412BOYAmt
EOY$282,826EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,707,731LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$932,508LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,908,478BOYAmt
EOY$1,775,223EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,114,169BOYAmt
EOY$6,098,549EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,930,817BOYAmt
EOY$465,307EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,321,108BOYAmt
EOY$13,143,435EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$591,875BOYAmt
EOY$780,276EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$200,989BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$792,864BOYAmt
EOY$780,276EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,528,244BOYAmt
EOY$12,363,159EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,528,244BOYAmt
EOY$12,363,159EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,321,108BOYAmt
EOY$13,143,435EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,076,512ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$218,131NetUnrlzdGainsLossesInvstAmt
Investment Expense-$23,466InvestmentExpenseAmt
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$2,783,604CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,698,404CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,403,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,794,562CurrentTaxYearMinus1YearAmt
Current Tax Year$4,194,121CurrentTaxYearAmt
Total$17,874,326TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,783,604CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,698,404CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,403,635CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,794,562CurrentTaxYearMinus1YearAmt
Current Tax Year$4,194,121CurrentTaxYearAmt
Total$17,874,326TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$17,874,326PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,171CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$95,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$100,576CurrentTaxYearMinus1YearAmt
Current Tax Year$98,830CurrentTaxYearAmt
Total$343,341TotalAmt

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$18,217,667TotalSupportAmt
Gross Receipts Rltd Activities$55,009,773GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98120PublicSupportCY170Pct
Public Support PY1700.98520PublicSupportPY170Pct
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$15,000InvestmentCostOrOtherBasisAmt
Book Value$15,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,615,266InvestmentCostOrOtherBasisAmt
Depreciation$400,149DepreciationAmt
Book Value$1,215,117BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$979,940InvestmentCostOrOtherBasisAmt
Depreciation$532,359DepreciationAmt
Book Value$447,581BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$97,525InvestmentCostOrOtherBasisAmt
Book Value$97,525BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,775,223TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$18,901,235TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$218,131NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$59,475DonatedServicesAndUseFcltsAmt
Revenue Not Reported-$158,656RevenueNotReportedAmt
Revenue Subtotal$19,059,891RevenueSubtotalAmt
Investment Expenses Not Incld$23,466InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$23,466RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$19,083,357TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,066,320TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$59,475DonatedServicesUseFcltsAmt
Expenses Not Reported$59,475ExpensesNotReportedAmt
Expenses Subtotal$16,006,845ExpensesSubtotalAmt
Total Expenses Per Form990$16,006,845TotalExpensesPerForm990Amt

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
SHELLEY GOBIN
$171,872$0$0$0$0$0$4,755$0$24,619$0$201,246$0$0$0
TRISTAN LINEBERRY
$236,616$0$0$0$0$0$7,002$0$12,605$0$256,223$0$0$0
RONNAH ALEXANDER
$146,818$0$0$0$0$0$4,380$0$18,384$0$169,582$0$0$0
KUMARASOORIYAR KUMARAVELU
$145,295$0$0$0$0$0$4,070$0$29,876$0$179,241$0$0$0
JAMI PERRY
$207,489$0$0$0$0$0$5,819$0$32,450$0$245,758$0$0$0
BRYCE GIBSON
$242,488$0$0$0$0$0$0$0$32,654$0$275,142$0$0$0
RAYMOND T QUATRO
$218,691$0$0$0$0$0$6,500$0$23,420$0$248,611$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2295ContributionCnt
Noncash Contributions Rpt F990$34,425NoncashContributionsRptF990Amt
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 12cTHE ORGANIZATION HAS APPOINTED THE COMPLIANCE OFFICER TO OVERSEE THE DAY TO DAY OF OUR COMPLIANCE PROGRAM.
Pt VI, Line 15aKENTUCKY PRIMARY ASSOCIATION AND AREA MARKET SURVEYS WERE USED
Pt VI, Line 15bTO DETERMINE COMPENSATION FOR TOP MANAGEMENT OFFICIALS.
Pt VI, Line 11bTHE CEO, CFO AND THE FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt XII, Line 2cTHE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.