MEDCURA HEALTH INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MEDCURA HEALTH INC (EIN 58-1413957)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349320045
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T21:45:30-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454084437 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARREN AVERETT LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SIX CONCOURSE PARKWAY SUITE 600 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30328 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581413957 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDCURA HEALTH INC | BusinessNameLine1Txt |
| Business Name Line2 | F/K/A OAKHURST MEDICAL CENTERS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEDC | BusinessNameControlTxt |
| Phone | 4042988998 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5582 MEMORIAL DRIVE | AddressLine1Txt |
| City | STONE MOUNTAIN | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30083 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY Q TAYLOR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4042988998 | PhoneNum |
| Signature | 2022-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEFFREY | PersonFirstNm |
| Person Last | TAYLOR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ADAM REPASY | PreparerPersonNm |
| PTIN | P01689756 | PTIN |
| Phone | 7703961100 | PhoneNum |
| Preparation | 2022-11-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY Q TAYLOR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5582 MEMORIAL DRIVE | AddressLine1Txt |
| City | STONE MOUNTAIN | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30083 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $76,310,221 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEDCURA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | MEDCURA HEALTH, INC. IS A NONPROFIT COMMUNITY-LED HEALTHCARE CENTER THAT PROVIDES QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES THAT ARE CULTURALLY SENSITIVE AND ACCESSIBLE TO INDIVIDUALS AND FAMILIES IN DEKALB, ROCKDALE AND SURROUNDING COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 187 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,395,012 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,234,162 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $60,119,255 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,154,296 | CYProgramServiceRevenueAmt |
| PY Investment Income | $282,667 | PYInvestmentIncomeAmt |
| CY Investment Income | $325,141 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,798 | PYOtherRevenueAmt |
| CY Other Revenue | $590,271 | CYOtherRevenueAmt |
| PY Total Revenue | $66,877,732 | PYTotalRevenueAmt |
| CY Total Revenue | $76,303,870 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,189,617 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,351,069 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,208,531 | PYOtherExpensesAmt |
| CY Other Expenses | $58,807,612 | CYOtherExpensesAmt |
| PY Total Expenses | $63,398,148 | PYTotalExpensesAmt |
| CY Total Expenses | $69,158,681 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,479,584 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,145,189 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,496,034 | TotalAssetsBOYAmt |
| Total Assets EOY | $35,224,823 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,880,170 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,720,206 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,615,864 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,504,617 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MEDCURA HEALTH, INC. IS A NONPROFIT, COMMUNITY-LED HEALTHCARE CENTER THAT PROVIDES QUALITY, AFFORDABLE AND COMPREHENSIVE HEALTHCARE SERVICES THAT ARE CULTURALLY SENSITIVE AND ACCESSIBLE TO INDIVIDUALS AND FAMILIES IN DEKALB, ROCKDALE, AND SURROUNDING COUNTIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $65,192,390 | ExpenseAmt |
| Revenue | $65,722,456 | RevenueAmt |
| Desc | THE CENTER PROVIDES A BROAD RANGE OF MEDICAL AND BEHAVIORAL HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION IN THE COMMUNITY. THE CENTER HAD 83,414 VISITS DURING 2021 AND SERVED 36,255 INDIVIDUAL PATIENTS. | Desc |
| Total Program Service Expenses | $65,192,390 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 187 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY Q TAYLOR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4042988998 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 770 VILLAGE SQUARE DRIVE | AddressLine1Txt |
| City | STONE MOUNTAIN | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30083 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAPHNE BYRD | |||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CLARA COBB | |||||||||
| VICE-CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTINA OTTIS | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FRANKIE BARNES | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| FELIPE CLAYBROOKS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN GAITHER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MELIA HAILE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| ZIYAD HASSAN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| REP MICHELE HENSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAYLA LATSON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN WILLIAMS MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| D'NYCE WILLIAMS MD | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY Q TAYLOR | |||||||||
| CEO | 39.00 | Yes (X) | $343,981 | $0 | $60,873 | 1.00 | |||
| CLAYTON T KNOX | |||||||||
| CFO | 39.00 | Yes (X) | $191,870 | $0 | $32,741 | 1.00 | |||
| DR RAULNINA UZZLE-HARRIS | |||||||||
| MEDICAL DIRECTOR | 40.00 | $309,450 | $0 | $42,387 | Yes (X) | ||||
| DR METRA L WRIGHT | |||||||||
| FAMILY PRACTITIONER | 40.00 | $234,623 | $0 | $15,600 | Yes (X) | ||||
| DR TRACEY GREENE-JOHNSON | |||||||||
| OB/GYN | 40.00 | $233,180 | $0 | $16,249 | Yes (X) | ||||
| YVONKA CRENSHAW | |||||||||
| OB/GYN | 40.00 | $215,776 | $0 | $12,077 | Yes (X) | ||||
| MONIQUE MERRITT-ATKINS | |||||||||
| FAMILY PRACTITIONER | 40.00 | $186,115 | $0 | $3,903 | Yes (X) | ||||
| BEATRICE CLODOMIR | |||||||||
| PEDIATRICIAN | 40.00 | $188,481 | $0 | $11,267 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,903,476 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $195,097 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 1761 SATELLITE BLVD | BUFORD | GA | 30518 | HEALTHCARE SOLUTIONS | $27,380,318 |
| ABSOLUTECARE MEDICAL CENTERS | |||||
| 2140 PEACHTREE RD NW | ATLANTA | GA | 30309 | STAFFING & MEDICAL HOME SERVICES | $13,535,127 |
| MCKESSON CORPORATION | |||||
| 6555 STATE HWY 161 | IRVING | TX | 75039 | HEALTHCARE SOLUTIONS | $5,388,161 |
| PRESTIGE STAFFING LLC | |||||
| 9040 ROSWELL ROAD STE 300 | ATLANTA | GA | 30350 | STAFFING SOLUTIONS | $448,426 |
| ATHENAHEALTH INC | |||||
| 311 ARSENAL STREET | WATERTOWN | MA | 02472 | CLOUD-BASED HEALTHCARE SOLUTIONS | $427,419 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,712,384 | GovernmentGrantsAmt |
| All Other Contributions | $1,521,778 | AllOtherContributionsAmt |
| Noncash Contributions | $1,503,750 | NoncashContributionsAmt |
| Total Contributions | $10,234,162 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 304(B) PHARMACY | 621400 | $55,492,611 | $55,492,611 |
| MANAGED CARE | 621400 | $4,031,370 | $4,031,370 |
| OTHER THIRD PARTY | 621400 | $2,949,817 | $2,949,817 |
| SELF-PAY | 621400 | $1,281,885 | $1,281,885 |
| MEDICARE | 621400 | $974,622 | $974,622 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $423,991 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $423,991 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,154,296 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $306,098 | TotalRevenueColumnAmt |
| Exclusion | $306,098 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,880 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $5,880 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,880 | TotalRevenueColumnAmt |
| Exclusion | $5,880 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,043 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,043 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,043 | TotalRevenueColumnAmt |
| Exclusion | $19,043 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $22,582 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $6,351 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,231 | TotalRevenueColumnAmt |
| Exclusion | $16,231 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER MISC INCOME | 621400 | $486,043 | $486,043 |
| INCENTIVE INCOME | 621400 | $79,242 | $79,242 |
| MEDICAL RECORDS INCOME | 621400 | $1,755 | $1,755 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,120 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,120 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $568,160 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,303,870 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,722,456 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $347,252 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $981,302 | TotalAmt |
| Program Services | $769,695 | ProgramServicesAmt |
| Management And General | $211,607 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,147,435 | TotalAmt |
| Program Services | $6,390,529 | ProgramServicesAmt |
| Management And General | $1,756,906 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,283 | TotalAmt |
| Program Services | $47,284 | ProgramServicesAmt |
| Management And General | $12,999 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,480 | TotalAmt |
| Program Services | $441,187 | ProgramServicesAmt |
| Management And General | $121,293 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,569 | TotalAmt |
| Program Services | $470,278 | ProgramServicesAmt |
| Management And General | $129,291 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,592 | TotalAmt |
| Management And General | $21,592 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,721 | TotalAmt |
| Management And General | $100,721 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,309,425 | TotalAmt |
| Program Services | $20,208,386 | ProgramServicesAmt |
| Management And General | $1,101,039 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,847 | TotalAmt |
| Program Services | $30,462 | ProgramServicesAmt |
| Management And General | $3,385 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,141 | TotalAmt |
| Program Services | $301,627 | ProgramServicesAmt |
| Management And General | $33,514 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,238 | TotalAmt |
| Program Services | $499,714 | ProgramServicesAmt |
| Management And General | $55,524 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,706 | TotalAmt |
| Management And General | $25,706 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,914 | TotalAmt |
| Management And General | $17,914 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,676 | TotalAmt |
| Program Services | $75,308 | ProgramServicesAmt |
| Management And General | $8,368 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $432,883 | TotalAmt |
| Program Services | $389,595 | ProgramServicesAmt |
| Management And General | $43,288 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,451 | TotalAmt |
| Program Services | $107,125 | ProgramServicesAmt |
| Management And General | $20,326 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $31,306,826 | $31,306,826 | |
| OTHER EXPENSES | $2,130,911 | $1,900,229 | $230,682 |
| CONSUMABLE SUPPLIES | $1,399,334 | $1,327,198 | $72,136 |
| DONATED VACCINES | $926,947 | $926,947 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,158,681 | TotalAmt |
| Program Services | $65,192,390 | ProgramServicesAmt |
| Management And General | $3,966,291 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,661,520 | BOYAmt |
| EOY | $8,066,071 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,641 | BOYAmt |
| EOY | $623,053 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,800 | BOYAmt |
| EOY | $670,680 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,561,135 | BOYAmt |
| EOY | $6,977,578 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,090,125 | BOYAmt |
| EOY | $8,090,125 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,299 | BOYAmt |
| EOY | $116,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,843,021 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,789,737 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,026,797 | BOYAmt |
| EOY | $6,053,284 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,267,732 | BOYAmt |
| EOY | $3,938,463 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,634,985 | BOYAmt |
| EOY | $688,844 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,496,034 | BOYAmt |
| EOY | $35,224,823 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,402,714 | BOYAmt |
| EOY | $4,044,875 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,180,104 | BOYAmt |
| EOY | $4,161,604 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,352 | BOYAmt |
| EOY | $513,727 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,880,170 | BOYAmt |
| EOY | $8,720,206 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,615,864 | BOYAmt |
| EOY | $26,504,617 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,615,864 | BOYAmt |
| EOY | $26,504,617 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,496,034 | BOYAmt |
| EOY | $35,224,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,145,189 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $128,773 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$385,209 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,296,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,741,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,345,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,395,012 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,234,162 | CurrentTaxYearAmt |
| Total | $33,012,483 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,296,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,741,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,345,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,395,012 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,234,162 | CurrentTaxYearAmt |
| Total | $33,012,483 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $33,012,483 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,395 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $289,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $311,978 | CurrentTaxYearAmt |
| Total | $694,242 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $453,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $309,999 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $164,074 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $63,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $568,160 | CurrentTaxYearAmt |
| Total | $1,559,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $35,266,313 | TotalSupportAmt |
| Public Support CY170 | 0.93610 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94870 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2017 AMOUNT: $ 22,879. 2018 AMOUNT: $ 116,363. 2019 AMOUNT: $ 3,260. 2020 AMOUNT: $ 2,962. 2021 AMOUNT: $ 486,043. MEANINGFUL USE INCOME - 2017 AMOUNT: $ 204,000. 2018 AMOUNT: $ 59,500. 2019 AMOUNT: $ 8,500. 2021 AMOUNT: $ 0. MEDICAL RECORDS INCOME - 2017 AMOUNT: $ 9,906. 2018 AMOUNT: $ 8,963. 2019 AMOUNT: $ 7,486. 2020 AMOUNT: $ 5,961. 2021 AMOUNT: $ 1,755. INCENTIVE INCOME - 2017 AMOUNT: $ 215,194. 2018 AMOUNT: $ 122,333. 2019 AMOUNT: $ 143,448. 2020 AMOUNT: $ 53,017. 2021 AMOUNT: $ 79,242. FORM REQUEST INCOME - 2017 AMOUNT: $ 1,521. 2018 AMOUNT: $ 2,840. 2019 AMOUNT: $ 1,380. 2020 AMOUNT: $ 1,915. 2021 AMOUNT: $ 1,120. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $948,175 | OtherCostOrOtherBasisAmt |
| Book Value | $948,175 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,881,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,804,982 | DepreciationAmt |
| Book Value | $4,076,293 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $214,476 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,278 | DepreciationAmt |
| Book Value | $200,198 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,735,082 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,970,477 | DepreciationAmt |
| Book Value | $764,605 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,013 | OtherCostOrOtherBasisAmt |
| Book Value | $64,013 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,053,284 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP | $95,586 |
| DUE TO RELATED PARTY | $418,141 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $513,727 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $76,640,760 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $128,773 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $201,766 | OtherRevenueAmt |
| Revenue Not Reported | $330,539 | RevenueNotReportedAmt |
| Revenue Subtotal | $76,310,221 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$6,351 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$6,351 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $76,303,870 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $69,165,032 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $6,351 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $6,351 | ExpensesNotReportedAmt |
| Expenses Subtotal | $69,158,681 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $69,158,681 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021 AND 2020. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENTS OF FINANCIAL POSITION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN INTEREST RATE SWAP 201,766. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT EXPENSES RELATED TO FUNDRAISING EVENTS -6,351. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES RELATED TO FUNDRAISING EVENTS 6,351. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY Q TAYLOR | ||||||||||||||
| CEO | $318,981 | $0 | $25,000 | $0 | $0 | $0 | $26,000 | $0 | $34,873 | $0 | $404,854 | $0 | $0 | $0 |
| DR RAULNINA UZZLE-HARRIS | ||||||||||||||
| MEDICAL DIRECTOR | $288,850 | $0 | $20,600 | $0 | $0 | $0 | $26,000 | $0 | $16,387 | $0 | $351,837 | $0 | $0 | $0 |
| DR METRA L WRIGHT | ||||||||||||||
| FAMILY PRACTITIONER | $232,623 | $0 | $2,000 | $0 | $0 | $0 | $0 | $0 | $15,600 | $0 | $250,223 | $0 | $0 | $0 |
| DR TRACEY GREENE-JOHNSON | ||||||||||||||
| OB/GYN | $215,000 | $0 | $18,180 | $0 | $0 | $0 | $0 | $0 | $16,249 | $0 | $249,429 | $0 | $0 | $0 |
| YVONKA CRENSHAW | ||||||||||||||
| OB/GYN | $198,596 | $0 | $17,180 | $0 | $0 | $0 | $0 | $0 | $12,077 | $0 | $227,853 | $0 | $0 | $0 |
| CLAYTON T KNOX | ||||||||||||||
| CFO | $184,154 | $0 | $7,716 | $0 | $0 | $0 | $0 | $0 | $32,741 | $0 | $224,611 | $0 | $0 | $0 |
| BEATRICE CLODOMIR | ||||||||||||||
| PEDIATRICIAN | $179,981 | $0 | $8,500 | $0 | $0 | $0 | $0 | $0 | $11,267 | $0 | $199,748 | $0 | $0 | $0 |
| MONIQUE MERRITT-ATKINS | ||||||||||||||
| FAMILY PRACTITIONER | $182,615 | $0 | $3,500 | $0 | $0 | $0 | $0 | $0 | $3,903 | $0 | $190,018 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5: | FormAndLineReferenceDesc |
| Explanation | ANNUAL BONUS AND INCENTIVE COMPENSATION IS PAID TO EMPLOYEES AT THE DISCRETION OF THE BOARD. BONUS AMOUNTS ARE INCLUDED IN THE INDIVIDUAL'S W-2 AND ARE REFLECTED ON SCHEDULE J, PART II, COLUMN B (II). | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,503,750 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ONCE THE 990 IS COMPLETE AND PRIOR TO ITS FILING, THE FORM IS FORWARDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND EXECUTIVE STAFF MONITOR ALL CONTRACTS IN ACCORDANCE WITH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. PER THE BYLAWS, THE BOARD OF DIRECTORS, EXECUTIVE STAFF, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE ANY ACTIVITIES OR RELATIONSHIPS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY COMPARING CURRENT SALARIES TO OTHER COMMUNITY HEALTH CENTERS BASED ON THE NACHC SALARY AND BENEFITS SURVEY. ALL COMPENSATION IS REVIEWED BY THE HUMAN RESOURCE SPECIALIST AND THE CEO AS PART OF THE ANNUAL EMPLOYEE REVIEW. THE CEO APPROVES THE RECOMMENDED SALARY INCREASE. ALSO, THE ANNUAL PERCENTAGE INCREASE AND SALARY AMOUNTS ARE APPROVED BY THE BOARD OF DIRECTORS. AS PART OF THE REVIEW FOR THE HRSA GRANT APPLICATION, THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE CONTAINED IN THE FORM 990 AND ARE AVAILABLE THROUGH THE HEALTH RESOURCE AND SERVICES ADMINISTRATION ("HRSA"). GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST, SUBJECT TO APPROVAL OF RELEASE BY THE GOVERNING BOARD AND EXECUTIVE MANAGEMENT. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS AND CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 20,208,386. MANAGEMENT AND GENERAL EXPENSES 1,101,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,309,425. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP 201,766. INTERCOMPANY ELIMINATIONS -586,975. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| OAKHURST HOLDING GROUP INC | |||||||||
| 5582 MEMORIAL DRIVE | STONE MOUNTAIN | GA | 30083 | 843951482 | SUPPORT MEDCURA ACTIVITIES | GA | 501(C)(3) | LINE 12A, I | Yes (1) |
| OAKHURST MEDICAL CENTERS FOUNDATION | |||||||||
| 5582 MEMORIAL DRIVE | STONE MOUNTAIN | GA | 30083 | 844395530 | SUPPORT MEDCURA ACTIVITIES | GA | 501(C)(3) | LINE 7 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OAKHURST HOLDING GROUP INC | ||
| E | $10,595,356 | BOOK |
| OAKHURST HOLDING GROUP INC | ||
| K | $575,072 | BOOK |
| OAKHURST MEDICAL CENTERS FOUNDATION | ||
| M | $11,903 | BOOK |