CARESTL HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CARESTL HEALTH (EIN 43-0917230)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349326911
- 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 | 2022-11-15T17:04:43-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 WASHINGTON AVENUE SUITE 1800 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63101 | 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 | 430917230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARESTL HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 3143675820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 DR MARTIN LUTHER KING DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA CLABON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3143675820 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANGELA | PersonFirstNm |
| Person Last | CLABON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER ROGNAN-HAMILTON | PreparerPersonNm |
| PTIN | P01251012 | PTIN |
| Phone | 3149254300 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | 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 | ANGELA CLABON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 DR MARTIN LUTHER KING DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $32,600,586 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARESTLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTHCARE SERVICES, MEDICAL COUNSELING AND WELLNESS EDUCATION FOR LOW INCOME INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 331 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,859,260 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,736,254 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,291,626 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,793,396 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,638 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,175 | CYInvestmentIncomeAmt |
| PY Other Revenue | $741,998 | PYOtherRevenueAmt |
| CY Other Revenue | $42,341 | CYOtherRevenueAmt |
| PY Total Revenue | $26,895,522 | PYTotalRevenueAmt |
| CY Total Revenue | $32,582,166 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,845 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,381,415 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,612,625 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,291,352 | PYOtherExpensesAmt |
| CY Other Expenses | $7,545,229 | CYOtherExpensesAmt |
| PY Total Expenses | $28,672,767 | PYTotalExpensesAmt |
| CY Total Expenses | $29,162,699 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,777,245 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,419,467 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,364,566 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,654,005 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,067,923 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,766,320 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,703,357 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $887,685 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE HEALTH OUTCOMES IN OUR COMMUNITY BY PROVIDING COMPREHENSIVE, MULTI-GENERATIONAL HEALTHCARE, EDUCATION AND SUPPORT TO ALL WHO NEED US REGARDLESS OF INCOME OR SOCIOECONOMIC STATUS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,429,133 | ExpenseAmt |
| Grant | $4,845 | GrantAmt |
| Revenue | $15,793,396 | RevenueAmt |
| Desc | CARESTL HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS OR A COMMUNITY HEALTH CENTER -CHC). WE ARE A COMMUNITY BASED HEALTHCARE SYSTEM THAT PROVIDES MEDICAL CARE TO UNDERSERVED, UNDERINSURED, AND UNINSURED POPULATIONS. AS A FEDERALLY QUALIFIED HEALTH CENTER WE RECEIVE FUNDING FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), WHICH IS A PART OF THE FEDERAL GOVERNMENT. UNDER HRSA, CARESTL HEALTH IS MANDATED TO PROVIDE COMPREHENSIVE AND SOCIAL SERVICES, COMPLETE ANNUAL REPORTING REQUIREMENTS KNOWN AS THE UNIFORM DATA SYSTEM (UDS) AND HAVE A BOARD OF DIRECTORS WITH THE MAJORITY BEING PATIENTS THEMSELVES. | Desc |
| Total Program Service Expenses | $22,429,133 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 331 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA CLABON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3143675820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 DR MARTIN LUTHER KING DRIVE | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PATRICIA FOSTER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JETHRO FORTENBERRY | |||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LULA HALL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARA WEBB | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHRISENA BROWN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EUNICE ATKINSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDY BARNES | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FLORA ROBINSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARRELL HUDSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDWELE JOLLY | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TIFFANY PAUL | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| VIDA PAUL-PERRY | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTIE STANTON | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BONNIE WOODS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN JONES | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA CLABON | |||||||
| CEO | 40.00 | $403,287 | $0 | $11,007 | Yes (X) | ||
| HARI NALLAPANENI | |||||||
| CMO | 40.00 | $372,624 | $0 | $9,607 | Yes (X) | ||
| CAROL HORTON-HENLEY | |||||||
| CDO | 40.00 | $227,121 | $0 | $5,818 | Yes (X) | ||
| JASON WARE | |||||||
| CFO | 40.00 | $168,559 | $0 | $4,273 | Yes (X) | ||
| RENEE BROOKS | |||||||
| CIO | 40.00 | $159,263 | $0 | $3,982 | Yes (X) | ||
| SRILAKSHMI VUYYURU | |||||||
| PHYSICIAN | 40.00 | $296,583 | $0 | $7,568 | Yes (X) | ||
| JADE JAMES-HALBERT | |||||||
| PHYSICIAN | 40.00 | $274,614 | $0 | $7,012 | Yes (X) | ||
| AARON PILE | |||||||
| PHYSICIAN | 40.00 | $270,835 | $0 | $6,924 | Yes (X) | ||
| LESLIE MCCRARY-ETUK | |||||||
| PHYSICIAN | 40.00 | $256,193 | $0 | $0 | Yes (X) | ||
| NICOLE DELSOIN-PIERRE | |||||||
| PHYSICIAN | 40.00 | $194,696 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,623,775 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,191 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | 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 |
|---|---|---|---|---|---|
| SCRIPTPRO | |||||
| 5828 REEDS ROAD | MISSION | KS | 66202 | SOFTWARE SUPPORT | $405,843 |
| ECLINICALWORKS | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | SOFTWARE SUPPORT | $403,067 |
| GREENWAY HEALTH | |||||
| PO BOX 203658 | DALLAS | TX | 75320 | SOFTWARE SUPPORT | $351,695 |
| FELDESMAN TUCKER LEIFER FIDELL | |||||
| 1129 20TH ST NW | WASHINGTON | DC | 20036 | LEGAL | $170,738 |
| QUEST DIAGNOSTICS | |||||
| PO 772976 | CHICAGO | IL | 60677 | LAB READINGS | $131,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $16,406,799 | GovernmentGrantsAmt |
| All Other Contributions | $329,455 | AllOtherContributionsAmt |
| Total Contributions | $16,736,254 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES & CONTRACT GOVERNMENT AGENCY | Desc |
| Business | 624110 | BusinessCd |
| Total Revenue Column | $15,793,396 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,793,396 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,793,396 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,647 | TotalRevenueColumnAmt |
| Exclusion | $3,647 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,948 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,420 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,528 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,528 | TotalRevenueColumnAmt |
| Exclusion | $6,528 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $38,840 | $38,840 |
| VENDING COMMISSION | 900099 | $3,109 | $3,109 |
| TELEPHONE COMMISSION | 900099 | $392 | $392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $42,341 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,582,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,793,396 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,516 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,845 | TotalAmt |
| Program Services | $4,845 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,854 | TotalAmt |
| Program Services | $1,113,329 | ProgramServicesAmt |
| Management And General | $217,525 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,002,622 | TotalAmt |
| Program Services | $13,387,028 | ProgramServicesAmt |
| Management And General | $2,615,594 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,785 | TotalAmt |
| Program Services | $460,760 | ProgramServicesAmt |
| Management And General | $90,025 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,548,767 | TotalAmt |
| Program Services | $2,132,177 | ProgramServicesAmt |
| Management And General | $416,590 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,179,597 | TotalAmt |
| Program Services | $986,794 | ProgramServicesAmt |
| Management And General | $192,803 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,067 | TotalAmt |
| Management And General | $166,067 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,569 | TotalAmt |
| Management And General | $136,569 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,161 | TotalAmt |
| Management And General | $2,161 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,126,669 | TotalAmt |
| Program Services | $1,951,073 | ProgramServicesAmt |
| Management And General | $1,175,596 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,652 | TotalAmt |
| Management And General | $60,652 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,315 | TotalAmt |
| Program Services | $67,274 | ProgramServicesAmt |
| Management And General | $223,041 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,082,690 | TotalAmt |
| Program Services | $659,863 | ProgramServicesAmt |
| Management And General | $422,827 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,261 | TotalAmt |
| Program Services | $8,497 | ProgramServicesAmt |
| Management And General | $55,764 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,432 | TotalAmt |
| Program Services | $23,246 | ProgramServicesAmt |
| Management And General | $46,186 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,316 | TotalAmt |
| Management And General | $3,316 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,298 | TotalAmt |
| Management And General | $149,298 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $265,700 | TotalAmt |
| Management And General | $265,700 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,669,389 | $1,502,584 | $166,805 |
| DUES LICENSES AND SUBSC | $258,813 | $11,156 | $247,657 |
| TAXES AND LICENSES | $115,740 | $93,916 | $21,824 |
| BANK SERVICE CHARGE | $66,769 | $20,299 | $46,470 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,388 | TotalAmt |
| Program Services | $6,292 | ProgramServicesAmt |
| Management And General | $11,096 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,162,699 | TotalAmt |
| Program Services | $22,429,133 | ProgramServicesAmt |
| Management And General | $6,733,566 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,616 | BOYAmt |
| EOY | $479,158 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,546 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,221,140 | BOYAmt |
| EOY | $4,119,833 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,038 | BOYAmt |
| EOY | $57,038 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,335 | BOYAmt |
| EOY | $243,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,985,963 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,681,311 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,068,341 | BOYAmt |
| EOY | $2,304,652 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $450,278 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,550 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,364,566 | BOYAmt |
| EOY | $7,654,005 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,703,161 | BOYAmt |
| EOY | $4,397,352 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $416,568 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,000 | BOYAmt |
| EOY | $1,952,400 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,762 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,067,923 | BOYAmt |
| EOY | $6,766,320 | 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 | -$1,703,357 | BOYAmt |
| EOY | $887,685 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,703,357 | BOYAmt |
| EOY | $887,685 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,364,566 | BOYAmt |
| EOY | $7,654,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,419,467 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $208,063 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,036,488 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,097,974 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,092,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,100,787 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,859,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,736,254 | CurrentTaxYearAmt |
| Total | $55,886,346 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,097,974 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,092,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,100,787 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,859,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,736,254 | CurrentTaxYearAmt |
| Total | $55,886,346 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $55,886,346 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,359 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,362 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,928 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,647 | CurrentTaxYearAmt |
| Total | $33,595 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $279,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $359,596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $139,978 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $741,998 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,342 | CurrentTaxYearAmt |
| Total | $1,563,477 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $57,483,418 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $28,086,022 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97220 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95710 | 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 | OTHER INCOME - 2017 AMOUNT: $ 279,563. 2018 AMOUNT: $ 359,596. 2019 AMOUNT: $ 139,978. 2020 AMOUNT: $ 741,998. 2021 AMOUNT: $ 38,840. TELEPHONE - 2021 AMOUNT: $ 393. VENDING MACHINE COMMISSION - 2021 AMOUNT: $ 3,109. | 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 | $159,426 | OtherCostOrOtherBasisAmt |
| Book Value | $159,426 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,827,046 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,826,117 | DepreciationAmt |
| Book Value | $1,000,929 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,382,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,855,194 | DepreciationAmt |
| Book Value | $527,776 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,521 | OtherCostOrOtherBasisAmt |
| Book Value | $616,521 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,304,652 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANGELA CLABON | ||||||||||||||
| CEO | $388,062 | $0 | $15,225 | $0 | $0 | $0 | $10,082 | $0 | $925 | $0 | $414,294 | $0 | $0 | $0 |
| HARI NALLAPANENI | ||||||||||||||
| CMO | $365,070 | $0 | $7,554 | $0 | $0 | $0 | $9,607 | $0 | $0 | $0 | $382,231 | $0 | $0 | $0 |
| SRILAKSHMI VUYYURU | ||||||||||||||
| PHYSICIAN | $293,148 | $0 | $3,435 | $0 | $0 | $0 | $7,568 | $0 | $0 | $0 | $304,151 | $0 | $0 | $0 |
| JADE JAMES-HALBERT | ||||||||||||||
| PHYSICIAN | $274,614 | $0 | $0 | $0 | $0 | $0 | $7,012 | $0 | $0 | $0 | $281,626 | $0 | $0 | $0 |
| AARON PILE | ||||||||||||||
| PHYSICIAN | $267,457 | $0 | $3,378 | $0 | $0 | $0 | $6,924 | $0 | $0 | $0 | $277,759 | $0 | $0 | $0 |
| LESLIE MCCRARY-ETUK | ||||||||||||||
| PHYSICIAN | $253,007 | $0 | $3,186 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $256,193 | $0 | $0 | $0 |
| CAROL HORTON-HENLEY | ||||||||||||||
| CDO | $219,461 | $0 | $7,660 | $0 | $0 | $0 | $5,818 | $0 | $0 | $0 | $232,939 | $0 | $0 | $0 |
| NICOLE DELSOIN-PIERRE | ||||||||||||||
| PHYSICIAN | $190,724 | $0 | $3,972 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $194,696 | $0 | $0 | $0 |
| JASON WARE | ||||||||||||||
| CFO | $160,680 | $0 | $7,879 | $0 | $0 | $0 | $4,273 | $0 | $0 | $0 | $172,832 | $0 | $0 | $0 |
| RENEE BROOKS | ||||||||||||||
| CIO | $152,339 | $0 | $6,924 | $0 | $0 | $0 | $3,982 | $0 | $0 | $0 | $163,245 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD CHAIR, VICE CHAIR, TREASURER, SECRETARY, AND CEO SHALL BE MEMBERS OF THE EXECUTIVE COMMITTEE BY REASON OF THEIR OFFICE. THE CEO SHALL SERVE ON THE COMMITTEE EX-OFFICIO WITHOUT A VOTE. THE BOARD MAY APPOINT OTHER OF ITS MEMBERS TO SERVE ON THE COMMITTEE. AT EACH ANNUAL MEETING OR AT SUCH OTHER TIME AS THE BOARD MAY DESIGNATE, THE BOARD OF DIRECTORS SHALL MAKE SUCH DETERMINATION AND ELECT FOR A TERM OF FOUR YEARS, THE APPROPRIATE NUMBER OF PERSONS TO THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE THE POWER TO ACT FOR THE FULL BOARD IN ALL MATTERS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, CONSISTENT WITH ESTABLISHED BOARD POLICIES AND/OR DIRECTION, AND TO THE EXTENT PERMITTED BY APPLICABLE STATE, FEDERAL AND LOCAL LAWS AND REGULATIONS. SUCH POWER SHALL INCLUDE, BUT NOT BE LIMITED TO, THE AUTHORITY TO APPROVE EXPENDITURES OF FUNDS UP TO$100,000 FOR IMMEDIATE OPERATING AND OTHER BUSINESS NEEDS REQUIRING IMMEDIATE ACTION AND MAKING APPLICATION FOR GRANTS. THE CEO SHALL BE AUTHORIZED TO MAKE EXPENDITURES OF FUNDS FOR IMMEDIATE OPERATING AND OTHER BUSINESS NEEDS, INCLUDING, BUT NOT LIMITED TO, EMERGENCIES, GRANT APPLICATIONS, GRANTS, ETC. UP TO $25,000. SUCH ACTION(S) SHALL BE REPORTED TO THE BOARD AT THE BOARD'S NEXT MEETING. THE QUORUM REQUIREMENT FOR THIS COMMITTEE SHALL BE A MAJORITY OF COMMITTEE MEMBERS. ALL ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE FULLY REPORTED TO THE FULL BOARD OF DIRECTORS AT THE BOARD'S NEXT MEETING. THE FULL BOARD SHALL BE INFORMED OF THE ACTION(S) WHICH SHALL BE RECORDED IN THE MINUTES OF THE BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO MUST REVIEW AND APPROVE THE 990. AFTER THEIR REVIEW, IT IS SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, CARESTL HEALTH HAS ITS EMPLOYEES AND BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST FORM AND COMPARE ANY NAMED IDENTIFIED CONFLICTS TO ITS CURRENT BUSINESSES/VENDORS LIST. THEREAFTER, WHEN A NEW CONTRACT AND/OR GRANT IS SIGNED, CARESTL HEALTH'S COMPLIANCE DEPARTMENT REVIEWS ITS LIST OF CONFLICTS TO DETERMINE WHETHER ANY EMPLOYEE AND/OR BOARD MEMBERS HAS ANY POTENTIAL CONNECTIONS. IF A CONFLICT IS FOUND, THE ORGANIZATION INFORMS AND RECOMMENDS TO THE PRESIDENT/CEO THAT SAID EMPLOYEE PROHIBITED FROM PARTICIPATING IN THE EXECUTION OF SAID CONTRACT/GRANT AND/OR SAID BOARD MEMBER BE PROHIBITED FROM PARTICIPATING IN ANY DISCUSSIONS AND/OR DISCUSSION MAKING AS IT RELATES TO SAID CONFLICT/GRANT. THEREAFTER, THE PRESIDENT/CEO ADVISES SAID INDIVIDUAL OF SUCH. FINALLY, FROM TIME TO TIME THROUGHOUT THE YEAR CARESTL HEALTH'S COMPLIANCE DEPARTMENT PROVIDES GUIDANCE ON THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO REVIEWS AND DECIDES OFFICERS SALARIES YEARLY. THE CEO'S SALARY IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTORS AND THE SALARY IS NEGOTIATED. A SALARY AND WAGE SCALE AND AN ANALYSIS BY HUMAN RESOURCES TO COMPARE AREA CEO'S SALARIES IS USED TO DETERMINE THE CEO'S SALARY WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS. THE SALARY AND WAGE SCALE IS UPDATED EVERY THREE YEARS. |
| FORM 990, PART VI, SECTION C, LINE 19 | IF A MEMBER OF THE PUBLIC WISHES TO VIEW THE ORGANIZATION'S DOCUMENTS AND POLICIES THEY CAN REQUEST TO DO SO AT THE FACILITY. |
| FORM 990, PART IX, LINE 11G | CONTRACT MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 882,591. MANAGEMENT AND GENERAL EXPENSES 179,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,062,448. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,068,482. MANAGEMENT AND GENERAL EXPENSES 995,739. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,064,221. |
| FORM 990 PART XI LINE 3B | THE ORGANIZATION IS CURRENTLY UNDERGOING AN AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133. THE SINGLE AUDIT HAS NOT BEEN FINALIZED AS OF THE TIME THE RETURN WAS FILED. AS A RESULT, THIS QUESTION WAS MARKED NO. |