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ALLIANCE MEDICAL MINISTRY INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE MEDICAL MINISTRY INC (EIN 56-2168673)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-10-21
IRS object ID
202102949349301115
Schema version
2020v4.0
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)
Return2021-10-21T13:05:11-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN562344058PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DREHER MARTIN CPAS PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14101 LAKE BOONE TRL STE 118AddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27607ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562168673EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE MEDICAL MINISTRY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlALLIBusinessNameControlTxt
Phone9192503320PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27610ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETE TANNENBAUMPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9192503320PhoneNum
Signature2021-09-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPETEPersonFirstNm
Person LastTANNENBAUMPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSUSAN C MARTINPreparerPersonNm
PTINP01084640PTIN
Phone9195109399PhoneNum
Preparation2021-09-29PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPETE TANNENBAUMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27610ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,980,313GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ALLIANCEMEDICALMINISTRY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee26TotalEmployeeCnt
Total Volunteers302TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,601,265PYContributionsGrantsAmt
CY Contributions Grants$2,489,268CYContributionsGrantsAmt
PY Program Service Revenue$464,341PYProgramServiceRevenueAmt
CY Program Service Revenue$454,103CYProgramServiceRevenueAmt
PY Investment Income$11,012PYInvestmentIncomeAmt
CY Investment Income$10,312CYInvestmentIncomeAmt
PY Other Revenue$36,585PYOtherRevenueAmt
CY Other Revenue$15,570CYOtherRevenueAmt
PY Total Revenue$2,113,203PYTotalRevenueAmt
CY Total Revenue$2,969,253CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,316,666PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,523,660CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$221,496CYTotalFundraisingExpenseAmt
PY Other Expenses$576,913PYOtherExpensesAmt
CY Other Expenses$545,013CYOtherExpensesAmt
PY Total Expenses$1,893,579PYTotalExpensesAmt
CY Total Expenses$2,068,673CYTotalExpensesAmt
PY Revenues Less Expenses$219,624PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$900,580CYRevenuesLessExpensesAmt
Total Assets BOY$4,066,564TotalAssetsBOYAmt
Total Assets EOY$5,099,780TotalAssetsEOYAmt
Total Liabilities BOY$160,355TotalLiabilitiesBOYAmt
Total Liabilities EOY$241,491TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,906,209NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,858,289NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,661,352ExpenseAmt
Revenue$454,103RevenueAmt
DescALLIANCE MEDICAL MINISTRY PROVIDES AFFORDABLE ACCESS TO PRIMARY HEALTHCARE TO MORE THAN 2,100 WORKING BUT UNINSURED ADULTS IN WAKE COUNTY. ALLIANCE IS ON THE FRONT LINE OF THE COVID-19 CRISIS AND IS A PART OF THE COMMUNITIES' SOLUTION FOR THE PANDEMIC. 73% OF ALLIANCE PATIENTS REPORT FEWER TRIPS TO THE ER AND 64% REPORT FEWER HOSPITAL ADMISSIONS WHICH HAS A TREMENDOUS IMPACT ON COMMUNITY HEALTH. ALLIANCE PROVIDES HOLISTIC CARE TO BODY, MIND AND SPIRIT AND PROVIDES MENTAL HEALTH AND PASTORAL CARE COUNSELING TO PATIENTS. ALLIANCE EDUCATES PATIENTS ABOUT NUTRITION AND WELLNESS AND EMPLOYS A FULL TIME SOCIAL WORKER TO ASSIST PATIENTS IN NAVIGATING THE SOCIAL DETERMINANTS OF HEALTH AND BARRIERS TO MEDICAL ACCESS. IN FY21, ALLIANCE HAD 14,392 HOLISTIC PATIENT ENCOUNTERS.Desc
Total Program Service Expenses$1,661,352TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee26EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPETE TANNENBAUMPersonNm
Phone9192503394PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1Txt
CityRALEIGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27610ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
DR SHERYL JOYNER
PHYSICIAN40.00Yes (X)$166,480$0$11,664
PETE TANNENBAUM
EXECUTIVE DI40.00$110,138$0$9,975Yes (X)Yes (X)
DR MICHAEL SPIRITOS
CHAIR5.00$0$0$0Yes (X)Yes (X)
S TODD HEMPHILL
PAST CHAIR3.00$0$0$0Yes (X)Yes (X)
KATHLEEN GORMLEY
SECRETARY6.00$0$0$0Yes (X)Yes (X)
JOHN DONOFRIO JR
TREASURER6.00$0$0$0Yes (X)Yes (X)
REBECCA ANDREWS
DIRECTOR3.00$0$0$0Yes (X)
CHRIS BRADY
DIRECTOR3.00$0$0$0Yes (X)
KAREN BURKE-HAYNES
DIRECTOR3.00$0$0$0Yes (X)
DR WILLIAM HELTON
DIRECTOR3.00$0$0$0Yes (X)
JAMES KAY
DIRECTOR3.00$0$0$0Yes (X)
ELIZABETH MCCULLOUGH
DIRECTOR3.00$0$0$0Yes (X)
NEIL MORRIS
DIRECTOR3.00$0$0$0Yes (X)
GERALD PETKAU
DIRECTOR3.00$0$0$0Yes (X)
KRISTEN RIGGS RN
DIRECTOR3.00$0$0$0Yes (X)
JR SHEARIN
DIRECTOR3.00$0$0$0Yes (X)
JEFFREY SIMMS
DIRECTOR3.00$0$0$0Yes (X)
ROBERT SINGLETARY
DIRECTOR3.00$0$0$0Yes (X)
HUGH TILSON
DIRECTOR3.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$276,618TotalReportableCompFromOrgAmt
Total Other Compensation$21,639TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$55,509FundraisingAmt
Government Grants$467,693GovernmentGrantsAmt
All Other Contributions$1,966,066AllOtherContributionsAmt
Noncash Contributions$25,669NoncashContributionsAmt
Total Contributions$2,489,268TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REVENUE: CONTRACT FEES621110$375,000$375,000
REVENUE: PATIENT FEES621110$77,811$77,811
REVENUE MEDICAL RECORDS621110$1,292$1,292
FieldValueIRS element (for citing)
Total Program Service Revenue$454,103TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,781TotalRevenueColumnAmt
Exclusion$12,781ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$16,780RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,780RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,780TotalRevenueColumnAmt
Exclusion$16,780ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,381SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,381SecuritiesAmt
Other$2,469OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$2,469OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,469TotalRevenueColumnAmt
Related Or Exempt Func Income-$2,469RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$55,509ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,210FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,210TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,969,253TotalRevenueColumnAmt
Related Or Exempt Func Income$451,634RelatedOrExemptFuncIncomeAmt
Exclusion$29,561ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$136,593TotalAmt
Program Services$45,531ProgramServicesAmt
Management And General$45,531ManagementAndGeneralAmt
Fundraising$45,531FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,170,539TotalAmt
Program Services$1,061,766ProgramServicesAmt
Fundraising$108,773FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$29,472TotalAmt
Program Services$26,569ProgramServicesAmt
Management And General$1,121ManagementAndGeneralAmt
Fundraising$1,782FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$88,377TotalAmt
Program Services$76,589ProgramServicesAmt
Management And General$10,164ManagementAndGeneralAmt
Fundraising$1,624FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$98,679TotalAmt
Program Services$83,987ProgramServicesAmt
Management And General$3,208ManagementAndGeneralAmt
Fundraising$11,484FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,630TotalAmt
Management And General$19,630ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$102,919TotalAmt
Program Services$39,945ProgramServicesAmt
Management And General$50,880ManagementAndGeneralAmt
Fundraising$12,094FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,407TotalAmt
Program Services$3,351ProgramServicesAmt
Management And General$1,341ManagementAndGeneralAmt
Fundraising$8,715FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,064TotalAmt
Program Services$798ProgramServicesAmt
Management And General$133ManagementAndGeneralAmt
Fundraising$133FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$158,812TotalAmt
Program Services$122,632ProgramServicesAmt
Management And General$25,140ManagementAndGeneralAmt
Fundraising$11,040FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,846TotalAmt
Program Services$1,384ProgramServicesAmt
Management And General$231ManagementAndGeneralAmt
Fundraising$231FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$602TotalAmt
Program Services$452ProgramServicesAmt
Management And General$75ManagementAndGeneralAmt
Fundraising$75FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$110,561TotalAmt
Program Services$82,921ProgramServicesAmt
Management And General$13,820ManagementAndGeneralAmt
Fundraising$13,820FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,559TotalAmt
Program Services$21,830ProgramServicesAmt
Management And General$2,087ManagementAndGeneralAmt
Fundraising$642FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$46,067$46,067
CLINIC EXPENSE$30,654$30,654
SUPPLIES-OFFICE$17,245$10,346$1,725$5,174
MISC TAXES$6,206$6,206

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,441TotalAmt
Program Services$6,530ProgramServicesAmt
Management And General$4,533ManagementAndGeneralAmt
Fundraising$378FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,068,673TotalAmt
Program Services$1,661,352ProgramServicesAmt
Management And General$185,825ManagementAndGeneralAmt
Fundraising$221,496FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$600,696BOYAmt
EOY$1,095,077EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,405BOYAmt
EOY$654,779EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,045BOYAmt
EOY$12,966EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,945BOYAmt
EOY$21,792EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,247,580LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,338,914LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,982,022BOYAmt
EOY$2,908,666EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$394,451BOYAmt
EOY$406,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,066,564BOYAmt
EOY$5,099,780EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,193BOYAmt
EOY$41,491EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$51,500BOYAmt
EOY$200,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,662BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$160,355BOYAmt
EOY$241,491EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,876,329BOYAmt
EOY$4,154,157EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,880BOYAmt
EOY$704,132EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,906,209BOYAmt
EOY$4,858,289EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,066,564BOYAmt
EOY$5,099,780EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$900,580ReconcilationRevenueExpnssAmt
Prior Period Adjustments$51,500PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$635,894CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,097,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,148,796CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,372,065CurrentTaxYearMinus1YearAmt
Current Tax Year$2,130,260CurrentTaxYearAmt
Total$6,385,009TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$221,232CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$539,536CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$544,899CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$464,426CurrentTaxYearMinus1YearAmt
Current Tax Year$454,103CurrentTaxYearAmt
Total$2,224,196TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$857,126CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,637,530CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,693,695CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,836,491CurrentTaxYearMinus1YearAmt
Current Tax Year$2,584,363CurrentTaxYearAmt
Total$8,609,205TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$293,758CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,714CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,771CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58,370CurrentTaxYearMinus1YearAmt
Current Tax Year$194,090CurrentTaxYearAmt
Total$655,703TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$358,061CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$357,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$356,050CurrentTaxYearMinus1YearAmt
Current Tax Year$348,871CurrentTaxYearAmt
Total$1,599,146TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$472,473CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$408,775CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$416,220CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$414,420CurrentTaxYearMinus1YearAmt
Current Tax Year$542,961CurrentTaxYearAmt
Total$2,254,849TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$6,354,356PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,942CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,563CurrentTaxYearMinus1YearAmt
Current Tax Year$12,781CurrentTaxYearAmt
Total$38,170TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,942CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,563CurrentTaxYearMinus1YearAmt
Current Tax Year$12,781CurrentTaxYearAmt
Total$38,170TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,830CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$50,460CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,948CurrentTaxYearMinus1YearAmt
Current Tax Year$15,780CurrentTaxYearAmt
Total$188,020TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$878,505CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,693,867CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,755,097CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,895,002CurrentTaxYearMinus1YearAmt
Current Tax Year$2,612,924CurrentTaxYearAmt
Total$8,835,395TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.71920PublicSupportCY509Pct
Public Support PY5090.66150PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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)
Other Cost Or Other Basis$580,100OtherCostOrOtherBasisAmt
Book Value$580,100BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,436,317OtherCostOrOtherBasisAmt
Depreciation$1,183,070DepreciationAmt
Book Value$2,253,247BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$231,163OtherCostOrOtherBasisAmt
Depreciation$155,844DepreciationAmt
Book Value$75,319BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,908,666TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescANNUITIESDesc
Book Value$406,500BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$406,500TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,389,409TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$420,156DonatedServicesAndUseFcltsAmt
Revenue Not Reported$420,156RevenueNotReportedAmt
Revenue Subtotal$2,969,253RevenueSubtotalAmt
Total Revenue Per Form990$2,969,253TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,488,829TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$420,156DonatedServicesUseFcltsAmt
Expenses Not Reported$420,156ExpensesNotReportedAmt
Expenses Subtotal$2,068,673ExpensesSubtotalAmt
Total Expenses Per Form990$2,068,673TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationMANAGEMENT BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS WHICH WOULD AFFECT THE EXEMPT STATUS OF THE ORGANIZATION. YEARS STILL SUBJECT TO IRS REVIEW ARE THE YEARS ENDED JUNE 30, 2021, 2020, 2019 AND 2018.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPRING EVENTEvent1Nm
Gross Receipts Event1$55,509GrossReceiptsEvent1Amt
Charitable Contri Event1$55,509CharitableContriEvent1Amt
Other Direct Expenses Event1$1,210OtherDirectExpensesEvent1Amt
Gross Receipts Total$55,509GrossReceiptsTotalAmt
Charitable Contributions Tot$55,509CharitableContributionsTotAmt
Oth Direct Expnss Total Events$1,210OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,210DirectExpenseSummaryEventsAmt
Net Income Summary-$1,210NetIncomeSummaryAmt

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

FieldValueIRS element (for citing)
PersonDR SHERYL JOYNERPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$164,980BaseCompensationFilingOrgAmt
Bonus Filing Organization$1,500BonusFilingOrganizationAmount
Deferred Compensation Flng Org$11,664DeferredCompensationFlngOrgAmt
Total Compensation Filing Org$178,144TotalCompensationFilingOrgAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$7,381NoncashContributionsRptF990Amt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution80ContributionCnt
Noncash Contributions Rpt F990$17,738NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$550NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT AT THE BOARD MEETING FOLLOWING DISTRIBUTION.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FOR INSPECTION. ALSO THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL REPORT SENT IN A NEWSLETTER TO SUPPORTERS(ALSO AVAILABLE UPON REQUEST). THE NEWSLETTER WITH THE ANNUAL REPORT MAY BE DOWNLOADED FROM THE ORGANIZATION'S WEBSITE.