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PRIMARY CARE OF SOUTHWEST GEORGIA: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PRIMARY CARE OF SOUTHWEST GEORGIA (EIN 31-1840668)
Tax period
2020-05-01 to 2021-04-30
Filed
2021-09-13
IRS object ID
202112569349301536
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)
Return2021-09-13T17:57:14-07:00ReturnTs
Tax Period End2021-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201995691PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DENMARK AND BROWN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1123 N MAIN STAddressLine1Txt
CitySTATESBOROCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30458ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311840668EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIMARY CARE OF SOUTHWEST GEORGIA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRIMBusinessNameControlTxt
Phone2297232660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 COLLEGE STAddressLine1Txt
CityBLAKELYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP39823ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEDWIN JAMESPersonNm
Person TitleCFOPersonTitleTxt
Signature2021-09-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstEDWINPersonFirstNm
Person LastJAMESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVE BROWN CPAPreparerPersonNm
PTINP01242921PTIN
Phone9127644123PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 COLLEGE STAddressLine1Txt
CityBLAKELYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP39823ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,901,965GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pcswga.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE CENTER IS TO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE TO MEET THE NEEDS OF THE MEDICALLY UNDERSERVED RESIDENTS OF EARLY, THOMAS, DECATUR, BROOKS AND SURROUNDING COUNTIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee101TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,719,878PYContributionsGrantsAmt
CY Contributions Grants$7,598,510CYContributionsGrantsAmt
PY Program Service Revenue$4,726,849PYProgramServiceRevenueAmt
CY Program Service Revenue$5,027,771CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$2,048,965PYOtherRevenueAmt
CY Other Revenue$3,275,684CYOtherRevenueAmt
PY Total Revenue$11,495,692PYTotalRevenueAmt
CY Total Revenue$15,901,965CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,696,574PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,300,365CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,778,096PYOtherExpensesAmt
CY Other Expenses$6,100,605CYOtherExpensesAmt
PY Total Expenses$11,474,670PYTotalExpensesAmt
CY Total Expenses$12,400,970CYTotalExpensesAmt
PY Revenues Less Expenses$21,022PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,500,995CYRevenuesLessExpensesAmt
Total Assets BOY$6,681,766TotalAssetsBOYAmt
Total Assets EOY$8,449,952TotalAssetsEOYAmt
Total Liabilities BOY$2,306,297TotalLiabilitiesBOYAmt
Total Liabilities EOY$573,488TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,375,469NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,876,464NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE CENTER IS TO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE TO MEET THE NEEDS OF THE MEDICALLY UNDERSERVED RESIDENTS OF EARLY, THOMAS, DECATUR, BROOKS AND SURROUNDING COUNTIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,062,084ExpenseAmt
DescTHE CLINIC PROVIDES MEDICAL CARE AND BEHAVIORAL HEALTH TO THE UNDERSERVED CHILDREN AND ADULTS OF DECATUR, EARLY, THOMAS, BROOKS AND SURROUNDING COUNTIES.Desc
Total Program Service Expenses$9,062,084TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee101EmployeeCnt
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
Form8282 Filed0Form8282FiledCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPRIMARY CARE OF SOUTHWEST GAPersonNm
Phone2297232660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 COLLEGE STAddressLine1Txt
CityBLAKELYCityNm
State AbbreviationGAStateAbbreviationCd
ZIP39823ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JAMES BROWN
PHYSICIAN40.000.00$227,957$0$19,500
DR LUIS MURRAIN
MEDICAL DIRECTOR40.000.00$205,526$0$24,900
DR MICHAEL SCHMIDT
PHYSICIAN40.000.00$197,530$0$25,260
DR MURALI YELUGAPURI
PEDIATRICIAN40.000.00$191,765$0$19,500
DAVE STEWART
PHYSICIAN40.000.00$201,651$0$3,696
ANGIE MCVEY
CEO50.000.00$135,114$0$5,048Yes (X)
GREGORY DODSON
PHYSICIAN40.000.00$114,477$0$19,500
EDWIN JAMES
CFO50.000.00$111,890$0$8,124Yes (X)
REGINA BARRON
MEMBER5.000.00$0$0$0Yes (X)
KENNETH CODY
MEMBER5.000.00$0$0$0Yes (X)
NORMA HARRIS GREAT
MEMBER5.000.00$0$0$0Yes (X)
KATHERYN MITCHELL
MEMBER5.000.00$0$0$0Yes (X)
KEVIN TAYLOR
MEMBER5.000.00$0$0$0Yes (X)
CRYCYNTHIA GARDNER
MEMBER5.000.00$0$0$0Yes (X)
WAYNE LAWSON
MEMBER5.000.00$0$0$0Yes (X)
DAN PROVENCE
MEMBER5.000.00$0$0$0Yes (X)
NATALIE SINGLETARY
MEMBER5.000.00$0$0$0Yes (X)
JACK WATSON
vice chair5.000.00$0$0$0Yes (X)
WALLACE O'NEAL
Chairman5.000.00$0$0$0Yes (X)
JOAN SIMPSON
SEC/TREAS5.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,385,910TotalReportableCompFromOrgAmt
Total Other Compensation$125,528TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDesc
STATE HEALTH BENEFIT PLAN INSURANCE
PO BOX 531613ATLANTAGA30353INSURANCE
CITY NATIONAL BANK
2816 WASHINGTON RDAUGUSTAGA30909CREDIT
QUEST DIAGNOSTICS
2115 E MAINDOTHANAL36301LAB SERVICES
ACE HEALTH CONSULTANTS
5406 HOOVER BLVDTAMPAFL33634CONSULTING
MCKESSON
2 NATIONAL DATA PLAZA NEATLANTAGA30329MEDICAL SUPPLIES
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$7,598,510AllOtherContributionsAmt
Noncash Contributions$1,234,832NoncashContributionsAmt
Total Contributions$7,598,510TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Total Revenue Column$5,027,771TotalRevenueColumnAmt
Related Or Exempt Func Income$5,027,771RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,027,771TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340 B DRUG PROGRAM$1,743,115$1,743,115
INCENTIVE PAYMENTS$309,147$309,147
PAYROLL PROTECTION PROGRAM INCOME$1,121,683$1,121,683

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,739TotalRevenueColumnAmt
Related Or Exempt Func Income$101,739RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,275,684OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,901,965TotalRevenueColumnAmt
Related Or Exempt Func Income$8,303,455RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$247,004TotalAmt
Management And General$247,004ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,984,095TotalAmt
Program Services$3,871,013ProgramServicesAmt
Management And General$1,113,082ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,069,266TotalAmt
Program Services$791,257ProgramServicesAmt
Management And General$278,009ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$52,484TotalAmt
Management And General$52,484ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$95,760TotalAmt
Management And General$95,760ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$410,238TotalAmt
Program Services$205,119ProgramServicesAmt
Management And General$205,119ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$168,592TotalAmt
Program Services$126,444ProgramServicesAmt
Management And General$42,148ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$174,810TotalAmt
Program Services$76,351ProgramServicesAmt
Management And General$98,459ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$138,061TotalAmt
Management And General$138,061ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,045TotalAmt
Management And General$27,045ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$2,327,383$2,327,383
CONSULTING & PROFESSIONAL$1,235,652$620,867$614,785
MEDICAL AND DENTAL CONTRACTS$825,880$825,880
MAINTENANCE & REPAIRS$194,081$34,406$159,675

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$450,619TotalAmt
Program Services$183,364ProgramServicesAmt
Management And General$267,255ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,400,970TotalAmt
Program Services$9,062,084ProgramServicesAmt
Management And General$3,338,886ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,599,535BOYAmt
EOY$5,450,494EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$328,267BOYAmt
EOY$407,354EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$437,529BOYAmt
EOY$21,952EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,626BOYAmt
EOY$83,667EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,629,422LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,263,037LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,139,097BOYAmt
EOY$2,366,385EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$129,712BOYAmt
EOY$120,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,681,766BOYAmt
EOY$8,449,952EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$542,711BOYAmt
EOY$442,521EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$526,330BOYAmt
EOY$21,952EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,129,722BOYAmt
EOY$1,481EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,534BOYAmt
EOY$107,534EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,306,297BOYAmt
EOY$573,488EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,375,469BOYAmt
EOY$7,876,464EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,375,469BOYAmt
EOY$7,876,464EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,681,766BOYAmt
EOY$8,449,952EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,500,995ReconcilationRevenueExpnssAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,412,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,452,506CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,222,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,710,773CurrentTaxYearMinus1YearAmt
Current Tax Year$7,598,510CurrentTaxYearAmt
Total$25,396,734TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,412,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,452,506CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,222,583CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,710,773CurrentTaxYearMinus1YearAmt
Current Tax Year$7,598,510CurrentTaxYearAmt
Total$25,396,734TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$25,396,734PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$555,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$976,022CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,533,511CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,048,965CurrentTaxYearMinus1YearAmt
Current Tax Year$3,275,684CurrentTaxYearAmt
Total$8,389,426TotalAmt
FieldValueIRS element (for citing)
Total Support$33,786,160TotalSupportAmt
Gross Receipts Rltd Activities$21,821,585GrossReceiptsRltdActivitiesAmt
Public Support CY1700.75170PublicSupportCY170Pct
Public Support PY1700.79940PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$40,000OtherCostOrOtherBasisAmt
Book Value$40,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,388,100OtherCostOrOtherBasisAmt
Depreciation$95,085DepreciationAmt
Book Value$1,293,015BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$958,550OtherCostOrOtherBasisAmt
Depreciation$225,972DepreciationAmt
Book Value$732,578BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,878OtherCostOrOtherBasisAmt
Depreciation$27,659DepreciationAmt
Book Value$9,219BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,205,894OtherCostOrOtherBasisAmt
Depreciation$914,321DepreciationAmt
Book Value$291,573BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,366,385TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO 3RD PARTY PAYORSDesc
Amt$107,534Amt
FieldValueIRS element (for citing)
Total Liability$107,534TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,901,965TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$15,901,965RevenueSubtotalAmt
Total Revenue Per Form990$15,901,965TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,400,970TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$12,400,970ExpensesSubtotalAmt
Total Expenses Per Form990$12,400,970TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAVE STEWART
PHYSICIAN$201,651$3,696$205,347
DR LUIS MURRAIN
MEDICAL DIRECTOR$205,526$24,900$230,426
DR MICHAEL SCHMIDT
PHYSICIAN$197,530$25,260$222,790
DR MURALI YELUGAPURI
PEDIATRICIAN$191,765$19,500$211,265
JAMES BROWN
PHYSICIAN$227,957$19,500$247,457

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,087,854NoncashContributionsRptF990Amt
Method Of Determining RevenuesfmvMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

DescDescNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
CONTRIBUTED REN$110,978
CONTRIBUTED LAB$36,000
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, Part VI, Line 11b: Form 990 Review ProcessREVIEWED BY CEO & CFO & PRESENTED TO BOARD OF DIRECTORS BEFORE FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEVERY YEAR, DURING THE ANNUAL BOARD STRATEGIC MEETING, THE BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE HEALTH CENTER UTILIZES COMPARABLE COMPENSATION DATA FROM THE NACHC SALARY SURVEY AS WELL AS THE GAPHC SALARY SURVEY.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.