CARESTL HEALTH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CARESTL HEALTH (EIN 43-0917230)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349325491
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T17:00:33-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 431540459 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHMERSAHL TRELOAR & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10805 SUNSET OFFICE DRIVE SUITE 400 | AddressLine1Txt |
| City | SAINT LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631271028 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | 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 | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | 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 | ROGER G TOENNIES CPA | PreparerPersonNm |
| PTIN | P00019708 | PTIN |
| Phone | 3149662727 | PhoneNum |
| Preparation | 2021-11-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | 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 | $26,896,812 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 327 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,100,787 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,859,260 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,341,634 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,291,626 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,124 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,638 | CYInvestmentIncomeAmt |
| PY Other Revenue | $139,978 | PYOtherRevenueAmt |
| CY Other Revenue | $741,998 | CYOtherRevenueAmt |
| PY Total Revenue | $24,602,523 | PYTotalRevenueAmt |
| CY Total Revenue | $26,895,522 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,899,975 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,381,415 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,656,583 | PYOtherExpensesAmt |
| CY Other Expenses | $7,291,352 | CYOtherExpensesAmt |
| PY Total Expenses | $24,556,558 | PYTotalExpensesAmt |
| CY Total Expenses | $28,672,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $45,965 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,777,245 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,243,776 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,364,566 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,172,280 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,067,923 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $71,496 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,703,357 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTHCARE SERVICES, MEDICAL COUNSELING AND WELLNESS EDUCATION FOR LOW INCOME INDIVIDUALS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,938,254 | ExpenseAmt |
| Revenue | $13,033,624 | RevenueAmt |
| Desc | OUTPATIENT HEALTHCARE SERVICES TO LOW INCOME RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. | Desc |
| Total Program Service Expenses | $22,938,254 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 327 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 |
|---|---|---|---|---|---|---|---|
| BONNIE WOODS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LULA HALL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA FOSTER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTIE STANTON | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MR RANDY BARNES | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR ANDWELE M JOLLY | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TIFFANY PAUL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FLORA ROBINSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISENA BROWN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARRELL HUDSON | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VIDA PAUL-PERRY | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLY STEMLEY | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DARA WEBB | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA DANNER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MS M MARIE BONDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MR JETHRO FORTENBERRY | |||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MS ANGELA CLABON | |||||||
| CEO | 40.00 | $393,913 | $0 | $0 | Yes (X) | ||
| DR LESLIE MCCRARY-ETUK | |||||||
| CMO | 40.00 | $259,173 | $0 | $0 | Yes (X) | ||
| JASON WARE | |||||||
| CFO | 40.00 | $167,893 | $0 | $0 | Yes (X) | ||
| RENEE BROOKS | |||||||
| CIO | 40.00 | $158,996 | $0 | $0 | Yes (X) | ||
| CAROL D HORTON-HENLEY | |||||||
| PHYSICIAN | 40.00 | $225,279 | $0 | $0 | Yes (X) | ||
| JADE JAMES-HALBERT | |||||||
| PHYSICIAN | 40.00 | $292,000 | $0 | $0 | Yes (X) | ||
| SRILAKSHMI VUYYURU | |||||||
| PHYSICIAN | 40.00 | $288,343 | $0 | $0 | Yes (X) | ||
| AARON PILE | |||||||
| PHYSICIAN | 40.00 | $261,292 | $0 | $0 | Yes (X) | ||
| HARI NALLAPANENI | |||||||
| PHYSICIAN | 40.00 | $380,842 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,427,731 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,859,260 | GovernmentGrantsAmt |
| Total Contributions | $13,859,260 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES & CONTRACTS GOV AGEN | Desc |
| Business | 624110 | BusinessCd |
| Total Revenue Column | $12,291,626 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,291,626 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,291,626 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,928 | TotalRevenueColumnAmt |
| Exclusion | $3,928 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,290 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,290 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,290 | TotalRevenueColumnAmt |
| Exclusion | -$1,290 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $741,998 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $741,998 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $741,998 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,895,522 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,033,624 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,638 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,830,777 | TotalAmt |
| Program Services | $14,916,375 | ProgramServicesAmt |
| Management And General | $2,914,402 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,550,638 | TotalAmt |
| Program Services | $2,598,889 | ProgramServicesAmt |
| Management And General | $951,749 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,477,722 | TotalAmt |
| Program Services | $1,007,426 | ProgramServicesAmt |
| Management And General | $470,296 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,365 | TotalAmt |
| Program Services | $100,389 | ProgramServicesAmt |
| Management And General | $59,976 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,998 | TotalAmt |
| Program Services | $252,308 | ProgramServicesAmt |
| Management And General | $21,690 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,312 | TotalAmt |
| Program Services | $38,522 | ProgramServicesAmt |
| Management And General | $71,790 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,901 | TotalAmt |
| Program Services | $56,833 | ProgramServicesAmt |
| Management And General | $159,068 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,735 | TotalAmt |
| Program Services | $159,810 | ProgramServicesAmt |
| Management And General | $1,925 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,505 | TotalAmt |
| Program Services | $269,001 | ProgramServicesAmt |
| Management And General | $218,504 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,454,136 | $2,402,845 | $51,291 |
| CONTRACT SERVICES | $688,628 | $493,206 | $195,422 |
| REPAIRS | $623,087 | $479,359 | $143,728 |
| TELEPHONE | $422,062 | $106,458 | $315,604 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,901 | TotalAmt |
| Program Services | $56,833 | ProgramServicesAmt |
| Management And General | $159,068 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,672,767 | TotalAmt |
| Program Services | $22,938,254 | ProgramServicesAmt |
| Management And General | $5,734,513 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,409,014 | BOYAmt |
| EOY | $364,616 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,008 | BOYAmt |
| EOY | $278,546 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,495,361 | BOYAmt |
| EOY | $2,221,140 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,267 | BOYAmt |
| EOY | $57,038 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,803 | BOYAmt |
| EOY | $278,335 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,616,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,547,886 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,593,207 | BOYAmt |
| EOY | $3,068,341 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,116 | BOYAmt |
| EOY | $96,550 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,243,776 | BOYAmt |
| EOY | $6,364,566 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,733,704 | BOYAmt |
| EOY | $4,703,161 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,268 | BOYAmt |
| EOY | $1,500,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,000 | BOYAmt |
| EOY | $1,100,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $647,308 | BOYAmt |
| EOY | $764,762 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,172,280 | BOYAmt |
| EOY | $8,067,923 | 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 | $71,496 | BOYAmt |
| EOY | -$1,703,357 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,496 | BOYAmt |
| EOY | -$1,703,357 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,243,776 | BOYAmt |
| EOY | $6,364,566 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,777,245 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,392 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,760,054 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,097,974 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,092,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,100,787 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,859,260 | CurrentTaxYearAmt |
| Total | $44,910,146 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,760,054 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,097,974 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,092,071 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,100,787 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,859,260 | CurrentTaxYearAmt |
| Total | $44,910,146 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $44,910,146 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,022 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,299 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,359 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,928 | CurrentTaxYearAmt |
| Total | $50,970 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $443,212 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $279,563 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $359,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $139,978 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $741,998 | CurrentTaxYearAmt |
| Total | $1,964,347 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $46,925,463 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $69,521,133 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95710 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96000 | 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 - 2016 AMOUNT: $ 443,212. 2017 AMOUNT: $ 279,563. 2018 AMOUNT: $ 359,596. 2019 AMOUNT: $ 139,978. 2020 AMOUNT: $ 741,998. | 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 | $8,373,831 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,676,368 | DepreciationAmt |
| Book Value | $2,697,463 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,082,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,871,518 | DepreciationAmt |
| Book Value | $211,452 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,068,341 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PENSION LIABILITY | Desc |
| Amt | $764,762 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $764,762 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MS ANGELA CLABON | ||||||||||||||
| CEO | $393,913 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $393,913 | $0 | $0 | $0 |
| HARI NALLAPANENI | ||||||||||||||
| PHYSICIAN | $380,842 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $380,842 | $0 | $0 | $0 |
| JADE JAMES-HALBERT | ||||||||||||||
| PHYSICIAN | $292,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $292,000 | $0 | $0 | $0 |
| SRILAKSHMI VUYYURU | ||||||||||||||
| PHYSICIAN | $288,343 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $288,343 | $0 | $0 | $0 |
| AARON PILE | ||||||||||||||
| PHYSICIAN | $261,292 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $261,292 | $0 | $0 | $0 |
| DR LESLIE MCCRARY-ETUK | ||||||||||||||
| CMO | $259,173 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $259,173 | $0 | $0 | $0 |
| CAROL D HORTON-HENLEY | ||||||||||||||
| PHYSICIAN | $225,279 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $225,279 | $0 | $0 | $0 |
| JASON WARE | ||||||||||||||
| CFO | $167,893 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $167,893 | $0 | $0 | $0 |
| RENEE BROOKS | ||||||||||||||
| CIO | $158,996 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $158,996 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11A EXPLANATION - THE CFO MUST REVIEW AND APPPROVE THE 990. AFTER THEIR REVIEW, IT IS SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHEN A NEW BOARD MEMBER OR EXECUTIVE EMPLOYEE IS HIRED, A CONFLICT OF INTEREST POLICY MUST BE COMPLETED. |
| 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. |
| 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. |