MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM (EIN 20-0537948)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-26
- IRS object ID
- 202122389349301522
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-26T16:18:50-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421655494 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KM&L LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 WEST WAY COURT | AddressLine1Txt |
| City | LAKE JACKSON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77566 | 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 | 200537948 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA EPISCOPAL HEALTH OUTREACH | BusinessNameLine1Txt |
| Business Name Line2 | PROGRAM CORPORATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MATA | BusinessNameControlTxt |
| Phone | 9792452008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CELESTE HARRISON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9792452082 | PhoneNum |
| Signature | 2021-07-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CELESTE | PersonFirstNm |
| Person Last | HARRISON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIJIE LIU | PreparerPersonNm |
| PTIN | P01355038 | PTIN |
| Phone | 9792974075 | PhoneNum |
| Preparation | 2021-07-21 | PreparationDt |
| 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 | CELESTE HARRISON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,099,376 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.MEHOP.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 115 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,632,122 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,546,708 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,420,670 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,562,409 | CYProgramServiceRevenueAmt |
| PY Investment Income | $749 | PYInvestmentIncomeAmt |
| CY Investment Income | -$20,810 | CYInvestmentIncomeAmt |
| PY Other Revenue | $748,230 | PYOtherRevenueAmt |
| CY Other Revenue | $941,314 | CYOtherRevenueAmt |
| PY Total Revenue | $7,801,771 | PYTotalRevenueAmt |
| CY Total Revenue | $10,029,621 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,030,592 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,846,146 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,862,055 | PYOtherExpensesAmt |
| CY Other Expenses | $3,371,085 | CYOtherExpensesAmt |
| PY Total Expenses | $7,892,647 | PYTotalExpensesAmt |
| CY Total Expenses | $9,217,231 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$90,876 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $812,390 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,769,886 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,924,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $633,102 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $910,005 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,136,784 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,014,163 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $8,248,477 | ExpenseAmt |
| Revenue | $4,562,409 | RevenueAmt |
| Desc | PROVIDE DENTAL AND HEALTH SERVICES TO PEOPLE IN MATAGORDA COUNTY. APPROXIMATELY 10351 PEOPLE WERE SERVED DURING THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $8,248,477 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 115 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CELESTE HARRISON | PersonNm |
| Phone | 9792452008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KUNJAMMA SEBASTIAN | ||||||||
| DOCTOR | 40.00 | Yes (X) | $201,191 | $0 | $0 | |||
| FERGUSON ROBIN | ||||||||
| DOCTOR | 40.00 | Yes (X) | $192,539 | $0 | $0 | |||
| FARHANA AMBREEN | ||||||||
| CHIEF MED. O | 40.00 | $172,190 | $0 | $0 | Yes (X) | |||
| AYENI-IBITOYE OLUNUKOLA OMOBOLAJI | ||||||||
| DOCTOR | 40.00 | Yes (X) | $156,420 | $0 | $0 | |||
| JOHN A NEESE | ||||||||
| DOCTOR | 40.00 | Yes (X) | $151,145 | $0 | $0 | |||
| JOHN FERGUSON | ||||||||
| DOCTOR | 40.00 | Yes (X) | $150,161 | $0 | $0 | |||
| EVE CHEN | ||||||||
| FORMER CFO | 40.00 | $91,407 | $0 | $0 | Yes (X) | |||
| CELESTE HARRISON | ||||||||
| CEO | 40.00 | $85,043 | $0 | $0 | Yes (X) | |||
| JAIME ALANIS | ||||||||
| VICE PRESIDE | $0 | $0 | $0 | Yes (X) | ||||
| MARYBELLE ALBRECHT | ||||||||
| SECRETARY | $0 | $0 | $0 | Yes (X) | ||||
| GAYLE BLACKMON | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| EDWIN HAWES DICKERSON | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARGARET DOUGHTY | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARISOL FIGIROVA | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| JIM HUMPHRIES | ||||||||
| TREASURER | $0 | $0 | $0 | Yes (X) | ||||
| MARTHA JOHNSON | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| CARLISA KRENEK | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| HARRY PRIESMEYER | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARIA RAHAIM | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| FREDDIE J REED | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| ERIC M WRIGHT | ||||||||
| PRESIDENT | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,200,096 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RAKESH DESAI MD PA | |||||
| 5602 REGENCY DR | SUGARLAND | TX | 77479 | DOCTOR | $111,148 |
| A-1 JANITORIAL SERVICES | |||||
| PO BOX 1472 | BAY CITY | TX | 77414 | JANITORIAL SERV | $100,889 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,609,475 | GovernmentGrantsAmt |
| All Other Contributions | $937,233 | AllOtherContributionsAmt |
| Noncash Contributions | $103,657 | NoncashContributionsAmt |
| Total Contributions | $4,546,708 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL AND DENTAL SERVICES | Desc |
| Total Revenue Column | $4,562,409 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,562,409 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,562,409 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,653 | TotalRevenueColumnAmt |
| Exclusion | $1,653 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,739 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,739 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,739 | TotalRevenueColumnAmt |
| Exclusion | $46,739 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,292 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $69,755 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$22,463 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$22,463 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$22,463 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| 340 B PROGRAM | $891,829 | $891,829 |
| MEDICAL RECORD | $2,746 | $2,746 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $894,575 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,029,621 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,539,946 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $942,967 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,026,716 | TotalAmt |
| Program Services | $4,383,526 | ProgramServicesAmt |
| Management And General | $643,190 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,025 | TotalAmt |
| Program Services | $425,924 | ProgramServicesAmt |
| Management And General | $61,101 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,405 | TotalAmt |
| Program Services | $286,704 | ProgramServicesAmt |
| Management And General | $45,701 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,137 | TotalAmt |
| Program Services | $20,137 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,100 | TotalAmt |
| Management And General | $28,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,761 | TotalAmt |
| Program Services | $405,761 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,843 | TotalAmt |
| Program Services | $34,900 | ProgramServicesAmt |
| Management And General | $9,943 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,679 | TotalAmt |
| Program Services | $77,465 | ProgramServicesAmt |
| Management And General | $3,214 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,424 | TotalAmt |
| Program Services | $336,515 | ProgramServicesAmt |
| Management And General | $59,909 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,347 | TotalAmt |
| Program Services | $7,765 | ProgramServicesAmt |
| Management And General | $582 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,581 | TotalAmt |
| Program Services | $4,712 | ProgramServicesAmt |
| Management And General | $2,869 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,509 | TotalAmt |
| Program Services | $2,509 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,544 | TotalAmt |
| Program Services | $115,544 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,130 | TotalAmt |
| Program Services | $70,077 | ProgramServicesAmt |
| Management And General | $15,053 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $531,928 | $531,928 | |
| MAINTENANCE AND REPAIRS | $439,015 | $439,015 | |
| LEASE | $399,776 | $399,037 | $739 |
| DRUG PROGRAM | $312,123 | $312,123 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,188 | TotalAmt |
| Program Services | $394,835 | ProgramServicesAmt |
| Management And General | $98,353 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,217,231 | TotalAmt |
| Program Services | $8,248,477 | ProgramServicesAmt |
| Management And General | $968,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,331 | BOYAmt |
| EOY | $749,849 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,159 | BOYAmt |
| EOY | $165,698 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,107 | BOYAmt |
| EOY | $670,323 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,504 | BOYAmt |
| EOY | $64,191 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,230,432 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $956,325 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,836,588 | BOYAmt |
| EOY | $2,274,107 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,197 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,769,886 | BOYAmt |
| EOY | $3,924,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,434 | BOYAmt |
| EOY | $252,442 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $82,208 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,363 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,305 | BOYAmt |
| EOY | $75,355 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,102 | BOYAmt |
| EOY | $910,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,961,459 | BOYAmt |
| EOY | $2,953,605 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,325 | BOYAmt |
| EOY | $60,558 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,136,784 | BOYAmt |
| EOY | $3,014,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,769,886 | BOYAmt |
| EOY | $3,924,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $812,390 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $64,989 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $144,556 | OtherCostOrOtherBasisAmt |
| Book Value | $144,556 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,873,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $323,101 | DepreciationAmt |
| Book Value | $1,549,956 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $148,972 | DepreciationAmt |
| Book Value | $267,254 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $696,148 | OtherCostOrOtherBasisAmt |
| Depreciation | $385,549 | DepreciationAmt |
| Book Value | $310,599 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,445 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,703 | DepreciationAmt |
| Book Value | $1,742 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,274,107 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMPENSATED ABSENCES | Desc |
| Amt | $75,355 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $75,355 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,032,791 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $3,170 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $3,170 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,029,621 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,029,621 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,220,401 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $3,170 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $3,170 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,217,231 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,217,231 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| KUNJAMMA SEBASTIAN | ||
| DOCTOR | $201,191 | $201,191 |
| FERGUSON ROBIN | ||
| DOCTOR | $192,539 | $192,539 |
| FARHANA AMBREEN | ||
| CHIEF MED. OFFICER | $172,190 | $172,190 |
| AYENI-IBITOYE OLUNUKOLA OMOBOLAJI | ||
| DOCTOR | $156,420 | $156,420 |
| JOHN A NEESE | ||
| DOCTOR | $151,145 | $151,145 |
| JOHN FERGUSON | ||
| DOCTOR | $150,161 | $150,161 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $103,657 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED MEETING AND IS APPROVED BY THE BOARD PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND ULTIMATELY AGREES AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND THE CORRECT PATH FORWARD FOR DEALING WITH THE CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INFORMATION IS MADE AVAILABLE UPON REQUEST. |