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CURTIS V COOPER PRIMARY HEALTH CARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CURTIS V COOPER PRIMARY HEALTH CARE INC (EIN 58-1136296)
Tax period
2019-12-01 to 2020-11-30
Filed
2021-05-26
IRS object ID
202141469349301314
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2021-05-26T14:23:50-07:00ReturnTs
Tax Period End2020-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581136296EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CURTIS V COOPER PRIMARY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCURTBusinessNameControlTxt
Phone9122312783PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2024AddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31412ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALBERT GRANDY JRPersonNm
Person TitleCEOPersonTitleTxt
Phone9122312783PhoneNum
Signature2021-05-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTerry Horne CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2021-05-26PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALBERT GRANDY JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2024AddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31412ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,873,728GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee199TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,193,194PYContributionsGrantsAmt
CY Contributions Grants$7,797,510CYContributionsGrantsAmt
PY Program Service Revenue$8,077,446PYProgramServiceRevenueAmt
CY Program Service Revenue$10,071,740CYProgramServiceRevenueAmt
PY Investment Income$12,110PYInvestmentIncomeAmt
CY Investment Income$4,478CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,282,750PYTotalRevenueAmt
CY Total Revenue$17,873,728CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,608,881PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,757,162CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,532,259PYOtherExpensesAmt
CY Other Expenses$7,461,601CYOtherExpensesAmt
PY Total Expenses$16,141,140PYTotalExpensesAmt
CY Total Expenses$18,218,763CYTotalExpensesAmt
PY Revenues Less Expenses-$858,390PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$345,035CYRevenuesLessExpensesAmt
Total Assets BOY$9,875,125TotalAssetsBOYAmt
Total Assets EOY$11,440,510TotalAssetsEOYAmt
Total Liabilities BOY$2,752,947TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,626,106TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,122,178NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,814,404NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$14,095,284ExpenseAmt
Grant$0GrantAmt
Revenue$10,071,740RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 74,600 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$14,095,284TotalProgramServiceExpensesAmt
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee199EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEARLENE DANIELSPersonNm
Phone9129446080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 EAST BROAD STREETAddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIE SHINHOSTER
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL MOSLEY SR
BOARD MEMBER1.00Yes (X)$0$0$0
TOMAS FIGUEROA
BOARD MEMBER1.00Yes (X)$0$0$0
BETTY SIMMONS
BOARD MEMBER1.00Yes (X)$0$0$0
MAURENA MAYNOR
BOARD MEMBER1.00Yes (X)$0$0$0
JOSEY SHEPPARD
BOARD MEMBER1.00Yes (X)$0$0$0
BENNY TRUITT
BOARD MEMBER1.00Yes (X)$0$0$0
JULIET WADE
BOARD MEMBER1.00Yes (X)$0$0$0
REGINALD FRANKLIN
BOARD MEMBER1.00Yes (X)$0$0$0
HELEN STONE
BOARD MEMBER1.00Yes (X)$0$0$0
LESTER JOHNSON
BOARD MEMBER1.00Yes (X)$0$0$0
DEBORAH WRIGHT
BOARD MEMBER1.00Yes (X)$0$0$0
STEVE CORSE
BOARD MEMBER1.00Yes (X)$0$0$0
CLARA ALSTON
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES PANNELL
BOARD MEMBER1.00Yes (X)$0$0$0
ROY FLOOD
BOARD MEMBER1.00Yes (X)$0$0$0
ALBERT GRANDY JR
CHIEF EXECUTIVE OFFICER40.00$248,167$0$35,240Yes (X)
EARLENE DANIELS
CHIEF FINANCIAL OFFICER40.00$98,787$0$14,672Yes (X)
ATHELSTANE SERAPHIN
FORMER CHIEF FINANCIAL OFFICER40.00$94,982$0$14,141Yes (X)
FARIBORZ ZAER
MEDICAL DIRECTOR40.00$190,270$0$29,856Yes (X)
CAROLYN EILAND
CHIEF CLINICAL OFFICER40.00$177,618$0$19,232Yes (X)
SHERRY TYSON
CHIEF OPERATIONAL OFFICER40.00$112,480$0$15,360Yes (X)
NKENGE JACKSON
PHYSICIAN40.00$196,700$0$25,760Yes (X)
REGINALD ROBINSON
PHYSICIAN40.00$167,516$0$35,260Yes (X)
JULIE GAUSS
PHYSICIAN40.00$178,487$0$28,099Yes (X)
KENNEDY OKERE
PHYSICIAN40.00$175,787$0$12,160Yes (X)
ELLORES BRAILEY
PHYSICIAN40.00$157,548$0$24,217Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,798,342TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$253,997TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY CORPORATION OF AMERICA HOLDINGS
531 SOUTH SPRING STREETBURLINGTONNC27215CONTRACT LAB SERVICES$421,347
ECLINICALWORKS LLC
PO BOX 847950BOSTONMA02284CONTRACT EMR/BILLING SERVICES$337,016
WEIMAR CONSTRUCTION COMPANY INC
101 ESTUS DR ASAVANNAHGA31414CONTRACT CONSTRUCTION SERVICES$159,057
GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE
315 W PONCE DE LEON AVENUE 1000DECATURGA30030CONTRACT BILLING SERVICES$236,546
ENTRE SOLUTIONS CO
51 WEST FAIRMONT AVENUESAVANNAHGA31406CONTRACT IT SERVICES$128,481
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$7,123,493GovernmentGrantsAmt
All Other Contributions$674,017AllOtherContributionsAmt
Noncash Contributions$436,517NoncashContributionsAmt
Total Contributions$7,797,510TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$10,071,740TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,071,740TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,478TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,478ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,873,728TotalRevenueColumnAmt
Related Or Exempt Func Income$10,071,740RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,478ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$922,304TotalAmt
Program Services$367,888ProgramServicesAmt
Management And General$554,416ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,721,045TotalAmt
Program Services$6,881,706ProgramServicesAmt
Management And General$839,339ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$333,130TotalAmt
Program Services$279,829ProgramServicesAmt
Management And General$53,301ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,160,047TotalAmt
Program Services$971,794ProgramServicesAmt
Management And General$188,253ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$620,636TotalAmt
Program Services$521,334ProgramServicesAmt
Management And General$99,302ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,181TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,181ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,558TotalAmt
Program Services$0ProgramServicesAmt
Management And General$34,558ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,717,136TotalAmt
Program Services$1,862,020ProgramServicesAmt
Management And General$855,116ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,441,085TotalAmt
Program Services$2,629,223ProgramServicesAmt
Management And General$811,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$524,251TotalAmt
Program Services$380,006ProgramServicesAmt
Management And General$144,245ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,986TotalAmt
Program Services$19,840ProgramServicesAmt
Management And General$13,146ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$653,300TotalAmt
Program Services$141,066ProgramServicesAmt
Management And General$512,234ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,104TotalAmt
Program Services$40,578ProgramServicesAmt
Management And General$13,526ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,218,763TotalAmt
Program Services$14,095,284ProgramServicesAmt
Management And General$4,123,479ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$75,665BOYAmt
EOY$73,600EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,334,705BOYAmt
EOY$2,557,395EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$827,170BOYAmt
EOY$1,817,654EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,315,375BOYAmt
EOY$1,081,989EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$112,762BOYAmt
EOY$158,865EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$86,844BOYAmt
EOY$111,702EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,551,473LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,912,168LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,122,604BOYAmt
EOY$5,639,305EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,875,125BOYAmt
EOY$11,440,510EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,765,901BOYAmt
EOY$1,605,792EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$305,655EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$987,046BOYAmt
EOY$793,041EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$1,873,300EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$48,318EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,752,947BOYAmt
EOY$4,626,106EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,122,178BOYAmt
EOY$6,814,404EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,122,178BOYAmt
EOY$6,814,404EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,875,125BOYAmt
EOY$11,440,510EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$345,035ReconcilationRevenueExpnssAmt
Prior Period Adjustments$37,261PriorPeriodAdjustmentsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,882,446CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,857,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,276,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,193,194CurrentTaxYearMinus1YearAmt
Current Tax Year$7,797,510CurrentTaxYearAmt
Total$37,007,071TotalAmt

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$6,882,446CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,857,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,276,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,193,194CurrentTaxYearMinus1YearAmt
Current Tax Year$7,797,510CurrentTaxYearAmt
Total$37,007,071TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$37,007,071PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,012CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,110CurrentTaxYearMinus1YearAmt
Current Tax Year$4,478CurrentTaxYearAmt
Total$20,896TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$37,027,967TotalSupportAmt
Gross Receipts Rltd Activities$34,019,244GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99940PublicSupportCY170Pct
Public Support PY1700.99950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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)
Investment Cost Or Other Basis$430,195InvestmentCostOrOtherBasisAmt
Book Value$430,195BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,220,141InvestmentCostOrOtherBasisAmt
Depreciation$2,952,235DepreciationAmt
Book Value$4,267,906BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,901,137InvestmentCostOrOtherBasisAmt
Depreciation$2,959,933DepreciationAmt
Book Value$941,204BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,639,305TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE PAYABLEDesc
Amt$48,318Amt
FieldValueIRS element (for citing)
Total Liability$48,318TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$17,873,728TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$17,873,728RevenueSubtotalAmt
Total Revenue Per Form990$17,873,728TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,218,763TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$18,218,763ExpensesSubtotalAmt
Total Expenses Per Form990$18,218,763TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALBERT GRANDY JR
$248,167$0$0$0$0$0$11,914$0$23,320$0$283,401$0$0$0
FARIBORZ ZAER
$190,270$0$0$0$0$0$9,540$0$20,316$0$220,126$0$0$0
CAROLYN EILAND
$177,618$0$0$0$0$0$8,525$0$10,707$0$196,850$0$0$0
NKENGE JACKSON
$196,700$0$0$0$0$0$10,735$0$25,760$0$233,195$0$0$0
REGINALD ROBINSON
$167,516$0$0$0$0$0$8,898$0$26,362$0$202,776$0$0$0
JULIE GAUSS
$178,487$0$0$0$0$0$3,263$0$24,836$0$206,586$0$0$0
KENNEDY OKERE
$175,787$0$0$0$0$0$673$0$11,487$0$187,947$0$0$0
ELLORES BRAILEY
$157,548$0$0$0$0$0$8,001$0$16,216$0$181,765$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6236ContributionCnt
Noncash Contributions Rpt F990$436,517NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 15aSTATE, NATIONAL AND 990 TAX RETURN SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERIODICALLY PERFORMED
Pt VI, Line 15bAND SALARY INCREASES ARE BOARD APPROVED.
Pt VI, Line 19THE ORGANIZTION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
Pt VI, Line 19POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO AND FINANCE OFFICER OVERSEE FINANCIAL STATEMENT PREPARATION
Pt XII, Line 2cAND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
Pt VI, Line 12cREVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
Pt VI, Line 12cISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.