BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC (EIN 81-0432169)
- Tax period
- 2019-02-01 to 2020-01-31
- Filed
- 2020-12-03
- IRS object ID
- 202033389349300018
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-12-03T11:18:03-06:00 | ReturnTs |
| Tax Period End | 2020-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450310328 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRADY MARTZ AND ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 14296 | AddressLine1Txt |
| City | GRAND FORKS | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 582084296 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810432169 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTTE SILVER BOW PRIMARY HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | CLINIC INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BUTT | BusinessNameControlTxt |
| Phone | 4067234075 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR SHAWNA YATES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4067234075 | PhoneNum |
| Signature | 2020-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICOLE HELDSTAB | PreparerPersonNm |
| PTIN | P01220683 | PTIN |
| Phone | 7017754685 | PhoneNum |
| Preparation | 2020-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHWEST MONTANA COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR SHAWNA YATES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,029,234 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SWMTCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | SERVICES OF PHYSICIANS, DENTISTS, HYGIENISTS, MID-LEVEL PROVIDERS, MENTAL HEALTH THERAPISTS | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 197 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,807,767 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,202,116 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,977,273 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,783,703 | CYProgramServiceRevenueAmt |
| PY Investment Income | $44,319 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,415 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,829,359 | PYTotalRevenueAmt |
| CY Total Revenue | $18,029,234 | 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 | $8,760,919 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,927,694 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,794,260 | PYOtherExpensesAmt |
| CY Other Expenses | $6,582,776 | CYOtherExpensesAmt |
| PY Total Expenses | $14,555,179 | PYTotalExpensesAmt |
| CY Total Expenses | $16,510,470 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,274,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,518,764 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,850,735 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,474,743 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,159,172 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,173,197 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,691,563 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,301,546 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE SOUTHWEST MONTANA COMMUNITY HEALTH CENTER IS GUIDED BY THE MISSION: "INSPIRE HOPE AND EMPOWER WELLNESS BY PROVIDING ACCESS TO COMPREHENSICE HEALTHCARE" | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,543,917 | ExpenseAmt |
| Revenue | $13,807,307 | RevenueAmt |
| Desc | SIX LOCATIONS IN FOUR CITIES IN SOUTHWEST MONTANA: ANACONDA MT - MEDICAL CLINIC THAT PROVIDES PRIMARY CARE, BEHAVIORAL HEALTH, CARE MANAGEMENT AND CHILD EVALUATION CENTERSHERIDAN MT - MAC'S PHARMACY DILLON MT - MEDICAL CLINIC THAT PROVIDES PRIMARY CARE, BEHAVIORAL HEALTH, CARE MANAGEMENT, DENTAL AND CHILD EVALUATION CENTER BLACKTAIL PHARMACYBUTTE MT - MEDICAL CLINIC THAT PROVIDES PRIMARY CARE, BEHAVIORAL HEALTH, CARE MANAGEMENT, CLINICAL PHARMACY, DENTAL AND CHILD EVALUATION CENTER BUTTE PHARMACY | Desc |
| Total Program Service Expenses | $14,543,917 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 197 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLY DAVIS | PersonNm |
| Phone | 4067234075 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 CENTENNIAL AVENUE | AddressLine1Txt |
| City | BUTTE | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|
| SERENA BREWER | ||||||||
| DOCTOR | 40.00 | Yes (X) | $196,846 | $0 | $15,672 | |||
| SHAWNA YATES | ||||||||
| CMO | 32.00 | $192,361 | $0 | $18,340 | Yes (X) | |||
| CATHERINE WHITE | ||||||||
| DOCTOR | 30.00 | Yes (X) | $192,260 | $0 | $15,488 | |||
| HAROLD BRUCE | ||||||||
| NURSE PRACTIONER | 40.00 | Yes (X) | $196,456 | $0 | $8,731 | |||
| MEGAN EVANS | ||||||||
| DOCTOR | 28.00 | Yes (X) | $131,242 | $0 | $15,940 | |||
| TAMMY COX | ||||||||
| DIRECTOR OF PHARMACY SERVICES | 38.00 | Yes (X) | $130,127 | $0 | $6,596 | |||
| JENNIFER MALONE | ||||||||
| CEO | 40.00 | $120,750 | $0 | $7,798 | Yes (X) | |||
| NANCY PROCTOR | ||||||||
| CFO | 40.00 | $107,300 | $0 | $9,146 | Yes (X) | |||
| WAYNE HARPER | ||||||||
| CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| GRETCHEN GELLER | ||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOANIE CASSIDY | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| MARK ROSENLEAF | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| GEORGE SKULETICH | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| PAT NOONAN | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| AMY JO KIBLER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JOE MURPHY | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TAMMARA TODD | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CAROL DICKINSON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TRACY MILLER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ADAM VAUTHIER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ANN FINCH-JOHNSTON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BRUCE SMITH | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| PERRY HAWBAKER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JANELLE HANDLOS | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TAMMY HICKLIN-ESTABROOK | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,267,342 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $97,711 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCHIN INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1881 SW ANAITO PKWY | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ELECTRONIC HEALTH RECORD SERVICE | ServicesDesc |
| Compensation | $318,275 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,102,531 | GovernmentGrantsAmt |
| All Other Contributions | $99,585 | AllOtherContributionsAmt |
| Noncash Contributions | $11,712 | NoncashContributionsAmt |
| Total Contributions | $4,202,116 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621990 | $7,665,782 | $7,665,782 |
| PHARMACY REVENUE | 621990 | $6,019,391 | $6,019,391 |
| OTHER REVENUE | 621990 | $98,530 | $98,530 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,783,703 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,811 | TotalRevenueColumnAmt |
| Exclusion | $19,811 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,604 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,604 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,604 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,604 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,029,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,807,307 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $19,811 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,763 | TotalAmt |
| Program Services | $373,358 | ProgramServicesAmt |
| Management And General | $48,405 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,809,546 | TotalAmt |
| Program Services | $7,072,949 | ProgramServicesAmt |
| Management And General | $736,597 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,696,385 | TotalAmt |
| Program Services | $1,592,834 | ProgramServicesAmt |
| Management And General | $103,551 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,064 | TotalAmt |
| Program Services | $10,064 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,030 | TotalAmt |
| Program Services | $41,030 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,643 | TotalAmt |
| Program Services | $17,573 | ProgramServicesAmt |
| Management And General | $42,070 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,743 | TotalAmt |
| Program Services | $151,771 | ProgramServicesAmt |
| Management And General | $80,972 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,919 | TotalAmt |
| Program Services | $277,357 | ProgramServicesAmt |
| Management And General | $170,562 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,378 | TotalAmt |
| Program Services | $53,431 | ProgramServicesAmt |
| Management And General | $110,947 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,504 | TotalAmt |
| Program Services | $148,335 | ProgramServicesAmt |
| Management And General | $39,169 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,860 | TotalAmt |
| Program Services | $1,126 | ProgramServicesAmt |
| Management And General | $20,734 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,206 | TotalAmt |
| Program Services | $24 | ProgramServicesAmt |
| Management And General | $11,182 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,306 | TotalAmt |
| Program Services | $59,437 | ProgramServicesAmt |
| Management And General | $228,869 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,472,054 | $4,471,350 | $704 |
| CONTRACTED SERVICES | $252,514 | $128,709 | $123,805 |
| EQUIPMENT AND SUPPLIES | $106,712 | $39,300 | $67,412 |
| JANITORIAL | $99,417 | $12,098 | $87,319 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,426 | TotalAmt |
| Program Services | $93,171 | ProgramServicesAmt |
| Management And General | $94,255 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,510,470 | TotalAmt |
| Program Services | $14,543,917 | ProgramServicesAmt |
| Management And General | $1,966,553 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,817 | BOYAmt |
| EOY | $1,794,005 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,745,129 | BOYAmt |
| EOY | $2,706,260 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $318,642 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,939 | BOYAmt |
| EOY | $1,324,375 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,152 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $467,043 | BOYAmt |
| EOY | $682,086 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,666 | BOYAmt |
| EOY | $103,605 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,373,007 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,802,781 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269,272 | BOYAmt |
| EOY | $2,570,226 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $853,717 | BOYAmt |
| EOY | $975,544 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,850,735 | BOYAmt |
| EOY | $10,474,743 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,235 | BOYAmt |
| EOY | $925,108 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $354,410 | BOYAmt |
| EOY | $248,089 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,159,172 | BOYAmt |
| EOY | $1,173,197 | 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 | $7,656,385 | BOYAmt |
| EOY | $9,293,132 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,178 | BOYAmt |
| EOY | $8,414 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,691,563 | BOYAmt |
| EOY | $9,301,546 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,850,735 | BOYAmt |
| EOY | $10,474,743 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,518,764 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $98,223 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$7,004 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $241,609 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $293,765 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $399,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $267,614 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,585 | CurrentTaxYearAmt |
| Total | $1,301,892 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,032,562 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,738,211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,669,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,517,426 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,886,234 | CurrentTaxYearAmt |
| Total | $73,843,839 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,274,171 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,031,976 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,068,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,785,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,985,819 | CurrentTaxYearAmt |
| Total | $75,145,731 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,589,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,699,889 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,820,048 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,958,723 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,876,963 | CurrentTaxYearAmt |
| Total | $14,945,202 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,589,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,699,889 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,820,048 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,958,723 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,876,963 | CurrentTaxYearAmt |
| Total | $14,945,202 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $60,200,529 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,049 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,717 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,811 | CurrentTaxYearAmt |
| Total | $64,110 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,049 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,717 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,691 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,811 | CurrentTaxYearAmt |
| Total | $64,110 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,286,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,042,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,077,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,797,882 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,005,630 | CurrentTaxYearAmt |
| Total | $75,209,841 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.80040 | PublicSupportCY509Pct |
| Public Support PY509 | 0.80180 | PublicSupportPY509Pct |
| Investment Income CY | 0.00090 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $103,260 | OtherCostOrOtherBasisAmt |
| Book Value | $103,260 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,017,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $615,322 | DepreciationAmt |
| Book Value | $1,402,395 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,543,684 | OtherCostOrOtherBasisAmt |
| Depreciation | $607,864 | DepreciationAmt |
| Book Value | $935,820 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,694,219 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,566,174 | DepreciationAmt |
| Book Value | $128,045 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,127 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,421 | DepreciationAmt |
| Book Value | $706 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,570,226 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,120,453 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $98,223 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $98,223 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,022,230 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $7,004 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $7,004 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,029,234 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,510,470 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,510,470 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,510,470 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IT IS THE OPINION OF MANAGEMENT THAT THE FOUNDATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE FOUNDATION ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. ALL TAX FILINGS ARE CURRENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SERENA BREWER | ||||||||||||||
| DOCTOR | $196,846 | $0 | $0 | $0 | $0 | $0 | $7,874 | $0 | $7,798 | $0 | $212,518 | $0 | $0 | $0 |
| SHAWNA YATES | ||||||||||||||
| CMO | $192,361 | $0 | $0 | $0 | $0 | $0 | $7,650 | $0 | $10,690 | $0 | $210,701 | $0 | $0 | $0 |
| CATHERINE WHITE | ||||||||||||||
| DOCTOR | $192,260 | $0 | $0 | $0 | $0 | $0 | $7,690 | $0 | $7,798 | $0 | $207,748 | $0 | $0 | $0 |
| HAROLD BRUCE | ||||||||||||||
| NURSE PRACTIONER | $196,456 | $0 | $0 | $0 | $0 | $0 | $7,858 | $0 | $873 | $0 | $205,187 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE REVIEWED BY THE FULL BOARD AT ITS MONTHLY MEETING AND THE FULL BOARD WILL APPROVE THE 990 BEFORE SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND THE ORGANIZATION REVIEW THE CONFLICT OF INTEREST POLICY ON A MONTHLY BASIS AND INVESTIGATE ANY POSSIBLE CONFLICTS THAT MAY OCCUR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CHAIRMAN OF THE BOARD ALONG WITH BOARD MEMBERS REVIEW AND APPROVE CEO COMPENSATION THE FINANCE AND EXECUTIVE COMMITTEES REVIEWS AND/OR CALCULATES COMPESATION RANGES FOR ALL TOP EXECUTIVES AND MANAGEMENT CHC SETS SALARY STRUCTURE USING COMPARABLE SALARY SURVEYS/DATA FOR ALL LABOR CATEGORIES |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |