DAVID RAINES COMMUNITY HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DAVID RAINES COMMUNITY HEALTH CENTER INC (EIN 58-2000630)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-02-27
- IRS object ID
- 202010589349300211
- Schema version
- 2018v3.1
- 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 | 2020-02-27T06:46:56-08:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brown Ewing & Co PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Highland Park Cove | AddressLine1Txt |
| City | Ridgeland | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582000630 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Raines Community Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 3182273350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Willie C White | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 3182273350 | PhoneNum |
| Signature | 2020-01-02 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Robert A Sulton | PreparerPersonNm |
| PTIN | P00640430 | PTIN |
| Phone | 6013535423 | PhoneNum |
| Preparation | 2020-02-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.230.137.242 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-02-27 | IPDt |
| IP Tm | 06:46:49 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 195D3945800DD426616BEA91D6AB1B30758E1E28 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 49038B71DECD447198BA378700BFA9DF50266406 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Willie C White | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Dr Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,147,330 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | To provide accessible, affordable, comprehensive and and quality health care services to the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 189 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,928,439 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,707,617 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,141,848 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,797,864 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,455 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,697 | CYInvestmentIncomeAmt |
| PY Other Revenue | $556,485 | PYOtherRevenueAmt |
| CY Other Revenue | $627,152 | CYOtherRevenueAmt |
| PY Total Revenue | $12,630,227 | PYTotalRevenueAmt |
| CY Total Revenue | $13,147,330 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,129,694 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,564,413 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,825 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,952,536 | PYOtherExpensesAmt |
| CY Other Expenses | $4,251,360 | CYOtherExpensesAmt |
| PY Total Expenses | $12,082,230 | PYTotalExpensesAmt |
| CY Total Expenses | $12,815,773 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $547,997 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $331,557 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,205,458 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,439,035 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,347,656 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,249,676 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,857,802 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,189,359 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide accessible, affordable, comprehensive and and quality health care services to the communities we serve. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,184,835 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,797,864 | RevenueAmt |
| Desc | The organization provided primary health care to a mostly indigent population in the Shreveport, LA area. | Desc |
| Total Program Service Expenses | $7,184,835 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | 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 | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 189 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| 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 |
| States Where Copy Of Return Is Fld | LA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mr Willie C White | PersonNm |
| Phone | 3184252252 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Eursla D Hardy | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Rev Robert Green Jr | ||||||||
| President | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr Linda Hartwell | ||||||||
| Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Yolanda Coleman | ||||||||
| Vice President | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jesse Scott | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kathy French | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr Raymond A Hicks | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Shannon S Warren | ||||||||
| Treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Darrell Banks | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary Brown | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Norbert Crafts | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Rodney Ellis | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kamesha West-Gerard | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Betty Farmer | ||||||||
| Nurse Practictioner | 40.00 | $162,084 | $0 | $4,556 | Yes (X) | |||
| Blance Osorio-Candelaria | ||||||||
| Behavioral Health Director | 40.00 | $283,353 | $0 | $4,833 | Yes (X) | |||
| George Henderson | ||||||||
| Medical Director | 40.00 | $221,975 | $0 | $5,033 | Yes (X) | |||
| Jacqueline Gray | ||||||||
| Physician | 40.00 | $182,519 | $0 | $9,233 | Yes (X) | |||
| Yolanda Bell | ||||||||
| Dentist | 40.00 | $127,738 | $0 | $7,204 | Yes (X) | |||
| Tara Andrews | ||||||||
| Physician | 40.00 | $143,171 | $0 | $9,940 | Yes (X) | |||
| Pratibha Anne | ||||||||
| Physician | 24.00 | $124,042 | $0 | $6,746 | Yes (X) | |||
| Myrtis Edwards | ||||||||
| Chief Operating Officer | 40.00 | $148,277 | $0 | $8,780 | Yes (X) | |||
| Richard Vandiver | ||||||||
| Dentist | 38.00 | $137,653 | $0 | $3,000 | Yes (X) | |||
| Michael Fuselier | ||||||||
| Chief Financial Officer | 40.00 | $64,421 | $0 | $11 | Yes (X) | |||
| Willie White | ||||||||
| Chief Executive Officer | 40.00 | $222,251 | $0 | $11,733 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,817,484 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $71,069 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $24,407 | FundraisingAmt |
| Government Grants | $4,337,268 | GovernmentGrantsAmt |
| All Other Contributions | $345,942 | AllOtherContributionsAmt |
| Total Contributions | $4,707,617 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue(Net) | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $7,797,864 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,797,864 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,697 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $190 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $190 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $190 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $24,407 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $626,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $626,962 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $626,962 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,147,330 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,439,713 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,367,367 | TotalAmt |
| Program Services | $1,004,638 | ProgramServicesAmt |
| Management And General | $362,729 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,205,551 | TotalAmt |
| Program Services | $3,235,193 | ProgramServicesAmt |
| Management And General | $2,970,358 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,531 | TotalAmt |
| Program Services | $5,069 | ProgramServicesAmt |
| Management And General | $31,462 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,008 | TotalAmt |
| Program Services | -$415 | ProgramServicesAmt |
| Management And General | $403,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,956 | TotalAmt |
| Program Services | $426,376 | ProgramServicesAmt |
| Management And General | $125,580 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,793 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $5,793 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,145 | TotalAmt |
| Program Services | $1,057,681 | ProgramServicesAmt |
| Management And General | $30,464 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,492 | TotalAmt |
| Program Services | $22,688 | ProgramServicesAmt |
| Management And General | $67,804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,077,805 | TotalAmt |
| Program Services | $1,386,624 | ProgramServicesAmt |
| Management And General | $691,181 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,840 | TotalAmt |
| Program Services | $998 | ProgramServicesAmt |
| Management And General | $312,842 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,203 | TotalAmt |
| Program Services | $8,111 | ProgramServicesAmt |
| Management And General | $45,092 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,310 | TotalAmt |
| Program Services | $31,600 | ProgramServicesAmt |
| Management And General | $63,885 | ManagementAndGeneralAmt |
| Fundraising | $14,825 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,710 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $37,710 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,302 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $282,302 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,734 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $121,734 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Food and beverage | $16,586 | $6,072 | $10,514 | $0 |
| Recruitment & Retention | $52,576 | $200 | $52,376 | $0 |
| Other | $864 | $0 | $864 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,815,773 | TotalAmt |
| Program Services | $7,184,835 | ProgramServicesAmt |
| Management And General | $5,616,113 | ManagementAndGeneralAmt |
| Fundraising | $14,825 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,915 | BOYAmt |
| EOY | $559,661 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $300,115 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,980 | BOYAmt |
| EOY | $52,185 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,765 | BOYAmt |
| EOY | $617,547 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,173 | BOYAmt |
| EOY | $150,523 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,215 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,886,549 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,129,745 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,958,210 | BOYAmt |
| EOY | $3,756,804 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,200 | BOYAmt |
| EOY | $2,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,205,458 | BOYAmt |
| EOY | $5,439,035 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,219,702 | BOYAmt |
| EOY | $1,155,090 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,954 | BOYAmt |
| EOY | $40,457 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,000 | BOYAmt |
| EOY | $54,129 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,347,656 | BOYAmt |
| EOY | $1,249,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,857,802 | BOYAmt |
| EOY | $4,189,359 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,857,802 | BOYAmt |
| EOY | $4,189,359 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,205,458 | BOYAmt |
| EOY | $5,439,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $331,557 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,053,209 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,209,677 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,130,359 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,928,439 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,683,210 | CurrentTaxYearAmt |
| Total | $22,004,894 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,053,209 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,209,677 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,130,359 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,928,439 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,683,210 | CurrentTaxYearAmt |
| Total | $22,004,894 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $22,004,894 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,986 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,369 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,026 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,887 | CurrentTaxYearAmt |
| Total | $32,873 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,591,944 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,203,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,393,413 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,568,481 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,424,826 | CurrentTaxYearAmt |
| Total | $36,182,477 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $58,220,244 | TotalSupportAmt |
| Public Support CY170 | 0.37800 | PublicSupportCY170Pct |
| Public Support PY170 | 0.38270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II Ln 10 | FormAndLineReferenceDesc |
| Explanation | Other Income Part II, Line 10 Description: Other revenue 2014: 161281. 2015: 489157. 2016: 322003. 2017: 426633. 2018: 626962. Description: Patient revenue 2014: 6404263. 2015: 5699256. 2016: 7071410. 2017: 7141848. 2018: 7797864. Description: In-kind revenue 2014: 26400. 2015: 15400. 2017: 0. 2018: 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $78,959 | OtherCostOrOtherBasisAmt |
| Book Value | $78,959 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,055,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,609,431 | DepreciationAmt |
| Book Value | $3,445,781 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,204,473 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,996,198 | DepreciationAmt |
| Book Value | $208,275 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $547,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $524,116 | DepreciationAmt |
| Book Value | $23,789 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,756,804 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Liabilities | Desc |
| Amt | $54,129 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,129 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,147,330 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $13,147,330 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,147,330 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,815,773 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $12,815,773 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $12,815,773 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | The Organization is exempt from corporate Federal income taxes under Section 501(c)(3) of the Internal Revenue Code and from state income taxes. Therefore, no provision has been made for Federal or state corporate income taxes in the accompanying financial statements. The Organization has analyzed its tax positions taken for filings with the Internal Revenue. It believes that its tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The Organization's federal and state income tax returns for 2015, 2016, and 2017 are subject to examination by the federal, state and local taxing authorities, generally for three years after they are filed. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Monetary Scholarships | GrantTypeTxt |
| Recipient | 4 | RecipientCnt |
| Cash Grant | $10,000 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt I Line 2 | FormAndLineReferenceDesc |
| Explanation | Draw down of grant funds are reviewed by the CFO for appropriate use in accordance with budget justifications submitted. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (7 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Betty Farmer | |||||||||||||
| $162,084 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,556 | $0 | $166,640 | $0 | $0 | $0 |
| Blance Osorio-Candelaria | |||||||||||||
| $283,353 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,833 | $0 | $288,186 | $0 | $0 | $0 |
| George Henderson | |||||||||||||
| $221,975 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,033 | $0 | $227,008 | $0 | $0 | $0 |
| Jacqueline Gray | |||||||||||||
| $182,519 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,233 | $0 | $191,752 | $0 | $0 | $0 |
| Tara Andrews | |||||||||||||
| $143,171 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,940 | $0 | $153,111 | $0 | $0 | $0 |
| Myrtis Edwards | |||||||||||||
| $148,277 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,780 | $0 | $157,057 | $0 | $0 | $0 |
| Willie White | |||||||||||||
| $222,251 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,733 | $0 | $233,984 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The Form 990 return is reviewed by the Board of Directors at the monthly board meeting following completion of the Form 990. |
| Pt VI, Line 12c | Board members verify on an annual basis |
| Pt VI, Line 15a | Compensation is determined based on salaries for similar positions and organizations in the area. This process requires board approval. |
| Pt VI, Line 15b | Compensation is determined based on salaries for similar positions and organizations in the area. This process requires board approval. |