MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM (EIN 20-0537948)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-08-05
- IRS object ID
- 202012189349300731
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-05T17:40:10-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 421655494 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KM&L LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 WEST WAY COURT | AddressLine1Txt |
| City | LAKE JACKSON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77566 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200537948 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA EPISCOPAL HEALTH OUTREACH | BusinessNameLine1Txt |
| Business Name Line2 | PROGRAM CORPORATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MATA | BusinessNameControlTxt |
| Phone | 9792452008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CELESTE HARRISON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9792452008 | PhoneNum |
| Signature | 2020-07-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIJIE LIU | PreparerPersonNm |
| PTIN | P01355038 | PTIN |
| Phone | 9792974075 | PhoneNum |
| Preparation | 2020-07-28 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.88.174.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-05 | IPDt |
| IP Tm | 17:40:10 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 19AF654CFB3639CCF2C9E66E55A76F8A7917C623 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 19AF654CFB3639CCF2C9E66E55A76F8A7917C623 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CELESTE HARRISON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,823,500 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.MEHOP.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 107 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,969,212 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,632,122 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,384,505 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,420,670 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,249 | PYInvestmentIncomeAmt |
| CY Investment Income | $749 | CYInvestmentIncomeAmt |
| PY Other Revenue | $574,691 | PYOtherRevenueAmt |
| CY Other Revenue | $748,230 | CYOtherRevenueAmt |
| PY Total Revenue | $7,929,657 | PYTotalRevenueAmt |
| CY Total Revenue | $7,801,771 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,383,108 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,030,592 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,046,834 | PYOtherExpensesAmt |
| CY Other Expenses | $2,862,055 | CYOtherExpensesAmt |
| PY Total Expenses | $7,429,942 | PYTotalExpensesAmt |
| CY Total Expenses | $7,892,647 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $499,715 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$90,876 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,735,650 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,769,886 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $507,990 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $633,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,227,660 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,136,784 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,991,750 | ExpenseAmt |
| Revenue | $4,420,670 | RevenueAmt |
| Desc | PROVIDE DENTAL AND HEALTH SERVICES TO PEOPLE IN MATAGORDA COUNTY. APPROXIMATELY 9703 PEOPLE WERE SERVED DURING THE CURRENT YEAR. | Desc |
| Total Program Service Expenses | $6,991,750 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 107 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEHOP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9792452008 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1Txt |
| City | BAY CITY | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77414 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KUNJAMMA SEBASTIAN | ||||||||
| DOCTOR | 40.00 | Yes (X) | $198,750 | $0 | $0 | |||
| FARHANA AMBREEN | ||||||||
| CHIEF MED. O | 40.00 | $169,107 | $0 | $0 | Yes (X) | |||
| JOHN FERGUSON | ||||||||
| DOCTOR | 40.00 | Yes (X) | $144,711 | $0 | $0 | |||
| SHENG YAW T GUU | ||||||||
| DOCTOR | 40.00 | Yes (X) | $139,892 | $0 | $0 | |||
| AYOTUNDE G FAWEYA | ||||||||
| DOCTOR | 40.00 | Yes (X) | $136,250 | $0 | $0 | |||
| JOHN A NEESE | ||||||||
| DOCTOR | 40.00 | Yes (X) | $129,622 | $0 | $0 | |||
| CELESTE HARRISON | ||||||||
| CEO | 40.00 | $88,614 | $0 | $0 | Yes (X) | |||
| EVE CHEN | ||||||||
| CFO | 40.00 | $87,419 | $0 | $0 | Yes (X) | |||
| JAIME ALANIS | ||||||||
| VICE PRESIDE | $0 | $0 | $0 | Yes (X) | ||||
| MARYBELLE ALBRECHT | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| GAYLE BLACKMON | ||||||||
| TREASURER | $0 | $0 | $0 | Yes (X) | ||||
| EDWIN HAWES DICKERSON | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARGARET DOUGHTY | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| JIM HUMPHRIES | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| CLIFFORD JACKSON | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARTHA JOHNSON | ||||||||
| SECRETARY | $0 | $0 | $0 | Yes (X) | ||||
| ROBERT KNOX | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| CARLISA KRENEK | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| HARRY PRIESMEYER | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| MARIA RAHAIM | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| FREDDIE J REED | ||||||||
| DIRECTOR | $0 | $0 | $0 | Yes (X) | ||||
| ERIC M WRIGHT | ||||||||
| PRESIDENT | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,094,365 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAKESH DESAI MD PA | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5602 REGENCY DR | AddressLine1Txt |
| City | SUGARLAND | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | DOCTOR | ServicesDesc |
| Compensation | $107,084 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,014,076 | GovernmentGrantsAmt |
| All Other Contributions | $618,046 | AllOtherContributionsAmt |
| Noncash Contributions | $40,845 | NoncashContributionsAmt |
| Total Contributions | $2,632,122 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL AND DENTAL SERVICES | Desc |
| Total Revenue Column | $4,420,670 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,420,670 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,420,670 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $749 | TotalRevenueColumnAmt |
| Exclusion | $749 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,855 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,855 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,855 | TotalRevenueColumnAmt |
| Exclusion | $31,855 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $40,803 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $21,729 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,074 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| 340 B PROGRAM | $695,939 | $695,939 |
| MEDICAL RECORD | $1,224 | $1,224 |
| OTHER | $138 | $138 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $697,301 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,801,771 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,420,670 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $729,905 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,228,210 | TotalAmt |
| Program Services | $3,653,192 | ProgramServicesAmt |
| Management And General | $575,018 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,078 | TotalAmt |
| Program Services | $423,093 | ProgramServicesAmt |
| Management And General | $74,985 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,304 | TotalAmt |
| Program Services | $272,512 | ProgramServicesAmt |
| Management And General | $31,792 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,016 | TotalAmt |
| Program Services | $18,751 | ProgramServicesAmt |
| Management And General | $23,265 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,038 | TotalAmt |
| Management And General | $18,038 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,760 | TotalAmt |
| Program Services | $502,760 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,876 | TotalAmt |
| Program Services | $12,281 | ProgramServicesAmt |
| Management And General | $10,595 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,426 | TotalAmt |
| Program Services | $45,963 | ProgramServicesAmt |
| Management And General | $10,463 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,349 | TotalAmt |
| Program Services | $334,023 | ProgramServicesAmt |
| Management And General | $36,326 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,321 | TotalAmt |
| Program Services | $11,277 | ProgramServicesAmt |
| Management And General | $4,044 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,692 | TotalAmt |
| Program Services | $13,867 | ProgramServicesAmt |
| Management And General | $24,825 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,348 | TotalAmt |
| Program Services | $4,348 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,729 | TotalAmt |
| Program Services | $94,729 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,752 | TotalAmt |
| Program Services | $62,689 | ProgramServicesAmt |
| Management And General | $11,063 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $421,763 | $421,698 | $65 |
| LEASE | $314,750 | $308,803 | $5,947 |
| DRUG PROGRAM | $280,308 | $280,308 | |
| MAINTENANCE AND REPAIRS | $192,068 | $192,068 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,859 | TotalAmt |
| Program Services | $339,388 | ProgramServicesAmt |
| Management And General | $74,471 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,892,647 | TotalAmt |
| Program Services | $6,991,750 | ProgramServicesAmt |
| Management And General | $900,897 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,786 | BOYAmt |
| EOY | $193,331 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,765 | BOYAmt |
| EOY | $242,159 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,194 | BOYAmt |
| EOY | $452,107 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,550 | BOYAmt |
| EOY | $34,504 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,681,367 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $844,779 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,873,355 | BOYAmt |
| EOY | $1,836,588 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,197 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,735,650 | BOYAmt |
| EOY | $2,769,886 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,816 | BOYAmt |
| EOY | $471,434 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,508 | BOYAmt |
| EOY | $83,363 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,666 | BOYAmt |
| EOY | $78,305 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,990 | BOYAmt |
| EOY | $633,102 | 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 | $2,057,491 | BOYAmt |
| EOY | $1,961,459 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,169 | BOYAmt |
| EOY | $175,325 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,227,660 | BOYAmt |
| EOY | $2,136,784 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,735,650 | BOYAmt |
| EOY | $2,769,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$90,876 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,556 | OtherCostOrOtherBasisAmt |
| Book Value | $144,556 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,628,312 | OtherCostOrOtherBasisAmt |
| Depreciation | $276,682 | DepreciationAmt |
| Book Value | $1,351,630 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $908,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $568,097 | DepreciationAmt |
| Book Value | $340,402 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,836,588 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMPENSATED ABSENCES | Desc |
| Amt | $78,305 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $78,305 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,813,571 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $11,800 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $11,800 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,801,771 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,801,771 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,904,447 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $11,800 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $11,800 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,892,647 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,892,647 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPECIAL EVENT | Event1Nm |
| Gross Receipts Event1 | $40,803 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $40,803 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $21,729 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $40,803 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $40,803 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $21,729 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $21,729 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $19,074 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| KUNJAMMA SEBASTIAN | ||
| DOCTOR | $198,750 | $198,750 |
| FARHANA AMBREEN | ||
| CHIEF MED. OFFICER | $169,107 | $169,107 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $40,845 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED MEETING AND IS APPROVED BY THE BOARD PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND ULTIMATELY AGREES AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND THE CORRECT PATH FORWARD FOR DEALING WITH THE CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INFORMATION IS MADE AVAILABLE UPON REQUEST. |