JOHNSON HEALTH CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- JOHNSON HEALTH CENTER (EIN 54-1287905)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-06-09
- IRS object ID
- 202021619349300017
- 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 | 2020-06-09T09:25:55-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 541896113 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBINSON FARMER COX ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 SOUTHLAKE BLVD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23236 | 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 | 541287905 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHNSON HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 4349475967 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 ELON ROAD | AddressLine1Txt |
| City | MADISON HEIGHTS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24572 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY W CAMPBELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4349475967 | PhoneNum |
| Signature | 2020-04-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL LEE | PreparerPersonNm |
| PTIN | P01601085 | PTIN |
| Phone | 8043784200 | PhoneNum |
| Preparation | 2020-06-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.77.77.25 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-09 | IPDt |
| IP Tm | 09:25:55 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9ABF4A4CD9073D44961EDDFBB9D4FC555C086CE7 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GARY W CAMPBELL | PrincipalOfficerNm |
| Gross Receipts | $20,261,500 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JHCVIRGINIA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 258 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,666,524 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,208,655 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,994,745 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,622,419 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,466 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,172 | CYInvestmentIncomeAmt |
| PY Other Revenue | $623,213 | PYOtherRevenueAmt |
| CY Other Revenue | $1,383,254 | CYOtherRevenueAmt |
| PY Total Revenue | $18,295,948 | PYTotalRevenueAmt |
| CY Total Revenue | $20,261,500 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,963,337 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,483,954 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,494,687 | PYOtherExpensesAmt |
| CY Other Expenses | $5,117,463 | CYOtherExpensesAmt |
| PY Total Expenses | $17,458,024 | PYTotalExpensesAmt |
| CY Total Expenses | $19,601,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $837,924 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $660,083 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,546,805 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,176,573 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,498,891 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,043,303 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,047,914 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,133,270 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE COMPREHENSIVE, COST-EFFECTIVE, PRIMARY AND PREVENTIVE HEALTH CARE AND RELATED SERVICES TO RESIDENTS OF LYNCHBURG, VA AND SURROUNDING AREAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,558,180 | ExpenseAmt |
| Revenue | $14,664,585 | RevenueAmt |
| Desc | MEDICAL SERVICES PROVIDED TO PATIENTS ON A SLIDING FEE SCALE WHICH ESTABLISHES LOWER RATES BASED ON FEDERAL POVERTY LEVELS. | Desc |
| Total Program Service Expenses | $14,558,180 | 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 | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 258 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY CAMPBELL | PersonNm |
| Phone | 4349475967 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 134 ELON ROAD | AddressLine1Txt |
| City | MADISON HEIGHTS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24572 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| NATHANIEL MARSHALL | |||||||
| CHAIRMAN | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ARTHUR FISHER | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| JUSTIN MERCER | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| MARY BROPHY | |||||||
| SECRETARY | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENISE COYLE | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| GARY HUTCHERSON | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| TERESA MCCRICKARD | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER HALL EDD | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| CAROLYN JACQUES | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| DEBBIE DRAKE | |||||||
| VICE CHAIRMA | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHERRY GENTRY | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| ROBERT GOLCHESKI | |||||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |||
| SANDY GLASS | |||||||
| TREASURER | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GARY W CAMPBELL | |||||||
| CEO | Yes (X) | $180,807 | $0 | $41,983 | 40.00 | ||
| AHGNES U BOLUSA-SABUGO | |||||||
| PHYSICIAN | $196,409 | $0 | $27,295 | 40.00 | Yes (X) | ||
| WILLIAM COOK | |||||||
| PHYSICIAN | $327,968 | $0 | $37,663 | 40.00 | Yes (X) | ||
| REGINALD T PUCKETT | |||||||
| PHYSICIAN | $291,604 | $0 | $49,314 | 40.00 | Yes (X) | ||
| BRIAN ASSENT | |||||||
| PHYSICIAN | $223,006 | $0 | $48,319 | 40.00 | Yes (X) | ||
| MICHAEL HURST | |||||||
| PHYSICIAN | $218,772 | $0 | $50,395 | 40.00 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,438,566 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $254,969 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|
| COMMUNITY CARE NETWORK OF VIRGINIA | |||||||
| INC | 3831 WESTERRE PKWY | HENRICO | VA | 23233 | MEDICAL BILLING | $352,971 | |
| MCKESSON MEDICAL SURGICAL INC | |||||||
| 9954 MARYLAND DRIVE | RICHMOND | VA | 23233 | MEDICAL SUPPLY | $283,842 | SUITE 4000 | |
| SECURITY LOCK AND KEY | |||||||
| 3736 FRANKLIN ROAD SW | ROANOKE | VA | 24014 | BUILDING MAINT | $191,367 | ||
| WOMEN'S HEALTH SERVICES OF CENTRAL | |||||||
| VIRGINIA INC | 114 NATIONWIDE DRIVE | LYNCHBURG | VA | 24502 | GYNECOLOGIST | $183,750 | |
| ECLINICAL WORKS LLC | |||||||
| 2 TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | SOFTWARE | $150,478 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,500,621 | GovernmentGrantsAmt |
| All Other Contributions | $708,034 | AllOtherContributionsAmt |
| Total Contributions | $4,208,655 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE | Desc |
| Total Revenue Column | $14,622,419 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,622,419 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,622,419 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,172 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,172 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,588 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,588 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,588 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,588 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $745 | FundraisingGrossIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $745 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CONTRACT PHARMACY | $1,321,064 | $1,321,064 |
| MISCELLANEOUS | $51,857 | $51,857 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,372,921 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,261,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,052,100 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,691 | TotalAmt |
| Management And General | $201,691 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,366,551 | TotalAmt |
| Program Services | $9,071,879 | ProgramServicesAmt |
| Management And General | $2,294,672 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,115 | TotalAmt |
| Program Services | $325,005 | ProgramServicesAmt |
| Management And General | $76,110 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,756,651 | TotalAmt |
| Program Services | $1,307,646 | ProgramServicesAmt |
| Management And General | $449,005 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,946 | TotalAmt |
| Program Services | $593,952 | ProgramServicesAmt |
| Management And General | $163,994 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,660 | TotalAmt |
| Management And General | $49,660 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,384 | TotalAmt |
| Program Services | $10 | ProgramServicesAmt |
| Management And General | $39,374 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,675 | TotalAmt |
| Program Services | $283,787 | ProgramServicesAmt |
| Management And General | $729,888 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,582 | TotalAmt |
| Program Services | $2,618 | ProgramServicesAmt |
| Management And General | $71,964 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,689,784 | TotalAmt |
| Program Services | $1,525,929 | ProgramServicesAmt |
| Management And General | $163,855 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,799 | TotalAmt |
| Program Services | $24,505 | ProgramServicesAmt |
| Management And General | $148,294 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,598 | TotalAmt |
| Program Services | $295,877 | ProgramServicesAmt |
| Management And General | $12,721 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,063 | TotalAmt |
| Program Services | $30,885 | ProgramServicesAmt |
| Management And General | $46,178 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,331 | TotalAmt |
| Program Services | $45,411 | ProgramServicesAmt |
| Management And General | $1,920 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,037 | TotalAmt |
| Program Services | $236,079 | ProgramServicesAmt |
| Management And General | $79,958 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,146 | TotalAmt |
| Program Services | $551 | ProgramServicesAmt |
| Management And General | $53,595 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BUILDING, REPAIRS & MAINT | $368,890 | $327,016 | $41,874 |
| ANCILLIARY SERVICES | $359,076 | $248,250 | $110,826 |
| TRAINING AND CONTINE EDU | $234,274 | $77,616 | $156,658 |
| TELEPHONE | $205,047 | $99,908 | $105,139 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,117 | TotalAmt |
| Program Services | $61,256 | ProgramServicesAmt |
| Management And General | $45,861 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,601,417 | TotalAmt |
| Program Services | $14,558,180 | ProgramServicesAmt |
| Management And General | $5,043,237 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,203,630 | BOYAmt |
| EOY | $4,778,059 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,572,451 | BOYAmt |
| EOY | $1,244,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,574,100 | BOYAmt |
| EOY | $3,606,638 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,150 | BOYAmt |
| EOY | $131,730 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,927,193 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,536,800 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,081,405 | BOYAmt |
| EOY | $5,390,393 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,069 | BOYAmt |
| EOY | $15,124 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,546,805 | BOYAmt |
| EOY | $15,176,573 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $727,572 | BOYAmt |
| EOY | $376,386 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,506,694 | BOYAmt |
| EOY | $1,406,259 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,625 | BOYAmt |
| EOY | $260,658 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,498,891 | BOYAmt |
| EOY | $2,043,303 | 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 | $13,034,845 | BOYAmt |
| EOY | $13,118,146 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,069 | BOYAmt |
| EOY | $15,124 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,047,914 | BOYAmt |
| EOY | $13,133,270 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,546,805 | BOYAmt |
| EOY | $15,176,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $660,083 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$574,727 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,069 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,055 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,124 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,674 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,604 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,069 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,276 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,398 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,674 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,021 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $255 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,276 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,608 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $403 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,021 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,404,686 | OtherCostOrOtherBasisAmt |
| Book Value | $1,404,686 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,507,429 | OtherCostOrOtherBasisAmt |
| Depreciation | $491,198 | DepreciationAmt |
| Book Value | $3,016,231 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $616,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $332,044 | DepreciationAmt |
| Book Value | $284,945 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,302,107 | OtherCostOrOtherBasisAmt |
| Depreciation | $711,958 | DepreciationAmt |
| Book Value | $590,149 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,600 | DepreciationAmt |
| Book Value | $94,382 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,390,393 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMPENSATED ABSENCES | Desc |
| Amt | $260,658 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $260,658 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,261,500 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $20,261,500 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $20,261,500 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,601,417 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $19,601,417 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $19,601,417 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | THE PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE INCOME FOR THE SUPPORT OF JOHNSON HEALTH CENTER. | 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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| GARY W CAMPBELL | ||||
| CEO | $180,807 | $20,885 | $21,098 | $222,790 |
| AHGNES U BOLUSA-SABUGO | ||||
| PHYSICIAN | $196,409 | $10,004 | $17,291 | $223,704 |
| WILLIAM COOK | ||||
| PHYSICIAN | $327,968 | $13,000 | $24,663 | $365,631 |
| REGINALD T PUCKETT | ||||
| PHYSICIAN | $291,604 | $13,000 | $36,314 | $340,918 |
| BRIAN ASSENT | ||||
| PHYSICIAN | $223,006 | $14,474 | $33,845 | $271,325 |
| MICHAEL HURST | ||||
| PHYSICIAN | $218,772 | $7,800 | $42,595 | $269,167 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE AUDITOR WILL PREPARE THE ANNUAL 990 IN A TIMELY MANNER TO ALLOW THE CHIEF EXECUTIVE OFFICER (CEO) TO SUBMIT TO THE BOARD OF DIRECTORS FOR BOARD APPROVAL BEFORE THE 990 IS DUE TO THE IRS. AT THE NEXT REGULARLY SCHEDULED BOARD MEETING THE BOARD OF DIRECTORS WILL REVIEW THE 990 AND THE BOARD CHAIRMAN WILL SIGN. THE CEO WILL MAIL TO THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF A MEMBER OF THE BOARD OF DIRECTORS OR A MEMBER OF A COMMITTEE WITH BOARD- DELEGATED POWERS SHALL BE DISCLOSED TO THE ENTIRE BOARD OR COMMITTEE AND MADE A MATTER OF RECORD. THIS PROCESS IS BOTH ONGOING AND SHALL ALSO BE AN ANNUAL OCCURRENCE. NEW BOARD OF DIRECTORS MEMBERS WILL READ AND SIGN THE CONFLICT OF INTEREST AND FULL DISCLOSURE POLICY WITHIN TWO MONTHS OF JOINING THE JOHNSON HEALTH CENTER BOARD OF DIRECTORS. THIS CONFLICT OF INTEREST FORM WILL BE COMPLETED ANNUALLY, AND MUST BE ON FILE FOR EACH JHC BOARD MEMBER. CURRENT MEMBERS WHO DO NOT COMPLETE AN UPDATED CONFLICT OF INTEREST FORM BY MAY 31ST OF EACH YEAR WILL BE CONSIDERED AS HAVING RESIGNED FROM THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CHIEF EXECUTIVE OFFICER'S SALARY WAS GUIDED BY COMPARATIVE STATE AND NATIONAL DATA FOR CEOS OF COMMUNITY HEALTH CENTERS ALONG WITH COMPARATIVE INFORMATION FOR EXPERIENCE WITHIN THE CEO CATEGORY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST OF THE CHIEF EXECUTIVE OFFICER GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. |