NEIGHBORHOOD IMPROVEMENT PROJECT INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD IMPROVEMENT PROJECT INC (EIN 31-1591242)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-06
- IRS object ID
- 202023119349300142
- 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 | 2020-11-06T09:13:47-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | 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 | 311591242 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEIGHBORHOOD IMPROVEMENT PROJECT | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEIG | BusinessNameControlTxt |
| Phone | 7067904440 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2467 GOLDEN CAMP ROAD | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 309065515 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WESLEY WOOD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7067904440 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2020-11-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.73.87.26 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-06 | IPDt |
| IP Tm | 09:13:47 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BCE9FDEBD4CA8CCF95D3BA2F4EBE0DF2FFF03695 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEDICAL ASSOCIATES PLUS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | J R RICHARDS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2467 GOLDEN CAMP ROAD | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 309065515 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,400,043 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://MAPBT.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | GA | LegalDomicileStateCd |
| Activity Or Mission | DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN PROVIDING FOR THE COMMUNITY'S PHYSICAL HEALTH, MENTAL HEALTH, SPIRITUAL HEALTH, AND ENVIRONMENTAL AND ECONOMIC NEEDS, WITH ATTENTION TO THE ELDERLY AND FAMILY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 194 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $33,631 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $23,369 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,068,437 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,243,437 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,102,345 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,784,532 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$10,771 | PYInvestmentIncomeAmt |
| CY Investment Income | $828 | CYInvestmentIncomeAmt |
| PY Other Revenue | $179,164 | PYOtherRevenueAmt |
| CY Other Revenue | $314,469 | CYOtherRevenueAmt |
| PY Total Revenue | $16,339,175 | PYTotalRevenueAmt |
| CY Total Revenue | $19,343,266 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,040,689 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,658,810 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,253,595 | PYOtherExpensesAmt |
| CY Other Expenses | $9,679,791 | CYOtherExpensesAmt |
| PY Total Expenses | $16,294,284 | PYTotalExpensesAmt |
| CY Total Expenses | $19,338,601 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $44,891 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,665 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,853,831 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,543,650 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,009,697 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,694,851 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,844,134 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,848,799 | NetAssetsOrFundBalancesEOYAmt |
| Mission | DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE PLAN PROVIDING FOR THE COMMUNITY'S PHYSICAL HEALTH, MENTAL HEALTH, SPIRITUAL HEALTH, AND ENVIRONMENTAL AND ECONOMIC NEEDS, WITH ATTENTION TO THE ELDERLY AND FAMILY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $15,706,154 | ExpenseAmt |
| Revenue | $14,065,370 | RevenueAmt |
| Desc | ACCESS TO HEALTHCARE AND HEALTH PROMOTION, SUPPORT OF PRIMARY HEALTH CARE CLINIC, PROVIDE HEALTH PROMOTION PROGRAMS FOR YOUTH AND YOUNG ADULTS. THE ORGANIZATION RECEIVED DONATED PHARMACEUTICALS AND LAB SERVICES FROM VARIOUS SUPPLIERS WHICH ARE NOT INCLUDED IN PARTS VIII, STATEMENT OF REVENUE, OR IX, STATEMENT OF FUNCTIONAL EXPENSES. THE TOTAL AMOUNT OF THESE DONATIONS, VALUED AT THE CURRENT VALUE AT THE TIME OF THE CONTRIBUTION, WAS APPROXIMATELY 1,756,000 FOR THE YEAR ENDED DECEMBER 31, 2019. | Desc |
| Total Program Service Expenses | $15,706,154 | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | 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 | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 194 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| 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 |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WESLEY WOOD | PersonNm |
| Phone | 7067904440 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2467 GOLDEN CAMP ROAD | AddressLine1Txt |
| City | AUGUSTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30906 | 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 | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| JAMES FORD MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $312,966 | $0 | $4,500 | ||
| HALBERT CAPUY MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $273,855 | $0 | $0 | ||
| JACK AUSTIN JR MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $259,175 | $0 | $14,157 | ||
| PORSCHA CAMPBELL MD | |||||||
| PHYSICIAN | 40.00 | Yes (X) | $238,899 | $0 | $4,883 | ||
| J R RICHARDS | |||||||
| CEO | 40.00 | $198,563 | $0 | $17,501 | Yes (X) | ||
| KATHRYN WILLIFORD MD | |||||||
| PEDIATRICIAN | 40.00 | Yes (X) | $169,306 | $0 | $24,799 | ||
| WESLEY WOOD | |||||||
| CFO | 40.00 | $124,938 | $0 | $6,689 | Yes (X) | ||
| MELVIN G LOWRY | |||||||
| COO (RESIGNE | 40.00 | $82,410 | $0 | $4,707 | Yes (X) | ||
| JENNIFER CLARK | |||||||
| COO | 40.00 | $73,912 | $0 | $8,229 | Yes (X) | ||
| BARBARA WASHINGTON | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRAD HOLMES | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DR SOHEIR RIZK | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| FRANCINE HOLMES-BRAWNER | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GHAZALA TURABI | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| GWENDOLYN DURNELL | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JAMES WILLIAMS JR | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JANICE BAILEY | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| KIM W GAINES | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| LARRY JENKINS | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| NANCY L ROSS | |||||||
| VICE PRESIDE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ROBERT WOODS III | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| V BOBBY WILLIAMS | |||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,734,024 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $85,465 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ACE HEALTH CONSULTANT | |||||
| 20047 BLUFF OAK BLVD | TAMPA | FL | 33647 | BILL SVC/PHARM | $1,129,066 |
| ECLINICAL WORKS LLC | |||||
| P O BOX 847950 SUITE 308 | BOSTON | MA | 022847950 | SOFTWARE SVC | $193,939 |
| RICHARD PRESNELL MD | |||||
| 2413 W 107TH DRIVE | WESTMINSTER | CO | 80234 | PHYSICIAN | $116,100 |
| QUEST DIAGNOSTICS | |||||
| P O BOX 740736 | ATLANTA | GA | 303740736 | LAB SVCS | $113,504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,056,307 | GovernmentGrantsAmt |
| All Other Contributions | $187,130 | AllOtherContributionsAmt |
| Total Contributions | $5,243,437 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PROGRAM SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $13,784,532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,784,532 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,784,532 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $828 | TotalRevenueColumnAmt |
| Exclusion | $828 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $90,408 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,777 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $33,631 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,631 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $33,631 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE/INCENTIVE REV | 621400 | $164,938 | $164,938 |
| OTHER REVENUES | 621400 | $85,712 | $85,712 |
| MEDICARE COST SETTLEMENT | 621400 | $30,188 | $30,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $280,838 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,343,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,065,370 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $33,631 | UnrelatedBusinessRevenueAmt |
| Exclusion | $828 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,085 | TotalAmt |
| Management And General | $516,085 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,769,242 | TotalAmt |
| Program Services | $6,017,305 | ProgramServicesAmt |
| Management And General | $1,751,937 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,984 | TotalAmt |
| Program Services | $85,069 | ProgramServicesAmt |
| Management And General | $25,915 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,607 | TotalAmt |
| Program Services | $544,680 | ProgramServicesAmt |
| Management And General | $165,927 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,892 | TotalAmt |
| Program Services | $423,025 | ProgramServicesAmt |
| Management And General | $128,867 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,422 | TotalAmt |
| Program Services | $24,085 | ProgramServicesAmt |
| Management And General | $7,337 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,166 | TotalAmt |
| Management And General | $206,166 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,854,175 | TotalAmt |
| Program Services | $1,845,389 | ProgramServicesAmt |
| Management And General | $8,786 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,873 | TotalAmt |
| Program Services | $93,416 | ProgramServicesAmt |
| Management And General | $28,457 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,696 | TotalAmt |
| Program Services | $165,507 | ProgramServicesAmt |
| Management And General | $126,189 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,054 | TotalAmt |
| Program Services | $268,316 | ProgramServicesAmt |
| Management And General | $81,738 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,947 | TotalAmt |
| Program Services | $222,098 | ProgramServicesAmt |
| Management And General | $90,849 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,765 | TotalAmt |
| Program Services | $68,805 | ProgramServicesAmt |
| Management And General | $20,960 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,966 | TotalAmt |
| Program Services | $83,522 | ProgramServicesAmt |
| Management And General | $25,444 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,970 | TotalAmt |
| Program Services | $46,109 | ProgramServicesAmt |
| Management And General | $18,861 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $818,676 | TotalAmt |
| Program Services | $581,014 | ProgramServicesAmt |
| Management And General | $237,662 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,685 | TotalAmt |
| Program Services | $123,165 | ProgramServicesAmt |
| Management And General | $37,520 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $4,645,229 | $4,645,229 | |
| DUES & SUBSCRIPTION | $316,406 | $242,525 | $73,881 |
| RECRUITING | $170,827 | $130,939 | $39,888 |
| REPAIRS & MAINTENANCE | $88,365 | $62,713 | $25,652 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,569 | TotalAmt |
| Program Services | $33,243 | ProgramServicesAmt |
| Management And General | $14,326 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,338,601 | TotalAmt |
| Program Services | $15,706,154 | ProgramServicesAmt |
| Management And General | $3,632,447 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,751 | BOYAmt |
| EOY | $591,949 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,505 | BOYAmt |
| EOY | $322,888 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,663 | BOYAmt |
| EOY | $861,535 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,265 | BOYAmt |
| EOY | $141,353 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,393 | BOYAmt |
| EOY | $13,274 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,425,710 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,419,294 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,514,948 | BOYAmt |
| EOY | $9,006,416 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $954,688 | BOYAmt |
| EOY | $921,088 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,618 | BOYAmt |
| EOY | $685,147 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,853,831 | BOYAmt |
| EOY | $12,543,650 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,077 | BOYAmt |
| EOY | $1,751,576 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,639,620 | BOYAmt |
| EOY | $2,943,275 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,009,697 | BOYAmt |
| EOY | $4,694,851 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,844,134 | BOYAmt |
| EOY | $7,848,799 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,844,134 | BOYAmt |
| EOY | $7,848,799 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,853,831 | BOYAmt |
| EOY | $12,543,650 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,665 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,614,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,650,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,595,036 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,068,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,243,437 | CurrentTaxYearAmt |
| Total | $19,172,391 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,614,860 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,650,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,595,036 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,068,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,243,437 | CurrentTaxYearAmt |
| Total | $19,172,391 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $19,172,391 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $560 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,131 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,349 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $828 | CurrentTaxYearAmt |
| Total | $5,925 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $23,369 | CurrentTaxYearAmt |
| Total | $23,369 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,201,685 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $47,173,441 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99970 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $495,406 | OtherCostOrOtherBasisAmt |
| Book Value | $495,406 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,200,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,701,351 | DepreciationAmt |
| Book Value | $6,499,638 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $774,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $160,581 | DepreciationAmt |
| Book Value | $613,462 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,955,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,557,362 | DepreciationAmt |
| Book Value | $1,397,910 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,006,416 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PHARMACY RECEIVABLE | $556,732 |
| GRANT RECEIVABLE | $79,788 |
| DUE FROM THIRD PARTIES | $28,804 |
| OTHER RECEIVABLES | $19,823 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $685,147 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,151,009 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,755,656 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $1,755,656 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,395,353 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$52,087 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$52,087 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,343,266 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,146,344 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,755,656 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $51,800 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,807,456 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,338,888 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$287 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$287 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,338,601 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENTS EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2019 AND 2018 OR FOR THE YEARS THEN ENDED. THE ORGANIZATIONS TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | RENTAL EXPENSES OFFSET TO REVENUES -51,800 MISCELLANEOUS EXPENSE FROM PRIOR YEAR -287 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | RENTAL EXPENSES OFFSET TO REVENUES 51,800 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | MISCELLANEOUS EXPENSE FROM PRIOR YEAR -287 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| JAMES FORD MD | ||||||
| PHYSICIAN | $289,466 | $23,500 | $2,900 | $1,600 | $317,466 | |
| HALBERT CAPUY MD | ||||||
| PHYSICIAN | $237,525 | $12,320 | $273,855 | $24,010 | ||
| JACK AUSTIN JR MD | ||||||
| PHYSICIAN | $246,764 | $6,047 | $8,110 | $273,332 | $12,411 | |
| PORSCHA CAMPBELL MD | ||||||
| PHYSICIAN | $235,497 | $3,785 | $1,098 | $243,782 | $3,402 | |
| J R RICHARDS | ||||||
| CEO | $198,563 | $9,285 | $8,216 | $216,064 | ||
| KATHRYN WILLIFORD MD | ||||||
| PEDIATRICIAN | $169,306 | $8,153 | $16,646 | $194,105 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 FOR CONTENT AND COMPLETENESS AND DISTRIBUTE COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS AND OFFICERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AN INDEPENDENT COMMITTEE REVIEWS THE STATEMENTS AND DETERMINES WHETHER OR NOT ANY CONFLICTS EXIST. SHOULD A CONFLICT RESULT FROM A POTENTIAL TRANSACTION, THE CONFLICTED INDIVIDUAL IS RECUSED FROM VOTING OR DISCUSSION OF THE TRANSACTION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION DETERMINATION FOR THE CEO IS PERFORMED, REVIEWED, AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. |