STRATEGY STUDIO / PUBLIC DATA EXPLORER

CAROLINA FAMILY SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CAROLINA FAMILY SERVICES INC (EIN 20-5647348)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-16
IRS object ID
202031689349301613
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

FieldValueIRS element (for citing)
Return2020-06-16T16:21:39-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264049405PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RENITA M OWENS CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11441 AUGUSTA STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29605ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205647348EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLINA FAMILY SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAROBusinessNameControlTxt
Phone8642830637PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ANDERSON STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29607ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER BROOKS PHD LPCSPersonNm
Person TitleCEO / PRESIDENTPersonTitleTxt
Phone8642830637PhoneNum
Signature2020-05-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRENITA M OWENS CPA PFSPreparerPersonNm
PTINP00140237PTIN
Phone8642334163PhoneNum
Preparation2020-05-18PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.38.98.93IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-16IPDt
IP Tm16:21:39IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0DDFDAAAD42D4F656B0C366B3C4395D5A6974BE7AtSubmissionCreationDeviceId
At Submission Filing Device Id584ADF1DB37665F879C2B895849F6403D9DB00E5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJENNIFER BROOKS PHD LPCSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ANDERSON STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$755,152GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAROLINAFAMILY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHE MISSION OF CAROLINA FAMILY SERVICES, INC. IS TO PROVIDE IN-HOME PRESERVATION SERVICES TO CHILDREN AND THEIR FAMILIES DESIGNED TO PREVENT UNNECESSARY OUT-OF-HOME PLACEMENT AND TO PROMOTE FAMILY REUNIFICATION.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$777,127PYProgramServiceRevenueAmt
CY Program Service Revenue$755,035CYProgramServiceRevenueAmt
PY Investment Income$146PYInvestmentIncomeAmt
CY Investment Income$117CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$777,273PYTotalRevenueAmt
CY Total Revenue$755,152CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$329,940PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$179,014CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,939CYTotalFundraisingExpenseAmt
PY Other Expenses$463,963PYOtherExpensesAmt
CY Other Expenses$570,157CYOtherExpensesAmt
PY Total Expenses$793,903PYTotalExpensesAmt
CY Total Expenses$749,171CYTotalExpensesAmt
PY Revenues Less Expenses-$16,630PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,981CYRevenuesLessExpensesAmt
Total Assets BOY$315,244TotalAssetsBOYAmt
Total Assets EOY$308,304TotalAssetsEOYAmt
Total Liabilities BOY$185,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$172,687TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$129,636NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$135,617NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF CAROLINA FAMILY SERVICES, INC. IS TO PROVIDE IN-HOME PRESERVATION SERVICES TO CHILDREN AND THEIR FAMILIES DESIGNED TO PREVENT UNNECESSARY OUT-OF-HOME PLACEMENT AND TO PROMOTE FAMILY REUNIFICATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$689,402ExpenseAmt
Revenue$755,035RevenueAmt
DescCAROLINA FAMILY SERVICES, INC. HAS WORKED WITH OVER 3,000 FAMILIES SINCE ITS INCEPTION IN 2006 AND HAS AN OVER 93% SUCCESS RATE IN KEEPING FAMILIES TOGETHER, UTILIZING THE FOLLOWING PROGRAMS. THE INTENSIVE FAMILY SERVICES (IFS) PROGRAM IS SPECIFICALLY DESIGNED FOR FAMILIES IN CRISIS WHOSE CHILDREN ARE AT RISK OF OUT-OF-HOME PLACEMENT. THE IFS PROGRAM COVERS FAMILIES IN 10 SOUTH CAROLINA COUNTIES.Desc
Total Program Service Expenses$689,402TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJENNIFER BROOKS PHD LPCSPersonNm
Phone8642830637PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ANDERSON STREETAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29607ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JENNIFER BROOKS PHD LPCS
CEO / PRESID40.00Yes (X)$57,375$0$0
BRADLEY COX
CFO / TREASUYes (X)$0$0$0
BRYON CULBERTSON
DIRECTORYes (X)$0$0$0
LAURA HARMON
DIRECTORYes (X)$0$0$0
ANGELA RODRIGUIZ
DIRECTORYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$57,375TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

Total Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtDescDesc
$750,535$750,535
$4,500$4,500MISCELLANOUS INCOME
FieldValueIRS element (for citing)
Total Program Service Revenue$755,035TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$117TotalRevenueColumnAmt
Exclusion$117ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$755,152TotalRevenueColumnAmt
Related Or Exempt Func Income$755,035RelatedOrExemptFuncIncomeAmt
Exclusion$117ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$57,375TotalAmt
Program Services$57,375ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$98,723TotalAmt
Program Services$98,723ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,431TotalAmt
Program Services$4,431ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,351TotalAmt
Program Services$5,351ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,134TotalAmt
Program Services$13,134ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,375TotalAmt
Management And General$1,375ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$489,468TotalAmt
Program Services$434,594ProgramServicesAmt
Management And General$54,874ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,939TotalAmt
Fundraising$1,939FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,581TotalAmt
Program Services$1,000ProgramServicesAmt
Management And General$1,581ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$39,516TotalAmt
Program Services$39,516ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Program Services$2,500ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,116TotalAmt
Program Services$9,116ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,906TotalAmt
Program Services$10,906ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,756TotalAmt
Program Services$7,756ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$749,171TotalAmt
Program Services$689,402ProgramServicesAmt
Management And General$57,830ManagementAndGeneralAmt
Fundraising$1,939FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,621BOYAmt
EOY$51,560EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,742BOYAmt
EOY$1,769EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$362,165LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$107,190LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$265,881BOYAmt
EOY$254,975EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$315,244BOYAmt
EOY$308,304EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$185,608BOYAmt
EOY$172,687EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$185,608BOYAmt
EOY$172,687EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$129,636BOYAmt
EOY$135,617EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$129,636BOYAmt
EOY$135,617EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$315,244BOYAmt
EOY$308,304EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,981ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,462,611CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,233,198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,018,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$777,127CurrentTaxYearMinus1YearAmt
Current Tax Year$653,535CurrentTaxYearAmt
Total$5,144,792TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,462,611CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,233,198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,018,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$777,127CurrentTaxYearMinus1YearAmt
Current Tax Year$653,535CurrentTaxYearAmt
Total$5,144,792TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,144,792PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$189CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$146CurrentTaxYearMinus1YearAmt
Current Tax Year$117CurrentTaxYearAmt
Total$1,442TotalAmt
FieldValueIRS element (for citing)
Total Support$5,146,234TotalSupportAmt
Gross Receipts Rltd Activities$2,548,983GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,000OtherCostOrOtherBasisAmt
Book Value$34,000BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,101OtherCostOrOtherBasisAmt
Depreciation$48,382DepreciationAmt
Book Value-$21,281BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$273,962OtherCostOrOtherBasisAmt
Depreciation$58,808DepreciationAmt
Book Value$215,154BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$227,873TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSOUTH STATE BANK - MORTGAGEDesc
Amt$172,687Amt
FieldValueIRS element (for citing)
Total Liability$172,687TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BA COPY THIS RETURN WAS REVIEWED BY THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR EXECUTIVE DIRECTOR AND KEY EMPLOYEES ARE SUBJECT TO REVIEW AND APPROVAL PROCESS ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR-ADMIN STAFF 0 54,874 0 CONTRACT LABOR-CLINICAL STAFF 201,124 0 0 CONTRACT LABOR-MEDICAL STAFF 189,246 0 0 CONTRACT LABOR & RELATED EXP 31,051 0 0 LICENSE & PERMITS 196 0 0 EQUIPMENT RENTAL 1,369 0 0 PROFESSIONAL FEES - OTHER 2,538 0 0 PRINTING & REPRODUCTION 7,570 0 0 CONFERENCE FEES 1,500 0 0 TOTAL 434,594 54,874 0