CHRIST HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CHRIST HEALTH CENTER INC (EIN 20-1935552)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-30
- IRS object ID
- 201932429349300508
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-30T08:43:46-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 630590670 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kassouf & Co PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2101 Highland Ave S Suite 300 | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352054009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201935552 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christ Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 2053809455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 First Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Rex Record | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2053809455 | PhoneNum |
| Signature | 2019-08-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William P Bach | PreparerPersonNm |
| PTIN | P01315784 | PTIN |
| Phone | 2054432500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.227.109.2 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-20 | IPDt |
| IP Tm | 08:37:56 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8ABFE07265733443A9C92DFE0FFE4C06C9C70314 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7A76D4FD7F02BF53398B1E3788AA7C27F613AF52 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Rex Record | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 First Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,457,467 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.christhealthcenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | We demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 108 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,832,505 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,001,585 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,049,412 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,300,177 | CYProgramServiceRevenueAmt |
| PY Investment Income | $967 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,878 | CYInvestmentIncomeAmt |
| PY Other Revenue | $28,858 | PYOtherRevenueAmt |
| CY Other Revenue | $145,719 | CYOtherRevenueAmt |
| PY Total Revenue | $6,911,742 | PYTotalRevenueAmt |
| CY Total Revenue | $11,452,359 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,487,589 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,627,216 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,638,457 | PYOtherExpensesAmt |
| CY Other Expenses | $3,459,465 | CYOtherExpensesAmt |
| PY Total Expenses | $6,126,046 | PYTotalExpensesAmt |
| CY Total Expenses | $9,086,681 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $785,696 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,365,678 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,370,275 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,010,649 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $579,124 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $712,454 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,791,151 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,298,195 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,047,388 | ExpenseAmt |
| Revenue | $6,479,046 | RevenueAmt |
| Desc | To provide medical and dental services to the indigent and uninsured. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $992,105 | ExpenseAmt |
| Revenue | $1,821,131 | RevenueAmt |
| Desc | To provide a pharmacy to the indigent and uninsured. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,039,493 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 108 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert R Record | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2053809455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 First Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Robert R Record MD | |||||||
| CEO/Physician | 40.00 | Yes (X) | Yes (X) | $173,462 | $0 | $7,705 | |
| Michael J Benedict | |||||||
| Chief Operating Officer | 40.00 | Yes (X) | Yes (X) | $124,000 | $0 | $14,719 | |
| Elizabeth Fourie | |||||||
| Controller & Revenue Cycle | 40.00 | Yes (X) | Yes (X) | $152,500 | $0 | $15,574 | |
| Amelia Morton Haueter CRNP | |||||||
| Clinical Director | 40.00 | Yes (X) | Yes (X) | $124,000 | $0 | $16,373 | |
| Brant McDuffie | |||||||
| Chairman | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Steve Blair | |||||||
| Vice Chair | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tracy Hipps | |||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Stephen J Rowe | |||||||
| Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Roger Ellenburg | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Shannon Riley | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Yoe | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen Thomas DMD | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Dilma Carter | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Barry Howton | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Tarana Billups | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mike Flink | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Cleon L Rogers | |||||||
| Employee | 40.00 | $175,077 | $0 | $14,636 | Yes (X) | ||
| English H Gonzalez | |||||||
| Employee | 40.00 | $168,400 | $0 | $10,238 | Yes (X) | ||
| Martha Shawn Morehead | |||||||
| Employee | 40.00 | $168,400 | $0 | $10,238 | Yes (X) | ||
| Beverly A Von Der Pool | |||||||
| Employee | 40.00 | $168,400 | $0 | $9,344 | Yes (X) | ||
| Marion H Sims | |||||||
| Employee | 40.00 | $214,714 | $0 | $17,440 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,468,953 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,267 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,109,730 | GovernmentGrantsAmt |
| All Other Contributions | $891,855 | AllOtherContributionsAmt |
| Total Contributions | $3,001,585 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medical Collections | 621110 | $5,458,096 | $5,458,096 |
| Pharmacy Collections | 541511 | $1,821,131 | $1,821,131 |
| Dental Collections | 621110 | $534,746 | $534,746 |
| Contract Revenues | 621110 | $486,204 | $486,204 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,300,177 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,027 | TotalRevenueColumnAmt |
| Exclusion | $4,027 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,959 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,108 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $851 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $851 | TotalRevenueColumnAmt |
| Exclusion | $851 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Debt Forgiveness | 900099 | $80,909 | $80,909 |
| Incentives | 900099 | $57,860 | $57,860 |
| AL College of Osteopathetic Med | 900099 | $5,750 | $5,750 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,200 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $145,719 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,452,359 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,445,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,878 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,961 | TotalAmt |
| Program Services | $235,324 | ProgramServicesAmt |
| Management And General | $338,637 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,205,533 | TotalAmt |
| Program Services | $3,936,944 | ProgramServicesAmt |
| Management And General | $268,589 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,870 | TotalAmt |
| Program Services | $413,796 | ProgramServicesAmt |
| Management And General | $79,074 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,852 | TotalAmt |
| Program Services | $287,430 | ProgramServicesAmt |
| Management And General | $67,422 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,281 | TotalAmt |
| Program Services | $115,429 | ProgramServicesAmt |
| Management And General | $65,852 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,035 | TotalAmt |
| Program Services | $71,035 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,055 | TotalAmt |
| Program Services | $76,381 | ProgramServicesAmt |
| Management And General | $78,674 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,925 | TotalAmt |
| Program Services | $71,179 | ProgramServicesAmt |
| Management And General | $3,746 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,989 | TotalAmt |
| Program Services | $368,590 | ProgramServicesAmt |
| Management And General | $19,399 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,786 | TotalAmt |
| Program Services | $54,786 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426 | TotalAmt |
| Management And General | $426 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,108 | TotalAmt |
| Program Services | $83,703 | ProgramServicesAmt |
| Management And General | $4,405 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,008 | TotalAmt |
| Program Services | $5,878 | ProgramServicesAmt |
| Management And General | $17,130 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Pharmacy expenses | $992,105 | $992,105 |
| Dental and medical supp | $401,999 | $401,999 |
| Billing | $399,524 | $399,524 |
| Bad debt expense | $184,661 | $184,661 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,563 | TotalAmt |
| Program Services | $340,729 | ProgramServicesAmt |
| Management And General | $103,834 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,086,681 | TotalAmt |
| Program Services | $8,039,493 | ProgramServicesAmt |
| Management And General | $1,047,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,358,217 | BOYAmt |
| EOY | $2,087,919 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,108 | BOYAmt |
| EOY | $4,353 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,725 | BOYAmt |
| EOY | $633,509 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,745 | BOYAmt |
| EOY | $95,415 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,320 | BOYAmt |
| EOY | $35,553 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,844,172 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $690,272 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,160 | BOYAmt |
| EOY | $2,153,900 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,370,275 | BOYAmt |
| EOY | $5,010,649 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,400 | BOYAmt |
| EOY | $671,937 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,815 | BOYAmt |
| EOY | $40,517 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,909 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,124 | BOYAmt |
| EOY | $712,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,716,151 | BOYAmt |
| EOY | $4,298,195 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,791,151 | BOYAmt |
| EOY | $4,298,195 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,370,275 | BOYAmt |
| EOY | $5,010,649 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,365,678 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$917 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $142,283 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $1,047,810 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,487,857 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,631,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,832,505 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,001,585 | CurrentTaxYearAmt |
| Total | $9,000,990 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,047,810 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,487,857 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,631,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,832,505 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,001,585 | CurrentTaxYearAmt |
| Total | $9,000,990 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,000,990 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $595 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $538 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $967 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,027 | CurrentTaxYearAmt |
| Total | $6,441 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,007,431 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $20,734,111 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99930 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $244,035 | OtherCostOrOtherBasisAmt |
| Book Value | $244,035 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $204,552 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,242 | DepreciationAmt |
| Book Value | $181,310 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,082,885 | OtherCostOrOtherBasisAmt |
| Depreciation | $667,030 | DepreciationAmt |
| Book Value | $415,855 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,312,700 | OtherCostOrOtherBasisAmt |
| Book Value | $1,312,700 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,153,900 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,893,300 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$917 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $366,858 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $75,000 | OtherRevenueAmt |
| Revenue Not Reported | $440,941 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,452,359 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,452,359 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,311,255 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $224,574 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $224,574 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,086,681 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,086,681 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Center adopted accounting standards relating to uncertainty of income tax positions. Management assessed whether there were any uncertain tax positions that may give rise to income tax liabilities and determined that there were no such matters requiring recognition in the accompanying financial statements. |
| Part XI, Line 2d - Other Adjustments: | Net assets released from restrictions 75,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert R Record MD | ||||||||||||||
| CEO/Physician | $173,462 | $0 | $0 | $0 | $0 | $0 | $7,705 | $0 | $0 | $0 | $181,167 | $0 | $0 | $0 |
| Elizabeth Fourie | ||||||||||||||
| Controller & Revenue Cycle | $152,500 | $0 | $0 | $0 | $0 | $0 | $4,575 | $0 | $10,999 | $0 | $168,074 | $0 | $0 | $0 |
| Cleon L Rogers | ||||||||||||||
| Employee | $175,077 | $0 | $0 | $0 | $0 | $0 | $3,637 | $0 | $10,999 | $0 | $189,713 | $0 | $0 | $0 |
| English H Gonzalez | ||||||||||||||
| Employee | $168,400 | $0 | $0 | $0 | $0 | $0 | $5,052 | $0 | $5,186 | $0 | $178,638 | $0 | $0 | $0 |
| Martha Shawn Morehead | ||||||||||||||
| Employee | $168,400 | $0 | $0 | $0 | $0 | $0 | $5,052 | $0 | $5,186 | $0 | $178,638 | $0 | $0 | $0 |
| Beverly A Von Der Pool | ||||||||||||||
| Employee | $168,400 | $0 | $0 | $0 | $0 | $0 | $9,344 | $0 | $0 | $0 | $177,744 | $0 | $0 | $0 |
| Marion H Sims | ||||||||||||||
| Employee | $214,714 | $0 | $0 | $0 | $0 | $0 | $6,441 | $0 | $10,999 | $0 | $232,154 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | A final draft of the tax return will be circulated to the Board of Directors for its review and recommendation to the full board. |
| Form 990, Part VI, Section B, line 12c | An annual review is conducted of the board members' professional relationships and results are reported to the Chair and Secretary. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are available to the public on site with a three day advance notice. |
| Form 990, Part VII, Section A | Compensation for Dr. Robert Record includes his services as physician and as CEO of the Center. |
| Form 990, Part XII, Line 2c: | There have been no changes to the Organization's oversight or selection process during the tax year. |