STRATEGY STUDIO / PUBLIC DATA EXPLORER

CAROLINA FAMILY SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
CAROLINA FAMILY SERVICES INC (EIN 20-5647348)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201803179349307210
Schema version
2017v2.3
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)
Return2018-11-13T17:14:59-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS R LARSON CPAPreparerPersonNm
PTINP00820369PTIN
Phone8642334163PhoneNum
Preparation2018-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm16:14:59IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id707C1617CD59749002751B9FCFB10D24BCFE7340AtSubmissionCreationDeviceId
At Submission Filing Device IdCC70CB69349788BAE73736E6F3617F7207F5C4F9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$1,018,510GrossReceiptsAmt
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 Employee9TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,233,198PYProgramServiceRevenueAmt
CY Program Service Revenue$1,018,321CYProgramServiceRevenueAmt
PY Investment Income$524PYInvestmentIncomeAmt
CY Investment Income$189CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,233,722PYTotalRevenueAmt
CY Total Revenue$1,018,510CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$494,588PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$474,286CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$821,654PYOtherExpensesAmt
CY Other Expenses$600,916CYOtherExpensesAmt
PY Total Expenses$1,316,242PYTotalExpensesAmt
CY Total Expenses$1,075,202CYTotalExpensesAmt
PY Revenues Less Expenses-$82,520PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,692CYRevenuesLessExpensesAmt
Total Assets BOY$402,525TotalAssetsBOYAmt
Total Assets EOY$335,507TotalAssetsEOYAmt
Total Liabilities BOY$158,216TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,890TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$244,309NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$187,617NetAssetsOrFundBalancesEOYAmt
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$967,146ExpenseAmt
Revenue$1,018,321RevenueAmt
DescCAROLINA FAMILY SERVICES, INC. HAS WORKED WITH OVER 2,300 FAMILIES SINCE ITS INCEPTION IN 2006 AND HAS AN OVER 90% 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. "PROJECT CONNECT" IS A FEDERALLY FUNDED GRANT PROGRAM DEVELOPED TO PROVIDE COMMUNITY BASED ALTERNATIVES TO SECURE DETENTION.Desc
Total Program Service Expenses$967,146TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document65IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9EmployeeCnt
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
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)$110,500$0$0
BRADLEY COX
CFO / TREASUYes (X)$0$0$0
LAURA HARMON
DIRECTORYes (X)$0$0$0
BRYON CULBERTSON
DIRECTORYes (X)$0$0$0
ANGELA RODRIGUIZ
DIRECTORYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$110,500TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Total Revenue Column$1,018,321TotalRevenueColumnAmt
Related Or Exempt Func Income$1,018,321RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,018,321TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$189TotalRevenueColumnAmt
Exclusion$189ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,018,510TotalRevenueColumnAmt
Related Or Exempt Func Income$1,018,321RelatedOrExemptFuncIncomeAmt
Exclusion$189ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$110,500TotalAmt
Program Services$110,500ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$276,627TotalAmt
Program Services$276,627ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,638TotalAmt
Program Services$58,638ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,521TotalAmt
Program Services$28,521ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Program Services$750ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,270TotalAmt
Management And General$1,270ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$483,112TotalAmt
Program Services$388,981ProgramServicesAmt
Management And General$94,131ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,789TotalAmt
Management And General$5,789ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,866TotalAmt
Management And General$6,866ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,225TotalAmt
Program Services$4,225ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,074TotalAmt
Program Services$35,074ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,000TotalAmt
Program Services$11,000ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,344TotalAmt
Program Services$1,344ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,656TotalAmt
Program Services$8,656ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,369TotalAmt
Program Services$24,369ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,461TotalAmt
Program Services$18,461ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,075,202TotalAmt
Program Services$967,146ProgramServicesAmt
Management And General$108,056ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$87,978BOYAmt
EOY$42,530EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$32,583BOYAmt
EOY$13,603EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$362,165LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$82,791LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$281,964BOYAmt
EOY$279,374EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$402,525BOYAmt
EOY$335,507EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,216BOYAmt
EOY$147,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,216BOYAmt
EOY$147,890EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$244,309BOYAmt
EOY$187,617EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$244,309BOYAmt
EOY$187,617EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$402,525BOYAmt
EOY$335,507EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$56,692ReconcilationRevenueExpnssAmt
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$1,135,096CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,253,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,462,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,233,198CurrentTaxYearMinus1YearAmt
Current Tax Year$1,018,321CurrentTaxYearAmt
Total$6,102,924TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,135,096CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,253,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,462,611CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,233,198CurrentTaxYearMinus1YearAmt
Current Tax Year$1,018,321CurrentTaxYearAmt
Total$6,102,924TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$6,102,924PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$466CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524CurrentTaxYearMinus1YearAmt
Current Tax Year$189CurrentTaxYearAmt
Total$1,583TotalAmt
FieldValueIRS element (for citing)
Total Support$6,104,507TotalSupportAmt
Gross Receipts Rltd Activities$1,018,321GrossReceiptsRltdActivitiesAmt
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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$328,165OtherCostOrOtherBasisAmt
Depreciation$82,791DepreciationAmt
Book Value$245,374BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$279,374TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSOUTH STATE BANK - MORTGAGEDesc
Amt$147,890Amt
FieldValueIRS element (for citing)
Total Liability$147,890TotalLiabilityAmt

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 11GCLIENT RELATED 8,225 0 0 CONTRACT LABOR-ADMIN STAFF 0 94,131 0 CONTRACT LABOR-CLINICAL STAFF 311,311 0 0 CONTRACT LABOR-MEDICAL STAFF 25,000 0 0 CONTRACT RELATED EXPENSES 37,571 0 0 LICENSE & PERMITS 5,060 0 0 EQUIPMENT RENTAL 456 0 0 MISCELLANEOUS 858 0 0 PROFESSIONAL FEES - OTHER 500 0 0 TOTAL 388,981 94,131 0