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COMMUNITY CARE CLINIC OF ROWAN COUNTY INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE CLINIC OF ROWAN COUNTY INC (EIN 56-1964773)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-11
IRS object ID
201823159349300302
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)
Return2018-11-11T16:31:11-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201842362PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1J ALAN RUTHERFORD CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 N MAIN ST STE 302AddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28144ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561964773EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CLINIC OF ROWANBusinessNameLine1Txt
Business Name Line2COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7046364523PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 MOCKSVILLE AVENUE SUITE GAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP281443346ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTA WOOLLYPersonNm
Person TitleEXEC DIRECTORPersonTitleTxt
Phone7046364523PhoneNum
Signature2018-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ ALAN RUTHERFORD CPAPreparerPersonNm
PTINP00206851PTIN
Phone7046334060PhoneNum
Preparation2018-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address8.25.238.242IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-11IPDt
IP Tm15:31:11IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id22D4825B2634327CE0692DD5589746D5BDF38359AtSubmissionCreationDeviceId
At Submission Filing Device Id636581E94D2AFAA69F95147B1319275B57101DE7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTA WOOLLYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 MOCKSVILLE AVENUE SUITE GAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28144ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,298,514GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers122TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,712,840PYContributionsGrantsAmt
CY Contributions Grants$5,079,459CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$62,700CYInvestmentIncomeAmt
PY Other Revenue$153,682PYOtherRevenueAmt
CY Other Revenue$156,355CYOtherRevenueAmt
PY Total Revenue$3,866,522PYTotalRevenueAmt
CY Total Revenue$5,298,514CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$377,295PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$347,111CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,283CYTotalFundraisingExpenseAmt
PY Other Expenses$3,521,480PYOtherExpensesAmt
CY Other Expenses$3,612,159CYOtherExpensesAmt
PY Total Expenses$3,898,775PYTotalExpensesAmt
CY Total Expenses$3,959,270CYTotalExpensesAmt
PY Revenues Less Expenses-$32,253PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,339,244CYRevenuesLessExpensesAmt
Total Assets BOY$1,666,913TotalAssetsBOYAmt
Total Assets EOY$3,061,833TotalAssetsEOYAmt
Total Liabilities BOY$29,933TotalLiabilitiesBOYAmt
Total Liabilities EOY$85,609TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,636,980NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,976,224NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,697,487ExpenseAmt
DescMEDICAL, DENTAL AND PHARMACEUTICAL CARE TO ROWAN COUNTY'S MEDICALLY INDIGENT USING PAID AND VOLUNTEER PROFESSIONALS.Desc
Total Program Service Expenses$3,697,487TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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 ContriYes (true)DeductibleNonCashContriInd
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 RequiredfalseScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CLINICBusinessNameLine1Txt
Business Name Line2OF ROWAN COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Phone7046364523PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315-G MOCKSVILLE AVEAddressLine1Txt
CitySALISBURYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28144ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JENNIFER FLYNN
CO-CHAIR10.00Yes (X)Yes (X)$0$0$0
FRANK EASON DDS
CO-CHAIR10.00Yes (X)Yes (X)$0$0$0
CAROL HERNDON
TREASURER10.00Yes (X)Yes (X)$0$0$0
JAYNE HELMS
SECRETARY10.00Yes (X)Yes (X)$0$0$0
DECARLO DULING
DIRECTOR10.00Yes (X)$0$0$0
MIKE FULLER
DIRECTOR10.00Yes (X)$0$0$0
NICKALAUS GOODMAN
DIRECTOR10.00Yes (X)$0$0$0
DONOVAN HAMM
DIRECTOR10.00Yes (X)$0$0$0
BARBARA PERRY
DIRECTOR10.00Yes (X)$0$0$0
RACHEL ROSS MD
DIRECTOR10.00Yes (X)$0$0$0
REV CHRIS SHELTON
DIRECTOR10.00Yes (X)$0$0$0
KIMBERLY STEVENS
DIRECTOR10.00Yes (X)$0$0$0
KRISTA WOOLLY
EXEC DIRECTO40.00Yes (X)$69,528$0$2,150
FieldValueIRS element (for citing)
Total Reportable Comp From Org$69,528TotalReportableCompFromOrgAmt
Total Other Compensation$2,150TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$5,079,459AllOtherContributionsAmt
Noncash Contributions$4,397,698NoncashContributionsAmt
Total Contributions$5,079,459TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,700TotalRevenueColumnAmt
Related Or Exempt Func Income$62,700RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$153,184FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,184TotalRevenueColumnAmt
Exclusion$153,184ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC INCOMEDesc
Total Revenue Column$3,171TotalRevenueColumnAmt
Exclusion$3,171ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,171OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,298,514TotalRevenueColumnAmt
Related Or Exempt Func Income$62,700RelatedOrExemptFuncIncomeAmt
Exclusion$156,355ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$69,528TotalAmt
Program Services$10,429ProgramServicesAmt
Management And General$59,099ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$252,863TotalAmt
Program Services$148,316ProgramServicesAmt
Management And General$104,547ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,720TotalAmt
Program Services$12,209ProgramServicesAmt
Management And General$12,511ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,210TotalAmt
Management And General$14,210ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,062TotalAmt
Program Services$18,098ProgramServicesAmt
Management And General$10,964ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,816TotalAmt
Program Services$438ProgramServicesAmt
Management And General$2,378ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,395TotalAmt
Program Services$3,194ProgramServicesAmt
Management And General$6,201ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,405TotalAmt
Management And General$9,405ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$3,314,488$3,314,488
CONTRACT LABOR$140,237$140,237
DENTAL SUPPLIES$28,119$28,119
OTHER GRANT EXPENSES$18,081$18,081

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$46,346TotalAmt
Program Services$3,878ProgramServicesAmt
Management And General$34,185ManagementAndGeneralAmt
Fundraising$8,283FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,959,270TotalAmt
Program Services$3,697,487ProgramServicesAmt
Management And General$253,500ManagementAndGeneralAmt
Fundraising$8,283FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$172,590BOYAmt
EOY$293,087EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,264BOYAmt
EOY$2,575EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,023,915BOYAmt
EOY$2,123,719EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$200,759LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$132,792LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,552BOYAmt
EOY$67,967EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$442,592BOYAmt
EOY$574,485EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,666,913BOYAmt
EOY$3,061,833EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,933BOYAmt
EOY$85,609EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,933BOYAmt
EOY$85,609EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,636,980BOYAmt
EOY$2,976,224EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,636,980BOYAmt
EOY$2,976,224EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,666,913BOYAmt
EOY$3,061,833EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,339,244ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$3,256,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,476,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,930,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,712,840CurrentTaxYearMinus1YearAmt
Current Tax Year$5,079,459CurrentTaxYearAmt
Total$19,456,007TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,256,950CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,476,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,930,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,712,840CurrentTaxYearMinus1YearAmt
Current Tax Year$5,079,459CurrentTaxYearAmt
Total$19,456,007TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$19,456,007PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,675CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,682CurrentTaxYearMinus1YearAmt
Current Tax Year$156,355CurrentTaxYearAmt
Total$837,263TotalAmt
FieldValueIRS element (for citing)
Total Support$20,293,270TotalSupportAmt
Gross Receipts Rltd Activities$62,700GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95870PublicSupportCY170Pct
Public Support PY1700.95690PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 680,908ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,030OtherCostOrOtherBasisAmt
Depreciation$4,030DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$196,729OtherCostOrOtherBasisAmt
Depreciation$128,762DepreciationAmt
Book Value$67,967BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$67,967TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$5,622,822TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$324,308DonatedServicesAndUseFcltsAmt
Revenue Not Reported$324,308RevenueNotReportedAmt
Revenue Subtotal$5,298,514RevenueSubtotalAmt
Total Revenue Per Form990$5,298,514TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,283,578TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$324,308DonatedServicesUseFcltsAmt
Expenses Not Reported$324,308ExpensesNotReportedAmt
Expenses Subtotal$3,959,270ExpensesSubtotalAmt
Total Expenses Per Form990$3,959,270TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GUARDIAN ANGELEvent1Nm
Gross Receipts Event1$76,036GrossReceiptsEvent1Amt
Gross Revenue Event1$76,036GrossRevenueEvent1Amt
Event2ANNUAL APPEALEvent2Nm
Gross Receipts Event2$44,748GrossReceiptsEvent2Amt
Gross Revenue Event2$44,748GrossRevenueEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$32,400GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$32,400GrossRevenueOtherEventsAmt
Gross Receipts Total$153,184GrossReceiptsTotalAmt
Gross Revenue Total Events$153,184GrossRevenueTotalEventsAmt
Net Income Summary$153,184NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$4,397,698NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVERAGE WHOLESALE COSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 AND ATTACHMENTS ARE REVIEWED FOR COMPLETENESS AND ACCURACY BY THE FINANCE COMMITTEE, THE EXECUTIVE DIRECTOR AND THE BUSINESS MANAGER, AND THEN REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CACCOMPLISHED ON A DAILY BASIS BY HANDS-ON EXECUTIVE DIRECTOR, AN ACTIVE BOARD OF DIRECTORS, AND AN EMPLOYEE HANDBOOK WHICH PROVIDES A CLEAR CHAIN OF COMMAND. THE ORGANIZATION HAS A WRITTEN CONFLICTS OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ASALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED PERIODICALLY BY THE FINANCE COMMITTEE, MEMBERS OF WHOM ARE INDEPENDENT OF THE EXECUTIVE DIRECTOR, USING COMPARATIVE LOCAL AND REGIONAL COMPENSATION DATA AVAIALBLE TO THEM. DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN COMMITTEE MINUTES. THE EXECUTIVE DIRECTOR IS NOT INVOLVED IN THE DISCUSSIONS.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC