STRATEGY STUDIO / PUBLIC DATA EXPLORER

HENDERSON COUNTY RURAL HEALTH CENTER INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HENDERSON COUNTY RURAL HEALTH CENTER INC (EIN 37-1067171)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349305312
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)
Return2018-11-13T14:06:00-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13200 ROBBINS RD SUITE 200AAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62704ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371067171EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HENDERSON COUNTY RURAL HEALTH CENTERBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHENDBusinessNameControlTxt
Phone3098672734PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 198AddressLine1Txt
CityOQUAWKACityNm
State AbbreviationILStateAbbreviationCd
ZIP61469ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORI SUTTONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3098672734PhoneNum
Signature2018-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSHUA D SHUGARTPreparerPersonNm
PTINP01420935PTIN
Phone2177890960PhoneNum
Preparation2018-11-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.234.166.214IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-02IPDt
IP Tm10:07:20IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCA961DDE82B15C3569F075923A2E1609B69D1984AtSubmissionCreationDeviceId
At Submission Filing Device Id15D4ADADE49C73580992230F27E9D63A9C219437AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1EAGLEVIEW COMMUNITY HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLORI SUTTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 198AddressLine1Txt
CityOQUAWKACityNm
State AbbreviationILStateAbbreviationCd
ZIP61469ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,354,768GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EAGLEVIEWHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL AND DENTAL CARE TO UNDER AND UNINSURED PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee56TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,311,827PYContributionsGrantsAmt
CY Contributions Grants$1,529,804CYContributionsGrantsAmt
PY Program Service Revenue$1,522,215PYProgramServiceRevenueAmt
CY Program Service Revenue$1,805,817CYProgramServiceRevenueAmt
PY Investment Income$13,549PYInvestmentIncomeAmt
CY Investment Income$845CYInvestmentIncomeAmt
PY Other Revenue$65,858PYOtherRevenueAmt
CY Other Revenue$18,302CYOtherRevenueAmt
PY Total Revenue$2,913,449PYTotalRevenueAmt
CY Total Revenue$3,354,768CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,992,863PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,175,667CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,121,003PYOtherExpensesAmt
CY Other Expenses$1,156,362CYOtherExpensesAmt
PY Total Expenses$3,113,866PYTotalExpensesAmt
CY Total Expenses$3,332,029CYTotalExpensesAmt
PY Revenues Less Expenses-$200,417PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,739CYRevenuesLessExpensesAmt
Total Assets BOY$2,018,516TotalAssetsBOYAmt
Total Assets EOY$1,977,939TotalAssetsEOYAmt
Total Liabilities BOY$681,578TotalLiabilitiesBOYAmt
Total Liabilities EOY$618,262TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,336,938NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,359,677NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION IS COMMITTED TO: PROVIDE ACCESS TO QUALITY, COST-EFFECTIVE HEALTH AND ORAL (DENTAL) CARE TO THE COMMUNITY, ESPECIALLY WHERE THERE IS A SHORTAGE; THE DEVELOPMENT AND IMPLEMENTATION OF PROGRAMS WITHOUT REGARD TO AGE, RACE, NATIONALITY, GENDER, SEXUAL ORIENTATION, RELIGION, POLITICAL BELIEFS OR ABILITY TO PAY; THE BELIEF THAT ALL PEOPLE HAVE THE RIGHT TO QUALITY HEALTH CARE AND THAT SUCH ACCESS WILL IMPROVE THE HEALTH OF THE ENTIRE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,984,282ExpenseAmt
Revenue$1,741,401RevenueAmt
DescFEDERALLY QUALIFIED HEALTH CENTER TO PROVIDE MEDICAL AND DENTAL CARE TO UNDER AND UNINSURED PATIENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$27,003ExpenseAmt
Revenue$82,718RevenueAmt
DescTO PROVIDE PRESCRIPTIONS TO PATIENTS OF THE HEALTH CENTER.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,011,285TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee56EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVE ADCOCK CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3098672734PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 198AddressLine1Txt
CityOQUAWKACityNm
State AbbreviationILStateAbbreviationCd
ZIP61469ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANGIE HILL
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KAREN COLE
VICE-PRESIDENT2.00Yes (X)Yes (X)$0$0$0
JILL COLLEY
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ANGELA MYERS
TREASURER2.00Yes (X)Yes (X)$0$0$0
BRIAN STERETT
DIRECTOR1.00Yes (X)$0$0$0
SUSAN CAMPBELL
DIRECTOR1.00Yes (X)$0$0$0
RAY CAVANAUGH
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH SANNING
DIRECTOR1.00Yes (X)$0$0$0
NANCY HULL
DIRECTOR1.00Yes (X)$0$0$0
LORI SUTTON
EXECUTIVE DIRECTOR40.00Yes (X)$86,007$0$1,305
RICHARD MELKE
CFO40.00Yes (X)$67,670$0$1,019
CRYSTAL SIMPSON
DENTIST40.00$143,387$0$2,285Yes (X)
JENNIFER REED
PHYSICIAN40.00$224,721$0$3,375Yes (X)
KRISTA KUKARANS
DENTIST40.00$115,323$0$2,223Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$637,108TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,207TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BARTON ASSOCIATESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 JUBILEE DRIVEAddressLine1Txt
CityPEABODYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01960ZIPCd
FieldValueIRS element (for citing)
ServicesLOCUM TENENServicesDesc
Compensation$161,283CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,462,837GovernmentGrantsAmt
All Other Contributions$66,967AllOtherContributionsAmt
Total Contributions$1,529,804TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT MEDICAL & DENT624110$1,723,099$1,723,099
PHARMACEUTICAL SALES624110$82,718$82,718
FieldValueIRS element (for citing)
Total Program Service Revenue$1,805,817TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$845TotalRevenueColumnAmt
Exclusion$845ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$16,029RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,029RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,029TotalRevenueColumnAmt
Related Or Exempt Func Income$16,029RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business624410BusinessCd
Total Revenue Column$2,273TotalRevenueColumnAmt
Related Or Exempt Func Income$2,273RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,273OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,354,768TotalRevenueColumnAmt
Related Or Exempt Func Income$1,824,119RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$845ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$157,742TotalAmt
Program Services$151,057ProgramServicesAmt
Management And General$6,685ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,781,371TotalAmt
Program Services$1,769,174ProgramServicesAmt
Management And General$12,197ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$82,168TotalAmt
Program Services$47,257ProgramServicesAmt
Management And General$34,911ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$154,386TotalAmt
Program Services$140,524ProgramServicesAmt
Management And General$13,862ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,648TotalAmt
Program Services$5,000ProgramServicesAmt
Management And General$3,648ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,368TotalAmt
Program Services$18,412ProgramServicesAmt
Management And General$35,956ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,452TotalAmt
Program Services$59,276ProgramServicesAmt
Management And General$9,176ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,181TotalAmt
Program Services$10,594ProgramServicesAmt
Management And General$20,587ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,348TotalAmt
Program Services$31,060ProgramServicesAmt
Management And General$288ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,083TotalAmt
Program Services$12,349ProgramServicesAmt
Management And General$2,734ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,956TotalAmt
Management And General$17,956ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$100,102TotalAmt
Program Services$100,102ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,700TotalAmt
Program Services$4,884ProgramServicesAmt
Management And General$34,816ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTUAL SERVICES$434,966$379,997$54,969
MEDICAL & PHARMACY SUPP$177,423$177,423
REPAIRS & MAINTENANCE$42,631$22,800$19,831
TELEPHONE$42,314$18,634$23,680

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$92,190TotalAmt
Program Services$62,742ProgramServicesAmt
Management And General$29,448ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,332,029TotalAmt
Program Services$3,011,285ProgramServicesAmt
Management And General$320,744ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$80,732BOYAmt
EOY$68,594EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$35,899EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$191,576BOYAmt
EOY$179,401EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,594BOYAmt
EOY$10,833EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,619,421LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,936,209LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,734,614BOYAmt
EOY$1,683,212EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,018,516BOYAmt
EOY$1,977,939EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$404,145BOYAmt
EOY$240,855EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$8,333BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$269,100BOYAmt
EOY$377,407EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$681,578BOYAmt
EOY$618,262EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,325,409BOYAmt
EOY$1,345,927EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,529BOYAmt
EOY$13,750EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,336,938BOYAmt
EOY$1,359,677EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,018,516BOYAmt
EOY$1,977,939EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$22,739ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$913,271CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$898,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,016,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,311,827CurrentTaxYearMinus1YearAmt
Current Tax Year$1,529,804CurrentTaxYearAmt
Total$5,669,218TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$913,271CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$898,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,016,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,311,827CurrentTaxYearMinus1YearAmt
Current Tax Year$1,529,804CurrentTaxYearAmt
Total$5,669,218TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,669,218PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,347CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,529CurrentTaxYearMinus1YearAmt
Current Tax Year$16,874CurrentTaxYearAmt
Total$146,742TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,465CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,663CurrentTaxYearMinus1YearAmt
Current Tax Year$2,273CurrentTaxYearAmt
Total$39,723TotalAmt
FieldValueIRS element (for citing)
Total Support$5,855,683TotalSupportAmt
Gross Receipts Rltd Activities$8,918,909GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96820PublicSupportCY170Pct
Public Support PY1700.96350PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,630OtherCostOrOtherBasisAmt
Book Value$2,630BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,567,079OtherCostOrOtherBasisAmt
Depreciation$1,073,433DepreciationAmt
Book Value$1,493,646BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,049,712OtherCostOrOtherBasisAmt
Depreciation$862,776DepreciationAmt
Book Value$186,936BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,683,212TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,354,768TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,354,768RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,354,768TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,332,029TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,332,029ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,332,029TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS RECOGNIZED IN THE FINANCIAL STATEMENTS THE EFFECTS OF ALL TAX POSITIONS AND CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION IS NOT AWARE OF ANY CIRCUMSTANCES OR EVENTS THAT MAKE IT REASONABLY POSSIBLE THAT UNRECOGNIZED TAX BENEFITS MAY INCREASE OR DECREASE WITHIN 12 MONTHS OF THE STATEMENT OF FINANCIAL POSITION DATE. PENALTIES AND INTEREST ASSESSED BY TAXING AUTHORITIES ARE INCLUDED IN THE PROVISION FOR INCOME TAXES, IF APPLICABLE. THERE WERE NO INTEREST OR PENALTIES PAID DURING 2017.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJENNIFER REEDPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$224,721BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,375DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$228,096TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BELECTRONIC FILE OF FORM 990 SENT TO CFO. CFO FORWARDS FILE ON TO BOARD MEMBERS FOR THEIR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12CANNUAL REVIEW OF POLICY AT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15TO DETERMINE TOP MANAGEMENT SALARY, THE NACHC SALARY SURVEY IS ANALYZED AND THE BOARD OF DIRECTORS VOTES ON THE CONTRACTED SALARY AMOUNT.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.