DAVID RAINES COMMUNITY HEALTH CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DAVID RAINES COMMUNITY HEALTH CENTER INC (EIN 58-2000630)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349309238
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T13:44:50-07:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brown Ewing & Co PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Highland Park Cove | AddressLine1Txt |
| City | Ridgeland | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39157 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 582000630 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David Raines Community Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 3182273350 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIE C WHITE | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 3182273350 | PhoneNum |
| Signature | 2018-04-17 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT A SULTON | PreparerPersonNm |
| Phone | 6013535423 | PhoneNum |
| Preparation | 2018-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIE C WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Dr Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,532,247 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | To provide accessible, affordable, comprehensive and and quality health care services to the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 186 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,209,677 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,162,018 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,699,256 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,071,410 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,369 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,155 | CYInvestmentIncomeAmt |
| PY Other Revenue | $489,157 | PYOtherRevenueAmt |
| CY Other Revenue | $290,664 | CYOtherRevenueAmt |
| PY Total Revenue | $10,400,459 | PYTotalRevenueAmt |
| CY Total Revenue | $11,532,247 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,802,770 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,860,672 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,089 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,465,722 | PYOtherExpensesAmt |
| CY Other Expenses | $3,278,149 | CYOtherExpensesAmt |
| PY Total Expenses | $11,268,492 | PYTotalExpensesAmt |
| CY Total Expenses | $11,138,821 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$868,033 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $393,426 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,869,249 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,084,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,952,870 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,774,215 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,916,379 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,309,805 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide accessible, affordable, comprehensive and | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,559,283 | ExpenseAmt |
| Revenue | $7,071,410 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED PRIMARY HEALTH CARE TO A MOSTLY INDIGENT POPULATION IN THE SHREVEPORT, LA AREA. | Desc |
| Total Program Service Expenses | $6,559,283 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 186 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | LA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MR WILLIE C WHITE | PersonNm |
| Phone | 3184252252 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3041 Martin Luther King Jr Drive | AddressLine1Txt |
| City | Shreveport | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EURSLA D HARDY | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| REV ROBERT GREEN JR | ||||||||
| President | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DR LINDA HARTWELL | ||||||||
| Secretary | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| YOLANDA COLEMAN | ||||||||
| Vice President | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JESSE SCOTT | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHY FRENCH | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DR RAYMOND A HICKS | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SISTER SHARON E RAMBIN | ||||||||
| Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SHANNON S WARREN | ||||||||
| Treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| IDA EDWARDS | ||||||||
| Chief Compliance Officer | 40.00 | $102,464 | $0 | $1,000 | Yes (X) | |||
| WILLIE WHITE | ||||||||
| Chief Executive Officer | 40.00 | $184,614 | $0 | $8,000 | Yes (X) | |||
| MYRTIS EDWARDS | ||||||||
| Chief Operating Officer | 40.00 | $140,334 | $0 | $7,326 | Yes (X) | |||
| KARLA BOUNDS | ||||||||
| Chief Financial Officer | 40.00 | $69,320 | $0 | $1,000 | Yes (X) | |||
| TARA ANDREWS | ||||||||
| Physician | 39.95 | $142,060 | $0 | $11,524 | Yes (X) | |||
| PRATIBHA ANNE | ||||||||
| Physician | 33 | $141,520 | $11,491 | Yes (X) | ||||
| BETTY FARMER | ||||||||
| Physician | 46 | $141,551 | $11,493 | Yes (X) | ||||
| GEORGE HENDERSON | ||||||||
| Medical Director | 43 | $222,551 | $25,074 | Yes (X) | ||||
| PATRICIA SHEARER | ||||||||
| Physician | 42 | $176,154 | $13,569 | Yes (X) | ||||
| DAVID BELLEW | ||||||||
| Dental Director | 40 | $151,306 | Yes (X) | |||||
| LARRY DANIELS | ||||||||
| Family Practioner | 24 | $137,647 | $7,310 | Yes (X) | ||||
| RICHARD VANDIVER | ||||||||
| Dentist | 36 | $132,769 | $3,000 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,742,290 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $100,787 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $31,659 | FundraisingAmt |
| Government Grants | $4,130,359 | GovernmentGrantsAmt |
| Total Contributions | $4,162,018 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue(Net) | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $7,071,410 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,071,410 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,155 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $320 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $320 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $320 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $320 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $31,659 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $290,344 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $290,344 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $290,344 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,532,247 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,370,229 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,084 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $476,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,527,301 | TotalAmt |
| Program Services | $5,186,891 | ProgramServicesAmt |
| Management And General | $1,340,410 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,232 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $63,232 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,070 | TotalAmt |
| Program Services | $45,009 | ProgramServicesAmt |
| Management And General | $251,061 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $497,985 | TotalAmt |
| Program Services | $331,486 | ProgramServicesAmt |
| Management And General | $166,499 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,873 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $175,873 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,142 | TotalAmt |
| Program Services | $82,500 | ProgramServicesAmt |
| Management And General | $412,642 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,709 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $10,709 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,746,253 | TotalAmt |
| Program Services | $885,516 | ProgramServicesAmt |
| Management And General | $860,737 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,191 | TotalAmt |
| Program Services | $15,416 | ProgramServicesAmt |
| Management And General | $264,775 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,899 | TotalAmt |
| Program Services | $10,878 | ProgramServicesAmt |
| Management And General | $54,021 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,827 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $61,827 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,122 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $33,122 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,881 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $278,881 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,374 | TotalAmt |
| Program Services | $268 | ProgramServicesAmt |
| Management And General | $83,106 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Food and beverage | $15,988 | $1,319 | $14,669 | $0 |
| Miscellaneous | $11,432 | $0 | $11,432 | $0 |
| Sponsorships | $13,610 | $0 | $13,610 | $0 |
| Employee Incentive | $4,759 | $0 | $4,759 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,089 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $2,089 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,138,821 | TotalAmt |
| Program Services | $6,559,283 | ProgramServicesAmt |
| Management And General | $4,577,449 | ManagementAndGeneralAmt |
| Fundraising | $2,089 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,332 | BOYAmt |
| EOY | $386,789 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,470 | BOYAmt |
| EOY | $78,820 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,523 | BOYAmt |
| EOY | $430,416 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,012 | BOYAmt |
| EOY | $97,195 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,250 | BOYAmt |
| EOY | $10,663 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,358,701 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,580,764 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,016,574 | BOYAmt |
| EOY | $3,777,937 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,088 | BOYAmt |
| EOY | $2,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,869,249 | BOYAmt |
| EOY | $5,084,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,220 | BOYAmt |
| EOY | $1,288,213 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $8,485 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,666 | BOYAmt |
| EOY | $362,517 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,984 | BOYAmt |
| EOY | $115,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,952,870 | BOYAmt |
| EOY | $1,774,215 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,916,379 | BOYAmt |
| EOY | $3,250,421 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $59,384 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,916,379 | BOYAmt |
| EOY | $3,309,805 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,869,249 | BOYAmt |
| EOY | $5,084,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $393,426 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $2,796,981 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,789,750 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,053,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,209,677 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,052,026 | CurrentTaxYearAmt |
| Total | $18,901,643 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,796,981 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,789,750 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,053,209 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,209,677 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,052,026 | CurrentTaxYearAmt |
| Total | $18,901,643 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,901,643 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,956 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,329 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,369 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,155 | CurrentTaxYearAmt |
| Total | $19,795 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,424,032 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,273,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,591,944 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,203,813 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,393,733 | CurrentTaxYearAmt |
| Total | $31,886,625 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $50,808,063 | TotalSupportAmt |
| Public Support CY170 | 0.37200 | PublicSupportCY170Pct |
| Public Support PY170 | 0.39210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II Ln 10 | FormAndLineReferenceDesc |
| Explanation | Other Income Part II, Line 10 Description: Other revenue 2012: 245833. 2013: 195503. 2014: 161281. 2015: 489157. 2016: 322003. Description: Patient revenue 2012: 5178199. 2013: 6066600. 2014: 6404263. 2015: 5699256. 2016: 7071410. Description: In-kind revenue 2012: 0. 2013: 11000. 2014: 26400. 2015: 15400. Description: Rental revenue 2016: 320. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,959 | OtherCostOrOtherBasisAmt |
| Book Value | $78,959 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,641,765 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,624,188 | DepreciationAmt |
| Book Value | $3,017,577 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,164,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,490,290 | DepreciationAmt |
| Book Value | $673,834 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $473,853 | OtherCostOrOtherBasisAmt |
| Depreciation | $466,286 | DepreciationAmt |
| Book Value | $7,567 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,777,937 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Accounts Receivable -- Others | |
| Deposits | $2,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,200 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Current Liabilities | Desc |
| Amt | $115,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $115,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,532,247 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $11,532,247 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $11,532,247 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,138,821 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $11,138,821 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $11,138,821 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt X, Line 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM CORPORATE FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES. THEREFORE, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE CORPORATE INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS.THE ORGANIZATION HAS ANALYZED ITS TAX POSITIONS TAKEN FOR FILINGS WITH THE INTERNAL REVENUE. IT BELIEVES THAT ITS TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON ITS FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS FOR 2014, 2015, AND 2016 ARE SUBJECT TO EXAMINATION BY THE FEDERAL, STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Banquet | Event1Nm |
| Gross Receipts Event1 | $31,659 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $31,659 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $2,089 | FoodAndBeverageEvent1Amt |
| Gross Receipts Total | $31,659 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $31,659 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $2,089 | FoodAndBeverageTotalEventsAmt |
| Direct Expense Summary Events | $2,089 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $29,570 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| WILLIE WHITE | |||
| $214,503 | $5,065 | $1,578 | $221,146 |
| TARA ANDREWS | |||
| $142,060 | $8,524 | $3,000 | $153,584 |
| PRATIBHA ANNE | |||
| $141,520 | $8,491 | $3,000 | $153,011 |
| BETTY FARMER | |||
| $141,551 | $8,493 | $3,000 | $153,044 |
| GEORGE HENDERSON | |||
| $222,551 | $22,074 | $3,000 | $247,625 |
| PATRICIA SHEARER | |||
| $176,154 | $10,569 | $3,000 | $189,723 |
| DAVID BELLEW | |||
| $151,306 | $151,306 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The Form 990 return is reviewed by the Board of Directors at the monthly board meeting following completion of the Form 990. |
| Pt VI, Line 12c | Board members verify on an annual basis |
| Pt VI, Line 15a | Compensation is determined based on salaries for similar positions and organizations in the area. This process requires board approval. |
| Pt VI, Line 15b | Compensation is determined based on salaries for similar positions and organizations in the area. This process requires board approval. |
| Form 990EZ, Part II, Line 24 | Accounts Receivable - Net |
| Form 990EZ, Part II, Line 24 | Prepaids |
| Form 990EZ, Part II, Line 26 | Accounts Payable & Accrued Expenses |
| Form 990EZ, Part II, Line 26 | Bonds, Mortgages & Other Notes |
| Form 990, Part IX, Line 24e | Banquet Fundraising Expense 2089. 0. 0. 2089. |