26 HEALTH INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- 26 HEALTH INC (EIN 45-1063515)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2018-08-17
- IRS object ID
- 201842299349300139
- Schema version
- 2017v2.2
- 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 | 2018-08-17T11:33:06-04:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593053852 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSE MARIE GAMBA CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 BONGART ROAD | AddressLine1Txt |
| City | Winter Park | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 327922707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 451063515 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWO SPIRIT HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TWOS | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N MAGNOLIA AVEUE | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32803 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BAKER-HARGROVE DR | PersonNm |
| Person Title | PRESIDENTCO-CE | PersonTitleTxt |
| Phone | 4074879868 | PhoneNum |
| Signature | 2018-08-17 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROSE MARIE GAMBA CPA | PreparerPersonNm |
| PTIN | P00147086 | PTIN |
| Phone | 4076192283 | PhoneNum |
| Preparation | 2018-07-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TWO SPIRIT HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID BAKER-HARGROVE PHDLMHC | PrincipalOfficerNm |
| Gross Receipts | $2,551,676 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TWOSPIRITHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES CULTURALLY COMPETENT AND COMPREHENSIVE OUTPATIENT MEDICAL AND MENTAL HEALTH SERVICES TO CENTRAL FLORIDAS LGBTQ+ COMMUNITY REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $490,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $467,616 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $346,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,083,286 | CYProgramServiceRevenueAmt |
| PY Investment Income | $78 | PYInvestmentIncomeAmt |
| CY Investment Income | $78 | CYInvestmentIncomeAmt |
| CY Other Revenue | $696 | CYOtherRevenueAmt |
| PY Total Revenue | $837,591 | PYTotalRevenueAmt |
| CY Total Revenue | $2,551,676 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $437,330 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $845,994 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $4,335 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $342,230 | PYOtherExpensesAmt |
| CY Other Expenses | $1,499,698 | CYOtherExpensesAmt |
| PY Total Expenses | $783,895 | PYTotalExpensesAmt |
| CY Total Expenses | $2,345,692 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $53,696 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $205,984 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $117,782 | TotalAssetsBOYAmt |
| Total Assets EOY | $332,136 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,656 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $50,026 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $76,126 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $282,110 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES CULTURALLY COMPETENT AND COMPREHENSIVE OUTPATIENT MEDICAL AND MENTAL HEALTH SERVICES TO CENTRAL FLORIDAS LGBTQ+ COMMUNITY REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,845,098 | ExpenseAmt |
| Revenue | $2,551,676 | RevenueAmt |
| Desc | PROVIDES CULTURALLY COMPETENT AND COMPREHENSIVE OUTPATIENT MEDICAL AND MENTAL HEALTH SERVICES TO CENTRAL FLORIDAS LGBTQ+ COMMUNITY REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $1,845,098 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 17 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BAKER-HARGROVE PHDLMHC | PersonNm |
| Phone | 4074879868 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 N MAGNOLIA AVEUE | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32803 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LAURA BARBERY | |||||||||
| DIRECTORBOARD CHAIRPERSON | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEN BROWN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| NAYTE CARRICK | |||||||||
| BOARD CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSH MEITIN | |||||||||
| BOARD TREASURER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JASON NUEZ | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KRIS RYAN | |||||||||
| BOARD SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID BAKER-HARGROVE | |||||||||
| PRESIDENTCO-CEO | 40.00 | 0.00 | Yes (X) | $112,374 | $0 | $0 | |||
| ROBERT L BAKER-HARGROVE | |||||||||
| CHIEF OPERATIONS OFFICERCO C | 10.00 | 0.00 | Yes (X) | $43,836 | $0 | $0 | |||
| MARICA MOTT | |||||||||
| KEY EMPLOYEE | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| SHERRIE DOBBS HOWELL | |||||||||
| KEY EMPLOYEE | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ROBERT BAKER-HARGROVE | |||||||||
| HIGHEST COMPENSATED EMPLOYEE | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $156,210 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STAFF CARE INC | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1455 LINCOLN PKWY SUITE 350 | AddressLine1Txt |
| City | ATLANTA | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 30346 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDICAL STAFFING | ServicesDesc |
| Compensation | $149,688 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $467,616 | GovernmentGrantsAmt |
| Total Contributions | $467,616 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH & MENTAL HEALTH | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,083,286 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,083,286 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,083,286 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $78 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HONORARIUMS & MISC REV | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $696 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $696 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,551,676 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,084,060 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,385 | TotalAmt |
| Management And General | $145,385 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,444 | TotalAmt |
| Program Services | $341,405 | ProgramServicesAmt |
| Management And General | $271,039 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,668 | TotalAmt |
| Program Services | $13,751 | ProgramServicesAmt |
| Management And General | $10,917 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,497 | TotalAmt |
| Program Services | $35,396 | ProgramServicesAmt |
| Management And General | $28,101 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,005 | TotalAmt |
| Program Services | $35,005 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,600 | TotalAmt |
| Program Services | $4,600 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,026,843 | TotalAmt |
| Program Services | $1,026,843 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,827 | TotalAmt |
| Program Services | $8,827 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,595 | TotalAmt |
| Management And General | $21,595 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,409 | TotalAmt |
| Management And General | $20,409 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,440 | TotalAmt |
| Program Services | $103,440 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,497 | TotalAmt |
| Program Services | $8,497 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,598 | TotalAmt |
| Program Services | $10,598 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,300 | TotalAmt |
| Program Services | $10,300 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,065 | TotalAmt |
| Program Services | $9,953 | ProgramServicesAmt |
| Management And General | $112 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,802 | TotalAmt |
| Program Services | $17,802 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BANK AND MERCHANT FEE CHARGE | $6,475 | $6,475 | |
| RECOGNITION & CUSTOMER SERV | $3,036 | $3,036 | |
| TAXES AND LICENSES | $2,793 | $2,793 | |
| MEALS AND ENTERTAINMENT | $7,017 | $7,017 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,396 | TotalAmt |
| Program Services | $202,396 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,345,692 | TotalAmt |
| Program Services | $1,845,098 | ProgramServicesAmt |
| Management And General | $500,594 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,739 | BOYAmt |
| EOY | $298,193 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,467 | BOYAmt |
| EOY | $605 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $31 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,456 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $32,349 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,576 | BOYAmt |
| EOY | $20,107 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,782 | BOYAmt |
| EOY | $332,136 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,950 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $49,102 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,706 | BOYAmt |
| EOY | $924 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,656 | BOYAmt |
| EOY | $50,026 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,126 | BOYAmt |
| EOY | $282,110 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,126 | BOYAmt |
| EOY | $282,110 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,782 | BOYAmt |
| EOY | $332,136 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $205,984 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 Minus3 Years | $5,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,269 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $467,617 | CurrentTaxYearAmt |
| Total | $961,260 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,374 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,269 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $467,617 | CurrentTaxYearAmt |
| Total | $961,260 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $961,260 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $1 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $78 | CurrentTaxYearAmt |
| Total | $157 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $696 | CurrentTaxYearAmt |
| Total | $696 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $962,113 | TotalSupportAmt |
| Public Support CY170 | 0.99910 | PublicSupportCY170Pct |
| Public Support PY170 | 0.92380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,456 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,349 | DepreciationAmt |
| Book Value | $20,107 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,107 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CREDIT CARDS PAYABLE | Desc |
| Amt | $924 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $924 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Officer directors etc family relationship Part VI line 2 | DAVID BAKER-HARGROVE, PRESIDENT AND CHIEF EXECUTIVE OFFICER IS THE HUSBANK OF ROBERT L BAKER-HARGROVE, THE CHIEF OPERATIONS OFFICER. |
| Organizational document changes Part VI line 4 | ORGANIZATION CHANGED ITS ACCOUNTING YEAR END TO JUNE 30 EFFECTIVE JUNE 30, 2016 |
| Form 990 governing body review Part VI line 11 | GOVERNING BODY DOES NOT REVIEW 990 PRIOR TO FILING. THEY RECEIVE A COPY AFTER THE EXECUTIVE DIRECTOR REVIEWS THE FORM. |
| Conflict of interest policy compliance Part VI line 12c | BOARD MAINTAINS AND REVIEWS PERIODICALLY CONFLICT OF INTEREST. |
| Form 990 availability to public Part VI line 18 | UPON REQUEST |
| Governing documents etc available to public Part VI line 19 | DOCUMENTS ARE AVAILABLE TO PUBLIC VIA A WRITTEN FORM THAT IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND ACTION IF DEEMED NECESSARY. |
| List of other fees for services expenses Part IX line 11g | ELECTRONIC MEDICAL RECORDS 12875, LABS 18477, FEDERAL PHARMACY PROGRAM EXPENSES 9598, HAIR REMOVAL SUPPLIES 1206, MEDICAL SUPPLES 1698, DUES AND SUBSCRIPTIONS 1923, EDUCATION 226, MEMBERSHIPS 2104 AND SPONSORSHIPS 2390 = $50,497 |
| List of other expenses Part IX line 24e | INDEPENDENT CONTRACTOR FOR PROGRAM SERVICES MENTAL HEALTH COUNSELING $150,956. PROFESSIONAL SERVICES $2,030 = $152,986. |