HEART CITY HEALTH CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEART CITY HEALTH CENTER INC (EIN 35-1875364)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-04-28
- IRS object ID
- 201801189349300500
- 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 | 2018-04-28T10:00:07-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 West Wacker Drive Suite 2600 | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 606061224 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351875364 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heart City Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 5742930052 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 236 Simpson Avenue | AddressLine1Txt |
| City | Elkhart | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46516 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Esleen Fultz | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2018-04-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Danielle Tewes | PreparerPersonNm |
| PTIN | P01327423 | PTIN |
| Phone | 3128997000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Esleen Fultz | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 236 Simpson Avenue | AddressLine1Txt |
| City | Elkhart | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46516 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,212,792 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.heartcityhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | Heart City Health Center, Inc. is a federally qualified health center (FQHC) providing comprehensive primary healthcare and education for the Elkhart Community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 144 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | -$19,151 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$16,675 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,222,231 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,181,102 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,547,107 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,554,278 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,624 | PYInvestmentIncomeAmt |
| CY Investment Income | $40,774 | CYInvestmentIncomeAmt |
| PY Other Revenue | $197,329 | PYOtherRevenueAmt |
| CY Other Revenue | $226,738 | CYOtherRevenueAmt |
| PY Total Revenue | $7,979,291 | PYTotalRevenueAmt |
| CY Total Revenue | $9,002,892 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,584,981 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,280,892 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,600,017 | PYOtherExpensesAmt |
| CY Other Expenses | $2,741,042 | CYOtherExpensesAmt |
| PY Total Expenses | $8,184,998 | PYTotalExpensesAmt |
| CY Total Expenses | $8,021,934 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$205,707 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $980,958 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,434,343 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,498,357 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $760,187 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $725,718 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,674,156 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,772,639 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Heart City Health Center, Inc. (Heart City) is a non-profit, Federally Qualified Health Center (FQHC) providing affordable, high quality, primary health, dental and pharmaceutical care to Elkhart County residents. WE OFFER A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE FOR THE UNINSURED, UNDER-INSURED AND ALSO ACCEPT MEDICAID, MEDICARE AND SOME PRIVATE INSURANCES. HEART CITY IS COMMITTED TO REDUCING HEALTH DISPARITIES AMONG RESIDENTS BY PROVIDING PROFESSIONAL AND RESPECTFUL SERVICE TO THE ELKHART COMMUNITY THROUGH EDUCATION AND HIGH QUALITY PRIMARY MEDICAL CARE FOR THOSE IN NEED AND EXPERIENCING BARRIERS TO TRADITIONAL HEALTH CARE. THE MAJORITY OF HEART CITY'S PATIENTS ARE AT 100% OR BELOW THE FEDERAL POVERTY GUIDELINES, AND ALMOST 50% OF PATIENTS ARE UNDER THE AGE OF 18. HEART CITY IS ONE OF THE FEW SITES IN THE ELKHART AREA THAT PROVIDES SERVICES TO MEDICAID PATIENTS AND THE UNINSURED POPULATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,476,137 | ExpenseAmt |
| Revenue | $5,275,726 | RevenueAmt |
| Desc | HEART CITY HEALTH CENTER, INC. (HEART CITY) PROVIDES PRIMARY HEALTHCARE IN THE AREA OF ADULTS AND PEDIATRICS TO THE PRIMARILY MEDICARE, MEDICAID, AND UNINSURED POPULATION OF ELKHART COUNTY. DURING THE YEAR ENDED SEPTEMBER 30, 2017, HEART CITY PROVIDED 30,045 PATIENT VISITS TO 12,371 UNDUPLICATED PATIENTS. HEART CITY ALSO HAS AN ONSITE PHARMACY AT OUR SIMPSON STREET LOCATION WHICH PROVIDES CONVENIENT PRESCRIPTION SERVICES TO OUR PATIENTS AND THE COMMUNITY. DURING THE YEAR ENDED SEPTEMBER 30, 2017 THE PHARMACY FILLED 30,304 PRESCRIPTIONS FOR 2,470 PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $623,894 | ExpenseAmt |
| Revenue | $519,157 | RevenueAmt |
| Desc | HEART CITY HEALTH CENTER, INC.'S (HEART CITY) LICENSED DENTISTS AND HYGIENISTS PROVIDE A LOW-COST OPTION FOR QUALITY GENERAL DENTISTRY SERVICES TO PEOPLE OF ALL AGES, INCOMES AND BACKGROUNDS, BUT PRIMARILY SERVES MEDICAID AND UNINSURED PATIENTS. DURING THE YEAR ENDED SEPTEMBER 30, 2017, HEART CITY SERVED 1,641 UNDUPLICATED PATIENTS PROVIDING 3,847 VISITS. VARIOUS DENTAL SERVICES PROVIDED INCLUDE: EXAMINATIONS; TREATMENT PLANNING; CHILDREN'S DENTISTRY; CLEANING/DENTAL HYGIENE; EXTRACTIONS; FILLINGS; RADIOGRAPHS; AND PATIENT EDUCATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,100,031 | 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 | false | 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 | false | 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 | Yes (true) | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 144 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patricia Klinger | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5749701448 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 236 SIMPSON AVENUE | AddressLine1Txt |
| City | ELKHART | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46516 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| Rod Roberson | ||||||||
| Chairman | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Tammy Friesen | ||||||||
| Vice-Chair | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Anthony Hunt | ||||||||
| Treasurer | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Ileana Martin | ||||||||
| Secretary-Partial Year | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Tara Morris | ||||||||
| Secretary | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Teddy Brown | ||||||||
| Board Member-Partial Year | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Phillip Hill | ||||||||
| Board Member-Partial Year | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Delia Vazquez | ||||||||
| Board Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Ana Rosa Garcia | ||||||||
| Board Member | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Angelia Washington | ||||||||
| Board Member-As of February 2017 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Dr Omobola Olaniyan | ||||||||
| CMO | 40.0 | Yes (X) | $221,591 | $0 | $15,372 | |||
| Esleen Fultz | ||||||||
| CEO | 40.0 | Yes (X) | $83,393 | $0 | $3,109 | |||
| Patricia Klinger | ||||||||
| CFO | 40.0 | Yes (X) | $74,472 | $0 | $12,527 | |||
| Dr Martina McGowan | ||||||||
| COO | 40.0 | Yes (X) | $129,369 | $0 | $8,446 | |||
| Dr Erin Farrell | ||||||||
| Pediatrician | 40.0 | $118,657 | $0 | $14,659 | Yes (X) | |||
| Dr Meenakshi Gupta | ||||||||
| Pediatrician | 40.0 | $145,257 | $0 | $4,390 | Yes (X) | |||
| Dr James Jackson | ||||||||
| Physician | 40.0 | $158,516 | $0 | $9,752 | Yes (X) | |||
| Dr Christine Dankwa | ||||||||
| Pediatrician | 40.0 | $154,634 | $0 | $3,768 | Yes (X) | |||
| Dr Mary Pat McManmon | ||||||||
| Physician | 32.0 | $110,754 | $0 | $10,136 | Yes (X) | |||
| Dr Robert McClure | ||||||||
| Physician | 0.0 | $109,381 | $0 | $13,559 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,306,024 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $95,718 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MAJORITY BUILDERS INC | |||||
| 62900 US 31 SOUTH | SOUTH BEND | IN | 46614 | GENERAL CONTRACTOR MEDICAL OFFICE REMODEL | $491,157 |
| STAFF CARE INC | |||||
| PO Box 281923 | Atlanta | GA | 303841923 | LOCUM TENENS COVERAGE | $192,517 |
| ELKHART GENERAL HOSPITAL | |||||
| PO BOX 1329 | ELKHART | IN | 46515 | PHARMACIST CHARGES | $172,942 |
| COMPHEALTH ASSOCIATES | |||||
| P O Box 972651 | Dallas | TX | 753972651 | LOCUM TENENS COVERAGE | $145,213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $25,000 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $3,055,224 | GovernmentGrantsAmt |
| All Other Contributions | $100,878 | AllOtherContributionsAmt |
| Noncash Contributions | $32,645 | NoncashContributionsAmt |
| Total Contributions | $3,181,102 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medical services | 624100 | $5,035,121 | $5,035,121 |
| Dental services | 624100 | $519,157 | $519,157 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,554,278 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,958 | TotalRevenueColumnAmt |
| Exclusion | $52,958 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $336,876 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $336,322 | SecuritiesAmt |
| Other | $12,738 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $554 | SecuritiesAmt |
| Other | -$12,738 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,184 | TotalRevenueColumnAmt |
| Exclusion | -$12,184 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,082,294 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $860,840 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $221,454 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $240,605 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$19,151 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Medical records | 900099 | $5,007 | $5,007 |
| Miscellaneous revenue | 900099 | $277 | $277 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,284 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,002,892 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,794,883 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$19,151 | UnrelatedBusinessRevenueAmt |
| Exclusion | $46,058 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,462 | TotalAmt |
| Program Services | $486,311 | ProgramServicesAmt |
| Management And General | $169,151 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,893,523 | TotalAmt |
| Program Services | $2,907,821 | ProgramServicesAmt |
| Management And General | $985,702 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,178 | TotalAmt |
| Program Services | $19,175 | ProgramServicesAmt |
| Management And General | $10,003 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,278 | TotalAmt |
| Program Services | $253,828 | ProgramServicesAmt |
| Management And General | $115,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,451 | TotalAmt |
| Program Services | $224,674 | ProgramServicesAmt |
| Management And General | $108,777 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,874 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $27,874 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,400 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $35,400 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,297 | TotalAmt |
| Management And General | $13,297 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,027,318 | TotalAmt |
| Program Services | $979,340 | ProgramServicesAmt |
| Management And General | $47,978 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,754 | TotalAmt |
| Program Services | $88,754 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,303 | TotalAmt |
| Program Services | $406,896 | ProgramServicesAmt |
| Management And General | $73,407 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,702 | TotalAmt |
| Program Services | $41,859 | ProgramServicesAmt |
| Management And General | $19,843 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,131 | TotalAmt |
| Program Services | $169,943 | ProgramServicesAmt |
| Management And General | $83,188 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,028 | TotalAmt |
| Program Services | $7,623 | ProgramServicesAmt |
| Management And General | $47,405 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,882 | TotalAmt |
| Program Services | $29,433 | ProgramServicesAmt |
| Management And General | $30,449 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,619 | TotalAmt |
| Program Services | $145,371 | ProgramServicesAmt |
| Management And General | $66,248 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,839 | TotalAmt |
| Program Services | $25,085 | ProgramServicesAmt |
| Management And General | $12,754 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Recruitment | $213,491 | $199,421 | $14,070 | $0 |
| Bad Debt | $62,129 | $62,129 | $0 | $0 |
| Dues & Subscriptions | $47,674 | $8,061 | $39,613 | $0 |
| Employee Relations | $49,908 | $33,904 | $16,004 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,693 | TotalAmt |
| Program Services | $10,403 | ProgramServicesAmt |
| Management And General | $5,290 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,021,934 | TotalAmt |
| Program Services | $6,100,031 | ProgramServicesAmt |
| Management And General | $1,921,903 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,050 | BOYAmt |
| EOY | $1,050 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,607,976 | BOYAmt |
| EOY | $4,128,116 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,689 | BOYAmt |
| EOY | $107,051 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,308 | BOYAmt |
| EOY | $756,341 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,230 | BOYAmt |
| EOY | $241,033 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,764 | BOYAmt |
| EOY | $130,051 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,915,752 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,716,102 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,955,976 | BOYAmt |
| EOY | $3,199,650 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,760,924 | BOYAmt |
| EOY | $1,912,217 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,426 | BOYAmt |
| EOY | $22,848 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,434,343 | BOYAmt |
| EOY | $10,498,357 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,187 | BOYAmt |
| EOY | $565,718 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,000 | BOYAmt |
| EOY | $110,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760,187 | BOYAmt |
| EOY | $725,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,674,156 | BOYAmt |
| EOY | $9,772,639 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,674,156 | BOYAmt |
| EOY | $9,772,639 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,434,343 | BOYAmt |
| EOY | $10,498,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $980,958 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $115,103 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,422 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,812,985 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,274,992 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,823,114 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,222,231 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,181,102 | CurrentTaxYearAmt |
| Total | $13,314,424 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,171,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,091,337 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,301,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,509,601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,794,883 | CurrentTaxYearAmt |
| Total | $26,869,223 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,563 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,299 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,095 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,284 | CurrentTaxYearAmt |
| Total | $45,841 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,997,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,375,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,132,940 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,741,927 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,981,269 | CurrentTaxYearAmt |
| Total | $40,229,488 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $40,229,488 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,958 | CurrentTaxYearAmt |
| Total | $205,904 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,765 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,958 | CurrentTaxYearAmt |
| Total | $205,904 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,033,278 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,404,560 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,170,705 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,792,622 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,034,227 | CurrentTaxYearAmt |
| Total | $40,435,392 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9949 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9951 | PublicSupportPY509Pct |
| Investment Income CY | 0.0051 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0049 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $213,700 | OtherCostOrOtherBasisAmt |
| Book Value | $213,700 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $936,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,371 | DepreciationAmt |
| Book Value | $713,929 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,332,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,126,710 | DepreciationAmt |
| Book Value | $2,206,202 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $428,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $367,021 | DepreciationAmt |
| Book Value | $61,705 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,114 | OtherCostOrOtherBasisAmt |
| Book Value | $4,114 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,199,650 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Drugs and pharmaceuticals held for others | Desc |
| Amt | $110,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $110,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,986,801 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $115,103 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $18,841 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $863,262 | OtherRevenueAmt |
| Revenue Not Reported | $997,206 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,989,595 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $13,297 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $13,297 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,002,892 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,888,318 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $18,841 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $860,840 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $879,681 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,008,637 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $13,297 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $13,297 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,021,934 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | The organization is exempt from income taxes on income from related activities under section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not generally subject to U.S. federal income tax or state income tax. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Indiana for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at September 30, 2017 and 2016. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | COST OF GOODS SOLD-PHARMACY - 860840 CHANGE IN BENEFICIAL INTEREST-COMMUNITY FOUNDATAION - 2422 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | COST OF GOODS SOLD-PHARMACY - 860840 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Omobola Olaniyan | ||||||||||||||
| CMO | $217,441 | $0 | $4,150 | $0 | $0 | $0 | $5,152 | $0 | $10,220 | $0 | $236,963 | $0 | $0 | $0 |
| Dr James Jackson | ||||||||||||||
| Physician | $157,658 | $0 | $858 | $0 | $0 | $0 | $0 | $0 | $9,752 | $0 | $168,268 | $0 | $0 | $0 |
| Dr Christine Dankwa | ||||||||||||||
| Pediatrician | $152,773 | $0 | $1,861 | $0 | $0 | $0 | $0 | $0 | $3,768 | $0 | $158,402 | $0 | $0 | $0 |
| Dr Robert McClure | ||||||||||||||
| Physician | $109,381 | $0 | $0 | $0 | $0 | $0 | $2,897 | $0 | $10,662 | $0 | $122,940 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a Tax indemnification and gross-up payments | The organization provided for the gross up of bonus payments to officers and highest compensated employees, which was included in the individuals' taxable compensation. |
| Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses | The organization does not follow a written policy regarding the gross-up payments provided to officers and highest compensated employees, however these payments are approved by the organization's board of directors. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 54 | ContributionCnt |
| Noncash Contributions Rpt F990 | $32,645 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Drugs and medical supplies - Number of contributions | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED FROM PART III) | VARIOUS MEDICAL SERVICES PROVIDED INCLUDE: PRIMARY AND PREVENTIVE CARE; PHYSICAL EXAMINATIONS; EMPLOYMENT/SPORTS/SCHOOL PHYSICALS; WELL CHILD CHECKS; IMMUNIZATION; WOMEN'S HEALTH; CHRONIC DISEASES MANAGEMENT; BREAST AND CERVICAL CANCER SCREENINGS; LABORATORY WORK; HEALTH AND WELLNESS EDUCATION; AND DIABETES SCREENING AND TREATMENT. HEART CITY ALSO DISPENSES PRESCRIPTIONS TO THE PRIMARILY MEDICARE, MEDICAID, AND UNINSURED POPULATION IN ELKHART COUNTY. HEART CITY'S PATIENT MEDICINE ASSISTANCE PROGRAM (MAP) WORKS WITH SEVERAL DRUG COMPANIES TO PROVIDE ASSISTANCE FOR PEOPLE HAVING TROUBLE AFFORDING NAME BRAND MEDICATIONS. HEART CITY'S MAP COORDINATOR HELPS PATIENTS SEE IF THEY ARE ELIGIBLE FOR THE PROGRAM, AND ALSO ASSISTS IN THE COMPLETION OF MAP APPLICATIONS. IN ADDITION, TO HELP ENSURE THAT PATIENTS HAVE ACCESS TO THE CARE THEY NEED, PRESCRIPTIONS WRITTEN BY HEART CITY PRACTITIONERS CAN BE FILLED AT REDUCED PRICES AT THE ONSITE PHARMACY. HEART CITY PARTICIPATES IN A 340B FEDERAL GOVERNMENT PROGRAM TO PROVIDE LOW COST PRESCRIPTION DRUGS TO PATIENTS WITHOUT INSURANCE. DURING THE YEAR ENDED SEPTEMBER 30, 2017, HEART CITY'S PHARMACY FILLED 30,304 PRESCRIPTIONS AND SERVED 2,470 PATIENTS. |
| Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES | THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CFO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY SURVEYS, THE CFO'S COMPENSATION IS REVIEWED AND ADJUSTED AS NECESSARY. THE ORGANIZATION'S CEO ALSO COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CMO; BASED ON THE OUTCOME OF THE PERFORMANCE EVALUATION AND GENERAL COMPENSATION GUIDELINES SET BY THE BOARD, THE CMO'S EMPLOYMENT CONTRACT IS UPDATED AS NECESSARY. THESE PERFORMANCE EVALUATIONS AND COMPENSATION/EMPLOYMENT CONTRACT UPDATES WERE LAST COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2017. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee shall consist of the following officers of the Corporation, all of whom shall have the right to vote: Chairperson, Vice Chair, Secretary and Treasurer. The Chief Executive Officer shall be a non-voting member of the Executive Committee. The Executive Committee shall have the following general authority: The Executive Committee shall be comprised exclusively of Board members and shall act for the Corporation in the interim periods between meetings of the Board of Directors only with respect to matters of an urgent nature and then to the maximum extent feasible, in compliance with the established policies and expressed positions of the Board. Any such actions by the Executive Committee on behalf of the corporation shall require ratification at the following regular or special meeting where a quorum is present. The chairperson of the Board of Directors or any three (3) Executive Committee members convenes. Said written notice shall be delivered to the remaining members of the Executive Committee. A majority of the officers present and in person, shall constitute a quorum for the transaction of Executive Committee business. |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | The bylaws were revised to ensure that there are provision(s) prohibiting any current board member(s) from being an employee of the health center or an immediate family member of an employee. A provision clearly prohibiting the CEO from being a voting member of the board was also added. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The organization's Form 990 is reviewed in detail by executive management. A board meeting is then held to present and review a final draft of the full Form 990, including all applicable schedules; each board member is provided a copy of the return at the board meeting and is allowed to ask any questions they may have. Once all questions are answered, the board votes to approve submission before the return is filed with the IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | An annual conflict of interest form is filled out by each board member, which is verified by our independent auditors. All other employees sign the code of conduct policy at time of hire which covers conflicts of interest. The CEO and the Board Liaison review the conflict of interest forms to determine if any potential conflicts of interest exist. If a potential conflict of interest is determined to exist, the CEO and Executive Committee of the board, consisting of the Chair, Vice Chair, Secretary and Treasurer, meet to discuss whether any actual conflicts of interest exist. Although no conflicts have been noted in the past, if a conflict of interest was to arise, restrictions would be imposed and the board member would be required to excuse themselves from any discussions and/or votes related to the conflicting issue. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | Compensation for the organization's CEO is determined by the board of directors based on a performance evaluation. Each board member completes an evaluation, and then the Executive Committee reports the findings and any changes in compensation to the CEO. Any changes in compensation are based on the National Association of Community Health Centers (NACHC) salary surveys. This process is performed annually, and was last done November of 2016. The evaluation and review process is documented in the board meeting minutes. |
| Form 990, Part VI, Line 19 Required documents available to the public | Governing documents, conflict of interest policies, and financial statements are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time. |
| Form 990, Part IX, Line 11g Other Fees | Contracted Services-EHR/PM Fees - Total Expense: 478745, Program Service Expense: 478745, Management and General Expenses: 0, Fundraising Expenses: 0; Contracted Services-Medical Coverage - Total Expense: 319067, Program Service Expense: 319067, Management and General Expenses: 0, Fundraising Expenses: 0; Interpreting Services - Total Expense: 69185, Program Service Expense: 69185, Management and General Expenses: 0, Fundraising Expenses: 0; Security - Total Expense: 36121, Program Service Expense: 21088, Management and General Expenses: 15033, Fundraising Expenses: 0; Telephone - Total Expense: 74273, Program Service Expense: 50624, Management and General Expenses: 23649, Fundraising Expenses: 0; Other Contracted Services - Total Expense: 49927, Program Service Expense: 40631, Management and General Expenses: 9296, Fundraising Expenses: 0; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | CHANGE IN BENEFICIAL INTEREST-COMMUNITY FOUNDATION - 2422; |