COMMUNITY CARE CLINIC OF ROWAN COUNTY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CARE CLINIC OF ROWAN COUNTY INC (EIN 56-1964773)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201703179349306310
- 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 | 2017-11-13T15:15:26-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201842362 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J ALAN RUTHERFORD CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 N MAIN ST STE 302 | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28144 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561964773 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE CLINIC OF ROWAN | BusinessNameLine1Txt |
| Business Name Line2 | COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7046364523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MOCKSVILLE AVENUE SUITE G | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 281443346 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTA WOOLLY | PersonNm |
| Person Title | EXEC DIRECTOR | PersonTitleTxt |
| Phone | 7046364523 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J ALAN RUTHERFORD CPA | PreparerPersonNm |
| PTIN | P00206851 | PTIN |
| Phone | 7046334060 | PhoneNum |
| Preparation | 2017-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 22D4825B2634327CE0692DD5589746D5BDF38359 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 22D4825B2634327CE0692DD5589746D5BDF38359 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KRISTA WOOLLY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 MOCKSVILLE AVENUE SUITE G | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28144 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,866,522 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 11 | TotalEmployeeCnt |
| Total Volunteers | 108 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,930,725 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,712,840 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,601 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $159,247 | PYOtherRevenueAmt |
| CY Other Revenue | $153,682 | CYOtherRevenueAmt |
| PY Total Revenue | $4,102,573 | PYTotalRevenueAmt |
| CY Total Revenue | $3,866,522 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $398,689 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $377,295 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $13,318 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,448,339 | PYOtherExpensesAmt |
| CY Other Expenses | $3,521,480 | CYOtherExpensesAmt |
| PY Total Expenses | $3,847,028 | PYTotalExpensesAmt |
| CY Total Expenses | $3,898,775 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $255,545 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$32,253 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,660,018 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,666,913 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,614 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,933 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,643,404 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,636,980 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,658,108 | ExpenseAmt |
| Desc | MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO ROWAN COUNTY'S MEDICALLY INDIGENT USING PAID AND VOLUNTEER PROFESSIONALS. | Desc |
| Total Program Service Expenses | $3,658,108 | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | 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 | 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 | 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 | false | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 11 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CARE CLINIC | BusinessNameLine1Txt |
| Business Name Line2 | OF ROWAN COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7046364523 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315-G MOCKSVILLE AVE | AddressLine1Txt |
| City | SALISBURY | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28144 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SUE DECAMP FREEZE | ||||||
| PRESIDENT | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FRANK EASON DDS | ||||||
| VICE PRESIDE | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CAROL HERNDON | ||||||
| TREASURER | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NICKALAUS GOODMAN | ||||||
| SECRETARY | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRANDON ARON DMD | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| REV CANDIS BURGESS | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER FLYNN | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| DONOVAN HAMM | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| JAYNE HELMS | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| RACHEL ROSS MD | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| BARBARA PERRY | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| REV CHRIS SHELTON | ||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | |
| KRISTA WOOLLY | ||||||
| EXEC DIRECTO | 40.00 | Yes (X) | $67,900 | $0 | $2,100 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $67,900 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $2,100 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $8,400 | GovernmentGrantsAmt |
| All Other Contributions | $3,704,440 | AllOtherContributionsAmt |
| Noncash Contributions | $3,210,063 | NoncashContributionsAmt |
| Total Contributions | $3,712,840 | TotalContributionsAmt |
| Fundraising Gross Income | $150,253 | FundraisingGrossIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $150,253 | TotalRevenueColumnAmt |
| Exclusion | $150,253 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Total Revenue Column | $3,429 | TotalRevenueColumnAmt |
| Exclusion | $3,429 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,429 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,866,522 | TotalRevenueColumnAmt |
| Exclusion | $153,682 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,900 | TotalAmt |
| Management And General | $67,900 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,331 | TotalAmt |
| Program Services | $202,199 | ProgramServicesAmt |
| Management And General | $71,132 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,338 | TotalAmt |
| Program Services | $3,747 | ProgramServicesAmt |
| Management And General | $3,591 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,726 | TotalAmt |
| Program Services | $18,090 | ProgramServicesAmt |
| Management And General | $10,636 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,892 | TotalAmt |
| Management And General | $12,892 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,187 | TotalAmt |
| Program Services | $5,308 | ProgramServicesAmt |
| Management And General | $5,879 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,079 | TotalAmt |
| Program Services | $534 | ProgramServicesAmt |
| Management And General | $1,545 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,004 | TotalAmt |
| Program Services | $2,599 | ProgramServicesAmt |
| Management And General | $6,405 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,768 | TotalAmt |
| Management And General | $6,768 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL | $3,253,407 | $3,253,292 | $115 |
| CONTRACT LABOR | $134,627 | $134,627 | |
| DENTAL SUPPLIES | $30,733 | $30,733 | |
| OTHER GRANT EXPENSES | $17,765 | $64 | $17,701 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,018 | TotalAmt |
| Program Services | $6,915 | ProgramServicesAmt |
| Management And General | $22,785 | ManagementAndGeneralAmt |
| Fundraising | $13,318 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,898,775 | TotalAmt |
| Program Services | $3,658,108 | ProgramServicesAmt |
| Management And General | $227,349 | ManagementAndGeneralAmt |
| Fundraising | $13,318 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,982 | BOYAmt |
| EOY | $172,590 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,167 | BOYAmt |
| EOY | $1,264 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,587 | BOYAmt |
| EOY | $1,023,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $149,950 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $123,398 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,557 | BOYAmt |
| EOY | $26,552 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,725 | BOYAmt |
| EOY | $442,592 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,660,018 | BOYAmt |
| EOY | $1,666,913 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,614 | BOYAmt |
| EOY | $29,933 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,614 | BOYAmt |
| EOY | $29,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,635,404 | BOYAmt |
| EOY | $1,636,980 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,643,404 | BOYAmt |
| EOY | $1,636,980 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,660,018 | BOYAmt |
| EOY | $1,666,913 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$32,253 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $25,829 | NetUnrlzdGainsLossesInvstAmt |
| 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 | 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 Minus4 Years | $2,799,135 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,256,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,476,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,930,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,712,840 | CurrentTaxYearAmt |
| Total | $17,175,683 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,799,135 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,256,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,476,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,930,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,712,840 | CurrentTaxYearAmt |
| Total | $17,175,683 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,175,683 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $598 | CurrentTaxYearMinus4YearsAmt |
| Total | $598 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $150,304 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $217,675 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $159,247 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $153,682 | CurrentTaxYearAmt |
| Total | $772,855 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,949,136 | TotalSupportAmt |
| Public Support CY170 | 0.95690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96240 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 619,173 | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,030 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,000 | DepreciationAmt |
| Book Value | $30 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $145,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $119,398 | DepreciationAmt |
| Book Value | $26,522 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,552 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $4,049,032 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $25,829 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $156,681 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $182,510 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,866,522 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,866,522 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,055,456 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $156,681 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $156,681 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,898,775 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,898,775 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GUARDIAN ANGEL | Event1Nm |
| Gross Receipts Event1 | $89,622 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $89,622 | GrossRevenueEvent1Amt |
| Event2 | ANNUAL APPEAL | Event2Nm |
| Gross Receipts Event2 | $36,631 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $36,631 | GrossRevenueEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $24,000 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $24,000 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $150,253 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $150,253 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $150,253 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,210,063 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVERAGE WHOLESALE COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 AND ATTACHMENTS ARE REVIEWED FOR COMPLETENESS AND ACCURACY BY THE FINANCE COMMITTEE, THE EXECUTIVE DIRECTOR AND THE BUSINESS MANAGER, AND THEN REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ACCOMPLISHED ON A DAILY BASIS BY HANDS-ON EXECUTIVE DIRECTOR, AN ACTIVE BOARD OF DIRECTORS, AND AN EMPLOYEE HANDBOOK WHICH PROVIDES A CLEAR CHAIN OF COMMAND. THE ORGANIZATION HAS A WRITTEN CONFLICTS OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED PERIODICALLY BY THE FINANCE COMMITTEE, MEMBERS OF WHOM ARE INDEPENDENT OF THE EXECUTIVE DIRECTOR, USING COMPARATIVE LOCAL AND REGIONAL COMPENSATION DATA AVAIALBLE TO THEM. DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN COMMITTEE MINUTES. THE EXECUTIVE DIRECTOR IS NOT INVOLVED IN THE DISCUSSIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |