COASTAL FAMILY HEALTH CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COASTAL FAMILY HEALTH CENTER INC (EIN 64-0592416)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-09
- IRS object ID
- 201722219349300857
- 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 | 2017-08-09T14:28:40-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 630191630 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH DUKES & BUCKALEW LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3800 AIRPORT BLVD | AddressLine1Txt |
| City | MOBILE | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 366081667 | 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 | 640592416 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COASTAL FAMILY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COAS | BusinessNameControlTxt |
| Phone | 2283742494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 475 | AddressLine1Txt |
| City | BILOXI | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39533 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGEL GREER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2282742494 | PhoneNum |
| Signature | 2017-07-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARK R CHAPMAN | PreparerPersonNm |
| PTIN | P00426236 | PTIN |
| Phone | 2513431200 | PhoneNum |
| Preparation | 2017-07-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.85.214.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-07-26 | IPDt |
| IP Tm | 08:45:21 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D16F765FC5625A07D4506AB43FA05BEABA538515 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9B8B31259D73750CA07850C3C5731242698FE345 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANGEL GREER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 475 | AddressLine1Txt |
| City | BILOXI | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39533 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,847,827 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COASTALFAMILYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSE OF COASTAL FAMILY HEALTH CENTER, INC. IS TO PROVIDE QUALITY HEALTH CARE AND SOCIAL SERVICES TO ALL PERSONS REGARDLESS OF ECONOMIC STATUS WITH THE UNDERSTANDING THAT THE TERM HEALTH IS AN INCLUSIVE ONE THAT SEEKS TO IMPROVE THE QUALITY OF LIFE FOR THE WHOLE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 308 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $54,516 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,657,357 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,926,382 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,486,236 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,864,692 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,480 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,237 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,173 | PYOtherRevenueAmt |
| CY Other Revenue | $54,516 | CYOtherRevenueAmt |
| PY Total Revenue | $16,149,246 | PYTotalRevenueAmt |
| CY Total Revenue | $16,847,827 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,644,141 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,191,731 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,483,481 | PYOtherExpensesAmt |
| CY Other Expenses | $5,432,627 | CYOtherExpensesAmt |
| PY Total Expenses | $15,127,622 | PYTotalExpensesAmt |
| CY Total Expenses | $16,624,358 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,021,624 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $223,469 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,644,537 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,759,342 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,217,274 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,108,610 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,427,263 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,650,732 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSE OF COASTAL FAMILY HEALTH CENTER, INC. IS TO PROVIDE QUALITY HEALTH CARE AND SOCIAL SERVICES TO ALL PERSONS REGARDLESS OF ECONOMIC STATUS WITH THE UNDERSTANDING THAT THE TERM HEALTH IS AN INCLUSIVE ONE THAT SEEKS TO IMPROVE THE QUALITY OF LIFE FOR THE WHOLE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,317,548 | ExpenseAmt |
| Revenue | $4,729,837 | RevenueAmt |
| Desc | MEDICAL SERVICES - PROVIDING HIGH QUALITY MEDICAL SERVICES PRIMARILY TO THE UNINSURED AND THE UNDER-INSURED IS ONE OF OUR PRIMARY EXEMPT PURPOSES. DURING 2016, OUR ORGANIZATION HAD 93,257 PATIENT MEDICAL APPOINTMENTS FOR VARIOUS MEDICAL CONDITIONS WHICH WERE SEEN BY FAMILY PHYSICIANS OR PHYSICIAN ASSISTANTS, INTERNISTS, PEDIATRICIANS, OR NURSE PRACTITIONERS. THESE APPOINTMENTS INVOLVED A TOTAL OF 29,480 OF OUR PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $614,870 | ExpenseAmt |
| Revenue | $0 | RevenueAmt |
| Desc | HIV SERVICES - OUR ORGANIZATION PROVIDED, ON AN OUTPATIENT BASIS, HIGH-QUALITY EARLY INTERVENTION SERVICES AND PRIMARY CARE RELATED TO HIV PATIENTS. WE PROVIDED A CONTINUUM OF HIV PREVENTIONS FOR AT-RISK INDIVIDUALS WHO ARE HIV-INFECTED. DURING 2016, WE PROVIDED THESE SERVICES TO APPROXIMATELY 500 SUCH PATIENTS, WHO HAD A CUMULATIVE TOTAL OF APPROXIMATELY 2,700 APPOINTMENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenue | $1,716,388 | RevenueAmt |
| Desc | 340B DRUG PROGRAM - OUR ORGANIZATION ALSO PROVIDES PHARMACY DRUGS TO MANY OF OUR PATIENTS THROUGH THE FEDERAL 340B DRUG PROGRAM. DURING 2016, WE FILLED APPROXIMATELY 90,000 PHARMACY PRESCRIPTIONS THROUGH 29 PARTICIPATING LOCAL CONTRACTED PHARMACIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,066,479 | ExpenseAmt |
| Revenue | $1,418,467 | RevenueAmt |
| Desc | IN ADDITION TO THE SERVICES SHOWN IN PART III, ITEMS A THROUGH C, OUR ORGANIZATION PROVIDES MENTAL HEALTH, LAB, NUTRITION, PATIENT TRANSPORTATION, OB/GYN, OPTOMETRY, AND OTHER ANCILLARY SERVICES TO OUR TOTAL PATIENT COUNT OF APPROXIMATELY 29,000. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $6,066,479 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,418,467 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,998,897 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 308 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY MIZELLE CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2283742494 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1046 DIVISION STREET | AddressLine1Txt |
| City | BILOXI | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 39533 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KWANTRELL GREEN | ||||||||
| PRESIDENT | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARTHA MILNER | ||||||||
| VICE-PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BERTHA J OATIS | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROY TOLBERT | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAULETTE BRISCOE | ||||||||
| AT-LARGE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GINNI TRAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| XENIA GEORGINA WICKLINE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH HUDSON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HAO GINNI THI-CAM TRAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JUDY GRANT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GARY HERBERT | ||||||||
| AT-LARGE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PERRY JACKSON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROLYN PERRY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGEL GREER | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | $136,183 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $136,183 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LABORATORY CORPORATION OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | MEDICAL LAB TESTS | $645,965 |
| DR MICHAEL D DORCIK PLLC | |||||
| 12511 MCCULLY DRIVE | BILOXI | MS | 39532 | MEDICAL | $247,362 |
| FORGE WORKS CONSULTING INC | |||||
| 11212 CHURCHWOOD COURT | RICHMOND | VA | 23233 | MEDICAL CONSULTING | $130,102 |
| CHIEN-LI CHUNG CAMELTHORN LLC | |||||
| 70 ADAMS PLACE | GLEN RIDGE | NJ | 07028 | INFORMATION TECHNOLOGY | $116,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,883,348 | GovernmentGrantsAmt |
| All Other Contributions | $1,043,034 | AllOtherContributionsAmt |
| Total Contributions | $8,926,382 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICES | 621990 | $4,729,837 | $4,729,837 |
| PHARMACY 340B SERVICES | 621990 | $1,716,388 | $1,716,388 |
| DENTAL SERVICES | 621990 | $285,801 | $285,801 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,132,666 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,132,666 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,864,692 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,237 | TotalRevenueColumnAmt |
| Exclusion | $2,237 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $54,516 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $54,516 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $54,516 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,847,827 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,864,692 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $54,516 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,237 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,884,547 | TotalAmt |
| Program Services | $7,525,520 | ProgramServicesAmt |
| Management And General | $1,359,027 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,024 | TotalAmt |
| Program Services | $163,590 | ProgramServicesAmt |
| Management And General | $30,434 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458,064 | TotalAmt |
| Program Services | $1,201,823 | ProgramServicesAmt |
| Management And General | $256,241 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,096 | TotalAmt |
| Program Services | $552,340 | ProgramServicesAmt |
| Management And General | $102,756 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,585 | TotalAmt |
| Management And General | $9,585 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,150 | TotalAmt |
| Management And General | $42,150 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,378 | TotalAmt |
| Program Services | $17,378 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,325 | TotalAmt |
| Management And General | $40,325 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,507 | TotalAmt |
| Program Services | $72,507 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,193 | TotalAmt |
| Program Services | $462,868 | ProgramServicesAmt |
| Management And General | $426,325 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,396 | TotalAmt |
| Program Services | $27,822 | ProgramServicesAmt |
| Management And General | $11,574 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,995 | TotalAmt |
| Management And General | $1,995 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,402 | TotalAmt |
| Program Services | $736,653 | ProgramServicesAmt |
| Management And General | $25,749 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,760 | TotalAmt |
| Program Services | $47,889 | ProgramServicesAmt |
| Management And General | $81,871 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACT LAB & MEDICAL | $1,778,435 | $1,778,435 | |
| MEDICAL, DENTAL & LAB S | $1,238,434 | $1,238,434 | |
| EDUCATION & PUBLICATION | $173,014 | $132,121 | $40,893 |
| LICENSES & DUES | $23,285 | $23,285 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,768 | TotalAmt |
| Program Services | $41,517 | ProgramServicesAmt |
| Management And General | $173,251 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,624,358 | TotalAmt |
| Program Services | $13,998,897 | ProgramServicesAmt |
| Management And General | $2,625,461 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,454,134 | BOYAmt |
| EOY | $2,400,440 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,620 | BOYAmt |
| EOY | $424,460 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,519,884 | BOYAmt |
| EOY | $1,448,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,917 | BOYAmt |
| EOY | $345,350 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,396 | BOYAmt |
| EOY | $67,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,684,054 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,650,060 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,326,621 | BOYAmt |
| EOY | $10,033,994 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,965 | BOYAmt |
| EOY | $39,039 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,644,537 | BOYAmt |
| EOY | $14,759,342 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $812,694 | BOYAmt |
| EOY | $1,108,610 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,580 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,217,274 | BOYAmt |
| EOY | $1,108,610 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,427,263 | BOYAmt |
| EOY | $13,650,732 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,427,263 | BOYAmt |
| EOY | $13,650,732 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,644,537 | BOYAmt |
| EOY | $14,759,342 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $223,469 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,196,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,134,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,967,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,657,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,926,382 | CurrentTaxYearAmt |
| Total | $43,882,574 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,196,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,134,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,967,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,657,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,926,382 | CurrentTaxYearAmt |
| Total | $43,882,574 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $43,882,574 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,085 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,980 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,925 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,480 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,237 | CurrentTaxYearAmt |
| Total | $26,707 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,973 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $114,163 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,173 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,516 | CurrentTaxYearAmt |
| Total | $234,189 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $44,143,470 | TotalSupportAmt |
| Public Support CY170 | 0.99410 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99490 | 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 | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | VARIOUS SMALL INCONSEQUENTIAL RECEIPTS RECEIVED THROUGHOUT THE YEAR | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $331,630 | OtherCostOrOtherBasisAmt |
| Book Value | $331,630 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,084,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,795,781 | DepreciationAmt |
| Book Value | $8,289,049 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,816 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,396 | DepreciationAmt |
| Book Value | $193,420 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,975,318 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,825,210 | DepreciationAmt |
| Book Value | $1,150,108 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,673 | DepreciationAmt |
| Book Value | $69,787 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,033,994 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $16,847,827 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,847,827 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,847,827 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,624,358 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,624,358 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,624,358 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED IN DETAIL WITH THE CHIEF FINANCIAL OFFICER BEFORE FILING. THE FORM 990 IS REVIEWED AND SIGNED BY THE CHIEF EXECUTIVE OFFICER. IT IS ALSO MADE AVAILABLE TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE CEO THROUGH CLOSE OVERSIGHT OF, AND FREQEUENT INTERACTION WITH, DEPARTMENT HEADS AND THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMPREHENSIVE MARKET SURVEY WAS PERFORMED IN 2008 BY THE BOARD'S PERSONNEL COMMITTEE TO EVALUATE AND ADJUST THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE TO REFLECT THE LOCAL MARKET. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION IS NOT REQUIRED TO, AND DOES NOT, MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ITS FORM 990, HOWEVER, IS PREPARED FROM ITS ANNUAL AUDITED FINANCIAL STATEMENTS AND, AS SUCH, ITS ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH REVIEW OF ITS ANNUAL TAX RETURN. |