STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

GOOD SAMARITAN HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN HEALTH CENTER INC (EIN 58-2373395)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-02
IRS object ID
201722759349301522
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

FieldValueIRS element (for citing)
Return2017-10-02T17:51:17-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLAD & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11832 Independence Square Ste AAddressLine1Txt
CityDunwoodyCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30338ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582373395EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SAMARITAN HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone6785534902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11015 DONALD LEE HOLLOWELL PKWYAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30318ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM WARREN IVPersonNm
Person TitleFOUNDERPersonTitleTxt
Signature2017-10-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert S Blad CPAPreparerPersonNm
PTINP00197666PTIN
Phone7705127600PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM WARREN IVPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11015 DONALD LEE HOLLOWELL PKWYAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30318ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,246,469GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GOODSAMATLANTA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionThe mission of the Organization is spreading Christs love through quality healthcare to those in need. The Organization provides comprehensive primary care to low-income, uninsured individuals in greater metropolitan Atlanta.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee56TotalEmployeeCnt
Total Volunteers77TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,691,108PYContributionsGrantsAmt
CY Contributions Grants$3,141,890CYContributionsGrantsAmt
PY Program Service Revenue$806,351PYProgramServiceRevenueAmt
CY Program Service Revenue$845,608CYProgramServiceRevenueAmt
PY Investment Income$98,779PYInvestmentIncomeAmt
CY Investment Income$54,555CYInvestmentIncomeAmt
PY Other Revenue$121,320PYOtherRevenueAmt
CY Other Revenue$149,336CYOtherRevenueAmt
PY Total Revenue$3,717,558PYTotalRevenueAmt
CY Total Revenue$4,191,389CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,227,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,528,817CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$321,152CYTotalFundraisingExpenseAmt
PY Other Expenses$1,473,318PYOtherExpensesAmt
CY Other Expenses$1,550,580CYOtherExpensesAmt
PY Total Expenses$3,701,182PYTotalExpensesAmt
CY Total Expenses$4,079,397CYTotalExpensesAmt
PY Revenues Less Expenses$16,376PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$111,992CYRevenuesLessExpensesAmt
Total Assets BOY$12,002,398TotalAssetsBOYAmt
Total Assets EOY$12,339,785TotalAssetsEOYAmt
Total Liabilities BOY$153,634TotalLiabilitiesBOYAmt
Total Liabilities EOY$165,895TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$11,848,764NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,173,890NetAssetsOrFundBalancesEOYAmt
MissionThe mission of The Good Samaritan Health Center is spreading Christs love through quality healthcare to those in need. The Good Samaritan Health Center, Inc. is a non-profit 501(c)(3) organization that is a health care home providing comprehensive primary care to low-income, uninsured individuals in greater metropolitan Atlanta.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,463,229ExpenseAmt
Revenue$845,608RevenueAmt
DescThe Good Samaritan Health Center provides comprehensive primary medical care for the medically underserved working poor, uninsured, and homeless. Services are provided by staff and volunteer medical professionals. Medical services provided include comprehensive pediatric and adult primary care, diagnostic and referral services, mammograms, laboratory services, vaccines, well prenatal care, internal medicine, chronic disease management, and nutrition counseling. Specialty care services are also provided and include cardiology, gastroenterology, pulmonology, gynecology, diabetes foot care, ophthalmology, optometry, orthopedics, and radiology. Specialty clinics are offered for prosthetics and orthotics and for pediatric developmental care.The Good Samaritan Health Center provides comprehensive primary dental care for the underserved working poor, uninsured, and homeless. Services are provided by staff and volunteer dental professionals. Dental services include preventative and restorative care including general family and preventative dentistry, endodontics, oral surgery, and prosthodontics. The Good Samaritan Health Center provides mental health counseling care for the underserved working poor, uninsured, and homeless. Services are provided by staff licensed professional counselors and volunteer mental health professionals. Services include individual and family mental health counseling, play therapy, and group therapy.The Good Samaritan Health Center provides health education for the underserved working poor, uninsured, and homeless. Health education is provided by a staff registered dietitian, staff and volunteer healthcare professionals, and graduate student programs. Health education services include healthy cooking classes in an on-site teaching kitchen, diabetes education and management courses, and childbirth education.To quality for services, patients must be uninsured with a household income at or below 200% of the federal poverty level or eligible for Medicaid/Medicare. Patients pay for services on a reduced sliding fee scale that is based on income and household size. Those who are unable to pay receive care at no charge.Desc
Total Program Service Expenses$3,463,229TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee56EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNOVLETTE HENRYPersonNm
Phone6785534902PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11015 DONALD LEE HOLLOWELL PKWYAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30318ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAVID PATTILLO
Director1.000.00Yes (X)$0$0$0
KIRK MCALPIN JR
Chairman1.000.00Yes (X)$0$0$0
KATHRYN B MILLER
Director1.000.00Yes (X)$0$0$0
JAMES WELLMAN
Director1.000.00Yes (X)$0$0$0
JEFFREY ADAMS
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
DAN CALLAHAN
Director1.000.00Yes (X)$0$0$0
EDWIN BRYANT
Director1.000.00Yes (X)$0$0$0
DOUG WILLIAMS
Director1.000.00Yes (X)$0$0$0
WILLIAM HOYT
Director1.000.00Yes (X)$0$0$0
MADISON COLE
Director1.000.00Yes (X)$0$0$0
S DOUGLAS KING
Director1.000.00Yes (X)$0$0$0
PEYTON MCWHIRTER
Director1.000.00Yes (X)$0$0$0
JOHN MORGAN JR
Director1.000.00Yes (X)$0$0$0
LOIS GIVENS
Director1.000.00Yes (X)$0$0$0
GLENN WARREN
Secretary1.000.00Yes (X)$0$0$0
WILLIAM WARREN IV
FOUNDER40.000.00Yes (X)$0$0$0Yes (X)
BETSY POLSTRA
Director1.000.00Yes (X)$0$0$0
SHARON SIMMS
Director1.000.00Yes (X)$0$0$0
JOHN LUCKETT
CEO40.000.00$122,409$0$10,898Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$122,409TotalReportableCompFromOrgAmt
Total Other Compensation$10,898TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$120,195GovernmentGrantsAmt
All Other Contributions$3,021,695AllOtherContributionsAmt
Total Contributions$3,141,890TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTHCARE SERVICESDesc
Total Revenue Column$845,608TotalRevenueColumnAmt
Related Or Exempt Func Income$845,608RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$845,608TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,555TotalRevenueColumnAmt
Exclusion$54,555ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$197,460FundraisingGrossIncomeAmt
Fundraising Direct Expenses$55,080FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,380TotalRevenueColumnAmt
Exclusion$142,380ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGain/Loss on disposalDesc
Total Revenue Column$6,956TotalRevenueColumnAmt
Related Or Exempt Func Income$6,956RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,956OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,191,389TotalRevenueColumnAmt
Related Or Exempt Func Income$852,564RelatedOrExemptFuncIncomeAmt
Exclusion$196,935ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$122,409TotalAmt
Program Services$91,807ProgramServicesAmt
Management And General$30,602ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,033,096TotalAmt
Program Services$1,742,496ProgramServicesAmt
Management And General$127,563ManagementAndGeneralAmt
Fundraising$163,037FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,294TotalAmt
Program Services$29,184ProgramServicesAmt
Management And General$2,516ManagementAndGeneralAmt
Fundraising$2,594FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$173,821TotalAmt
Program Services$147,920ProgramServicesAmt
Management And General$12,754ManagementAndGeneralAmt
Fundraising$13,147FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$165,197TotalAmt
Program Services$140,580ProgramServicesAmt
Management And General$12,122ManagementAndGeneralAmt
Fundraising$12,495FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,631TotalAmt
Management And General$38,631ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$286,047TotalAmt
Program Services$217,236ProgramServicesAmt
Management And General$4,038ManagementAndGeneralAmt
Fundraising$64,773FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,615TotalAmt
Program Services$10,326ProgramServicesAmt
Fundraising$26,289FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,202TotalAmt
Program Services$87,823ProgramServicesAmt
Management And General$7,573ManagementAndGeneralAmt
Fundraising$7,806FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,371TotalAmt
Program Services$11,379ProgramServicesAmt
Management And General$981ManagementAndGeneralAmt
Fundraising$1,011FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$200,924TotalAmt
Program Services$188,869ProgramServicesAmt
Management And General$4,018ManagementAndGeneralAmt
Fundraising$8,037FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$317,596TotalAmt
Program Services$298,540ProgramServicesAmt
Management And General$6,352ManagementAndGeneralAmt
Fundraising$12,704FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,113TotalAmt
Program Services$39,241ProgramServicesAmt
Management And General$3,384ManagementAndGeneralAmt
Fundraising$3,488FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$374,519$374,519
OTHER$104,392$79,760$19,176$5,456
BAD DEBT EXPENSE$25,000$25,000
Postage and Shipping$4,170$3,549$306$315

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,079,397TotalAmt
Program Services$3,463,229ProgramServicesAmt
Management And General$295,016ManagementAndGeneralAmt
Fundraising$321,152FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$882,925BOYAmt
EOY$1,688,335EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$810,897BOYAmt
EOY$416,190EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$15,459EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,536BOYAmt
EOY$12,536EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,543BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,127,460LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,562,230LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,669,996BOYAmt
EOY$5,565,230EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,617,112BOYAmt
EOY$4,639,313EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,389BOYAmt
EOY$2,722EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,002,398BOYAmt
EOY$12,339,785EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$128,384BOYAmt
EOY$165,895EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,250BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$153,634BOYAmt
EOY$165,895EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,857,653BOYAmt
EOY$10,684,360EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$991,111BOYAmt
EOY$1,489,530EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,848,764BOYAmt
EOY$12,173,890EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,002,398BOYAmt
EOY$12,339,785EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$111,992ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$213,134NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,180,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,911,906CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,744,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,691,108CurrentTaxYearMinus1YearAmt
Current Tax Year$3,141,890CurrentTaxYearAmt
Total$11,670,119TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,180,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,911,906CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,744,318CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,691,108CurrentTaxYearMinus1YearAmt
Current Tax Year$3,141,890CurrentTaxYearAmt
Total$11,670,119TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,243,794SubstantialContributorsTotAmt
Public Support Total170$10,426,325PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$143,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$112,509CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$170,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$137,060CurrentTaxYearMinus1YearAmt
Current Tax Year$72,866CurrentTaxYearAmt
Total$635,909TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,350CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,100CurrentTaxYearMinus3YearsAmt
Total$9,450TotalAmt
FieldValueIRS element (for citing)
Total Support$12,315,478TotalSupportAmt
Gross Receipts Rltd Activities$197,460GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84660PublicSupportCY170Pct
Public Support PY1700.77130PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,250,423InvestmentCostOrOtherBasisAmt
Book Value$2,250,423BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,147,482InvestmentCostOrOtherBasisAmt
Depreciation$1,895,807DepreciationAmt
Book Value$3,251,675BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,502,160InvestmentCostOrOtherBasisAmt
Depreciation$1,445,029DepreciationAmt
Book Value$57,131BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$227,395InvestmentCostOrOtherBasisAmt
Depreciation$221,394DepreciationAmt
Book Value$6,001BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,565,230TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$5,434,045TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$213,134NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,029,522DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,242,656RevenueNotReportedAmt
Revenue Subtotal$4,191,389RevenueSubtotalAmt
Total Revenue Per Form990$4,191,389TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,108,919TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,029,522DonatedServicesUseFcltsAmt
Expenses Not Reported$1,029,522ExpensesNotReportedAmt
Expenses Subtotal$4,079,397ExpensesSubtotalAmt
Total Expenses Per Form990$4,079,397TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$176,825GrossReceiptsEvent1Amt
Gross Revenue Event1$176,825GrossRevenueEvent1Amt
Rent Facility Costs Event1$7,488RentFacilityCostsEvent1Amt
Food And Beverage Event1$21,292FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$22,390OtherDirectExpensesEvent1Amt
Event2GOOD BEATSEvent2Nm
Gross Receipts Event2$20,635GrossReceiptsEvent2Amt
Gross Revenue Event2$20,635GrossRevenueEvent2Amt
Food And Beverage Event2$3,401FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$509OtherDirectExpensesEvent2Amt
Gross Receipts Total$197,460GrossReceiptsTotalAmt
Gross Revenue Total Events$197,460GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$7,488RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$24,693FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$22,899OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$55,080DirectExpenseSummaryEventsAmt
Net Income Summary$142,380NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDR. WILLIAM WARREN, IV AND GELNN D. WARREN ARE BROTHERS. BOTH INDIVIDUALS SERVE ON THE ORGANIZATION'S BOARD.
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsALL BOARD MEMBERS MUST SIGN THE CONFLICT OF INTEREST POLICY & DUTY TO DISCLOSE WHICH STATES "IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTANCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT."POLICY COMPLIANCE IS MONITORED BY THE ORGANIZATION'S GOVERNANCE AND EXECUTIVE COMMITTEE.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHESE SALARIES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHESE SALARIES ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS.
Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public InspectionTHE ORGANIZATION PROVIDES A COPY OF THE FORM 990 SPECIFICALLY FOR PUBLIC INSPECTION. THIS COPY IS AVAILABLE ON THE ORGANIZATION'S WEBSITE AS WELL AS UPON REQUEST. THE ORGANIZATION ALSO POSTS A COPY OF FORM 990 ON THE GUIDESTAR WEBSITE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAVAILABLE UPON REQUEST.