STRATEGY STUDIO / PUBLIC DATA EXPLORER

CARESTL HEALTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CARESTL HEALTH (EIN 43-0917230)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-15
IRS object ID
201731359349312138
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)
Return2017-05-15T17:04:36-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431540459PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHMERSAHL TRELOAR & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110805 SUNSET OFFICE DRIVE SUITE 400AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63127ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430917230EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MYRTLE HILLIARD DAVIS COMPREHENSIVEBusinessNameLine1Txt
Business Name Line2HEALTH CENTERS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMYRTBusinessNameControlTxt
Phone3143675820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15471 DR MARTIN LUTHER KING DRIVEAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63112ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANGELA CLABONPersonNm
Person TitleCEOPersonTitleTxt
Phone3143675820PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROGER G TOENNIES CPAPreparerPersonNm
PTINP00019708PTIN
Phone3149662727PhoneNum
Preparation2017-05-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.187.1.242IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-15IPDt
IP Tm09:48:23IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0DF96422AF7580FBE835C8076C3C2023FB19F1AAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANGELA CLABONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15471 DR MARTIN LUTHER KING DRIVEAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63112ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,793,288GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MHDCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES, MEDICAL COUNSELING AND WELLNESS EDUCATION FOR LOW INCOME INDIVIDUALS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee286TotalEmployeeCnt
Total Volunteers1TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,388,119PYContributionsGrantsAmt
CY Contributions Grants$5,760,054CYContributionsGrantsAmt
PY Program Service Revenue$16,460,071PYProgramServiceRevenueAmt
CY Program Service Revenue$15,258,724CYProgramServiceRevenueAmt
PY Investment Income$45,608PYInvestmentIncomeAmt
CY Investment Income$34,251CYInvestmentIncomeAmt
PY Other Revenue$199,770PYOtherRevenueAmt
CY Other Revenue$443,212CYOtherRevenueAmt
PY Total Revenue$21,093,568PYTotalRevenueAmt
CY Total Revenue$21,496,241CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,847,468PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,204,223CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,275,578PYOtherExpensesAmt
CY Other Expenses$6,703,850CYOtherExpensesAmt
PY Total Expenses$21,123,046PYTotalExpensesAmt
CY Total Expenses$22,908,073CYTotalExpensesAmt
PY Revenues Less Expenses-$29,478PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,411,832CYRevenuesLessExpensesAmt
Total Assets BOY$5,713,095TotalAssetsBOYAmt
Total Assets EOY$4,627,155TotalAssetsEOYAmt
Total Liabilities BOY$1,840,526TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,140,469TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,872,569NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,486,686NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTHCARE SERVICES, MEDICAL COUNSELING AND WELLNESS EDUCATION FOR LOW INCOME INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,936,285ExpenseAmt
Revenue$15,258,724RevenueAmt
DescOUTPATIENT HEALTHCARE SERVICES TO LOW INCOME RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH CENTER ENCOUNTERED 114,493 VISITS BY PATIENTS IN 2016.Desc
Total Program Service Expenses$17,936,285TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee286EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANGELA CLABONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3143675820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15471 DR MARTIN LUTHER KING DRIVEAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63112ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RODNETTE ALBAN
MEMBER0.00Yes (X)$0$0$0
EUNICE ATKINSON
MEMBER0.00Yes (X)$0$0$0
MR RANDY BARNES
MEMBER0.00Yes (X)$0$0$0
MR JETHRO FORTENBERRY
MEMBER0.00Yes (X)$0$0$0
DR ANDWELE M JOLLY
MEMBER0.00Yes (X)$0$0$0
MS KAREN JONES
MEMBER0.00Yes (X)$0$0$0
TIFFANY PAUL
MEMBER0.00Yes (X)$0$0$0
FLORA ROBINSON
MEMBER0.00Yes (X)$0$0$0
JAMES SANDLER
MEMBER0.00Yes (X)$0$0$0
MR WILLIAM WINFREY
MEMBER0.00Yes (X)$0$0$0
THEONIS GUYTON
CHAIR0.00Yes (X)$0$0$0Yes (X)
MELVIN RAYMOND
VICE CHAIR0.00Yes (X)$0$0$0Yes (X)
MS M MARIE BONDS
SECRETARY0.00Yes (X)$0$0$0Yes (X)
MR ALVIN DUNHAM
TREASURER0.00Yes (X)$0$0$0Yes (X)
MS ANGELA CLABON
CEO45.00$305,079$0$30,082Yes (X)
MR JOHN ATKINSON
CFO40.00$196,027$0$14,489Yes (X)
DR LESLIE MCCRARY-ETUK
CMO40.00$248,423$0$15,174Yes (X)
NICOLE DELSOIN-PIERRE
PHYSICIAN40.00$194,280$0$12,754Yes (X)
DR JOHN HARDEMAN
PHYSICIAN40.00$236,271$0$14,275Yes (X)
DR JOHN LAMPING
PHYSICIAN40.00$243,701$0$14,665Yes (X)
DR ARAVINDAKSHA MENON
PHYSICIAN40.00$196,066$0$11,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,619,847TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$113,064TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,561,156GovernmentGrantsAmt
All Other Contributions$198,898AllOtherContributionsAmt
Noncash Contributions$56,447NoncashContributionsAmt
Total Contributions$5,760,054TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFEES & CONTRACTS GOV AGENDesc
Business624110BusinessCd
Total Revenue Column$15,258,724TotalRevenueColumnAmt
Related Or Exempt Func Income$15,258,724RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,258,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,022TotalRevenueColumnAmt
Exclusion$21,022ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$310,276SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$297,047SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,229SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,229TotalRevenueColumnAmt
Exclusion$13,229ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$443,212TotalRevenueColumnAmt
Exclusion$443,212ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$443,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,496,241TotalRevenueColumnAmt
Related Or Exempt Func Income$15,258,724RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$477,463ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,732,911TotalAmt
Program Services$1,403,608ProgramServicesAmt
Management And General$329,303ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,970,778TotalAmt
Program Services$9,714,948ProgramServicesAmt
Management And General$2,255,830ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$335,296TotalAmt
Program Services$263,972ProgramServicesAmt
Management And General$71,324ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,219,444TotalAmt
Program Services$960,045ProgramServicesAmt
Management And General$259,399ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$945,794TotalAmt
Program Services$744,605ProgramServicesAmt
Management And General$201,189ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,969TotalAmt
Program Services$29,505ProgramServicesAmt
Management And General$3,464ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,102TotalAmt
Program Services$94,059ProgramServicesAmt
Management And General$11,043ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,421TotalAmt
Management And General$11,421ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$472,990TotalAmt
Program Services$191,201ProgramServicesAmt
Management And General$281,789ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$39,517TotalAmt
Program Services$20,150ProgramServicesAmt
Management And General$19,367ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$384,731TotalAmt
Program Services$158,545ProgramServicesAmt
Management And General$226,186ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$257,506TotalAmt
Program Services$61,845ProgramServicesAmt
Management And General$195,661ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$234,226TotalAmt
Program Services$100,176ProgramServicesAmt
Management And General$134,050ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$330,930TotalAmt
Program Services$263,467ProgramServicesAmt
Management And General$67,463ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$110,520TotalAmt
Program Services$7,005ProgramServicesAmt
Management And General$103,515ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT SERVICES$2,082,043$1,863,277$218,766
MEDICAL SUPPLIES$1,588,867$1,564,825$24,042
TELEPHONE$364,340$182,566$181,774
REPAIRS$314,081$125,733$188,348

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$374,607TotalAmt
Program Services$186,753ProgramServicesAmt
Management And General$187,854ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,908,073TotalAmt
Program Services$17,936,285ProgramServicesAmt
Management And General$4,971,788ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$418,604BOYAmt
EOY$382,428EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,315,709BOYAmt
EOY$2,121,480EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$159,218BOYAmt
EOY$124,174EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$189,189BOYAmt
EOY$274,816EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,611,546LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,544,501LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,113,528BOYAmt
EOY$1,067,045EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$516,847BOYAmt
EOY$657,212EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,713,095BOYAmt
EOY$4,627,155EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,360,526BOYAmt
EOY$1,590,469EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$480,000BOYAmt
EOY$550,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,840,526BOYAmt
EOY$2,140,469EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,872,569BOYAmt
EOY$2,486,686EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,872,569BOYAmt
EOY$2,486,686EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,713,095BOYAmt
EOY$4,627,155EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,411,832ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$25,949NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$3,151,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,204,511CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,924,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,388,119CurrentTaxYearMinus1YearAmt
Current Tax Year$5,760,054CurrentTaxYearAmt
Total$20,428,156TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,151,042CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,204,511CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,924,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,388,119CurrentTaxYearMinus1YearAmt
Current Tax Year$5,760,054CurrentTaxYearAmt
Total$20,428,156TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,428,156PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,008CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,829CurrentTaxYearMinus1YearAmt
Current Tax Year$21,022CurrentTaxYearAmt
Total$65,165TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,267CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$110,535CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$199,770CurrentTaxYearMinus1YearAmt
Current Tax Year$443,212CurrentTaxYearAmt
Total$931,786TotalAmt
FieldValueIRS element (for citing)
Total Support$21,425,107TotalSupportAmt
Gross Receipts Rltd Activities$79,573,658GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95350PublicSupportCY170Pct
Public Support PY1700.96630PublicSupportPY170Pct
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)
Other Cost Or Other Basis$159,426OtherCostOrOtherBasisAmt
Book Value$159,426BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,466,021OtherCostOrOtherBasisAmt
Depreciation$5,072,878DepreciationAmt
Book Value$393,143BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,986,099OtherCostOrOtherBasisAmt
Depreciation$5,471,623DepreciationAmt
Book Value$514,476BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,067,045TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS$517,222
PENSION ASSET$139,990
FieldValueIRS element (for citing)
Total Book Value Other Assets$657,212TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$21,510,769TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$25,949NetUnrealizedGainsInvstAmt
Revenue Not Reported$25,949RevenueNotReportedAmt
Revenue Subtotal$21,484,820RevenueSubtotalAmt
Investment Expenses Not Incld$11,421InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$11,421RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$21,496,241TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,896,652TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$22,896,652ExpensesSubtotalAmt
Investment Expenses Not Incld2$11,421InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$11,421ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$22,908,073TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MS ANGELA CLABON
CEO$290,079$0$15,000$0$0$0$30,082$0$0$0$335,161$0$0$0
MR JOHN ATKINSON
CFO$196,027$0$0$0$0$0$14,489$0$0$0$210,516$0$0$0
DR LESLIE MCCRARY-ETUK
CMO$248,423$0$0$0$0$0$15,174$0$0$0$263,597$0$0$0
NICOLE DELSOIN-PIERRE
PHYSICIAN$194,280$0$0$0$0$0$12,754$0$0$0$207,034$0$0$0
DR JOHN HARDEMAN
PHYSICIAN$236,271$0$0$0$0$0$14,275$0$0$0$250,546$0$0$0
DR JOHN LAMPING
PHYSICIAN$243,701$0$0$0$0$0$14,665$0$0$0$258,366$0$0$0
DR ARAVINDAKSHA MENON
PHYSICIAN$196,066$0$0$0$0$0$11,625$0$0$0$207,691$0$0$0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL SUPPLIESDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$56,447NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ITEMS CONTRIBUTED WERE VARIOUS MEDICAL SUPPLIES, FROM ONE CONTRIBUTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BLINE 11A EXPLANATION - THE CFO MUST REVIEW AND APPPROVE THE 990. AFTER THEIR REVIEW, IT IS SUBMITTED TO THE BOARD FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CWHEN A NEW BOARD MEMBER OR EXECUTIVE EMPLOYEE IS HIRED, A CONFLICT OF INTEREST POLICY MUST BE COMPLETED.
FORM 990, PART VI, SECTION B, LINE 15THE CEO REVIEWS AND DECIDES OFFICERS' SALARIES YEARLY. THE CEO'S SALARY IS EVALUATED ANNUALLY BY THE BOARD OF DIRECTORS AND THE SALARY IS NEGOTIATED.
FORM 990, PART VI, SECTION C, LINE 19IF A MEMBER OF THE PUBLIC WISHES TO VIEW THE ORGANIZATION'S DOCUMENTS AND POLICIES THEY CAN REQUEST TO DO SO AT THE FACILITY.