GRACEMED HEALTH CLINIC INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: GRACEMED HEALTH CLINIC INC (EIN 48-1159633)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201623169349304062
Schema version: 2015v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-11T14:52:28-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	481032601	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ALLEN GIBBS & HOULIK LC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	301 N MAIN SUITE 1700	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	672024868	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	481159633	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRACEMED HEALTH CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GRAC	BusinessNameControlTxt
Phone	3168662001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SANFORD	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	3168662011	PhoneNum
Signature	2016-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER A ALLEN	PreparerPersonNm
PTIN	P01338336	PTIN
Phone	3162677231	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID SANFORD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$16,832,257	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GRACEMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1979	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE PRIMARY HEALTH AND DENTAL CARE SERVICES TO KANSANS WITHOUT HEALTH INSURANCE OR ADEQUATE FINANCIAL RESOURCES TO SECURE TRADITIONAL HEALTH CARE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	254	TotalEmployeeCnt
Total Volunteers	60	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,046,603	PYContributionsGrantsAmt
CY Contributions Grants	$5,019,173	CYContributionsGrantsAmt
PY Program Service Revenue	$9,463,142	PYProgramServiceRevenueAmt
CY Program Service Revenue	$10,262,962	CYProgramServiceRevenueAmt
PY Investment Income	$49,909	PYInvestmentIncomeAmt
CY Investment Income	$171,639	CYInvestmentIncomeAmt
PY Other Revenue	$33,809	PYOtherRevenueAmt
CY Other Revenue	$22,422	CYOtherRevenueAmt
PY Total Revenue	$13,593,463	PYTotalRevenueAmt
CY Total Revenue	$15,476,196	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	$8,417,337	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,124,726	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$64,567	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,290,600	PYOtherExpensesAmt
CY Other Expenses	$3,835,398	CYOtherExpensesAmt
PY Total Expenses	$11,707,937	PYTotalExpensesAmt
CY Total Expenses	$12,960,124	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,885,526	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,516,072	CYRevenuesLessExpensesAmt
Total Assets BOY	$9,901,441	TotalAssetsBOYAmt
Total Assets EOY	$13,012,957	TotalAssetsEOYAmt
Total Liabilities BOY	$1,303,094	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,478,174	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,598,347	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,534,783	NetAssetsOrFundBalancesEOYAmt
Mission	TO SHOW AND SHARE THE LOVE OF JESUS CHRIST BY PROVIDING COMPASSIONATE, ACCESSIBLE, HIGH-QUALITY HEALTH CARE FOR RESIDENTS OF SOUTH CENTRAL KANSAS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$10,464,653	ExpenseAmt
Revenue	$10,283,859	RevenueAmt
Desc	PROVIDING PRIMARY HEALTH AND DENTAL CARE TO KANSANS WITHOUT HEALTH INSURANCE OR ADEQUATE FINANCIAL RESOURCES TO SECURE TRADITIONAL HEALTH CARE SERVICES	Desc
Total Program Service Expenses	$10,464,653	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	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	15	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	254	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
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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	0	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAVID WUTHNOW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3168662049	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1122 N TOPEKA	AddressLine1Txt
City	WICHITA	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	67214	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARTON PRINCE
VICE - PRESIDENT	4.00	Yes (X)	Yes (X)	$0	$0	$0
MARLON KING
TREASURER	4.00	Yes (X)	Yes (X)	$0	$0	$0
GAIL FINNEY
SECRETARY	4.00	Yes (X)	Yes (X)	$0	$0	$0
MARC MINNIS
PRESIDENT	4.00	Yes (X)	Yes (X)	$0	$0	$0
FRED ERVIN
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
GAROLD MINNS
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
JON ROSELL
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
LAURIE LABARCA
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
MICHAEL GOOD
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
ROB DAKIN
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
SUSAN HOWEY
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
TERRY BOURLARD
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
MARCIA NEWTON
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
GLORIA OSORIO
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
LAZARO VASQUEZ
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
JOE WHITAKER
BOARD MEMBER	4.00	Yes (X)		$0	$0	$0
JULIE A ELDER
OFFICER	40.00		Yes (X)	$178,477	$0	$10,918
VENUS L LEE
OFFICER	40.00		Yes (X)	$122,340	$0	$3,832
ROGER G NOLTE
OFFICER	40.00		Yes (X)	$149,898	$0	$5,563
SHAROL A SULLIVAN
OFFICER	40.00		Yes (X)	$105,089	$0	$3,520
DAVID SANFORD
CHIEF EXECUTIVE OFFICER	40.00		Yes (X)	$158,667	$0	$10,323
ANDREA M BOOTHE
HIGHLY COMPENSATED EMPLOYEE	40.00			$124,240	$0	$9,291	Yes (X)
VALERIYA V GREENWOOD
HIGHLY COMPENSATED EMPLOYEE	40.00			$131,873	$0	$9,520	Yes (X)
JOSHUA TIBBE
HIGHLY COMPENSATED EMPLOYEE	40.00			$108,435	$0	$7,737	Yes (X)
TEOLINDA A MILSAP
HIGHLY COMPENSATED EMPLOYEE	40.00			$110,099	$0	$11	Yes (X)
MADIHA YASIR
HIGHLY COMPENSATED EMPLOYEE	40.00			$114,999	$0	$1,739	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,304,117	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$62,454	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HENRY SCHEIN INC
DEPT CH 10241	PALATINE	IL	600550241	MEDICAL/DENTAL EQUIPMENT AND SUPPLIES	$692,462
SCHAEFER JOHNSON COX FREY
257 N BROADWAY	WICHITA	KS	672022317	ARCHITECTURAL FEES	$301,839
UNITED HEALTHCARE
DEPT CH 10151	PALATINE	IL	600550151	EMPLOYER HEALTH INSURANCE	$245,167
AETNA
P O BOX 804735	CHICAGO	IL	606804108	EMPLOYER HEALTH INSURANCE	$232,805
HUTTON CONSTRUCTION CORP
2229 S WEST STREET	WICHITA	KS	67213	CONSTRUCTION	$191,895

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Fundraising	$31,491	FundraisingAmt
Government Grants	$3,102,059	GovernmentGrantsAmt
All Other Contributions	$1,885,623	AllOtherContributionsAmt
Total Contributions	$5,019,173	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL & DENTAL SERVICES	621110	$9,871,962	$9,871,962
HIT CERT INCENTIVE	621110	$391,000	$391,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$10,262,962	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,446	TotalRevenueColumnAmt
Exclusion	$29,446	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,464,892	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,322,699	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$142,193	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,193	TotalRevenueColumnAmt
Exclusion	$142,193	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$34,887	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$31,491	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$33,362	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,525	TotalRevenueColumnAmt
Exclusion	$1,525	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISC REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$20,897	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,897	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$20,897	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,476,196	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,283,859	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$173,164	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$714,471	TotalAmt
Program Services	$558,677	ProgramServicesAmt
Management And General	$155,794	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$7,680,758	TotalAmt
Program Services	$5,971,078	ProgramServicesAmt
Management And General	$1,665,116	ManagementAndGeneralAmt
Fundraising	$44,564	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$70,969	TotalAmt
Program Services	$63,233	ProgramServicesAmt
Management And General	$7,686	ManagementAndGeneralAmt
Fundraising	$50	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$658,528	TotalAmt
Program Services	$539,904	ProgramServicesAmt
Management And General	$115,003	ManagementAndGeneralAmt
Fundraising	$3,621	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$118,968	TotalAmt
Management And General	$118,968	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$230,076	TotalAmt
Program Services	$222,400	ProgramServicesAmt
Management And General	$7,676	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$53,134	TotalAmt
Program Services	$10	ProgramServicesAmt
Management And General	$50,422	ManagementAndGeneralAmt
Fundraising	$2,702	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$117,724	TotalAmt
Program Services	$79,403	ProgramServicesAmt
Management And General	$38,321	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$354,882	TotalAmt
Program Services	$335,277	ProgramServicesAmt
Management And General	$19,605	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,127	TotalAmt
Program Services	$6,202	ProgramServicesAmt
Management And General	$21,925	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$361,249	TotalAmt
Program Services	$340,730	ProgramServicesAmt
Management And General	$20,519	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$31,336	TotalAmt
Program Services	$2,480	ProgramServicesAmt
Management And General	$28,856	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt
TAX	$318	$318
MEDICAL SUPPLIES	$1,607,299	$3,477	$1,603,822
CONSULTING & COMPUTER E	$325,602	$69,600	$255,982	$20
REPAIRS	$220,396	$18,689	$201,707

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$386,287	TotalAmt
Program Services	$283,748	ProgramServicesAmt
Management And General	$88,929	ManagementAndGeneralAmt
Fundraising	$13,610	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,960,124	TotalAmt
Program Services	$10,464,653	ProgramServicesAmt
Management And General	$2,430,904	ManagementAndGeneralAmt
Fundraising	$64,567	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$233,459	BOYAmt
EOY	$212,923	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,314,068	BOYAmt
EOY	$4,446,049	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$457,910	BOYAmt
EOY	$751,825	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$527,676	BOYAmt
EOY	$482,164	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,886	BOYAmt
EOY	$10,950	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,131	BOYAmt
EOY	$30,249	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,882,881	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,134,205	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,967,768	BOYAmt
EOY	$5,748,676	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,361,715	BOYAmt
EOY	$1,328,427	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,828	BOYAmt
EOY	$1,694	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,901,441	BOYAmt
EOY	$13,012,957	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$746,984	BOYAmt
EOY	$765,532	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$556,110	BOYAmt
EOY	$712,642	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,303,094	BOYAmt
EOY	$1,478,174	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,947,579	BOYAmt
EOY	$10,699,093	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$650,768	BOYAmt
EOY	$835,690	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,598,347	BOYAmt
EOY	$11,534,783	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$9,901,441	BOYAmt
EOY	$13,012,957	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$2,516,072	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$207,117	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$627,481	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (1)	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	$2,025,778	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,961,224	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,211,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,095,940	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,019,173	CurrentTaxYearAmt
Total	$18,313,976	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,025,778	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,961,224	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,211,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,095,940	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,019,173	CurrentTaxYearAmt
Total	$18,313,976	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$18,313,976	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$31,644	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$45,973	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	-$58,447	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$48,409	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,303	CurrentTaxYearAmt
Total	$103,882	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$18,417,858	TotalSupportAmt
Gross Receipts Rltd Activities	$40,558,299	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99440	PublicSupportCY170Pct
Public Support PY170	0.99830	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$5,181,057	InvestmentCostOrOtherBasisAmt
Depreciation	$772,868	DepreciationAmt
Book Value	$4,408,189	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,701,824	InvestmentCostOrOtherBasisAmt
Depreciation	$1,361,337	DepreciationAmt
Book Value	$1,340,487	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,748,676	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$15,929,923	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$207,117	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$627,481	DonatedServicesAndUseFcltsAmt
Other Revenue	$33,363	OtherRevenueAmt
Revenue Not Reported	$453,727	RevenueNotReportedAmt
Revenue Subtotal	$15,476,196	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$15,476,196	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$12,993,487	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$33,363	OtherExpensesIncludedAmt
Expenses Not Reported	$33,363	ExpensesNotReportedAmt
Expenses Subtotal	$12,960,124	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$12,960,124	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES REPORTED ON SCHEDULE G 33,363.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	EXPENSES REPORTED ON SCHEDULE G 33,363.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	5K RACE	Event1Nm
Gross Receipts Event1	$66,378	GrossReceiptsEvent1Amt
Charitable Contri Event1	$31,491	CharitableContriEvent1Amt
Gross Revenue Event1	$34,887	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,200	CashPrizesEvent1Amt
Non Cash Prizes Event1	$15,830	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$16,332	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$66,378	GrossReceiptsTotalAmt
Charitable Contributions Tot	$31,491	CharitableContributionsTotAmt
Gross Revenue Total Events	$34,887	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,200	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$15,830	NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events	$16,332	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$33,362	DirectExpenseSummaryEventsAmt
Net Income Summary	$1,525	NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JULIE A ELDER
OFFICER	$178,477	$0	$0	$0	$0	$0	$0	$0	$10,918	$0	$189,395	$0	$0	$0
ROGER G NOLTE
OFFICER	$149,898	$0	$0	$0	$0	$0	$0	$0	$5,563	$0	$155,461	$0	$0	$0
DAVID SANFORD
CHIEF EXECUTIVE OFFICER	$158,667	$0	$0	$0	$0	$0	$0	$0	$10,323	$0	$168,990	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CHAD SANFORD
SON OF CEO	$48,659	CHAD SANFORD IS THE SON OF DAVID SANFORD, CEO OF GRACEMED. CHAD IS AN EMPLOYEE OF GRACEMED.	0
SARA BAYLESS
DAUGHTER OF OFFICER	$40,257	SARA BAYLESS IS THE DAUGHTER OF ROGER NOLTE, GRACEMED'S CHIEF DENTAL OFFICER. SARA BAYLESS IS AN EMPLOYEE OF GRACEMED.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11	THE ORGANIZATION HIRES AN OUTSIDE CPA TO PREPARE THE FINANCIAL STATEMENT AUDIT AND THE FORM 990 EACH YEAR. AFTER THE CPA HAS COMPLETED BOTH THE AUDIT AND FORM 990, THE CFO FOR THE ORGANIZATION AND THE CPA REVIEW THE INITIAL DRAFT OF THE RETURN TO ENSURE ITS COMPLETENESS AND ACCURACY. FOLLOWING THE REVIEW, THE FORM 990 IS COMPLETED AND THE ORGANIZATION FILES THE RETURN.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 24E	UTILITIES: PROGRAM SERVICE EXPENSES 194,372. MANAGEMENT AND GENERAL EXPENSES 16,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,456. CONTINUING EDUCATION: PROGRAM SERVICE EXPENSES 65,933. MANAGEMENT AND GENERAL EXPENSES 9,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,273. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 5,539. MANAGEMENT AND GENERAL EXPENSES 56,093. FUNDRAISING EXPENSES 13,610. TOTAL EXPENSES 75,242. STAFF RECRUITING: PROGRAM SERVICE EXPENSES 15,312. MANAGEMENT AND GENERAL EXPENSES 2,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,012. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 2,592. MANAGEMENT AND GENERAL EXPENSES 4,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,304.
FORM 990, PART XII, LINE 2C	THIS POLICY HAS NOT CHANGED SINCE THE PRIOR YEAR.
FORM 990, PART XI, LINE 5 & SCH D, PART XI, LINE 2A	REALIZED/UNREALIZED GAIN LOSS ON AUDIT REPORT FOOTNOTE AND THE AMOUNTS REPORTED ON FORM 990 DO NOT MATCH DUE TO THE USE OF DIFFERENT REPORTING METHODS BETWEEN THE AUDIT REPORT AND THE 990. BOTH METHODS HAVE THE NET EFFECT OF $64,924 INVESTMENT GAIN/LOSS AND THERE IS NO IMPACT ON INCOME REPORTING.