CARESTL HEALTH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CARESTL HEALTH (EIN 43-0917230)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-11
- IRS object ID
- 201611329349304001
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-11T16:45:21-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 431540459 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Schmersahl Treloar & Company PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10805 Sunset Office Drive Suite 400 | AddressLine1Txt |
| City | Saint Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | 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 | 430917230 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Myrtle Hilliard Davis Comprehensive | BusinessNameLine1Txt |
| Business Name Line2 | Health Centers Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MYRT | BusinessNameControlTxt |
| Phone | 3143675820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 Dr Martin Luther King Drive | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Angela Clabon | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3143675820 | PhoneNum |
| Signature | 2016-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tim Hennessey CPA | PreparerPersonNm |
| PTIN | P00195292 | PTIN |
| Phone | 3149662727 | PhoneNum |
| Preparation | 2016-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Angela Clabon | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 Dr Martin Luther King Drive | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,380,987 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mhdchc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | To provide healthcare services, medical counseling and wellness education for low income individuals. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 285 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,924,430 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,388,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,523,552 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,460,071 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,859 | PYInvestmentIncomeAmt |
| CY Investment Income | $45,608 | CYInvestmentIncomeAmt |
| PY Other Revenue | $110,535 | PYOtherRevenueAmt |
| CY Other Revenue | $199,770 | CYOtherRevenueAmt |
| PY Total Revenue | $21,586,376 | PYTotalRevenueAmt |
| CY Total Revenue | $21,093,568 | 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 | $15,637,522 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,847,468 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,754,656 | PYOtherExpensesAmt |
| CY Other Expenses | $6,275,578 | CYOtherExpensesAmt |
| PY Total Expenses | $21,392,178 | PYTotalExpensesAmt |
| CY Total Expenses | $21,123,046 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $194,198 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$29,478 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,501,297 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,713,095 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,541,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,840,526 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,959,882 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,872,569 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide healthcare services, medical counseling and wellness education for low income individuals. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,364,028 | ExpenseAmt |
| Revenue | $16,460,071 | RevenueAmt |
| Desc | OUTPATIENT HEALTHCARE SERVICES TO LOW INCOME RESIDENTS OF THE ST. LOUIS METROPOLITAN AREA. MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH CENTER ENCOUNTERED 116,820 VISITS BY PATIENTS IN 2015. | Desc |
| Total Program Service Expenses | $16,364,028 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 285 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Angela Clabon | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3143675820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5471 Dr Martin Luther King Drive | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| EUNICE ATKINSON | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DR ANDWELE M JOLLY | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MR RANDY BARNES | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MS M MARIE BONDS | |||||||
| Secretary | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MR JETHRO FORTENBERRY | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MS KAREN JONES | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MR WILLIAM WINFREY | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MR ALVIN DUNHAM | |||||||
| Treasurer | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Theonis Guyton | |||||||
| Chair | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Melvin Raymond | |||||||
| Vice Chair | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Tiffany Paul | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James Sandler | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ms Ina Boon | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ms Lulu Hall | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ms Alta Rivers | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ms Mattie Stanton | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ms Patricia Foster | |||||||
| Member | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr John Hardeman | |||||||
| Physician | 40.00 | $233,464 | $0 | $8,045 | Yes (X) | ||
| Dr Aravindaksha Menon | |||||||
| Physician | 40.00 | $189,595 | $0 | $7,009 | Yes (X) | ||
| Ms Angela Clabon | |||||||
| CEO | 45.00 | $283,413 | $0 | $7,267 | Yes (X) | ||
| Mr Michael Spearman | |||||||
| Director of Medical | 40.00 | $171,557 | $0 | $15,242 | Yes (X) | ||
| Mr John Atkinson | |||||||
| CFO | 40.00 | $116,533 | $0 | $19,840 | Yes (X) | ||
| Dr Leslie McCrary-Etuk | |||||||
| CMO | 40.00 | $240,197 | $0 | $15,013 | Yes (X) | ||
| Dr John Lamping | |||||||
| Physician | 40.00 | $238,224 | $0 | $8,684 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,472,983 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $81,100 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,193,276 | GovernmentGrantsAmt |
| All Other Contributions | $194,843 | AllOtherContributionsAmt |
| Total Contributions | $4,388,119 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES & CONTRACTS GOV AGEN | Desc |
| Business | 624110 | BusinessCd |
| Total Revenue Column | $16,460,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,460,071 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,460,071 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,829 | TotalRevenueColumnAmt |
| Exclusion | $7,829 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $325,198 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $287,419 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $37,779 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,779 | TotalRevenueColumnAmt |
| Exclusion | $37,779 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Total Revenue Column | $199,770 | TotalRevenueColumnAmt |
| Exclusion | $199,770 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $199,770 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,093,568 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,460,071 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $245,378 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,889,496 | TotalAmt |
| Program Services | $10,607,424 | ProgramServicesAmt |
| Management And General | $2,282,072 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,957,972 | TotalAmt |
| Program Services | $1,544,645 | ProgramServicesAmt |
| Management And General | $413,327 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $611,524 | TotalAmt |
| Program Services | $138,314 | ProgramServicesAmt |
| Management And General | $473,210 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,623 | TotalAmt |
| Program Services | $15,067 | ProgramServicesAmt |
| Management And General | $46,556 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,426 | TotalAmt |
| Program Services | $42,796 | ProgramServicesAmt |
| Management And General | $128,630 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,930 | TotalAmt |
| Program Services | $303,944 | ProgramServicesAmt |
| Management And General | $75,986 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,957,725 | $1,736,266 | $221,459 |
| CONTRACT SERVICES | $1,880,597 | $1,538,474 | $342,123 |
| UTILITIES & INSURANCE | $313,441 | $84,043 | $229,398 |
| TELEPHONE | $246,023 | $126,196 | $119,827 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,289 | TotalAmt |
| Program Services | $226,859 | ProgramServicesAmt |
| Management And General | $426,430 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,123,046 | TotalAmt |
| Program Services | $16,364,028 | ProgramServicesAmt |
| Management And General | $4,759,018 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $771,239 | BOYAmt |
| EOY | $418,604 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,620,151 | BOYAmt |
| EOY | $3,315,709 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,882 | BOYAmt |
| EOY | $159,218 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,811 | BOYAmt |
| EOY | $189,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,341,089 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,227,561 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,388,452 | BOYAmt |
| EOY | $1,113,528 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $493,762 | BOYAmt |
| EOY | $516,847 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,501,297 | BOYAmt |
| EOY | $5,713,095 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,541,415 | BOYAmt |
| EOY | $1,360,526 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $480,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,541,415 | BOYAmt |
| EOY | $1,840,526 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,959,882 | BOYAmt |
| EOY | $3,872,569 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,959,882 | BOYAmt |
| EOY | $3,872,569 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,501,297 | BOYAmt |
| EOY | $5,713,095 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$29,478 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$57,835 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
| 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 | $3,264,878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,151,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,204,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,924,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,388,119 | CurrentTaxYearAmt |
| Total | $17,932,980 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,264,878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,151,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,204,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,924,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,388,119 | CurrentTaxYearAmt |
| Total | $17,932,980 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,932,980 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,280 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,829 | CurrentTaxYearAmt |
| Total | $64,423 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $72,545 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,267 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110,535 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $199,770 | CurrentTaxYearAmt |
| Total | $561,119 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,558,522 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $80,907,863 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96630 | PublicSupportCY170Pct |
| 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $159,426 | OtherCostOrOtherBasisAmt |
| Book Value | $159,426 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,417,619 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,873,298 | DepreciationAmt |
| Book Value | $544,321 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,764,044 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,354,263 | DepreciationAmt |
| Book Value | $409,781 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,113,528 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENTS | $362,271 |
| PENSION ASSET | $154,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $516,847 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $21,140,517 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$57,835 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $104,784 | OtherRevenueAmt |
| Revenue Not Reported | $46,949 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,093,568 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,093,568 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,227,830 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $104,784 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $104,784 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,123,046 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,123,046 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | IN-KIND SUPPLIES 104,784. |
| Part XII, Line 2d - Other Adjustments: | IN-KIND SUPPLIES 104,784. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr John Hardeman | ||||||||||||||
| Physician | $233,464 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $233,464 | $0 | $0 | $0 |
| Dr Aravindaksha Menon | ||||||||||||||
| Physician | $189,595 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $189,595 | $0 | $0 | $0 |
| Ms Angela Clabon | ||||||||||||||
| CEO | $283,413 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $283,413 | $0 | $0 | $0 |
| Mr Michael Spearman | ||||||||||||||
| Director of Medical | $171,557 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $171,557 | $0 | $0 | $0 |
| Dr Leslie McCrary-Etuk | ||||||||||||||
| CMO | $240,197 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $240,197 | $0 | $0 | $0 |
| Dr John Lamping | ||||||||||||||
| Physician | $238,224 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $238,224 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | Line 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 12c | When a new board member or executive employee is hired, a conflict of interest policy must be completed. |
| Form 990, Part VI, Section B, line 15 | The 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 19 | If a member of the public wishes to view the organization's documents and policies they can request to do so at the facility. |