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CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INC (EIN 64-0506107)
Tax period
2013-12-01 to 2014-11-30
Filed
2015-04-14
IRS object ID
201501049349300135
Schema version
2013v4.0
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)
Return2015-04-14T13:16:22-07:00ReturnTs
Tax Period End2014-11-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640506107EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone6013645182PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O Box 3437AddressLine1
CityJacksonCity
StateMSState
ZIP Code39207ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTechandra MayesPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone6013645182PhoneNum
Signature2015-04-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTechandra MayesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13502 West Northside DriveAddressLine1
CityJACKSONCity
StateMSState
ZIP Code39213ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$21,287,268GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jackson-hinds.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionThe mission is to provide quality, comprehensive primary and preventative healthcare and social services to the communities we serve. We are committed to serving the uninsured and the under insured.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee288TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,036,587PYContributionsGrantsAmt
CY Contributions Grants$6,858,963CYContributionsGrantsAmt
PY Program Service Revenue$13,595,804PYProgramServiceRevenueAmt
CY Program Service Revenue$13,850,011CYProgramServiceRevenueAmt
PY Investment Income$2,189PYInvestmentIncomeAmt
CY Investment Income$2,112CYInvestmentIncomeAmt
PY Other Revenue$623,675PYOtherRevenueAmt
CY Other Revenue$230,133CYOtherRevenueAmt
PY Total Revenue$20,258,255PYTotalRevenueAmt
CY Total Revenue$20,941,219CYTotalRevenueAmt
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$13,940,812PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,130,984CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,560,221PYOtherExpensesAmt
CY Other Expenses$5,290,994CYOtherExpensesAmt
PY Total Expenses$19,501,033PYTotalExpensesAmt
CY Total Expenses$19,421,978CYTotalExpensesAmt
PY Revenues Less Expenses$757,222PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,519,241CYRevenuesLessExpensesAmt
Total Assets BOY$17,671,923TotalAssetsBOYAmt
Total Assets EOY$19,241,266TotalAssetsEOYAmt
Total Liabilities BOY$4,603,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,735,914TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,068,549NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,505,352NetAssetsOrFundBalancesEOYAmt
MissionThe mission is to provide quality, comprehensive primary and preventive healthcare and social services to the communities we serve. We are committed to serving the uninsured and the under insured.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,394,044ExpenseAmt
Grant$0GrantAmt
Revenue$14,082,256RevenueAmt
DescHealth care programs, the center provided primary, preventative, and comprehensive services to the uninsured and the under insured.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$15,394,044TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
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 Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee288EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Mississippi Civic Improvement Association IncBusinessNameLine1
FieldValueIRS element (for citing)
Phone6013625321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13502 West Northside DriveAddressLine1
CityJacksonCity
StateMSState
ZIP Code39213ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Alberta Johnson
Board Member0Yes (X)$0$0$0
Connie Barnes Jones
Board Member0Yes (X)$0$0$00
Donna Stamps
Board Member0Yes (X)$0$0$00
Ethel Singleton
Board Member0Yes (X)$0$0$00
Frances Frazier
Board Member0Yes (X)$0$0$00
Irwin W Todd
Board Member0Yes (X)$0$0$00
Ivy Cassel
Board Member0Yes (X)$0$0$00
Jerlean Unice G Moore
Board Member0Yes (X)$0$0$00
John A Peoples Jr
Board Member0Yes (X)$0$0$00
Larry McMillan
Board Member0Yes (X)$0$0$00
Lillie Ervin
Board Member0Yes (X)$0$0$00
Lois Christian
Board Member0Yes (X)$0$0$00
Marshall Lusk
Board Member0Yes (X)$0$0$00
Mavis Collins
Board Member0Yes (X)$0$0$00
W C Gorden
Board Member0Yes (X)$0$0$00
Jasmin Chapman
Executive Director/CEO40$204,214$0$00Yes (X)
Techandra Mayes
Chief Financial Officer40$82,161$0$00Yes (X)
Debra Bartley Rice
Director of Adult Medicine40$172,515$0$00Yes (X)
John Patterson
Clinical Director40$141,689$0$00Yes (X)
Lynda Jackson-Assad
Medical Director40$168,374$0$00Yes (X)
Rose Straughter
Dental Director40$133,619$0$00Yes (X)
Nobel Attipoe
Director of OB GYN40$327,431$0$00Yes (X)
Ayanna Jenkins
Director of Family Medicine40$165,506$0$00Yes (X)
Edith Smith Rayford
Physician40$236,836$0$00Yes (X)
Kesha Flantroy
Physician40$314,704$0$00Yes (X)
Samuel Brown
Physician40$465,855$0$00Yes (X)
Rosie McNair
Physician40$165,506$0$00Yes (X)
Jan Hausmann
Physician40$165,006$0$00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,743,416TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Matthew Specialty Vehicles
101 South Swing RoadGreensboroNC27409Construction of Mobile Unit$325,714
eClinicalWorks LLC
P O Box 847950BostonMA022847950Patient Management$354,788
Protel Inc
P O Box 54323PearlMS39288Call Service Center$173,230
Henry Schein
Dept CH 10241PalatineIL600550241Medical Supplies & Equipment$130,313
LabCorp of America Holdings
PO BOX 12140BurlingtonNC27216Lab Services$127,441
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$6,803,012GovernmentGrantsAmt
All Other Contributions$55,951AllOtherContributionsAmt
Noncash Contributions$55,701NoncashContributionsAmt
Total Contributions$6,858,963TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHealth Care ServicesDesc
Business900099BusinessCd
Total Revenue Column$11,759,440TotalRevenueColumnAmt
Related Or Exempt Func Income$11,759,440RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,090,571TotalRevenueColumnAmt
Related Or Exempt Func Income$2,090,571RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,850,011TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,112TotalRevenueColumnAmt
Related Or Exempt Func Income$2,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$348,671RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$346,049RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,622RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,622TotalRevenueColumnAmt
Related Or Exempt Func Income$2,622RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$227,511TotalRevenueColumnAmt
Related Or Exempt Func Income$227,511RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$227,511OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,941,219TotalRevenueColumnAmt
Related Or Exempt Func Income$14,082,256RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,395,510TotalAmt
Program Services$799,071ProgramServicesAmt
Management And General$596,439ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,564,050TotalAmt
Program Services$9,032,392ProgramServicesAmt
Management And General$1,531,658ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,311,425TotalAmt
Program Services$1,077,225ProgramServicesAmt
Management And General$234,200ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$859,999TotalAmt
Program Services$700,314ProgramServicesAmt
Management And General$159,685ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,141TotalAmt
Program Services$2,141ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$30,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,400TotalAmt
Program Services$44,400ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$29,648TotalAmt
Program Services$12,051ProgramServicesAmt
Management And General$17,597ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,574,881TotalAmt
Program Services$1,550,896ProgramServicesAmt
Management And General$23,985ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$403,633TotalAmt
Program Services$403,633ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$739,991TotalAmt
Program Services$546,210ProgramServicesAmt
Management And General$193,781ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$80,445TotalAmt
Program Services$75,784ProgramServicesAmt
Management And General$4,661ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,145TotalAmt
Program Services$18,526ProgramServicesAmt
Management And General$619ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$50,457TotalAmt
Program Services$50,457ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$562,857TotalAmt
Program Services$129,456ProgramServicesAmt
Management And General$433,401ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$124,958TotalAmt
Program Services$32,349ProgramServicesAmt
Management And General$92,609ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Contractual Services$773,107$342,591$430,516
Building Repairs and Maintenance$252,503$139,901$112,602
Waste Removal$129,305$129,305$0
Security Services$98,408$41,947$56,461

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$375,115TotalAmt
Program Services$265,395ProgramServicesAmt
Management And General$109,720ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,421,978TotalAmt
Program Services$15,394,044ProgramServicesAmt
Management And General$4,027,934ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$855,406BOYAmt
EOY$1,565,925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,296,635BOYAmt
EOY$2,256,979EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$59,321BOYAmt
EOY$148,088EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,163,451BOYAmt
EOY$3,239,374EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$123,374BOYAmt
EOY$123,374EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,585BOYAmt
EOY$19,999EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,363,528LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,548,198LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,028,172BOYAmt
EOY$11,815,330EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$102,899BOYAmt
EOY$64,117EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,080BOYAmt
EOY$8,080EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,671,923BOYAmt
EOY$19,241,266EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,433,646BOYAmt
EOY$2,203,478EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$184,138BOYAmt
EOY$445,187EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,715BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,851,875BOYAmt
EOY$2,087,249EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,603,374BOYAmt
EOY$4,735,914EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,068,549BOYAmt
EOY$14,505,352EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,068,549BOYAmt
EOY$14,505,352EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,671,923BOYAmt
EOY$19,241,266EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,519,241ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments-$82,438PriorPeriodAdjustmentsAmt
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$5,742,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,256,506CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,265,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,036,587CurrentTaxYearMinus1YearAmt
Current Tax Year$6,803,262CurrentTaxYearAmt
Total$35,103,972TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,742,422CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,256,506CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,265,195CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,036,587CurrentTaxYearMinus1YearAmt
Current Tax Year$6,803,262CurrentTaxYearAmt
Total$35,103,972TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$35,103,972PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,030CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,179CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,189CurrentTaxYearMinus1YearAmt
Current Tax Year$2,112CurrentTaxYearAmt
Total$31,654TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$730,301CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158,395CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$611,693CurrentTaxYearMinus1YearAmt
Current Tax Year$227,511CurrentTaxYearAmt
Total$1,806,135TotalAmt
FieldValueIRS element (for citing)
Total Support$36,941,761TotalSupportAmt
Public Support CY1700.95025PublicSupportCY170Pct
Public Support PY1700.95229PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10FormAndLineReferenceDesc
ExplanationThe other income category consists of records duplication income, reimbursements, vending, etc.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$823,974InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$823,974BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,521,215InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$5,658,288DepreciationAmt
Book Value$9,862,927BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,103,634InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$4,408,706DepreciationAmt
Book Value$694,928BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$914,705InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$481,204DepreciationAmt
Book Value$433,501BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,815,330TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$20,941,219TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$20,941,219RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,941,219TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,421,978TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,421,978ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,421,978TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (10 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 OrgsTotalCompensationRltdOrgsAmt
Jasmin Chapman
Executive Director/CEO$204,214$0$0$0$0$0$0$0$0$0$204,214$0
Debra Bartley Rice
Director of Adult Medicine$172,515$0$0$0$0$0$0$0$0$0$172,515$0
Lynda Jackson-Assad
Medical Director$168,374$0$0$0$0$0$0$0$0$0$168,374$0
Edith Smith Rayford
Physician$236,836$0$0$0$0$0$0$0$0$0$236,836$0
Nobel Attipoe
Director of OB GYN$327,431$0$0$0$0$0$0$0$0$0$327,431$0
Kesha Flantroy
Physician$314,704$0$0$0$0$0$0$0$0$0$314,704$0
Samuel Brown
Physician$465,855$0$0$0$0$0$0$0$0$0$465,855$0
Rosie McNair
Physician$165,506$0$0$0$0$0$0$0$0$0$165,506$0
Ayanna Jenkins
Director of Family Medicine$165,506$0$0$0$0$0$0$0$0$0$165,506$0
Jan Hausmann
Physician$165,006$0$0$0$0$0$0$0$0$0$165,006$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$55,701NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bThe Chief Executive Officer and Chief Financial Officer will present the 990 form to the board at it's meeting
Form 990, Part VI, Section B, Line 12cThe Chief Executive Officer and the Director of Human Resources monitor the conflict of interest policy among board members and employees. Trainings are done periodically to educate employees on the conflict of interest policy.
Form 990, Part VI, Section B, Line 15The process for determining compensation included a review of comparable data.
Form 990, Part VI, Section C, Line 19The governing body documents are available to the public upon request.