SOUTH CAROLINA HEALTH INFORMATION PARTNERS: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH CAROLINA HEALTH INFORMATION PARTNERS (EIN 46-4025548)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201543179349304054
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-13T11:20:38-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464025548 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH CAROLINA HEALTH INFORMATION PARTNERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 8037443541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 CENTER POINT ROAD | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIGNING OFFICER | PersonNm |
| Person Title | BOARD CHAIR | PersonTitleTxt |
| Phone | 8037443541 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | DR GREG BARABELL | PrincipalOfficerNm |
| Gross Receipts | $2,033,426 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCHIEX.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | ENHANCE THE QUALITY, SAFETY AND EFFICIENCY OF HEALTH CARE FOR SOUTH CAROLINA RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $1,931,000 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $102,426 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| CY Total Revenue | $2,033,426 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $1,144,350 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $896,517 | CYOtherExpensesAmt |
| CY Total Expenses | $2,040,867 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$7,441 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $230,287 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $237,728 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | -$7,441 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S PURPOSE IS TO ENHANCE THE QUALITY, SAFETY AND EFFICIENCY OF HEALTH CARE FOR SOUTH CAROLINA RESIDENTS, AND THEREBY IMPROVE HEALTH OUTCOMES IN THE STATE, BY IMPLEMENTING AND EXPANDING A STATE-WIDE HEALTH INFORMATION EXCHANGE NETWORK, KNOWN AS THE SOUTH CAROLINA HEALTH INFORMATION EXCHANGE OR "SCHIEX." THE ORGANIZATION WILL ALSO REDUCE THE BURDEN ON STATE GOVERNMENT BY ASSUMING RESPONSIBILITY FOR SCHIEX FROM THE STATE OF SOUTH CAROLINA. THE ORGANIZATION WILL DO BUSINESS AS "SCHIEX." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,175,350 | ExpenseAmt |
| Grant | $1,144,350 | GrantAmt |
| Revenue | $102,426 | RevenueAmt |
| Desc | ON MARCH 14, 2014, THE ORGANIZATION ASSUMED RESPONSIBILITY FOR THE GOVERNANCE AND OPERATION OF SCHIEX. SINCE THEN, THE ORGANIZATION'S PRIMARY ACTIVITY HAS BEEN THE GOVERNANCE, OPERATION, AND IMPLEMENTATION OF SCHIEX. AS A WHOLE, THIS ACTIVITY OCCUPIES 85% OF THE ORGANIZATION'S TIME. THE ORGANIZATION HAS TWO KEY STRATEGIC OBJECTIVES FOR SCHIEX: (1) INCREASE HEALTH CARE PROVIDER PARTICIPATION IN SCHIEX, AND (2) DEVELOP A MODEL FOR SCHIEX'S FUTURE FINANCIAL SUSTAINABILITY. IN CONNECTION WITH THESE OBJECTIVES, IT HAS UNDERTAKEN THE FOLLOWING PROJECTS: FROM OCTOBER 2013 THROUGH MARCH 2014, THE ORGANIZATION OVERSAW A SHORT-TERM IMPLEMENTATION ACCELERATION PROGRAM, WHICH HAD THE OBJECTIVE OF ACCELERATING THE IMPLEMENTATION OF SCHIEX BY INCREASING THE NUMBER OF SCHIEX PARTICIPANTS AND THE AMOUNT OF PATIENT DATA AVAILABLE ON SCHIEX. THE PROGRAM WAS TARGETED AT BOTH HOSPITALS AND OUTPATIENT FACILITIES. THE ORGANIZATION CONTRACTED WITH THE CAROLINAS CENTER FOR MEDICAL EXCELLENCE, INC., A NONPROFIT ORGANIZATION, TO MANAGE THE PROGRAM, WHICH WAS FUNDED BY A GRANT FROM THE SOUTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES. BY THE COMPLETION OF THE PROGRAM, THE NUMBER OF "PATIENT LIVES" REPRESENTED ON SCHIEX HAD GROWN FROM LESS THAN 350,000 TO AROUND 2,500,000. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | IN ADDITION, THE ORGANIZATION IS ENGAGED IN THE DEVELOPMENT OF AN ANALYTICS DASHBOARD, A NEW BUSINESS INTELLIGENCE COMPONENT TO BE USED BY PARTICIPANTS IN CONJUNCTION WITH SCHIEX. THIS ADDITION TO THE SCHIEX SUITE OF SERVICES, CALLED "SCHIEVIEW," WILL PROVIDE INTERACTIVE PERFORMANCE MANAGEMENT DASHBOARDS AND PERFORMANCE IMPROVEMENT SERVICES. THE DASHBOARD WILL ALLOW SCHIEX PARTICIPANTS TO MAKE BETTER AND MORE EFFECTIVE USE OF THE DATA THEY RECEIVE VIA SCHIEX, AND IT IS ANTICIPATED THAT THE DASHBOARD WILL ENCOURAGE MORE HEALTH CARE PROVIDERS TO JOIN SCHIEX. THUS THE DASHBOARD WILL FURTHER THE ORGANIZATION'S EXEMPT PURPOSES BY INCREASING SCHIEX PARTICIPATION AND IMPROVING THE HEALTH CARE PROVIDED BY SCHIEX PARTICIPANTS. THE ORGANIZATION HAS CONTRACTED WITH CLINICAL INTELLIGENCE, LLC TO DEVELOP THE SOFTWARE FOR SCHIEVIEW. FROM JANUARY TO MARCH, 2014, THE ORGANIZATION OVERSAW A SCHIEVIEW PILOT PROGRAM, WHICH WAS MANAGED BY CLINICAL INTELLIGENCE. THE ORGANIZATION IS CURRENTLY DEVELOPING A PRICING STRUCTURE FOR SCHIEVIEW AND IS BEGINNING DISCUSSIONS WITH CERTAIN SCHIEX PARTICIPANTS ABOUT PURCHASING SCHIEVIEW. THE DEVELOPMENT AND ROLLOUT OF SCHIEVIEW OCCUPIES APPROXIMATELY 15% OF THE ORGANIZATION'S TIME. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,175,350 | 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 | 0 | 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 | 0 | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | 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 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8037443541 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 CENTER POINT ROAD | AddressLine1Txt |
| City | COLUMBIA | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SUE VEER | ||||||
| CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JIM HEAD | ||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GRAHAM ADAMS | ||||||
| SECRETARY AND TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| J TODD THORNBURG | ||||||
| DIRECTOR AND EXECUTIVE DIRECTOR | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GREG BARABELL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH FRANCIS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FRANK SCAFIDI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VICKY M YOUNG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLINICAL INTELLIGENCE LLC | |||||
| 29 FLAPSHIP LANE | HILTON HEAD ISLAND | SC | 29926 | CLINICAL INTELLIGENCE | $200,000 |
| JOLLEY LAW GROUP LLC | |||||
| PO BOX 22230 | HILTON HEAD ISLAND | SC | 29925 | LEGAL SERVICES | $160,000 |
| SC BUREAU OF ECONOMIC AFFAIRS' REVENUE A | |||||
| 1919 BLANDING STREET | COLUMBIA | SC | 29201 | PROFESSIONAL SERVICES | $150,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,766,000 | GovernmentGrantsAmt |
| All Other Contributions | $165,000 | AllOtherContributionsAmt |
| Total Contributions | $1,931,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PARTICIPANT SUBSCRIPTI | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $102,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,426 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $102,426 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,033,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,426 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,144,350 | TotalAmt |
| Program Services | $1,144,350 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,461 | TotalAmt |
| Management And General | $210,461 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,056 | TotalAmt |
| Management And General | $655,056 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,500 | TotalAmt |
| Program Services | $3,500 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Program Services | $10,000 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,040,867 | TotalAmt |
| Program Services | $1,175,350 | ProgramServicesAmt |
| Management And General | $865,517 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $179,602 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $50,685 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $230,287 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $143,711 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $94,017 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $237,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | -$7,441 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | -$7,441 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $230,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$7,441 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $1,931,000 | CurrentTaxYearAmt |
| Total | $1,931,000 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1,931,000 | CurrentTaxYearAmt |
| Total | $1,931,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,931,000 | PublicSupportTotal170Amt |
| Total Support | $1,931,000 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $102,426 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ACCESS HEALTH-HORRY | ||||||||
| 1000 CENTER POINT ROAD | COLUMBIA | SC | 29210 | 542075560 | 501C(3) | $13,500 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| GEORGETOWN COMMUNITY CARE | ||||||||
| 1000 CENTER POINT ROAD | COLUMBIA | SC | 29210 | 020598440 | 501C(3) | $12,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| CARESOUTH - CAROLINA INC | ||||||||
| PO BOX 1090 | HARTSVILLE | SC | 29551 | 570664826 | 501C(3) | $10,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| CAROLINA HEALTH CENTERS INC | ||||||||
| 313 MAIN STREET SUITE B | GREENWOOD | SC | 29646 | 570650154 | 501C(3) | $55,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| CAROLINA PLAINS PHYSICIAN ASSOCIATION | ||||||||
| 595 W CAROLINA AVENUE | VARNVILLE | SC | 29944 | 571088306 | 501C(3) | $10,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| COLUMBIA NEUROSURGICAL ASSOCIATES LLC | ||||||||
| 720 RABON ROAD | COLUMBIA | SC | 29203 | 570620757 | $10,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA | |
| CONWAY HOSPITAL INC (DBA CONWAY MEDICAL CENTER) | ||||||||
| 300 SINGLETON RIDGE ROAD | CONWAY | SC | 29526 | 570314381 | 501C(3) | $75,700 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| EAU CLAIRE COOPERATIVE HEALTH CENTERS | ||||||||
| 1228 HARDEN STREET | COLUMBIA | SC | 29204 | 570965445 | 501C(3) | $7,500 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| FAMILY HEALTH CENTERS INC | ||||||||
| PO BOX 1806 | ORANGEBURG | SC | 29116 | 570524498 | 501C(3) | $35,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| FOOTHILLS COMMUNITY HEALTH CARE INC | ||||||||
| 1011 TIGER BLVD STE 400 | CLEMSON | SC | 29631 | 262735317 | 501C(3) | $10,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| GEORGETOWN HOSPITAL SYSTEM | ||||||||
| PO BOX 1718 | GEORGETOWN | SC | 29442 | 020598440 | 501C(3) | $111,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| HAMPTON REGIONAL MEDICAL CENTER | ||||||||
| 595 W CAROLINA AVENUE | VARNVILLE | SC | 29944 | 571017988 | 501C(3) | $63,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| KERSEHAWHEALTH | ||||||||
| 1315 ROBERTS STREET | CAMDEN | SC | 29020 | 576005963 | 501C(3) | $70,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| LAURENS COUNTY MEMORIAL HOSPITAL | ||||||||
| 22725 HWY 76 EAST | CLINTON | SC | 29325 | 576007863 | 501C(3) | $63,500 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| LITTLE RIVER MEDICAL CENTER | ||||||||
| PO BOX 547 | LITTLE RIVER | SC | 29566 | 570672117 | 501C(3) | $16,800 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| MCLEOD HEALTH | ||||||||
| 555 E CHEVES STREET | FLORENCE | SC | 29506 | 510473500 | 501C(3) | $88,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| NEWBERRY COUNTY MEMORIAL HOSPITAL | ||||||||
| PO BOX 497 | NEWBERRY | SC | 29108 | 570324929 | 501C(3) | $69,500 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| OCONEE MEDICAL CENTER | ||||||||
| 298 MEMORIAL DRIVE | SENECA | SC | 29672 | 570357963 | 501C(3) | $40,800 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| SISTERS OF CHARITY PROVIDENCE HOSPITAL | ||||||||
| 2435 FOREST DRIVE | COLUMBIA | SC | 29204 | 570314409 | 501C(3) | $95,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| REGIONAL MEDICAL CENTER OF ORANGEBURG & CALHOUN COUNTIES | ||||||||
| 3000 ST MATTHEWS ROAD | ORANGEBURG | SC | 29118 | 576008010 | 501C(3) | $75,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| SUMTER FAMILY HEALTH CENTER | ||||||||
| 1278 N LAFAYETTE DRIVE | SUMTER | SC | 29150 | 571095992 | 501C(3) | $10,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| TUOMEY HEALTHCARE SYSTEM | ||||||||
| 129 N WASHINGTON STREET | SUMTER | SC | 29150 | 570343398 | 501C(3) | $196,000 | FMV | TO IMPROVE HEALTH CARE RECEIVED BY PATIENTS IN SOUTH CAROLINA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EACH ORGANIZATION APPLYING FOR A GRANT MUST COMPLETE A GRANT APPLICATION. A SEPARATE GRANT PROPOSAL IS NOT REQUIRED. THE APPLICATION FORM AND THE LETTER OF AGREEMENT SPECIFY THE RESPONSIBILITIES OF THE GRANTEE; IN PARTICULAR, THE GRANTEE MUST COMPLETE THE LEGAL, ADMINISTRATIVE, AND TECHNICAL REQUIREMENTS FOR CONNECTING TO SCHIEX AND MUST NOT USE THE GRANT FUNDS FOR ANY OTHER PURPOSE. THE ORGANIZATION RESERVES THE RIGHT TO TERMINATE THE GRANT AGREEMENT IF THE GRANTEE FAILS TO PERFORM ITS OBLIGATIONS. THE GRANT APPLICATIONS ARE REVIEWED BY THE ORGANIZATION'S ACTING EXECUTIVE DIRECTOR AND ITS LEGAL COUNSEL TO ENSURE THAT ALL THE REQUIREMENTS OF THE APPLICATION HAVE BEEN MET AND TO DESIGNATE THE MAXIMUM AMOUNT THAT MAY BE PAID UNDER THE GRANT. THE BOARD OF DIRECTORS GIVES FINAL APPROVAL FOR THE AWARDING OF THE GRANTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FOLLOWING THE BOARD'S APPROVAL, THE 990 IS SUBMITTED ELECTRONICALLY TO THE IRS AND A COPY IS FILED WITH THE SOUTH CAROLINA SECRETARY OF STATE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT ON THE "CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE," THE FORM OF WHICH IS ATTACHED HERETO, OR SUCH OTHER FORM AS THE BOARD ADOPTS, WHICH AT A MINIMUM AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE POLICY; HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION PROVIDES THE FORM 990 UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 655,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,056. |