EAST TEXAS COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: EAST TEXAS COMMUNITY HEALTH SERVICES INC (EIN 75-2184369)
Tax period: 2012-06-01 to 2013-05-31
Filed: 2014-04-14
IRS object ID: 201401049349300715
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-04-14T09:00:45-07:00	Timestamp
Tax Period End Date	2013-05-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Goff & Herrington PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 153320	AddressLine1
City	Lufkin	City
State	TX	State
ZIP Code	75915	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-06-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	752184369	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	East Texas Community Health Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	EAST	NameControl
Phone	9365605413	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 632040	AddressLine1
City	Nacogdoches	City
State	TX	State
ZIP Code	75963	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Robin Moore	Name
Title	Executive Director	Title
Date Signed	2014-04-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Ronnie Herrington CPA	Name
PTIN	P00028527	PTIN
Phone	9368753317	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	4015010	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.tachc.org/etchs	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	TX	StateLegalDomicile
Activity Or Mission Description	OPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRM, DISABLED OR DESTITUTE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	68	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2744364	ContributionsGrantsPriorYear
Contributions Grants Current Year	1972518	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1719893	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2025674	ProgramServiceRevenueCY
Investment Income Prior Year	1401	InvestmentIncomePriorYear
Investment Income Current Year	1430	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7624	OtherRevenuePriorYear
Other Revenue Current Year	15388	OtherRevenueCurrentYear
Total Revenue Prior Year	4473282	TotalRevenuePriorYear
Total Revenue Current Year	4015010	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3253737	SalariesEtcPriorYear
Salaries Etc Current Year	2794036	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1350214	OtherExpensePriorYear
Other Expenses Current Year	1158377	OtherExpensesCurrentYear
Total Expenses Prior Year	4603951	TotalExpensesPriorYear
Total Expenses Current Year	3952413	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-130669	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	62597	RevenuesLessExpensesCY
Total Assets BOY	2834105	TotalAssetsBOY
Total Assets EOY	2709496	TotalAssetsEOY
Total Liabilities BOY	1198076	TotalLiabilitiesBOY
Total Liabilities EOY	1010870	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1636029	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1698626	NetAssetsOrFundBalancesEOY
Mission Description	OPERATE A PRIMARY HEALTH CARE CLINIC FOR THE CARE AND TREATMENT OF SICK, INJURED, AFFLICTED, INFIRM, DISABLED OR DESTITUTE.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2253624	Expense
Revenue	1725496	Revenue
Description	OPERATION OF CLINICS TO PROVIDE PRIMARY HEALTH CARE SERVICES	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	525208	Expense
Revenue	84836	Revenue
Description	OPERATION OF DENTAL CLINICS TO PROVIDE DENTAL SERVICES	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	143947	Expense
Revenue	230730	Revenue
Description	OPERATION OF A PHARMACY FOR CLINIC PATIENTS	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	2922779	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	16	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	68	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Anita Humphreys	NamePerson
Telephone Number	9365605413	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1401 South University Drive	AddressLine1
City	Nacogdoches	City
State	TX	State
ZIP Code	75961	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Henry Summers
Vice Chair	1.00	0.00	X	X	0	0	0
Michael Stevenson
Past Chair	1.00	0.00	X		0	0	0
Scott Sundell
Board Member	1.00	0.00	X		0	0	0
Larry Nieto
Board Member	1.00	0.00	X		0	0	0
Lila Fuller
Board Member	1.00	0.00	X		0	0	0
Shelia Hopkins
Board Member	1.00	0.00	X		0	0	0
Norma Moore
Board Member	1.00	0.00	X		0	0	0
Tim Garrigan
Board Member	1.00	0.00	X		0	0	0
Dr Robert Choate
Treasurer	1.00	0.00	X	X	0	0	0
Walter Deptula
Board Member	1.00	0.00	X		0	0	0
Billy Cordova Jr
Chairman	1.00	0.00	X	X	0	0	0
Sharon Coleman
Board Member	1.00	0.00	X		0	0	0
Rodolfo Becerra Jr
Secretary	1.00	0.00	X	X	0	0	0
Anita Humphreys
CFO	40.00	0.00			85634	0	7153	X
Dr Penny Jeffery
Medical Director	40.00	0.00			65602	0	415	X
Janice Henson
Director of Operations	40.00	0.00			79891	0	6990	X
James Koerner MD
Physician	40.00	0.00			291611	0	7300		X
Emmeken Otte MD
Physician	40.00	0.00			141930	0	6575		X
Le Huan Cua Diane
Dentist	40.00	0.00			107113	0	7318		X
Myo Chet MD
Physician	40.00	0.00			129521	0	7318		X
Robin Moore
executive director	40.00	0.00			105502	0	7270		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1006804	TotalReportableCompFromOrg
Total Other Compensation	50339	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Laboratory Corp of America
PO Box 12140	Burlington	NC	272162140	Med/dental lab svs	122575
Blue Cross Blue Shield
PO Box 731428	Dallas	TX	753731428	Healthcare Provider	297259

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	1936142	GovernmentGrants
All Other Contributions	36376	AllOtherContributions
Total Contributions	1972518	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Primary Medical Care	775916	775916
Medicare/Medicaid	1249758	1249758

Field	Value	IRS element (for citing)
Total Program Service Revenue	2025674	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1430	TotalRevenueColumn
Related Or Exempt Function Income	1430	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15388	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	15388	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15388	TotalRevenueColumn
Related Or Exempt Function Income	15388	RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4015010	TotalRevenueColumn
Related Or Exempt Function Income	2042492	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	330582	Total
Program Services	61516	ProgramServices
Management And General	269066	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1936380	Total
Program Services	1627583	ProgramServices
Management And General	308797	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	335935	Total
Program Services	209699	ProgramServices
Management And General	126236	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	191139	Total
Program Services	142416	ProgramServices
Management And General	48723	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	107384	Total
Program Services	102212	ProgramServices
Management And General	5172	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	15993	Total
Program Services	2899	ProgramServices
Management And General	13094	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	125455	Total
Program Services	124577	ProgramServices
Management And General	878	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	19888	Total
Program Services	4074	ProgramServices
Management And General	15814	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Other Expenses	73718	9682	64036
Maintenance	80176	63995	16181
Consumable Supplies	202564	188955	13609
CONTRACT SERVICES	393867	342644	51223

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	139332	Total
Program Services	42527	ProgramServices
Management And General	96805	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3952413	Total
Program Services	2922779	ProgramServices
Management And General	1029634	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	409200	BOY
EOY	561155	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	52172	BOY
EOY	63697	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	357860	BOY
EOY	158899	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5917	BOY
EOY	5298	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3553351	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1632904	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2008956	BOY
EOY	1920447	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2834105	BOY
EOY	2709496	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	167971	BOY
EOY	65986	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	944657	BOY
EOY	786034	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	85448	BOY
EOY	158850	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1198076	BOY
EOY	1010870	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1636029	BOY
EOY	1698626	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1636029	BOY
EOY	1698626	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2834105	BOY
EOY	2709496	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	62597	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2332638	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2308974	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2646147	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2744364	CurrentTaxYearMinus1Year
Current Tax Year	1972518	CurrentTaxYear
Total	12004641	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2332638	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2308974	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2646147	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2744364	CurrentTaxYearMinus1Year
Current Tax Year	1972518	CurrentTaxYear
Total	12004641	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	12004641	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13755	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7933	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4843	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9025	CurrentTaxYearMinus1Year
Current Tax Year	9054	CurrentTaxYear
Total	44610	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	12049251	TotalSupport
Public Support Pertcentage170	0.99630	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99590	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	129059	InvestmentCostOrOtherBasis
Book Value	129059	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2451992	InvestmentCostOrOtherBasis
Depreciation	825268	Depreciation
Book Value	1626724	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	7500	InvestmentCostOrOtherBasis
Depreciation	1500	Depreciation
Book Value	6000	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	964800	InvestmentCostOrOtherBasis
Depreciation	806136	Depreciation
Book Value	158664	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1920447	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Accrued Liabilities	Description
Amount	$158,850	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	158850	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	4015010	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	4015010	RevenueSubtotal
Total Revenue Per Form990	4015010	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3952413	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	3952413	ExpensesSubtotal
Total Expenses Per Form990	3952413	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	James Koerner MD	NamePerson
Title	Physician	Title
Base Compensation Filing Org	291611	BaseCompensationFilingOrg
Nontaxable Benefits Filing Org	7300	NontaxableBenefitsFilingOrg
Total Compensation Filing Org	298911	TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	FOR THE EXECUTIVE DIRECTOR, ANNUAL REVIEW DOCUMENTS ARE COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. EACH MEMBER PREPARES A RATING AND REVIEWS WITH THE ENTIRE BOARD IN EXECUTIVE SESSION. A RECOMMENDATION IS PREPARED BY THE EXECUTIVE COMMITTEE ANDPRESENTED TO THE ENTIRE BOARD FOR APPROVAL. FOR OTHER KEY EMPLOYEES COMPENSATION, COMPARABILITY DATA IS REVIEWED.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	annual assurances in grant application and conflict of interest statements signed annually.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	Form 990 is reviewed by the executive director and compared to the audited financial statements. In the rare instance of any differences, the executive director reviews with the board.
Form 990, Part VI, Line 1a	Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee	Per the operating by-laws of the organization, the Executive Committee shall consist of all Board Officers, with the Board Chairperson serving as Committee Chair. The Executive Committee shall act on behalf of the full Board between regular meetings and in emergency situations.