RURAL HEALTH INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RURAL HEALTH INC (EIN 37-1056692)
Tax period: 2012-09-01 to 2013-08-31
Filed: 2014-07-14
IRS object ID: 201401959349301815
Schema version: 2012v2.2
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 D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-07-14T08:32:44-00:00	Timestamp
Tax Period End Date	2013-08-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 602	AddressLine1
City	Anna	City
State	IL	State
ZIP Code	629060602	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-09-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	371056692	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Rural Health Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RURA	NameControl
Phone	6188334471	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	513 North Main Street	AddressLine1
City	Anna	City
State	IL	State
ZIP Code	62906	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Robert A Odum	Name
Title	CFO	Title
Phone	6188334471	Phone
Date Signed	2014-07-14	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Robert Odum	Name
Phone	6188335636	Phone
Date Prepared	2014-07-14	DatePrepared
Self Employed	X	SelfEmployed

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)
Name Of Principal Officer Person	Cynthia K Flamm	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	513 North Main Street	AddressLine1
City	Anna	City
State	IL	State
ZIP Code	62906	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6892650	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.ruralhealthinc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1978	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	To promote the development, establishment, and expansion of primary health care in Southern Illinois.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	86	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	1607287	ContributionsGrantsPriorYear
Contributions Grants Current Year	1454576	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	4969396	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5302625	ProgramServiceRevenueCY
Investment Income Prior Year	13303	InvestmentIncomePriorYear
Investment Income Current Year	10211	InvestmentIncomeCurrentYear
Other Revenue Prior Year	53398	OtherRevenuePriorYear
Other Revenue Current Year	125238	OtherRevenueCurrentYear
Total Revenue Prior Year	6643384	TotalRevenuePriorYear
Total Revenue Current Year	6892650	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	4838559	SalariesEtcPriorYear
Salaries Etc Current Year	4941527	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1938608	OtherExpensePriorYear
Other Expenses Current Year	2041996	OtherExpensesCurrentYear
Total Expenses Prior Year	6777167	TotalExpensesPriorYear
Total Expenses Current Year	6983523	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-133783	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-90873	RevenuesLessExpensesCY
Total Assets BOY	4009012	TotalAssetsBOY
Total Assets EOY	4901134	TotalAssetsEOY
Total Liabilities BOY	796436	TotalLiabilitiesBOY
Total Liabilities EOY	1779431	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3212576	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3121703	NetAssetsOrFundBalancesEOY
Mission Description	To promote the development, establishment, and expansion of primary health care in Southern Illinois.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5486688	Expense
Revenue	6892650	Revenue
Description	Community Health Center - provide and develop primary health care	Description
Total Program Service Expense	5486688	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
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	false	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
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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	30	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	86	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
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
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Robert Odum	NamePerson
Telephone Number	6188334471	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	513 North Main Street	AddressLine1
City	Anna	City
State	IL	State
ZIP Code	62906	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Terry Lingle
Treasurer	000.50	X	X	0	0	0
Leticia Vicente
Vice-Chairperson	000.50	X	X	0	0	0
Terry Simms
Director	000.50	X		0	0	0
Janet Young
Director	000.50	X		0	0	0
Del Mowery
Director	000.50	X		0	0	0
Lindell Croft
Director	000.50	X		0	0	0
Kim Capel
Director	000.50	X		0	0	0
Kent Keller
Chairperson	000.50	X	X	0	0	0
Christopher Clark
Secretary	000.50	X	X	0	0	0
Tyler Edmonds
Director	000.50	X		0	0	0
Cynthia Flamm
CEO	037.50		X	131289	0	0
Michael Johnston
CFO	037.50		X	85097	0	0
William Ribbing
Physician	037.50			321242	0	0	X
Steven Beatty
Physician	037.50			332099	0	0	X
Sridevi Panchamukhi
Physician	037.50			253689	0	0	X
Qi Liu
Physician	037.50			185826	0	0	X
John J O'Connor
Physician	037.50			168667	0	0	X
Christine Lucas
Physician	037.50			134012	0	0	X
Rachel N Myers
Physician	037.50			170307	0	0	X
Thomas Larkin
Dentist	037.50			133619	0	0	X
Cheryl Fuller
Nurse Practitioner	037.50			101488	0	0	X
Dena Taylor
Nurse Practitioner	037.50			100438	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2117773	TotalReportableCompFromOrg
Number Individuals GT100 K	11	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Southern Illinois Psychiatry
4503 W DeYoung St	Marion	IL	62959	Psychiatrists	415389
Quest Diagnostics
PO Box 14730	St Louis	MO	631504730	Laboratory	132704
Priority Management Group Inc
PO Box 19999	Johnston	RI	029190999	Billing Service	419201
Ron Gobin Enterprises Inc
1308 Ava Road	Murphysboro	IL	62966	Construction	144063
Mayfield Electronic Transcription
81124 Chenel Road	Folsom	LA	70437	Transcription Services	135841

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	1454576	GovernmentGrants
Total Contributions	1454576	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Fees	Description
Total Revenue Column	5302625	TotalRevenueColumn
Related Or Exempt Function Income	5302625	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	5302625	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	10211	TotalRevenueColumn
Exclusion	$10,211	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	8400	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	8400	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	8400	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Miscellaneous	694	$694
Unrealized Gain Loss on Investments	116144	$116,144

Field	Value	IRS element (for citing)
Total Other Revenue	116838	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6892650	TotalRevenueColumn
Related Or Exempt Function Income	5302625	RelatedOrExemptFunctionIncome
Exclusion	$127,049	ExclusionAmount

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

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	216386	Total
Management And General	216386	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	3928248	Total
Program Services	3480651	ProgramServices
Management And General	447597	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	528862	Total
Program Services	444162	ProgramServices
Management And General	84700	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	268031	Total
Program Services	225113	ProgramServices
Management And General	42918	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	9079	Total
Management And General	9079	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	13000	Total
Management And General	13000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

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	1280405	Total
Program Services	846888	ProgramServices
Management And General	433517	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5343	Total
Program Services	2793	ProgramServices
Management And General	2550	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	18995	Total
Management And General	18995	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1301	Total
Management And General	1301	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	166869	Total
Program Services	93200	ProgramServices
Management And General	73669	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	13247	Total
Program Services	3755	ProgramServices
Management And General	9492	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	42520	Total
Program Services	25810	ProgramServices
Management And General	16710	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	27836	Total
Program Services	27836	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	151904	Total
Program Services	107231	ProgramServices
Management And General	44673	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17881	Total
Program Services	12532	ProgramServices
Management And General	5349	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	160218	133501	26717
Dues and Subscriptions	42529	14370	28159
Printing and Postage	5030		5030
Repairs and Maintenance	66910	66910

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18929	Total
Program Services	1936	ProgramServices
Management And General	16993	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	6983523	Total
Program Services	5486688	ProgramServices
Management And General	1496835	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	68653	BOY
EOY	120710	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	61109	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1151736	BOY
EOY	1517489	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	18863	BOY
EOY	30745	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	16611	BOY
EOY	18275	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4999667	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2199428	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2516726	BOY
EOY	2800239	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	236423	BOY
EOY	352567	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	4009012	BOY
EOY	4901134	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	634248	BOY
EOY	709111	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	162188	BOY
EOY	645081	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	425239	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	796436	BOY
EOY	1779431	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3212576	BOY
EOY	3121703	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3212576	BOY
EOY	3121703	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4009012	BOY
EOY	4901134	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-90873	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	1301528	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1406297	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1944792	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1607287	CurrentTaxYearMinus1Year
Current Tax Year	1454576	CurrentTaxYear
Total	7714480	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1301528	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1406297	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1944792	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1607287	CurrentTaxYearMinus1Year
Current Tax Year	1454576	CurrentTaxYear
Total	7714480	Total

Field	Value	IRS element (for citing)
Public Support Total170	7714480	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	20819	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	14279	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	33202	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	42924	CurrentTaxYearMinus1Year
Current Tax Year	134755	CurrentTaxYear
Total	245979	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1174	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	871	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	957	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23777	CurrentTaxYearMinus1Year
Current Tax Year	694	CurrentTaxYear
Total	27473	Total

Field	Value	IRS element (for citing)
Total Support	7987932	TotalSupport
Gross Receipts From Admissions Etc	25678848	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.96580	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.97900	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	90500	OtherCostOrOtherBasis
Book Value	90500	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2701074	OtherCostOrOtherBasis
Depreciation	805446	Depreciation
Book Value	1895628	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	684956	OtherCostOrOtherBasis
Depreciation	108043	Depreciation
Book Value	576913	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1523137	OtherCostOrOtherBasis
Depreciation	1285939	Depreciation
Book Value	237198	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2800239	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription
Federal income taxes
Security Deposit

Field	Value	IRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt	6892650	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	6892650	RevenueSubtotal
Total Revenue Per Form990	6892650	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	6983523	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	6983523	ExpensesSubtotal
Total Expenses Per Form990	6983523	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
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	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
William Ribbing
Physician	206000	89823	25419	17707	338949
Steven Beatty
Physician	272250	59849		17864	349963
Sridevi Panchamukhi
Physician	230000		23689	16727	270416
Qi Liu
Physician	150000	1983	33843	15743	201569
John J O'Connor
Physician	165000		3667	15495	184162
Rachel N Myers
Physician	145000		25307	15518	185825

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

ExplanationExplanation
Form 990 Part VI Section B Line 11b Board of directors was given a copy of the 990 for their review at their July board meeting
Form 990 Part VI Section B Line 15a Board of directors determine compensation for CEO by obtaining comparable data and performing annual evaluations
Form 990 Part VI Section C Line 19 Governing documents, policies, and financial statements are made available upon request
Form 990 Part IX Line 11g Contractual services - 995,264 Reference Lab - 140,148 Janitorial Services - 88,626 Service Contracts - 21,551 Collection Expenses - 21,280 PPO Administration Fees - 10,174 Other Fees - 3,362