MT OLIVE FAMILY MEDICINE CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MT OLIVE FAMILY MEDICINE CENTER INC (EIN 56-2000255)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-01-23
IRS object ID: 201410239349301016
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	2014-01-23T14:22:08-08:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Krombach Dunn Pappalardo & Turchetti CPAs	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	326 West Street	AddressLine1
City	Pittsboro	City
State	NC	State
ZIP Code	27312	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	562000255	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mt Olive Family Medicine Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MTOL	NameControl
Phone	9196584954	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 North Breazeale Avenue	AddressLine1
City	Mount Olive	City
State	NC	State
ZIP Code	28365	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Carol Dilda	Name
Title	Executive Director	Title
Date Signed	2014-01-23	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Corinne W Dunn	Name
PTIN	P00349027	PTIN
Phone	9195425228	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	3804558	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1997	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	To provide medical care for all those in need regardless of ability to pay.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	40	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	77467	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3512422	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3684092	ProgramServiceRevenueCY
Investment Income Prior Year	-1616	InvestmentIncomePriorYear
Investment Income Current Year	2087	InvestmentIncomeCurrentYear
Other Revenue Prior Year	24078	OtherRevenuePriorYear
Other Revenue Current Year	40666	OtherRevenueCurrentYear
Total Revenue Prior Year	3534884	TotalRevenuePriorYear
Total Revenue Current Year	3804312	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2749983	SalariesEtcPriorYear
Salaries Etc Current Year	2996147	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	774595	OtherExpensePriorYear
Other Expenses Current Year	759043	OtherExpensesCurrentYear
Total Expenses Prior Year	3524578	TotalExpensesPriorYear
Total Expenses Current Year	3755190	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10306	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	49122	RevenuesLessExpensesCY
Total Assets BOY	2372313	TotalAssetsBOY
Total Assets EOY	2398613	TotalAssetsEOY
Total Liabilities BOY	1352811	TotalLiabilitiesBOY
Total Liabilities EOY	1329989	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1019502	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1068624	NetAssetsOrFundBalancesEOY
Mission Description	To provide medical care for all those in need regardless of ability to pay.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	3202801	Expense
Description	Mt. Olive Family Medicine Center, Inc. is dedicated to the health and well-being of the residents of Wayne County and the surrounding areas. It is our goal to identify and minister to the medical needs of the family unit - not only to provide quality, comprehensive medical care, but also to institute health education, urgent care, wellness and preventative medicine. Accessible and affordable quality health care will be provided with dignity and respect, regardless of race, religion, gender, age or economic background.	Description
Total Program Service Expense	3202801	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	false	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	10	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	40	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	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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	false	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	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	Lisa Hooks	NamePerson
Telephone Number	9195814981	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	201 North Breazeale Avenue	AddressLine1
City	Mt Olive	City
State	NC	State
ZIP Code	28365	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Lisa Hooks
CFO	40.00	0.00	X	76663	0	6823
Jennifer Robbins
Board Member	2.00	0.00	X	0	0	0
Brandi Worth
Board Member	2.00	0.00	X	0	0	0
Roger Davis
Board Member	2.00	0.00	X	0	0	0
Carol Dilda
Executive Direc	40.00	0.00	X	86338	0	7442
Chris Whitley
Treasurer.Sec	2.00	0.00	X	0	0	0	X
Kevin Kornegay
President	2.00	0.00	X	0	0	0	X
Mark Raynor
Vice President	2.00	0.00	X	0	0	0	X
Dr Tyanna Yonkers
Board Member	2.00	0.00	X	0	0	0
Ed Cromartie Sr
Board Member	2.00	0.00	X	0	0	0
Charlie McClenny
Board Member	2.00	0.00	X	0	0	0
Robert K Talton
Medical Director	40.00	0.00		256958	0	6949		X
Jeffrey Harrison
Physician	40.00	0.00		100500	0	0			X
Thomas S Draughon
Physician	40.00	0.00		248978	0	11642			X
Humayun M Kadir
Physician	40.00	0.00		236994	0	11002			X
Stephen D Fairchild
Physician	40.00	0.00		121846	0	4643			X
Sufia Siddique
Physician	40.00	0.00		311173	0	11755			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1439450	TotalReportableCompFromOrg
Total Other Compensation	60256	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	77467	AllOtherContributions
Total Contributions	77467	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Fees	3518210	3518210
Management Fees	165882	165882

Field	Value	IRS element (for citing)
Total Program Service Revenue	3684092	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2087	TotalRevenueColumn
Exclusion	$2,087	ExclusionAmount

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	15300	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	246	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	15054	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15054	TotalRevenueColumn
Related Or Exempt Function Income	15054	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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other Income	Description
Total Revenue Column	25612	TotalRevenueColumn
Related Or Exempt Function Income	25612	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	25612	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3804312	TotalRevenueColumn
Related Or Exempt Function Income	3724758	RelatedOrExemptFunctionIncome
Exclusion	$2,087	ExclusionAmount

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	586295	Total
Program Services	490143	ProgramServices
Management And General	96152	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	1953414	Total
Program Services	1666044	ProgramServices
Management And General	287370	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	298560	Total
Program Services	253477	ProgramServices
Management And General	45083	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	157878	Total
Program Services	134038	ProgramServices
Management And General	23840	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	169735	Total
Program Services	142754	ProgramServices
Management And General	26981	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2191	Total
Program Services	1867	ProgramServices
Management And General	324	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	33249	Total
Program Services	26599	ProgramServices
Management And General	6650	ManagementAndGeneral

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	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	1262	Total
Program Services	1262	ProgramServices

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	40452	Total
Program Services	36407	ProgramServices
Management And General	4045	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	86705	Total
Program Services	78181	ProgramServices
Management And General	8524	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	28684	Total
Program Services	24693	ProgramServices
Management And General	3991	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Telephone	27461	23397	4064
Utilities	27780	22266	5514
Equipment Rental & Maint	64405	51524	12881
Medical Supplies & Lab Expense	195388	195388

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	81731	Total
Program Services	54761	ProgramServices
Management And General	26970	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3755190	Total
Program Services	3202801	ProgramServices
Management And General	552389	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	366613	BOY
EOY	569163	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	172250	BOY
EOY	102002	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	158050	BOY
EOY	159197	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	32448	BOY
EOY	0	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	2604795	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1110982	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1569907	BOY
EOY	1493813	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	63772	BOY
EOY	70924	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)
BOY	9273	BOY
EOY	3514	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2372313	BOY
EOY	2398613	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	362560	BOY
EOY	379102	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	966297	BOY
EOY	934569	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	23954	BOY
EOY	16318	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1352811	BOY
EOY	1329989	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1019502	BOY
EOY	1068624	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1019502	BOY
EOY	1068624	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2372313	BOY
EOY	2398613	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	49122	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	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	118260	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	127775	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	90860	CurrentTaxYearMinus2Years
Current Tax Year	77467	CurrentTaxYear
Total	414362	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3525791	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3156926	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3267925	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3512422	CurrentTaxYearMinus1Year
Current Tax Year	3684092	CurrentTaxYear
Total	17147156	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3644051	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3284701	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3358785	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3512422	CurrentTaxYearMinus1Year
Current Tax Year	3761559	CurrentTaxYear
Total	17561518	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	17561518	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2188	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1282	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	283	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1738	CurrentTaxYearMinus1Year
Current Tax Year	2087	CurrentTaxYear
Total	7578	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2188	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1282	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	283	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1738	CurrentTaxYearMinus1Year
Current Tax Year	2087	CurrentTaxYear
Total	7578	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11725	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9287	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9065	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24377	CurrentTaxYearMinus1Year
Current Tax Year	40912	CurrentTaxYear
Total	95366	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3657964	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3295270	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3368133	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3538537	CurrentTaxYearMinus1Year
Current Tax Year	3804558	CurrentTaxYear
Total	17664462	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99420	PublicSupportPercentage509
Prior Year Support Percentage	0.99600	PriorYearSupportPercentage
Investment Income Percentage	0.00040	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00050	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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)
Other Cost Or Other Basis	185000	OtherCostOrOtherBasis
Book Value	185000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1653793	OtherCostOrOtherBasis
Depreciation	439944	Depreciation
Book Value	1213849	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58875	OtherCostOrOtherBasis
Depreciation	36227	Depreciation
Book Value	22648	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	578047	OtherCostOrOtherBasis
Depreciation	505755	Depreciation
Book Value	72292	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	129080	OtherCostOrOtherBasis
Depreciation	129056	Depreciation
Book Value	24	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1493813	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Patient Refunds Payable	Description
Amount	$16,318	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	16318	TotalOfAmounts

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 (4 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
Thomas S Draughon
Physician	248978	11642	260620
Sufia Siddique
Physician	311173	11755	322928
Robert K Talton
Medical Director	256958	6949	263907
Humayun M Kadir
Physician	236994	11002	247996

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly 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	Evaluation of performance by doctors. Evalution of performance by Executive and personnel committees and Doctor input. Review of salary and benefits as well as comparable compensation at similar facilities, MGMA annual salary and benefit review.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	990 is reviewed by Chief Financial Officer and Executive Director before filing.