WALNUT STREET COMMUNITY HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- WALNUT STREET COMMUNITY HEALTH CENTER INC (EIN 02-0575163)
- Tax period
- 2013-03-01 to 2014-02-28
- Filed
- 2014-08-08
- IRS object ID
- 201422209349300032
- Schema version
- 2013v3.0
- 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 | 2014-08-08T09:31:57-05:00 | ReturnTs |
| Tax Period End | 2014-02-28 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 520783935 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMITH ELLIOTT KEARNS & COMPANY LLC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 480 N POTOMAC STREET | AddressLine1 |
| City | HAGERSTOWN | City |
| State | MD | State |
| ZIP Code | 21740 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-03-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020575163 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WALNUT STREET COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WALN | BusinessNameControlTxt |
| Phone | 3013933427 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 NORTH WALNUT STREET NO 300 | AddressLine1 |
| City | HAGERSTOWN | City |
| State | MD | State |
| ZIP Code | 21740 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA M MOORE CPA | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3013933427 | PhoneNum |
| Signature | 2014-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL P MANSPEAKER | PreparerPersonNm |
| PTIN | P00057990 | PTIN |
| Phone | 3017335020 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EARL STONER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 NORTH WALNUT STREET NO 300 | AddressLine1 |
| City | HAGERSTOWN | City |
| State | MD | State |
| ZIP Code | 21740 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,651,319 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WALNUTSTREETCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | COMMITTED TO PROMOTING A HEALTHY COMMUNITY BY PROVIDING AFFORDABLE, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO INDIVIDUALS AND FAMILIES OF ALL AGES, RACES, AND ECONOMIC BACKGROUNDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 62 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $875,526 | PYContributionsGrantsAmt |
| CY Contributions Grants | $981,192 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,429,326 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,160,925 | CYProgramServiceRevenueAmt |
| PY Investment Income | $94,869 | PYInvestmentIncomeAmt |
| CY Investment Income | $118,099 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,495 | PYOtherRevenueAmt |
| CY Other Revenue | $230 | CYOtherRevenueAmt |
| PY Total Revenue | $4,406,216 | PYTotalRevenueAmt |
| CY Total Revenue | $4,260,446 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,233,839 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,061,243 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $996,377 | PYOtherExpensesAmt |
| CY Other Expenses | $1,297,787 | CYOtherExpensesAmt |
| PY Total Expenses | $4,230,216 | PYTotalExpensesAmt |
| CY Total Expenses | $4,359,030 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $176,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$98,584 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,546,583 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,486,492 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $387,224 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $342,547 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,159,359 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,143,945 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COMMITTED TO PROMOTING A HEALTHY COMMUNITY BY PROVIDING AFFORDABLE, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO INDIVIDUALS AND FAMILIES OF ALL AGES, RACES, AND ECONOMIC BACKGROUNDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,603,095 | ExpenseAmt |
| Revenue | $3,160,925 | RevenueAmt |
| Desc | COMMITTED TO PROMOTING A HEALTHY COMMUNITY BY PROVIDING AFFORDABLE, ACCESSIBLE, AND COMPASSIONATE HEALTH CARE TO INDIVIDUALS AND FAMILIES OF ALL AGES, RACES, AND ECONOMIC BACKGROUNDS. | Desc |
| Total Program Service Expenses | $3,603,095 | 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 62 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID BECKER MBA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3013933427 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 24 NORTH WALNUT STREET SUITE 300 | AddressLine1 |
| City | HAGERSTOWN | City |
| State | MD | State |
| ZIP Code | 21740 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EARL E STONER | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL GROVE | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAELA WHITAKER | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CINDY MOORE | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARILYN BENDER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM HOLMES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL A KELLER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LUCILLE RUSS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL S ZAMPELLI | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL BUHRMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID BECKER | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $93,178 | $0 | $15,326 | |||
| KIMBERLY MURDAUGH | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $126,275 | $0 | $16,132 | |||
| DONALD RICHTER | ||||||||
| MEDICAL DIRECTOR | 40.00 | Yes (X) | $110,577 | $0 | $14,740 | |||
| ILAYA R RAJAGOPAL | ||||||||
| DENTAL DIRECTOR | 32.00 | $160,272 | $0 | $6,290 | Yes (X) | |||
| AMANDA COMBS PRINCE | ||||||||
| INTERIM MEDICAL DIRECTOR | 40.00 | $151,050 | $0 | $17,934 | Yes (X) | |||
| RHONDA MCMILLIAN | ||||||||
| PSYCHIATRIST | 40.00 | $176,154 | $0 | $8,305 | Yes (X) | |||
| SARMA METZ-MCCAFFERTY | ||||||||
| DENTIST | 24.00 | $103,259 | $0 | $14,523 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $920,765 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,250 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KELLY & ASSOCIATES INSURANCE GROUP INC | |||||
| PO BOX 418926 | BOSTON | MA | 02241 | HEALTH INSURANCE | $422,904 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | TEMPORARY PHYSICAN SERVICES | $320,079 |
| MERITUS MEDICAL CENTER | |||||
| 11116 MEDICAL CAMPUS ROAD | HAGERSTOWN | MD | 21742 | RENT AND TELEPHONE SERVICE | $164,594 |
| OHIO SHARED INFORMATION SERVICES INC | |||||
| 8790 GOVERNORS HILL DRIVE | CINCINNATI | OH | 45249 | NEXTGEN/IS SERVICES | $111,544 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $25,185 | FederatedCampaignsAmt |
| Fundraising | $2,020 | FundraisingAmt |
| Government Grants | $897,387 | GovernmentGrantsAmt |
| All Other Contributions | $56,600 | AllOtherContributionsAmt |
| Total Contributions | $981,192 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $3,160,925 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,160,925 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,160,925 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $74,441 | TotalRevenueColumnAmt |
| Exclusion | $74,441 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,434,136 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,390,478 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $43,658 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,658 | TotalRevenueColumnAmt |
| Exclusion | $43,658 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $625 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $2,020 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $395 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $230 | TotalRevenueColumnAmt |
| Exclusion | $230 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,260,446 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,160,925 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $118,329 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,544 | TotalAmt |
| Program Services | $475,946 | ProgramServicesAmt |
| Management And General | $321,598 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,753,643 | TotalAmt |
| Program Services | $1,612,874 | ProgramServicesAmt |
| Management And General | $140,769 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,944 | TotalAmt |
| Program Services | $12,944 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,431 | TotalAmt |
| Program Services | $289,030 | ProgramServicesAmt |
| Management And General | $30,401 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,681 | TotalAmt |
| Program Services | $147,486 | ProgramServicesAmt |
| Management And General | $30,195 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305 | TotalAmt |
| Management And General | $305 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,004 | TotalAmt |
| Management And General | $14,004 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,389 | TotalAmt |
| Management And General | $13,389 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,928 | TotalAmt |
| Program Services | $421,530 | ProgramServicesAmt |
| Management And General | $9,398 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,767 | TotalAmt |
| Program Services | $1,267 | ProgramServicesAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,093 | TotalAmt |
| Program Services | $65,387 | ProgramServicesAmt |
| Management And General | $16,706 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,378 | TotalAmt |
| Program Services | $143,143 | ProgramServicesAmt |
| Management And General | $19,235 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,778 | TotalAmt |
| Program Services | $157,835 | ProgramServicesAmt |
| Management And General | $42,943 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,108 | TotalAmt |
| Program Services | $5,191 | ProgramServicesAmt |
| Management And General | $5,917 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,955 | TotalAmt |
| Program Services | $3,013 | ProgramServicesAmt |
| Management And General | $5,942 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,248 | TotalAmt |
| Program Services | $61,723 | ProgramServicesAmt |
| Management And General | $43,525 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,672 | TotalAmt |
| Program Services | $1,181 | ProgramServicesAmt |
| Management And General | $47,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES, DRUGS | $114,482 | $114,482 | |
| BAD DEBT EXPENSE | $67,014 | $67,014 | |
| REPAIRS & MAINTENANCE | $11,418 | $6,450 | $4,968 |
| TRANSCRIPTS | $7,046 | $7,046 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,202 | TotalAmt |
| Program Services | $9,553 | ProgramServicesAmt |
| Management And General | $7,649 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,359,030 | TotalAmt |
| Program Services | $3,603,095 | ProgramServicesAmt |
| Management And General | $755,935 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $602,656 | BOYAmt |
| EOY | $515,455 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $978,228 | BOYAmt |
| EOY | $263,085 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,114 | BOYAmt |
| EOY | $168,638 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,029 | BOYAmt |
| EOY | $69,378 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,185,310 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $589,766 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773,919 | BOYAmt |
| EOY | $1,595,544 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850,637 | BOYAmt |
| EOY | $1,874,392 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,546,583 | BOYAmt |
| EOY | $4,486,492 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,336 | BOYAmt |
| EOY | $272,009 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,888 | BOYAmt |
| EOY | $70,538 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,224 | BOYAmt |
| EOY | $342,547 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,116,535 | BOYAmt |
| EOY | $4,130,716 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,824 | BOYAmt |
| EOY | $13,229 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,159,359 | BOYAmt |
| EOY | $4,143,945 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,546,583 | BOYAmt |
| EOY | $4,486,492 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$98,584 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $83,170 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 Minus4 Years | $247,879 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $919,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,292,830 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $888,256 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $981,192 | CurrentTaxYearAmt |
| Total | $4,329,992 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $247,879 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $919,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,292,830 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $888,256 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $981,192 | CurrentTaxYearAmt |
| Total | $4,329,992 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,329,992 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $94,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,441 | CurrentTaxYearAmt |
| Total | $200,924 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,530,916 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $16,735,809 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95570 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96690 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,000 | OtherCostOrOtherBasisAmt |
| Book Value | $225,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $269,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,153 | DepreciationAmt |
| Book Value | $126,184 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $969,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $446,613 | DepreciationAmt |
| Book Value | $522,487 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $721,873 | OtherCostOrOtherBasisAmt |
| Book Value | $721,873 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,595,544 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MUTUAL FUNDS | Desc |
| Book Value | $1,874,392 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,874,392 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO MERITUS MEDICAL CENTER | Desc |
| Amt | $70,538 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,538 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,330,622 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $83,170 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $395 | OtherRevenueAmt |
| Revenue Not Reported | $83,565 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,247,057 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $13,389 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $13,389 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,260,446 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,346,036 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $395 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $395 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,345,641 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $13,389 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $13,389 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,359,030 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. AS OF FEBRUARY 28, 2014 AND 2013, THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. FOR THE YEARS ENDED FEBRUARY 28, 2014 AND 2013, RESPECTIVELY, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. GENERALLY, THE TAX YEARS BEGINNING BEFORE FEBRUARY 28, 2011 ARE NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAXING AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FORM 990 - PAGE 9 - PART VIII - LINE 8B - FUNDRAISING DIRECT EXPENSES 395. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FORM 990 - PAGE 9 - PART VIII - LINE 8B - FUNDRAISING DIRECT EXPENSES 395. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ILAYA R RAJAGOPAL | ||||||||||||||
| DENTAL DIRECTOR | $160,272 | $0 | $0 | $0 | $0 | $0 | $4,808 | $0 | $1,482 | $0 | $166,562 | $0 | $0 | $0 |
| AMANDA COMBS PRINCE | ||||||||||||||
| INTERIM MEDICAL DIRECTOR | $151,050 | $0 | $0 | $0 | $0 | $0 | $4,532 | $0 | $13,402 | $0 | $168,984 | $0 | $0 | $0 |
| RHONDA MCMILLIAN | ||||||||||||||
| PSYCHIATRIST | $176,154 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,305 | $0 | $184,459 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 WAS MADE AVAILABLE TO THE CENTER'S FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AT THE MONTHLY BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CENTER REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY DISCUSSION AT MONTHLY BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S EXECUTIVE DIRECTOR'S SALARY IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE FORMS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH MEDITECH AND UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS FROM PRIOR YEAR. |
| FORM 990, PART IV, LINES 33, 34, 35, 36, OR 37. | THE ORGANIZATION HAS A 9.0909% INTEREST IN AN LLC THAT IS TAXED AS A PARTNERSHIP. THE ENTITY IS COORDINATED CARE 65, LLC, FEDERAL ID 45-5471840, 802 CROMWELL PARK DRIVE, SUITE V, GLEN BURNIE, MD 21061. A K-1 WAS RECEIVED REPORTING NO ACTIVITY. |