COMMUNITY CARE CLINIC OF ROWAN COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY CARE CLINIC OF ROWAN COUNTY INC (EIN 56-1964773)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-06
IRS object ID: 201312189349301426
Schema version: 2012v2.1
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 G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-06T16:59:11-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	J ALAN RUTHERFORD CPA PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 N MAIN ST STE 302	AddressLine1
City	SALISBURY	City
State	NC	State
ZIP Code	28144	ZIPCode

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	561964773	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY CARE CLINIC OF ROWAN	BusinessNameLine1
Business Name Line2	COUNTY INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	7046364523	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	315 MOCKSVILLE AVENUE SUITE G	AddressLine1
City	SALISBURY	City
State	NC	State
ZIP Code	281443346	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KRISTA WOOLLY	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7046364523	Phone
Date Signed	2013-08-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	J ALAN RUTHERFORD CPA	Name
Phone	7046334060	Phone
Date Prepared	2013-08-06	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	KRISTA WOOLLY EXECUTIVE DIRECTOR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	315-G MOCKSVILLE AVENUE	AddressLine1
City	SALISBURY	City
State	NC	State
ZIP Code	271443346	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2891680	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	NC	StateLegalDomicile
Activity Or Mission Description	PROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	12	TotalNbrEmployees
Total Nbr Volunteers	80	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2502061	ContributionsGrantsPriorYear
Contributions Grants Current Year	2799135	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1470	InvestmentIncomePriorYear
Investment Income Current Year	598	InvestmentIncomeCurrentYear
Other Revenue Prior Year	73808	OtherRevenuePriorYear
Other Revenue Current Year	91947	OtherRevenueCurrentYear
Total Revenue Prior Year	2577339	TotalRevenuePriorYear
Total Revenue Current Year	2891680	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	341779	SalariesEtcPriorYear
Salaries Etc Current Year	317473	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	21442	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2216715	OtherExpensePriorYear
Other Expenses Current Year	2717188	OtherExpensesCurrentYear
Total Expenses Prior Year	2558494	TotalExpensesPriorYear
Total Expenses Current Year	3034661	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18845	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-142981	RevenuesLessExpensesCY
Total Assets BOY	951784	TotalAssetsBOY
Total Assets EOY	806105	TotalAssetsEOY
Total Liabilities BOY	18008	TotalLiabilitiesBOY
Total Liabilities EOY	15308	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	933776	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	790797	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDES MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO UNINSURED OR UNDERSERVED ROWAN COUNTY RESIDENTS USING PAID AND VOLUNTEER MEDICAL PROFESSIONALS AND SKILLED SUPPORT STAFF.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2851662	Expense
Description	MEDICAL, DENTAL AND PHARMACEUTICAL CARE TO ROWAN COUNTY'S MEDICALLY INDIGENT USING PAID AND VOLUNTEER PROFESSIONALS.	Description
Total Program Service Expense	2851662	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	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	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	true	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	false	ScheduleORequired
Number Forms Transmitted With1096	6	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	12	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
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	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	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
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY CARE CLINIC	BusinessNameLine1
Business Name Line2	OF ROWAN COUNTY INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Telephone Number	7046364523	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	315-G MOCKSVILLE AVE	AddressLine1
City	SALISBURY	City
State	NC	State
ZIP Code	28144	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
MIKE FULLER RPH
PRESIDENT	10.00	X	0	0	0
BRENDA GOODMAN
VICE PRESIDE	10.00	X	0	0	0
TOM LOEBLEIN
TREASURER		X	0	0	0
TRISH BRINKLEY
SECRETARY	10.00	X	0	0	0
DR BRANDON ARON DMD
DIRECTOR	10.00	X	0	0	0
SUE FISHER
DIRECTOR	10.00	X	0	0	0
SUE DECAMP-FREEZE
DIRECTOR	10.00	X	0	0	0
BILL GREENE
DIRECTOR	10.00	X	0	0	0
MARY GOODMAN
DIRECTOR	10.00	X	0	0	0
DR ROBERT OGDEN DDS
DIRECTOR	10.00	X	0	0	0
KRISTA WOOLLY
EXECUTIVE DI	40.00		26244	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	26244	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	8000	GovernmentGrants
All Other Contributions	2791135	AllOtherContributions
Noncash Contributions	2340609	NoncashContributions
Total Contributions	2799135	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	598	TotalRevenueColumn
Exclusion	$598	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	90062	GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	90062	TotalRevenueColumn
Exclusion	$90,062	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISC INCOME	Description
Total Revenue Column	1885	TotalRevenueColumn
Exclusion	$1,885	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1885	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2891680	TotalRevenueColumn
Exclusion	$92,545	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	26244	Total
Program Services	3937	ProgramServices
Management And General	22307	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	258202	Total
Program Services	172615	ProgramServices
Management And General	85587	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10080	Total
Program Services	5680	ProgramServices
Management And General	4400	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	22947	Total
Program Services	14693	ProgramServices
Management And General	8254	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	12225	Total
Management And General	12225	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1161	Total
Management And General	1161	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	16616	Total
Program Services	8336	ProgramServices
Management And General	8280	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	494	Total
Management And General	494	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	662	Total
Program Services	148	ProgramServices
Management And General	514	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3777	Total
Program Services	2518	ProgramServices
Management And General	1259	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5817	Total
Program Services	100	ProgramServices
Management And General	5717	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
PHARMACEUTICAL	2483174	2483174
CONTRACT LABOR	140886	140886
SUPPLIES ETC.	21442		21442
EQUIPMENT REPAIRS	11454	9772		1682

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	19480	Total
Program Services	9803	ProgramServices
Management And General	9677	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3034661	Total
Program Services	2851662	ProgramServices
Management And General	161557	ManagementAndGeneral
Fundraising	21442	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	456008	BOY
EOY	418909	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2644	BOY
EOY	2612	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	481032	BOY
EOY	372857	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	124745	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	113018	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	12100	BOY
EOY	11727	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	951784	BOY
EOY	806105	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18008	BOY
EOY	15308	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	18008	BOY
EOY	15308	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	823367	BOY
EOY	731415	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	110409	BOY
EOY	59382	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	933776	BOY
EOY	790797	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	951784	BOY
EOY	806105	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-142981	ReconcilationRevenueExpenses
Reconcilation Other Changes	2	ReconcilationOtherChanges
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 Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1143429	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1680129	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2200538	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2502061	CurrentTaxYearMinus1Year
Current Tax Year	2799135	CurrentTaxYear
Total	10325292	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1143429	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1680129	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2200538	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2502061	CurrentTaxYearMinus1Year
Current Tax Year	2799135	CurrentTaxYear
Total	10325292	Total

Field	Value	IRS element (for citing)
Public Support Total170	10325292	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10649	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7944	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3851	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1470	CurrentTaxYearMinus1Year
Current Tax Year	598	CurrentTaxYear
Total	24512	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1018	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3349	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2005	CurrentTaxYearMinus1Year
Current Tax Year	91947	CurrentTaxYear
Total	98319	Total

Field	Value	IRS element (for citing)
Total Support	10448123	TotalSupport
Public Support Pertcentage170	0.98820	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99480	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1456	OtherCostOrOtherBasis
Depreciation	534	Depreciation
Book Value	922	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	123289	OtherCostOrOtherBasis
Depreciation	112484	Depreciation
Book Value	10805	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	11727	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	3024360	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	132680	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	132680	RevenueNotRptdF990
Revenue Subtotal	2891680	RevenueSubtotal
Total Revenue Per Form990	2891680	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3167340	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	132680	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	132680	ExpensesNotRptdF990
Expenses Subtotal	3034660	ExpensesSubtotal
Other Expenses Not Included	1	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3034661	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	Identifier
Return Reference	SCHEDULE D, PAGE 4, PART XII, LINE 4B	ReturnReference
Explanation	BOOK / TAX DEPRECIATION DIFFERENCE 1	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GUARDIAN ANGEL	NameOfEvent1
Gross Receipts Event1	37352	GrossReceiptsEvent1
Gross Revenue Event1	37352	GrossRevenueEvent1
Name Of Event2	CHARITY TOAST	NameOfEvent2
Gross Receipts Event2	36740	GrossReceiptsEvent2
Gross Revenue Event2	36740	GrossRevenueEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	13000	GrossReceiptsOtherEvents
Gross Revenue Other Events	13000	GrossRevenueOtherEvents
Gross Receipts Total	87092	GrossReceiptsTotal
Gross Revenue Total Events	87092	GrossRevenueTotalEvents
Net Income Summary	87092	NetIncomeSummary

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	2340609	NoncashContribsRptdF990

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 AND ATTACHMENTS ARE REVIEWED FOR COMPLETENESS AND ACCURACY BY THE FINANCE COMMITTEE, THE EXECUTIVE DIRECTOR AND THE BUSINESS MANAGER, AND THEN REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO FILING.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ACCOMPLISHED ON A DAILY BASIS BY HANDS-ON EXECUTIVE DIRECTOR, AN ACTIVE BOARD OF DIRECTORS, AND AN EMPLOYEE HANDBOOK WHICH PROVIDES A CLEAR CHAIN OF COMMAND.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	SALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED PERIODICALLY BY THE FINANCE COMMITTEE, MEMBERS OF WHOM ARE INDEPENDENT OF THE EXECUTIVE DIRECTOR, USING COMPARATIVE LOCAL AND REGIONAL COMPENSATION DATA AVAIALBLE TO THEM. DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN COMMITTEE MINUTES. THE EXECUTIVE DIRECTOR IS NOT INVOLVED IN THE DISCUSSIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	BOOK / TAX DEPRECIATION DIFFERENCE 1
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	ROUNDING 1