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CURTIS V COOPER PRIMARY HEALTH CARE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CURTIS V COOPER PRIMARY HEALTH CARE INC (EIN 58-1136296)
Tax period
2023-12-01 to 2024-11-30
Filed
2025-03-14
IRS object ID
202500739349301130
Schema version
2023v6.0
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

FieldValueIRS element (for citing)
Return2025-03-14T14:57:56-07:00ReturnTs
Tax Period End2024-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621867889PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Terry Horne CPA IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1732 West Main StreetAddressLine1Txt
CityLebanonCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37087ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581136296EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CURTIS V COOPER PRIMARY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCURTBusinessNameControlTxt
Phone9125271000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2024AddressLine1Txt
CitySavannahCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31402ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALBERT GRANDY JRPersonNm
Person TitleCEOPersonTitleTxt
Phone9125271000PhoneNum
Signature2025-03-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY HORNE CPAPreparerPersonNm
PTINP00120946PTIN
Phone6154447293PhoneNum
Preparation2025-03-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALBERT GRANDY JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2024AddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31412ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,141,021GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee264TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,510,337PYContributionsGrantsAmt
CY Contributions Grants$7,401,879CYContributionsGrantsAmt
PY Program Service Revenue$14,064,645PYProgramServiceRevenueAmt
CY Program Service Revenue$17,178,352CYProgramServiceRevenueAmt
PY Investment Income$177,830PYInvestmentIncomeAmt
CY Investment Income$537,485CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$22,752,812PYTotalRevenueAmt
CY Total Revenue$25,117,716CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,007,514PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,464,399CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,551,397PYOtherExpensesAmt
CY Other Expenses$11,980,130CYOtherExpensesAmt
PY Total Expenses$23,558,911PYTotalExpensesAmt
CY Total Expenses$26,444,529CYTotalExpensesAmt
PY Revenues Less Expenses-$806,099PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,326,813CYRevenuesLessExpensesAmt
Total Assets BOY$20,736,286TotalAssetsBOYAmt
Total Assets EOY$18,685,653TotalAssetsEOYAmt
Total Liabilities BOY$5,068,228TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,601,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,668,058NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,083,736NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$20,489,131ExpenseAmt
Grant$0GrantAmt
Revenue$17,178,352RevenueAmt
DescTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 93,200 VISITS WERE PROVIDED DURING THE YEAR.Desc
Total Program Service Expenses$20,489,131TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee264EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEARLENE DANIELSPersonNm
Phone9129446080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1106 EAST BROAD STREETAddressLine1Txt
CitySAVANNAHCityNm
State AbbreviationGAStateAbbreviationCd
ZIP31401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVEN K CORSE
BOARD MEMBER1.00Yes (X)$0$0$0
REGINALD FRANKLIN
BOARD MEMBER1.00Yes (X)$0$0$0
CLARA J ALSTON
BOARD MEMBER1.00Yes (X)$0$0$0
J CRAIG GORDON
BOARD MEMBER1.00Yes (X)$0$0$0
MARY HILL
BOARD MEMBER1.00Yes (X)$0$0$0
LARRY JACKSON
BOARD MEMBER1.00Yes (X)$0$0$0
LESTER JOHNSON
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL W MOSLEY SR
BOARD MEMBER1.00Yes (X)$0$0$0
JAMES L PANNELL
BOARD MEMBER1.00Yes (X)$0$0$0
JOSEY M SHEPPARD
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIE RICHARD SHINHOSTER
BOARD MEMBER1.00Yes (X)$0$0$0
BETTY SIMMONS
BOARD MEMBER1.00Yes (X)$0$0$0
HELEN STONE
BOARD MEMBER1.00Yes (X)$0$0$0
BENNIE R TRUITT
BOARD MEMBER1.00Yes (X)$0$0$0
JULIET WADE
BOARD MEMBER1.00Yes (X)$0$0$0
JULIANA M TRAMMEL
BOARD MEMBER1.00Yes (X)$0$0$0
MATTHEW DEICH
BOARD MEMBER1.00Yes (X)$0$0$0
ALBERT GRANDY JR
CHIEF EXECUTIVE OFFICER40.00$310,138$0$26,666Yes (X)
EARLENE DANIELS
CHIEF FINANCIAL OFFICER40.00$130,249$0$17,329Yes (X)
CAROLYN EILAND
CHIEF CLINICAL OFFICER40.00$205,828$0$21,154Yes (X)
SHERRY MILLER
CHIEF OPERATIONAL OFFICER40.00$163,950$0$19,677Yes (X)
LORNA JACKSON
CHIEF DENTAL OFFICER40.00$169,751$0$21,055Yes (X)
FARIBORZ ZAER
MEDICAL DIRECTOR40.00$223,121$0$21,855Yes (X)
TODD BJUR
DENTIST40.00$145,046$0$18,119Yes (X)
MARY NESBIT
PHYSICIAN40.00$164,246$0$18,955Yes (X)
NKENGE JACKSON
PHYSICIAN40.00$236,554$0$18,137Yes (X)
KENNEDY OKERE
PHYSICIAN40.00$191,439$0$21,171Yes (X)
AISHAWARYA SARKAR
PHYSICIAN40.00$155,683$0$22,824Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,096,005TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$226,942TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY CORPORATION OF AMERICA
PO BOX 12140BURLINGTONNC272162140CONTRACT LAB SERVICES$210,587
ECLINICALWORKS LLC
PO BOX 847950BOSTONMA02284CONTRACT EHR SERVICES$383,804
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER
4700 WATERS AVESAVANNAHGA31404CONTRACT MEDICAL SERVICES$195,000
GEORGIA ASSOCIATION FOR PRIMARY HEALTH CARE
315 W PONCE DE LEON AVENUE 1000DECATURGA30030CONTRACT BILLING SERVICES$480,453
ISLAND IMAGING LLC
40 PALMETTO PKWYHILTON HEADSC29926CONTRACT RADIOLOGY SERVICES$134,710
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$6,913,867GovernmentGrantsAmt
All Other Contributions$488,012AllOtherContributionsAmt
Noncash Contributions$178,669NoncashContributionsAmt
Total Contributions$7,401,879TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621111BusinessCd
Total Revenue Column$17,178,352TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,178,352TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$560,790TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$560,790ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$23,305OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$23,305OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,305TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$23,305ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,117,716TotalRevenueColumnAmt
Related Or Exempt Func Income$17,178,352RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$537,485ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,299,234TotalAmt
Program Services$991,397ProgramServicesAmt
Management And General$307,837ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,423,989TotalAmt
Program Services$7,954,161ProgramServicesAmt
Management And General$2,469,828ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$345,181TotalAmt
Program Services$263,395ProgramServicesAmt
Management And General$81,786ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,576,002TotalAmt
Program Services$1,202,589ProgramServicesAmt
Management And General$373,413ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$819,993TotalAmt
Program Services$625,706ProgramServicesAmt
Management And General$194,287ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,492TotalAmt
Program Services$0ProgramServicesAmt
Management And General$46,492ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$78,669TotalAmt
Program Services$0ProgramServicesAmt
Management And General$78,669ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,050,723TotalAmt
Program Services$888,196ProgramServicesAmt
Management And General$162,527ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,520,788TotalAmt
Program Services$835,043ProgramServicesAmt
Management And General$685,745ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$335,981TotalAmt
Program Services$184,559ProgramServicesAmt
Management And General$151,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$704,931TotalAmt
Program Services$643,003ProgramServicesAmt
Management And General$61,928ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$595,660TotalAmt
Program Services$101,450ProgramServicesAmt
Management And General$494,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,395TotalAmt
Program Services$7,986ProgramServicesAmt
Management And General$1,409ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$867,356TotalAmt
Program Services$737,253ProgramServicesAmt
Management And General$130,103ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$148,878TotalAmt
Program Services$34,248ProgramServicesAmt
Management And General$114,630ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT 340B ADMIN & DISPENSING FEES$405,582$405,582$0$0
CONTRACT MEDICAL SERVICES$1,471,023$1,203,427$267,596$0
BILLING AND EHR SERVICES$1,199,053$980,931$218,122$0
DRUGS AND MEDICAL SUPPLIES$3,545,599$3,430,205$115,394$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,444,529TotalAmt
Program Services$20,489,131ProgramServicesAmt
Management And General$5,955,398ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,697,633BOYAmt
EOY$304,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,252,896BOYAmt
EOY$761,009EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$674,740BOYAmt
EOY$507,399EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,240,134BOYAmt
EOY$2,251,661EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$287,268BOYAmt
EOY$309,768EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$205,401BOYAmt
EOY$162,838EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,030,344LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,837,274LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,429,896BOYAmt
EOY$7,193,070EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,302,789BOYAmt
EOY$4,861,398EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$347,083BOYAmt
EOY$312,083EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,298,446BOYAmt
EOY$2,022,239EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,736,286BOYAmt
EOY$18,685,653EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,591,420BOYAmt
EOY$2,392,294EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,476,808BOYAmt
EOY$2,209,623EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,068,228BOYAmt
EOY$4,601,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,668,058BOYAmt
EOY$14,083,736EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,668,058BOYAmt
EOY$14,083,736EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,736,286BOYAmt
EOY$18,685,653EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,326,813ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$137,474NetUnrlzdGainsLossesInvstAmt
Investment Expense-$5,771InvestmentExpenseAmt
Prior Period Adjustments-$114,264PriorPeriodAdjustmentsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,797,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,487,878CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,816,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,510,337CurrentTaxYearMinus1YearAmt
Current Tax Year$7,401,879CurrentTaxYearAmt
Total$45,014,152TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,797,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,487,878CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,816,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,510,337CurrentTaxYearMinus1YearAmt
Current Tax Year$7,401,879CurrentTaxYearAmt
Total$45,014,152TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$45,014,152PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,478CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,830CurrentTaxYearMinus1YearAmt
Current Tax Year$560,790CurrentTaxYearAmt
Total$787,962TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$45,802,114TotalSupportAmt
Gross Receipts Rltd Activities$68,756,439GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98280PublicSupportCY170Pct
Public Support PY1700.99470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$787,235InvestmentCostOrOtherBasisAmt
Book Value$787,235BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$8,686,632InvestmentCostOrOtherBasisAmt
Depreciation$4,096,680DepreciationAmt
Book Value$4,589,952BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,556,477InvestmentCostOrOtherBasisAmt
Depreciation$3,740,594DepreciationAmt
Book Value$1,815,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,193,070TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASE RIGHT-OF-USE ASSETS$1,855,386
FINANCE LEASE RIGHT-OF-USE ASSET$166,853
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,022,239TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OPERATING LEASE LIABILITIES$2,038,380
FINANCE LEASE LIABILITY$171,243
FieldValueIRS element (for citing)
Total Liability$2,209,623TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$24,974,471TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$137,474NetUnrealizedGainsInvstAmt
Revenue Not Reported-$137,474RevenueNotReportedAmt
Revenue Subtotal$25,111,945RevenueSubtotalAmt
Investment Expenses Not Incld$5,771InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$5,771RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,117,716TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,444,529TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$26,444,529ExpensesSubtotalAmt
Total Expenses Per Form990$26,444,529TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALBERT GRANDY JR
$310,138$0$0$0$0$0$14,269$0$12,397$0$336,804$0$0$0
CAROLYN EILAND
$205,828$0$0$0$0$0$9,404$0$11,750$0$226,982$0$0$0
SHERRY MILLER
$163,950$0$0$0$0$0$7,858$0$11,819$0$183,627$0$0$0
LORNA JACKSON
$169,751$0$0$0$0$0$8,178$0$12,877$0$190,806$0$0$0
FARIBORZ ZAER
$223,121$0$0$0$0$0$11,122$0$10,733$0$244,976$0$0$0
TODD BJUR
$145,046$0$0$0$0$0$7,167$0$10,952$0$163,165$0$0$0
MARY NESBIT
$164,246$0$0$0$0$0$8,006$0$10,949$0$183,201$0$0$0
NKENGE JACKSON
$236,554$0$0$0$0$0$12,019$0$6,118$0$254,691$0$0$0
KENNEDY OKERE
$191,439$0$0$0$0$0$9,398$0$11,773$0$212,610$0$0$0
AISHAWARYA SARKAR
$155,683$0$0$0$0$0$8,369$0$14,455$0$178,507$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution11911ContributionCnt
Noncash Contributions Rpt F990$178,669NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 15aSTATE, NATIONAL AND 990 TAX RETURN SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
Pt VI, Line 15bFOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATIONS ARE PERIODICALLY PERFORMED
Pt VI, Line 15bAND SALARY INCREASES ARE BOARD APPROVED.
Pt VI, Line 19THE ORGANIZTION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
Pt VI, Line 19POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO AND FINANCE OFFICER OVERSEE FINANCIAL STATEMENT PREPARATION
Pt XII, Line 2cAND AUDIT ENGAGEMENT.
Pt VI, Line 11bTHE CEO AND FINANCE COMMITTEE REVIEWS THE FORM 990.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
Pt VI, Line 12cREVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
Pt VI, Line 12cISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.