MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM (EIN 20-0537948)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-02
- IRS object ID
- 201332149349300748
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-02T15:15:33-05:00 | 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 | KENNEMER MASTERS & LUNSFORD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 WEST WAY COURT | AddressLine1 |
| City | LAKE JACKSON | City |
| State | TX | State |
| ZIP Code | 77566 | 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 | 200537948 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA EPISCOPAL HEALTH OUTREACH | BusinessNameLine1 |
| Business Name Line2 | PROGRAM CORPORATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MATA | NameControl |
| Phone | 9792452008 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CELESTE HARRISON | Name |
| Title | CEO | Title |
| Phone | 9792452008 | Phone |
| Date Signed | 2013-07-31 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN CADENHEAD | Name |
| Phone | 9792974075 | Phone |
| Date Prepared | 2013-08-01 | 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 | CELESTE HARRISON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2745621 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.MEHOP.ORG/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 48 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1366794 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1315535 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 940105 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1233830 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1535 | InvestmentIncomePriorYear |
| Investment Income Current Year | 435 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 64442 | OtherRevenuePriorYear |
| Other Revenue Current Year | 195821 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2372876 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2745621 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1374437 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1901283 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 19601 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 832049 | OtherExpensePriorYear |
| Other Expenses Current Year | 1073558 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2206486 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2974841 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 166390 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -229220 | RevenuesLessExpensesCY |
| Total Assets BOY | 2024857 | TotalAssetsBOY |
| Total Assets EOY | 2193236 | TotalAssetsEOY |
| Total Liabilities BOY | 61080 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 458679 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1963777 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1734557 | NetAssetsOrFundBalancesEOY |
| Mission Description | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2582454 | Expense |
| Description | PROVIDE DENTAL AND HEALTH SERVICES TO PEOPLE IN MATAGORDA COUNTY. APPROXIMATELY 3,774 PEOPLE WERE SERVED DURING THE CURRENT YEAR. | Description |
| Total Program Service Expense | 2582454 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | 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 | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 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 | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 48 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEHOP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9792452008 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT A MATTHEWS | |||||||
| VICE PRESIDE | X | 0 | 0 | 0 | |||
| STEVEN PARKER | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BROOKS DIESEL | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| HELEN RUDOLPH MCADA | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| SUZANNE COBB GREEN | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BARRY RICHARDSON | |||||||
| PRESIDENT | X | 0 | 0 | 0 | |||
| KELLI HUNT | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| TAFFY ATKINSON | |||||||
| SECRETARY | X | 0 | 0 | 0 | |||
| JOHN S RUNNELLS III | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BARBARA GORDON | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| CONNIE O'DAY | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| NICASIO PEREZ III | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| JAYNE ANN MILLER | |||||||
| TREASURER | X | 0 | 0 | 0 | |||
| MARK THORNTON | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| MARION GILBERT | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| FARHANA AMBREEN | |||||||
| CHIEF MED. O | 185400 | 0 | 0 | 40.00 | X | ||
| CELESTE HARRISON | |||||||
| CEO | 67177 | 0 | 0 | 40.00 | X | ||
| JOHN FERGUSON | |||||||
| DOCTOR | 149350 | 0 | 0 | 32.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 401927 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 755750 | GovernmentGrants |
| All Other Contributions | 559785 | AllOtherContributions |
| Noncash Contributions | 73924 | NoncashContributions |
| Total Contributions | 1315535 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL AND DENTAL SERVICES | Description |
| Total Revenue Column | 1233830 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1233830 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1233830 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 435 | TotalRevenueColumn |
| Exclusion | $435 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 57795 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57795 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| 340 B PROGRAM | 124248 | $124,248 |
| LABCORP | 7270 | $7,270 |
| SCHOOL PHYSICALS | 3780 | $3,780 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2728 | TotalRevenueColumn |
| Exclusion | $2,728 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 138026 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2745621 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1233830 | RelatedOrExemptFunctionIncome |
| Exclusion | $138,461 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1668995 | Total |
| Program Services | 1460234 | ProgramServices |
| Management And General | 208761 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112646 | Total |
| Program Services | 96448 | ProgramServices |
| Management And General | 16198 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119642 | Total |
| Program Services | 103531 | ProgramServices |
| Management And General | 16111 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1228 | Total |
| Program Services | 887 | ProgramServices |
| Management And General | 341 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18730 | Total |
| Program Services | 600 | ProgramServices |
| Management And General | 18130 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115538 | Total |
| Program Services | 113385 | ProgramServices |
| Management And General | 2153 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 233 | Total |
| Fundraising | 233 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21829 | Total |
| Program Services | 15333 | ProgramServices |
| Management And General | 6496 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17478 | Total |
| Program Services | 7905 | ProgramServices |
| Management And General | 9573 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5141 | Total |
| Program Services | 2538 | ProgramServices |
| Management And General | 2603 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7865 | Total |
| Program Services | 7865 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79147 | Total |
| Program Services | 79147 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58525 | Total |
| Program Services | 52765 | ProgramServices |
| Management And General | 5760 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 121885 | 121885 | |
| DRUG PROGRAM | 111412 | 111412 | |
| MAINTENANCE AND REPAIRS | 97160 | 83241 | 13919 |
| LAB EXPENSES | 84891 | 84891 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332496 | Total |
| Program Services | 240387 | ProgramServices |
| Management And General | 72741 | ManagementAndGeneral |
| Fundraising | 19368 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2974841 | Total |
| Program Services | 2582454 | ProgramServices |
| Management And General | 372786 | ManagementAndGeneral |
| Fundraising | 19601 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 633290 | BOY |
| EOY | 147638 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228794 | BOY |
| EOY | 296670 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71932 | BOY |
| EOY | 314976 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15026 | BOY |
| EOY | 27949 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1851657 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 445654 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075815 | BOY |
| EOY | 1406003 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2024857 | BOY |
| EOY | 2193236 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61080 | BOY |
| EOY | 136827 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 321852 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61080 | BOY |
| EOY | 458679 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1787284 | BOY |
| EOY | 1571357 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176493 | BOY |
| EOY | 163200 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1963777 | BOY |
| EOY | 1734557 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2024857 | BOY |
| EOY | 2193236 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -229220 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 144556 | OtherCostOrOtherBasis |
| Book Value | 144556 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1054661 | OtherCostOrOtherBasis |
| Depreciation | 75630 | Depreciation |
| Book Value | 979031 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 84649 | OtherCostOrOtherBasis |
| Depreciation | 49483 | Depreciation |
| Book Value | 35166 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 375333 | OtherCostOrOtherBasis |
| Depreciation | 227931 | Depreciation |
| Book Value | 147402 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 192458 | OtherCostOrOtherBasis |
| Depreciation | 92610 | Depreciation |
| Book Value | 99848 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1406003 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MORTGAGE NOTE | Description |
| Amount | $321,852 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 321852 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 2759861 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 14240 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 14240 | RevenueNotRptdF990 |
| Revenue Subtotal | 2745621 | RevenueSubtotal |
| Total Revenue Per Form990 | 2745621 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2989081 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 14240 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 14240 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2974841 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2974841 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL FUNDRAIS | NameOfEvent1 |
| Gross Receipts Event1 | 57795 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 57795 | GrossRevenueEvent1 |
| Gross Receipts Total | 57795 | GrossReceiptsTotal |
| Gross Revenue Total Events | 57795 | GrossRevenueTotalEvents |
| Net Income Summary | 57795 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FARHANA AMBREEN | NamePerson |
| Title | CHIEF MED OFFICER | Title |
| Base Compensation Filing Org | 185400 | BaseCompensationFilingOrg |
| Total Compensation Filing Org | 185400 | TotalCompensationFilingOrg |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 73924 | 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 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED MEETING AND IS APPROVED BY THE BOARD PRIOR TO BEING FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND ULTIMATELY AGREES AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND THE CORRECT PATH FORWARD FOR DEALING WITH THE CONFLICT. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | INFORMATION IS MADE AVAILABLE UPON REQUEST. |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24E | MISCELLANEOUS 36,116 11,439 0 TRAINING 15,433 28,860 0 DENTAL SUPPLIES 37,830 422 0 OTHER SUPPLIES 12,583 3,737 19,368 SMALL EQUIPMENT 28,986 2,124 0 UTILITIES 25,113 4,340 0 TELEPHONE 23,380 5,374 0 OTHER PROCEDURES 27,181 0 0 DUES AND FEES 4,891 12,345 0 LEASE 16,300 0 0 RECRUITMENT AND RETENTION 10,413 2,935 0 PROFESSIONAL SERVICES 2,161 1,165 0 |