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PRIMARY HEALTH SERVICES CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PRIMARY HEALTH SERVICES CENTER (EIN 72-1347028)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-08
IRS object ID
201332209349301288
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

FieldValueIRS element (for citing)
Timestamp2013-08-08T15:24:36-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN800488055EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Steven M DeRouen & AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O Box 4265AddressLine1
CityLake CharlesCity
StateLAState
ZIP Code70606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721347028EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Primary Health Services Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPRIMNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 7495AddressLine1
CityMonroeCity
StateLAState
ZIP Code71211ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCatherine TonoreName
TitleCEOTitle
Phone3183881250Phone
Date Signed2013-08-08DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSteven M DeRouenName
PTINP01050140PTIN
Phone3375134915Phone
Date Prepared2013-08-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBarbara GarrettNameOfPrincipalOfficerPerson
Gross Receipts7708441GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteNAWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTo provide rural community based health programs for adults and children.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees117TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4578237ContributionsGrantsPriorYear
Contributions Grants Current Year3735123ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2988556ProgramServiceRevenuePriorYear
Program Service Revenue CY3344477ProgramServiceRevenueCY
Investment Income Prior Year4291InvestmentIncomePriorYear
Investment Income Current Year513870InvestmentIncomeCurrentYear
Other Revenue Prior Year79010OtherRevenuePriorYear
Other Revenue Current Year58340OtherRevenueCurrentYear
Total Revenue Prior Year7650094TotalRevenuePriorYear
Total Revenue Current Year7651810TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3890089SalariesEtcPriorYear
Salaries Etc Current Year4337305SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1662460OtherExpensePriorYear
Other Expenses Current Year2121456OtherExpensesCurrentYear
Total Expenses Prior Year5552549TotalExpensesPriorYear
Total Expenses Current Year6458761TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2097545RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1193049RevenuesLessExpensesCY
Total Assets BOY8360610TotalAssetsBOY
Total Assets EOY10354529TotalAssetsEOY
Total Liabilities BOY2809181TotalLiabilitiesBOY
Total Liabilities EOY3610051TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5551429NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6744478NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide rural community based health programs for adults and children.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4944715Expense
Revenue3344477Revenue
DescriptionTo provide health service for public housing residents, low-income children, and adults.Description
Total Program Service Expense4944715TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109644NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees117NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFrank Gordon CFONamePerson
Telephone Number3183881250TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12913 Desiard StreetAddressLine1
CityMonroeCity
StateLAState
ZIP Code71201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Barbara Garrett
President2.00XX000
Bertha Williams
Board Member2.00X000
Eva Johnson
Board Member2.00X000
Gloria Atkins
Board Member2.00X000
Mariah White
Treasurer2.00XX000
Matilda Martin
Board Member2.00X000
Sheila Riley
Secretary2.00XX000
Vanessa Johnson
Vice President2.00XX000
Willie Robinson Sr
Board Member2.00X000
Catherine Tonore
CEO40.00X29821107442
Rose Turner
CFO40.00X9898201587
Dr Ginny Tonore PhD
COO40.0018226702163X
Dr Raymond Poliquit
Medical Director40.0020363106698X
Dr Farnaz Almasganj
Physician0.0020612602454X
Dr James Hammond
Physician40.0019600006231X
Dr Tobe Momah
Physician40.0014446200X
Lula Williams
Dental Director40.0010769200X
Pamela Chisley
Director40.0011128302700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1548654TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation29275TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonRocky Mountain GroupNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 3170AddressLine1
CityCorralesCity
StateNMState
ZIP Code87048ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesConsultingDescriptionOfServices
Compensation109700Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants2457648GovernmentGrants
All Other Contributions1277475AllOtherContributions
Total Contributions3735123TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient ServicesDescription
Business Code621300BusinessCode
Total Revenue Column3344477TotalRevenueColumn
Related Or Exempt Function Income3344477RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3344477TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2906TotalRevenueColumn
Related Or Exempt Function Income2906RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other567595Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other56631Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other510964Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column510964TotalRevenueColumn
Related Or Exempt Function Income510964RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous IncomeDescription
Business Code621300BusinessCode
Total Revenue Column58340TotalRevenueColumn
Related Or Exempt Function Income58340RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue58340TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7651810TotalRevenueColumn
Related Or Exempt Function Income3916687RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total800981Total
Program Services680834ProgramServices
Management And General120147ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2949401Total
Program Services2506990ProgramServices
Management And General442411ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total321388Total
Program Services273180ProgramServices
Management And General48208ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total265535Total
Program Services225705ProgramServices
Management And General39830ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44242Total
Program Services17697ProgramServices
Management And General26545ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total132354Total
Program Services52942ProgramServices
Management And General79412ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total246362Total
Program Services91560ProgramServices
Management And General154802ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35140Total
Program Services35140ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total242724Total
Program Services97090ProgramServices
Management And General145634ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total187883Total
Management And General187883ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total243325Total
Program Services206826ProgramServices
Management And General36499ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total92672Total
Management And General92672ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total141864Total
Program Services120584ProgramServices
Management And General21280ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total347587Total
Program Services295449ProgramServices
Management And General52138ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supply and Services119054119054
Repairs and Maintenance917847801613768
Telephone55359470558304
Bad Debt6867568675

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total72431Total
Program Services27918ProgramServices
Management And General44513ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6458761Total
Program Services4944715ProgramServices
Management And General1514046ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY982436BOY
EOY595152EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY467805BOY
EOY1019496EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY810678BOY
EOY748251EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY240376BOY
EOY182527EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY4827EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26790BOY
EOY33665EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8866745LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1596264LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5272584BOY
EOY7270481EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY491124BOY
EOY435313EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68817BOY
EOY64817EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8360610BOY
EOY10354529EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY405861BOY
EOY491430EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2170938BOY
EOY2955890EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY232382BOY
EOY162731EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2809181BOY
EOY3610051EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4850947BOY
EOY6104291EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY700482BOY
EOY640187EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5551429BOY
EOY6744478EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8360610BOY
EOY10354529EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1193049ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1958436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2990114CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2750346CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4578237CurrentTaxYearMinus1Year
Current Tax Year3735123CurrentTaxYear
Total16012256Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2180435CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2385564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2667347CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2988556CurrentTaxYearMinus1Year
Current Tax Year3344477CurrentTaxYear
Total13566379Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4138871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5375678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5417693CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7566793CurrentTaxYearMinus1Year
Current Tax Year7079600CurrentTaxYear
Total29578635Total
FieldValueIRS element (for citing)
Public Support Total50929578635PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4291CurrentTaxYearMinus1Year
Current Tax Year513870CurrentTaxYear
Total523545Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years5384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4291CurrentTaxYearMinus1Year
Current Tax Year513870CurrentTaxYear
Total523545Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years24789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79010CurrentTaxYearMinus1Year
Current Tax Year58340CurrentTaxYear
Total162139Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4138871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5375678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5447866CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7650094CurrentTaxYearMinus1Year
Current Tax Year7651810CurrentTaxYear
Total30264319Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97730PublicSupportPercentage509
Prior Year Support Percentage0.99570PriorYearSupportPercentage
Investment Income Percentage0.01730InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00040PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis496743OtherCostOrOtherBasis
Book Value496743BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5826377OtherCostOrOtherBasis
Depreciation261658Depreciation
Book Value5564719BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2360625OtherCostOrOtherBasis
Depreciation1334606Depreciation
Book Value1026019BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis183000OtherCostOrOtherBasis
Book Value183000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7270481TotalOfBookValueLandBuildings

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value20102BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCertificates of DepositDescription
Book Value415211BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities435313TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Accrued Vacation and Payroll$121,525
Payroll Taxes Payable$41,206
FieldValueIRS element (for citing)
Total Of Amounts162731TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt7651810TotRevenueEtcAuditedFinclStmt
Revenue Subtotal7651810RevenueSubtotal
Total Revenue Per Form9907651810TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6458761TotExpensesEtcAuditedFinclStmt
Expenses Subtotal6458761ExpensesSubtotal
Total Expenses Per Form9906458761TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierD13Identifier
Return ReferenceFootnote for uncertain tax position under FIN 48 Part XReturnReference
ExplanationThe Organization is exempt from federal income taxes under Section 501 (c) (3) of the Internal Revenue Code and applicable state codes. Accordingly, no provision for federal and state income taxes is included in the financial statements.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Dr Ginny Tonore PhD
COO14112716250248902163184430
Catherine Tonore
CEO25915324800142587442305653
Dr James Hammond
Physician194000100010006231202231
Dr Raymond Poliquit
Medical Director19863150006698210329
Dr Farnaz Almasganj
Physician201126400010002454208580

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDr James HammondNamePerson
Relationship With OrganizationEmployeeRelationshipWithOrganization
Purpose Of LoanMedicare RepaymentPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$12,827OriginalPrincipalAmount
Balance Due4827BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due4827TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Randy Morgan
Brother of CEO42824Employee Wagesfalse
Dr Ginny Tonore PhD
Daughter of CEO184430Employee Wagesfalse

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
L1990 Schedule L Placeholder 1Randy Morgan is employed by Primary Health Services Center, Inc. and serves the organization as Security Director.
L2990 Schedule L Placeholder 2Dr. Ginny Tonore is employed by Primary Health Services Center, Inc. and serves the organization as Behavioral Health Program Director and Cheif Operating Officer.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Officer directors etc family relationship Part VI line 2The brother of the Chief Executive Officer serves as the Security Director for the organization. The daughter of the Chief Executive Officer services as the Behavioral Health Program Director and Chief Operating Officer for the organization.
O02Form 990 governing body review Part VI line 11The Form 990 is reviewed and approved by the Board of Directors prior to issuance.
O03Conflict of interest policy compliance Part VI line 12cThe Organization reviews conflict of interest issues as they arise and takes appropriate action.
O04CEO executive director top management comp Part VI line 15aThe Board of Directors performs a comparability study of similar organizations to determine all salaries.
O05Other officer or key employee compensation Part VI line 15bThe Board of Directors performs a comparability study of similar organizations to determine all salaries.
O06Governing documents etc available to public Part VI line 19The Center9s governing documents, conflict of interest policy, and financial statements are made available to the public upon request.