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WELVISTA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WELVISTA (EIN 56-2034627)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349306324
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)
Timestamp2013-11-15T13:00:53-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN570940019EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAUKNIGHT PIETRAS & STORMER PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11517 GERVAIS STREETAddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29201ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562034627EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WELLVISTABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWELLNameControl
Phone8039339183Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12700 MIDDLEBURG DRIVE 105AddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUANITA WRIGHTName
TitleCEOTitle
Phone8039339183Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSHELLIE S JOHNSONName
PTINP00294226PTIN
Phone8037718943Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUANITA WRIGHTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12700 MIDDLEBURG DRIVE 105AddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts66699532GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WELVISTA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionPROVIDE ACCESS TO DONATED PRESCRIPTION MEDICATION TO THE UNINSURED AND ORAL HEALTH CARE TO LOW-INCOME CHILDREN.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees58TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year87395931ContributionsGrantsPriorYear
Contributions Grants Current Year62938013ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3625444ProgramServiceRevenuePriorYear
Program Service Revenue CY3349051ProgramServiceRevenueCY
Investment Income Prior Year288InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year412468OtherRevenueCurrentYear
Total Revenue Prior Year91021663TotalRevenuePriorYear
Total Revenue Current Year66699532TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2165495SalariesEtcPriorYear
Salaries Etc Current Year1589984SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year40500TotalFundrsngExpCurrentYear
Other Expense Prior Year82930756OtherExpensePriorYear
Other Expenses Current Year62275677OtherExpensesCurrentYear
Total Expenses Prior Year85096251TotalExpensesPriorYear
Total Expenses Current Year63865661TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5925412RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2833871RevenuesLessExpensesCY
Total Assets BOY18638144TotalAssetsBOY
Total Assets EOY20522597TotalAssetsEOY
Total Liabilities BOY1348773TotalLiabilitiesBOY
Total Liabilities EOY580762TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17289371NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19941835NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE ACCESS TO DONATED PRESCRIPTION MEDICATION TO THE UNINSURED AND ORAL HEALTH CARE TO LOW-INCOME CHILDREN.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense63260868Expense
Revenue2800763Revenue
DescriptionDONATED PRESCRIPTION MEDICATION, SHIPPED TO THE HOMES OF INDIVIDUALS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AND DO NOT HAVE PRIVATE HEALTH INSURANCE, MEDICARE, MEDICAID, OR VA BENEFITS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense405712Expense
Revenue960756Revenue
DescriptionPEDIATRIC DENTAL CENTERS PROVIDE ORAL HEALTH CARE TO LOW-INCOME CHILDREN IN RURAL COMMUNITIES THROUGHOUT SOUTH CAROLINA.Description
FieldValueIRS element (for citing)
Total Program Service Expense63666580TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees58NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARL R HOKANSON JRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8034672538TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12700 MIDDLEBURG DRIVE SUITE 105AddressLine1
CityCOLUMBIACity
StateSCState
ZIP Code29204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JUANITA WRIGHT
CEO40.00XX6500000
THORNTON KIRBY
CHAIR5.00XX000
ANNE WILSON
VICE CHAIR1.00XX000
NICK THEODORE
DIRECTOR1.00X000
TIM MADDEN
DIRECTOR1.00X000
MARLENA MYERS
DIRECTOR1.00X000
JOHN SINGERLING
DIRECTOR1.00X000
RENEE ROMBERGER
DIRECTOR1.00X000
DR JOE MOORE
DIRECTOR1.00X000
VICTORIA HOLLINS
COO30.00X12261000
FieldValueIRS element (for citing)
Total Reportable Comp From Org187610TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants97994GovernmentGrants
All Other Contributions62840019AllOtherContributions
Noncash Contributions62731919NoncashContributions
Total Contributions62938013TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY PROGRAM62199010825731082573
SMILES FOR A LIFETIME621300960756960756
HOSPITAL PROGRAM621990957806957806
ADAP PROGRAM621990347916347916
FieldValueIRS element (for citing)
Total Program Service Revenue3349051TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOREGIVENESS OF DEBT900099359326359326
MISCELLANEOUS REVENUE9000995314253142
FieldValueIRS element (for citing)
Total Other Revenue412468TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column66699532TotalRevenueColumn
Related Or Exempt Function Income3761519RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total122610Total
Program Services122610ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1339976Total
Program Services1339976ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total9754Total
Program Services9754ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total117644Total
Program Services117644ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total134Total
Management And General134ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50000Total
Management And General50000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80518Total
Management And General80518ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total40500Total
Fundraising40500Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1064Total
Management And General1064ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11196Total
Program Services11196ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53357Total
Program Services53357ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total62104Total
Program Services62104ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9785Total
Program Services9785ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total12241Total
Management And General12241ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total54487Total
Program Services54487ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18750Total
Program Services18750ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PRESCRIPTION DRUGS, DIS6100775061007750
DENTAL CONTRACT SERVICE303283303283
PROFESSIONAL SUPPLIES142323142323
POSTAGE AND SHIPPING127196127196

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total300989Total
Program Services286365ProgramServices
Management And General14624ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total63865661Total
Program Services63666580ProgramServices
Management And General158581ManagementAndGeneral
Fundraising40500Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY529485BOY
EOY406950EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY52994EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY56495BOY
EOY360589EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY17775117BOY
EOY19489461EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11110BOY
EOY18190EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis858775LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec664362LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY248900BOY
EOY194413EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17037BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18638144BOY
EOY20522597EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY456663BOY
EOY84442EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY62736BOY
EOY187500EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY261026EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY536398BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY265000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY27976BOY
EOY47794EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1348773BOY
EOY580762EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17280560BOY
EOY19941835EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8811BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17289371BOY
EOY19941835EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18638144BOY
EOY20522597EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2833871ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-181407ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36610046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49290552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65521403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87395931CurrentTaxYearMinus1Year
Current Tax Year62938013CurrentTaxYear
Total301755945Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36610046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49290552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65521403CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87395931CurrentTaxYearMinus1Year
Current Tax Year62938013CurrentTaxYear
Total301755945Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total153199754AmountsSubstContributorsTotal
Public Support Total170148556191PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years237CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288CurrentTaxYearMinus1Year
Total8138Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year412468CurrentTaxYear
Total412468Total
FieldValueIRS element (for citing)
Total Support302176551TotalSupport
Gross Receipts From Admissions Etc11861256GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.49160PublicSupportPertcentage170
Public Support Pertcent Prior Year0.45160PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Facts And Circumstances TestWELVISTA'S PURPOSE IS TO PROVIDE QUALIFIED, UNINSURED INDIVIDUALS ACCESS TO HEALTH CARE SERVICES. THE LARGEST PROGRAM IS PROVIDING DONATED PRESCRIPTION MEDICATIONS AT NO COST TO UNINSURED INDIVIDUALS WITH INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE MEDICATIONS ARE DONATED BY PHARMACEUTICAL MANUFACTURERS. IN 2012, THE DONATED MEDICATIONS WERE $62,731,919 PROVIDING ABOUT 94% OF TOTAL SUPPORT AND REVENUE. WELVISTA OPERATES A PHARMACY WHICH DISPENSES PRESCRIBED MEDICATIONS. WEVISTA ALSO RUNS PEDIATRIC DENTAL CENTERS IN RURAL POVERTY-STRICKEN AREAS OF SOUTH CAROLINA AND SEEKS TO HELP THE LOW-INCOME CHILDREN GAIN ACCESS TO ORAL HEALTH CARE SERVICES.WELVISTA IS ABLE TO FUND THE COST OF OPERATING THE PHARMACY AND OTHER PROGRAMS THROUGH DONATIONS. WELVISTA RECEIVES CONTRIBUTIONS FROM THE GENERAL PUBLIC, GOVERNMENTAL UNITS, HOSPITALS, AND OTHER PUBLIC AND PRIVATE CHARITIES. THE CEO IS INVOLVED IN THE FUNDRAISING. THE FUNDRAISING EFFORTS HAVE BEEN ONGOING SINCE INCEPTION RESULTING IN AN EXPANDING DONOR BASE.WELVISTA IS GOVERNED BY AN INDEPENDENT BOARD OF DIRECTORS. THE PHARMACEUTICAL MANUFACTURERS HAVE NO REPRESENTATION OR OTHER INFLUENCE ON THE BOARD.FactsAndCircumstancesTest

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8811BeginningOfYearBalance
Other Expenditures8811OtherExpenditures

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance61202BeginningOfYearBalance
Investment Earnings Or Losses-2046InvestmentEarningsOrLosses
Other Expenditures50000OtherExpenditures
Administrative Expenses345AdministrativeExpenses
End Of Year Balance8811EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance55455BeginningOfYearBalance
Investment Earnings Or Losses6364InvestmentEarningsOrLosses
Administrative Expenses617AdministrativeExpenses
End Of Year Balance61202EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance44322BeginningOfYearBalance
Investment Earnings Or Losses11657InvestmentEarningsOrLosses
Administrative Expenses524AdministrativeExpenses
End Of Year Balance55455EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance61281BeginningOfYearBalance
Investment Earnings Or Losses-16342InvestmentEarningsOrLosses
Administrative Expenses617AdministrativeExpenses
End Of Year Balance44322EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis410990OtherCostOrOtherBasis
Depreciation250377Depreciation
Book Value160613BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis305260OtherCostOrOtherBasis
Depreciation279574Depreciation
Book Value25686BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis142525OtherCostOrOtherBasis
Depreciation134411Depreciation
Book Value8114BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings194413TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED INTEREST$5,016
ACCRUED EXPENSES$42,778
FieldValueIRS element (for citing)
Total Of Amounts47794TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt66699532TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal66699532RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99066699532TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt63865661TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal63865661ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99063865661TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS UNDER FIN 48. THE ORGANIZATION HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Relationship With OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
BLYTHEWOOD OIL
BOARD DIRECTORFOR WORKING CAPITALX$84,00079000011
SC BANK AND TRUST
BOARD DIRECTORFOR WORKING CAPITALX$130,777107026011
SC HOSPITAL ASSOCIATION
BOARD DIRECTORFOR WORKING CAPITALX$275,00075000011
FieldValueIRS element (for citing)
Total Balance Due261026TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARGARET BRUNSON
SPOUSE OF EMPLOYEE13025IT CONSULTING0
SPARTANBURG REGIONAL
BOARD DIRECTOR186000SERVE UNINSURED PATIENTS0
PALMETTO HEALTH
BOARD DIRECTOR250000SERVE UNINSURED PATIENTS0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions10NumberOfContributions
Noncash Contribs Rptd F99062731919NoncashContribsRptdF990
Method Of Determining RevenuesAVG WHOLESALE PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE CEO, COO AND CONTRACTED ACCOUNTANT AND WILL BE REVIEWED BY THE BOARD`S EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15AAN INDEPENDENT CONSULTANT CONDUCTS A SURVEY OF COMPENSATION FOR CEO`S OF SIMILAR ORGANIZATIONS AND AN ATTORNEY PREPARES AN EMPLOYMENT CONTRACT FOR APPROVAL BY THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF GOVERNING DOCUMENTS, VARIOUS POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
THE ORGANIZATION'S EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT PROCESS.