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FAMILY HEALTH CARE CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CARE CLINIC INC (EIN 64-0877375)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-08-02
IRS object ID
201222159349300522
Schema version
2011v1.2
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)
Timestamp2012-08-02T08:14:48-07:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BANKS FINLEY WHITE & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1308 HIGHLAND PARK COVEAddressLine1
CityRIDGELANDCity
StateMSState
ZIP Code39157ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640877375EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CARE CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone6018257280Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 24116AddressLine1
CityJACKSONCity
StateMSState
ZIP Code392254116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDR MARGARET GRAYName
TitleCEOTitle
Phone6018257280Phone
Date Signed2012-07-26DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID EWING JRName
Phone6013535423Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLINDA TAYLORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11035 SUNSET DRAddressLine1
CityBRANDONCity
StateMSState
ZIP Code39042ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11726706GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteFamilyhealthcareclinic.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionProvide primary health care services to residents in 14 counties in Mississippi and 6 counties in AlabamaActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees180TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5670177ContributionsGrantsPriorYear
Contributions Grants Current Year6010290ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5354624ProgramServiceRevenuePriorYear
Program Service Revenue CY5713981ProgramServiceRevenueCY
Investment Income Prior Year4644InvestmentIncomePriorYear
Investment Income Current Year2435InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11029445TotalRevenuePriorYear
Total Revenue Current Year11726706TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7132705SalariesEtcPriorYear
Salaries Etc Current Year7753238SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3729636OtherExpensePriorYear
Other Expenses Current Year3719182OtherExpensesCurrentYear
Total Expenses Prior Year10862341TotalExpensesPriorYear
Total Expenses Current Year11472420TotalExpensesCurrentYear
Revenues Less Expenses Prior Year167104RevenuesLessExpensesPriorYear
Revenues Less Expenses CY254286RevenuesLessExpensesCY
Total Assets BOY4285064TotalAssetsBOY
Total Assets EOY4679195TotalAssetsEOY
Total Liabilities BOY313718TotalLiabilitiesBOY
Total Liabilities EOY453563TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3971346NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4225632NetAssetsOrFundBalancesEOY
Mission DescriptionProvide primary health care services toMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7533641Expense
DescriptionPROVIDES PRIMARY MEDICAL, DENTAL AND NUTRITION SERVICES TO RESIDENTS OF 14 COUNTIES IN THE STATE OF MISSISSIPPI AND 6 COUNTIES IN THE STATE OF ALABAMA.Description
Total Program Service Expense7533641TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 LiabilitiesfalseReportOtherLiabilities
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 DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096194NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees180NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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
States Where Copy Of Return Is FiledUTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDR MARGARET A GRAYNamePerson
Telephone Number6018257280TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14635 HIGHWAY 80 EASTAddressLine1
CityBRANDONCity
StateMSState
ZIP Code39228ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
LINDA TAYLOR
Board Chair1.00X000
MICHAEL HOWARD
Treasurer1.00X000
EDDIE THAMES
Board Vice chair1.00X000
LOUISE PATTERSON
Secretary1.00X000
CAROLYN HARTZOG
Board Member1.00X000
SHELVA EZELL
Board Member1.00X000
CHARLES MAGEE
Board member1.00X000
DELIA THORTON
Board member1.00X000
CHARLES HATTEN
Board Member1.00X000
ANNIE POSEY
Board Member1.00X000
ANGIE CARTER
Board Member1.00X000
CINDY BRYAN
Board Member1.00X000
BONNIE DILLON
Board Member1.00X000
MARGARET A GRAY DPA
President and CEO40.00142150012250XX
BETTIE KNIGHT MD
Chief Medical Officer4018424114915X
KARINA CLAYTON
Bookkeeper I403771911203X
CLINTON MAYES
Chief Information Officer401036823234X
SHEMECA SHOWERS
Chief Financial Officer40554253543X
ANNIE S GREEN
Board Member1X
JAMES W HILL SR
Board Member1X
HELEN B JOHNSON
Board Member1X
GEORGE SPANN
Board Member1X
FieldValueIRS element (for citing)
Total Reportable Comp From Org523217TotalReportableCompFromOrg
Total Other Compensation45145TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
P O BOX 23082JACKSONMS392253082Group Insurance391375
QUIKLEEN INC
P O BOX 369NEW HEBRONMS391400369Janitorial & Maintenance155438
MCKESSON MEDICAL SURGICAL
P O BOX 933027ATLANTAGA311933027Medical Supplies156518
VENTURE TECHNOLOGIES
P O BOX 11407BIRMINGHAMAL35246Computer Equipment & Web Hosting158412
A T & T
P O BOX 105068ATLANTAGA303485068Telephone Services387291
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants6010290GovernmentGrants
Total Contributions6010290TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Generated IncomeDescription
Business Code621400BusinessCode
Total Revenue Column5713981TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue5713981TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2435TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11726706TotalRevenueColumn
Related Or Exempt Function Income5716416RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total523217Total
Program Services0ProgramServices
Management And General523217ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6125162Total
Program Services4562079ProgramServices
Management And General1563083ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total65549Total
Program Services46227ProgramServices
Management And General19322ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total590410Total
Program Services247943ProgramServices
Management And General342467ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total448900Total
Program Services304373ProgramServices
Management And General144527ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24017Total
Program Services0ProgramServices
Management And General24017ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1588705Total
Program Services1471820ProgramServices
Management And General116885ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total814304Total
Program Services685187ProgramServices
Management And General129117ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total948439Total
Program Services104304ProgramServices
Management And General844135ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total129420Total
Program Services57366ProgramServices
Management And General72054ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total183147Total
Program Services32136ProgramServices
Management And General151011ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total29946Total
Program Services21002ProgramServices
Management And General8944ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Total1204Total
Program Services1204ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11472420Total
Program Services7533641ProgramServices
Management And General3938779ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY43738EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY701769BOY
EOY1204204EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY57182BOY
EOY61044EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1072592BOY
EOY1004410EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4834709LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2468910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2453521BOY
EOY2365799EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4285064BOY
EOY4679195EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY313718BOY
EOY453563EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY313718BOY
EOY453563EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3971346BOY
EOY4225632EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3971346BOY
EOY4225632EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4285064BOY
EOY4679195EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses254286ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3332162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3138994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4027117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5670177CurrentTaxYearMinus1Year
Current Tax Year6010290CurrentTaxYear
Total22178740Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3332162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3138994CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4027117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5670177CurrentTaxYearMinus1Year
Current Tax Year6010290CurrentTaxYear
Total22178740Total
FieldValueIRS element (for citing)
Public Support Total17022178740PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35182CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35182CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years37474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15234CurrentTaxYearMinus1Year
Current Tax Year64081CurrentTaxYear
Total187153Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3380053CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3573220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4242161CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5344034CurrentTaxYearMinus1Year
Current Tax Year5652335CurrentTaxYear
Total22191803Total
FieldValueIRS element (for citing)
Total Support44557696TotalSupport
Public Support Pertcentage1700.49780PublicSupportPertcentage170
Public Support Pertcent Prior Year0.47680PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage
Facts And Circumstances TestOTHER INCOME PART II, LINE 10; DESCRIPTION: PROGRAM GENERATED INCOME FROM HEALTH CARE SERVICES; 2007: 3380053.; 2008: 3573220.; 2009: 4242161.; 2010: 5344034.; 2011: 5652335.;FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis146498OtherCostOrOtherBasis
Book Value146498BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2990009OtherCostOrOtherBasis
Depreciation1380138Depreciation
Book Value1609871BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1698202OtherCostOrOtherBasis
Depreciation1088772Depreciation
Book Value609430BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2365799TotalOfBookValueLandBuildings
Total Revenue11726706TotalRevenue
Total Expenses11472420TotalExpenses
Excess Or Deficit For Year254286ExcessOrDeficitForYear
Excess Or Deficit Per FS254286ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11726706TotRevenueEtcAuditedFinclStmt
Revenue Subtotal11726706RevenueSubtotal
Total Revenue Per Form99011726706TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11472420TotExpensesEtcAuditedFinclStmt
Expenses Subtotal11472420ExpensesSubtotal
Total Expenses Per Form99011472420TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
MARGARET A GRAY DPA
14215012250154400
BETTIE KNIGHT MD
18424114915199156

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aThe 990 is review by the CEO along with the CFO, presented
to the board for approval.
Pt VI, Line 12cThis Policy is communicated to the employees in writing
in the employee hand book.
Pt VI, Line 15Employees are evaluated on an annual basis by the CEO and
approved by the board of directors.