TUG RIVER HEALTH ASSOCIATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- TUG RIVER HEALTH ASSOCIATION INC (EIN 31-0889458)
- Tax period
- 2011-02-01 to 2012-01-31
- Filed
- 2012-12-17
- IRS object ID
- 201223529349300307
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-17T08:16:17-06:00 | Timestamp |
| Tax Period End Date | 2012-01-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550596200 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERMAN & CORMANY CPAS AC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1031 QUARRIER ST SUITE 511 | AddressLine1 |
| City | CHARLESTON | City |
| State | WV | State |
| ZIP Code | 253012397 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-02-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310889458 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TUG RIVER HEALTH ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TUGR | NameControl |
| Phone | 3044482101 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 507 | AddressLine1 |
| City | GARY | City |
| State | WV | State |
| ZIP Code | 24836 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIM CROFTON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 3044482101 | Phone |
| Date Signed | 2012-12-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEREK S GODWIN | Name |
| PTIN | P00617370 | PTIN |
| Phone | 3043452320 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIM CROFTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WV ROUTE 103 | AddressLine1 |
| City | GARY | City |
| State | WV | State |
| ZIP Code | 24836 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4207287 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TUGRIVERMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | WV | StateLegalDomicile |
| Activity Or Mission Description | TO ASSURE THE AVAILABILITY OF AFFORDABLE, QUALITY HEALTH CARE SERVICES AND CONTINUAL EDUCATION AND SOCIAL SERVICE INTERVENTIONS TO THE RESIDENTS OF MCDOWELL AND WYOMING COUNTIES AND THEIR CONTIGUOUS AREAS IN SOUTHERN, WV. THE ORGANIZATION IS ALSO DEDICATED TO ESTABLISHING TEACHING HEALTH CENTERS FOR THE TRAINING OF PRIMARY CARE MEDICAL RESIDENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 88 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1956093 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1993906 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2269480 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2167660 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5871 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3221 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 42500 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4231444 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4207287 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2869895 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2861039 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1384132 | OtherExpensePriorYear |
| Other Expenses Current Year | 1265133 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4254027 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4126172 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -22583 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 81115 | RevenuesLessExpensesCY |
| Total Assets BOY | 2471131 | TotalAssetsBOY |
| Total Assets EOY | 2631299 | TotalAssetsEOY |
| Total Liabilities BOY | 261495 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 340548 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2209636 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2290751 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE PROVISION OF PRIMARY CARE SERVICES, INCLUDING PREVENTIVE CARE, WELLNESS, DENTAL AND DIAGNOSTIC SERVICES TO THE RURAL POPULATION OF SOUTHERN WEST VIRGINIA, AND TO ADDITIONALLY TO PROVIDE QUALITY HEALTH CARE TO PATIENTS THAT HAVE A LIMITED ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2966352 | Expense |
| Revenue | 3024666 | Revenue |
| Description | PROVIDE COMPREHENSIVE HEALTH CARE FOR THE TOTAL PERSON THROUGH THE MEDIUM OF MANAGING AND OPERATING A COORDINATED HEALTH SYSTEM AND RELATED PROGRAMS. | Description |
| Total Program Service Expense | 2966352 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 21 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 88 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANCIE MILLS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3044482101 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WV ROUTE 103 | AddressLine1 |
| City | GARY | City |
| State | WV | State |
| ZIP Code | 24836 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| TIM CROFTON | |||||||
| EXECUTIVE DIRECTOR | 50.00 | X | 89624 | 0 | 0 | ||
| JOHN E HODGE | |||||||
| PRESIDENT EMERITUS | 1.00 | X | 0 | 0 | 0 | ||
| DAVID DUNSON | |||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | |
| MICHAEL LUSHBAUGH | |||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | X | |
| MARGARET BEASLEY | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| MICHAEL CALLAWAY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID FALIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| E SYLVIA GOFORTH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARK JONES | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RHONDA SUE ROSE | |||||||
| ADVISORY BOARD | 1.00 | X | 0 | 0 | 0 | ||
| LANA KIBBEY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ELLIS RAY WILLIAMS | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| JOHN K SIDOTE | |||||||
| ADVISORY BOARD | 1.00 | X | 0 | 0 | 0 | ||
| CLARA THOMPSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES MATTHEWS | |||||||
| ADVISORY BOARD | 1.00 | X | 0 | 0 | 0 | ||
| PHILIP A LACARIA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FRED ODOM | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| FRANCES MILLS | |||||||
| CFO | 40.00 | 9719 | 0 | 0 | X | ||
| MARGARET FONTANA | |||||||
| CFO | 50.00 | 38462 | 0 | 5800 | X | ||
| VERONICA BOWLING | |||||||
| NURSE PRACTITIONER | 50.00 | 103180 | 0 | 6960 | X | ||
| SANDRA ROBINSON | |||||||
| PHYSICIAN | 50.00 | 144821 | 0 | 6960 | X | ||
| JOHN FOREHAND | |||||||
| PHYSICIAN | 50.00 | 228291 | 0 | 0 | X | ||
| SANDY ESTEP | |||||||
| NURSE PRACTITIONER | 50.00 | 130797 | 0 | 6960 | X | ||
| DAVID MIRANDA | |||||||
| DDS | 50.00 | 135150 | 0 | 6960 | X | ||
| TIMOTHY YORK | |||||||
| DO | 50.00 | 150200 | 0 | 6960 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1030244 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 40600 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 1854914 | GovernmentGrants |
| All Other Contributions | 138992 | AllOtherContributions |
| Total Contributions | 1993906 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 2167660 | TotalRevenueColumn |
| Exclusion | $2,167,660 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2167660 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3221 | TotalRevenueColumn |
| Exclusion | $3,221 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAID EHR INCENTIVE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 42500 | TotalRevenueColumn |
| Exclusion | $42,500 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 42500 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4207287 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,213,381 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143605 | Total |
| Program Services | 35901 | ProgramServices |
| Management And General | 107704 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2265682 | Total |
| Program Services | 1891597 | ProgramServices |
| Management And General | 374085 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262025 | Total |
| Program Services | 207888 | ProgramServices |
| Management And General | 54137 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189727 | Total |
| Program Services | 150527 | ProgramServices |
| Management And General | 39200 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1388 | Total |
| Management And General | 1388 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35586 | Total |
| Management And General | 35586 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198345 | Total |
| Program Services | 40934 | ProgramServices |
| Management And General | 157411 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33892 | Total |
| Management And General | 33892 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79826 | Total |
| Program Services | 23779 | ProgramServices |
| Management And General | 56047 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71062 | Total |
| Program Services | 71062 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44617 | Total |
| Program Services | 41638 | ProgramServices |
| Management And General | 2979 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10027 | Total |
| Program Services | 10027 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1336 | Total |
| Program Services | 946 | ProgramServices |
| Management And General | 390 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155453 | Total |
| Program Services | 138982 | ProgramServices |
| Management And General | 16471 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31464 | Total |
| Program Services | 8022 | ProgramServices |
| Management And General | 23442 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| TELEPHONE AND UTILITIES | 138932 | 35519 | 103413 |
| REFERENCE LAB AND SUPPL | 133528 | 133528 | |
| MEDICAL SUPPLIES AND PH | 131889 | 131889 | |
| REPAIRS AND MAINTENANCE | 121085 | 37113 | 83972 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76703 | Total |
| Program Services | 7000 | ProgramServices |
| Management And General | 69703 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4126172 | Total |
| Program Services | 2966352 | ProgramServices |
| Management And General | 1159820 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538477 | BOY |
| EOY | 454395 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259473 | BOY |
| EOY | 432647 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41716 | BOY |
| EOY | 172310 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 656439 | BOY |
| EOY | 722225 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19539 | BOY |
| EOY | 19637 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2394151 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1584798 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 940539 | BOY |
| EOY | 809353 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14948 | BOY |
| EOY | 20732 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2471131 | BOY |
| EOY | 2631299 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179396 | BOY |
| EOY | 254282 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82099 | BOY |
| EOY | 86266 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261495 | BOY |
| EOY | 340548 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2209636 | BOY |
| EOY | 2290751 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2209636 | BOY |
| EOY | 2290751 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2471131 | BOY |
| EOY | 2631299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 81115 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1546145 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1625408 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2085151 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1946102 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1993906 | CurrentTaxYear |
| Total | 9196712 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1546145 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1625408 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2085151 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1946102 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1993906 | CurrentTaxYear |
| Total | 9196712 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9196712 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7471 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5498 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6058 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3221 | CurrentTaxYear |
| Total | 28119 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 42500 | CurrentTaxYear |
| Total | 42500 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 9267331 | TotalSupport |
| Gross Receipts From Admissions Etc | 10000539 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99240 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99700 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 | 129058 | OtherCostOrOtherBasis |
| Book Value | 129058 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1568975 | OtherCostOrOtherBasis |
| Depreciation | 1088678 | Depreciation |
| Book Value | 480297 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 696118 | OtherCostOrOtherBasis |
| Depreciation | 496120 | Depreciation |
| Book Value | 199998 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 809353 | TotalOfBookValueLandBuildings |
| Total Revenue | 4207287 | TotalRevenue |
| Total Expenses | 4126172 | TotalExpenses |
| Excess Or Deficit For Year | 81115 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 81115 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4207287 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4207287 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4207287 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4126172 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4126172 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4126172 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XI, LINE 8 - OTHER ADJUSTMENTS: | Identifier |
| Explanation | ROUNDING | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANDRA ROBINSON | |||||||||||||
| 144821 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6960 | 0 | 151781 | 0 | 0 | 0 |
| JOHN FOREHAND | |||||||||||||
| 228291 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 228291 | 0 | 0 | 0 |
| TIMOTHY YORK | |||||||||||||
| 150200 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6960 | 0 | 157160 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | VARIOUS MEMBERS OF THE BOARD OF DIR | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | NORMAL BUSINESS TRANSACTIONS | Relationship |
| Description Of Transaction | CERTAIN MEMBERS OF THE BOARD OF DIRECTORS ARE EMPLOYED BY ORGANIZATIONS PERFORMING BUSINESS WITH THE ORGANIZATION IN THE NORMAL COURSE OF BUSINESS | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MEMBERS OF THE BOARD OF DIRECTORS HAVE BUSINESS RELATIONSHIPS WITH OTHER BOARD MEMBERS IN THE NORMAL COURSE OF THEIR JOB AND ITS FUNCTIONS. |
| FORM 990, PART VI, SECTION B, LINE 11 | BOARD MEMBERS CONDUCTED A TELECONFERENCE PRIOR TO THE ISSUANCE OF THE RETURN TO DISCUSS THE FORM 990 AND THE VARIOUS ITEMS LISTED ON THE RETURN BEFORE IT WAS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION ON A REGULAR BASIS ENCOURAGES THE BOARD TO DISCLOSE ANY CONFLICTS OF INTEREST AND DISCUSSES AT MEETINGS NEW BUSINESS RELATIONSHIPS IN ORDER FOR DISCLOSURE TO BE ALLOWED. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE CEO'S SALARY WAS DISCUSSED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO EMPLOYMENT AND IS CONSIDERED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FORM 990 IS AVAILABLE FOR REVIEW AT ITS MAIN OFFICE LOCATION UPON REQUEST. |