MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM (EIN 20-0537948)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-07-20
- IRS object ID
- 201242029349300024
- 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 | 2012-07-20T14:53:05-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENNEMER MASTERS & LUNSFORD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 WEST WAY COURT | AddressLine1 |
| City | LAKE JACKSON | City |
| State | TX | State |
| ZIP Code | 77566 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200537948 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA EPISCOPAL HEALTH OUTREACH | BusinessNameLine1 |
| Business Name Line2 | PROGRAM CORPORATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MATA | NameControl |
| Phone | 9792452008 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CELESTE HARRISON | Name |
| Title | CEO | Title |
| Phone | 9792452008 | Phone |
| Date Signed | 2012-06-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN CADENHEAD | Name |
| Phone | 9792974075 | Phone |
| Date Prepared | 2012-07-11 | DatePrepared |
| 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 | CELESTE HARRISON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2372876 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.MEHOP.ORG/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | TX | StateLegalDomicile |
| Activity Or Mission Description | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 36 | TotalNbrEmployees |
| Total Nbr Volunteers | 29 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1529604 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1366794 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 624082 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 940105 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3000 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1535 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 78081 | OtherRevenuePriorYear |
| Other Revenue Current Year | 64442 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2234767 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2372876 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1148531 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1374437 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 21089 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 713709 | OtherExpensePriorYear |
| Other Expenses Current Year | 832049 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1862240 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2206486 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 372527 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 166390 | RevenuesLessExpensesCY |
| Total Assets BOY | 1920344 | TotalAssetsBOY |
| Total Assets EOY | 2024857 | TotalAssetsEOY |
| Total Liabilities BOY | 122957 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 61080 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1797387 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1963777 | NetAssetsOrFundBalancesEOY |
| Mission Description | IMPROVE THE HEALTH STATUS OF PEOPLE BY PROVIDING QUALITY PRIMARY HEALTH CARE SERVICES AND SPIRITUAL CARE TO PEOPLE IN THE COMMUNITIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1893265 | Expense |
| Description | PROVIDE DENTAL AND HEALTH SERVICES TO PEOPLE IN MATAGORDA COUNTY. APPROXIMATELY 3,399 PEOPLE WERE SERVED DURING THE CURRENT YEAR. | Description |
| Total Program Service Expense | 1893265 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 36 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEHOP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9792452008 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 AVENUE F NORTH | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT A MATTHEWS | |||||||
| VICE PRESIDE | X | 0 | 0 | 0 | |||
| STEVEN PARKER | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BROOKS DIESEL | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| HELEN RUDOLPH MCADA | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| SUZANNE COBB GREEN | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BARRY RICHARDSON | |||||||
| PRESIDENT | X | 0 | 0 | 0 | |||
| KELLI HUNT | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| TAFFY ATKINSON | |||||||
| SECRETARY | X | 0 | 0 | 0 | |||
| JOHN S RUNNELLS III | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| BARBARA GORDON | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| CONNIE O'DAY | |||||||
| SECRETARY | X | 0 | 0 | 0 | |||
| NICASIO PEREZ III | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| JAYNE ANN MILLER | |||||||
| TREASURER | X | 0 | 0 | 0 | |||
| MARK THORNTON | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| MARION GILBERT | |||||||
| DIRECTOR | X | 0 | 0 | 0 | |||
| FARHANA AMBREEN | |||||||
| CHIEF MED. O | 183261 | 0 | 0 | 40.00 | X | ||
| CELESTE HARRISON | |||||||
| CEO | 67188 | 0 | 0 | 40.00 | X | ||
| JOHN FERGUSON | |||||||
| DOCTOR | 147783 | 0 | 0 | 32.00 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 398232 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 677349 | GovernmentGrants |
| All Other Contributions | 689445 | AllOtherContributions |
| Noncash Contributions | 113643 | NoncashContributions |
| Total Contributions | 1366794 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL AND DENTAL SERVICES | Description |
| Total Revenue Column | 940105 | TotalRevenueColumn |
| Related Or Exempt Function Income | 940105 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 940105 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1535 | TotalRevenueColumn |
| Exclusion | $1,535 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 57134 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 57134 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| SCHOOL PHYSICALS | 5040 | $5,040 |
| ANGLE FOOD MINISTRY | 1211 | $1,211 |
| MISCELLANEOUS | 481 | $481 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 576 | TotalRevenueColumn |
| Exclusion | $576 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7308 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2372876 | TotalRevenueColumn |
| Related Or Exempt Function Income | 940105 | RelatedOrExemptFunctionIncome |
| Exclusion | $8,843 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1220833 | Total |
| Program Services | 1067371 | ProgramServices |
| Management And General | 153462 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66842 | Total |
| Program Services | 57089 | ProgramServices |
| Management And General | 9753 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86762 | Total |
| Program Services | 76305 | ProgramServices |
| Management And General | 10457 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64767 | Total |
| Program Services | 64767 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23 | Total |
| Management And General | 23 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28127 | Total |
| Program Services | 12007 | ProgramServices |
| Management And General | 16120 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316 | Total |
| Program Services | 316 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9164 | Total |
| Program Services | 1421 | ProgramServices |
| Management And General | 7743 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7720 | Total |
| Program Services | 7720 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65564 | Total |
| Program Services | 65564 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23053 | Total |
| Program Services | 7716 | ProgramServices |
| Management And General | 15337 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 159708 | 159708 | |
| DRUG PROGRAM | 86355 | 86355 | |
| MAINTENANCE AND REPAIRS | 72885 | 63075 | 9810 |
| LAB EXPENSES | 69383 | 69383 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244984 | Total |
| Program Services | 154468 | ProgramServices |
| Management And General | 69427 | ManagementAndGeneral |
| Fundraising | 21089 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2206486 | Total |
| Program Services | 1893265 | ProgramServices |
| Management And General | 292132 | ManagementAndGeneral |
| Fundraising | 21089 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 559136 | BOY |
| EOY | 633290 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 214168 | BOY |
| EOY | 228794 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88093 | BOY |
| EOY | 71932 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10498 | BOY |
| EOY | 15026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1442322 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 366507 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1048449 | BOY |
| EOY | 1075815 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1920344 | BOY |
| EOY | 2024857 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22957 | BOY |
| EOY | 61080 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100000 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 122957 | BOY |
| EOY | 61080 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1637387 | BOY |
| EOY | 1787284 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160000 | BOY |
| EOY | 176493 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1797387 | BOY |
| EOY | 1963777 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1920344 | BOY |
| EOY | 2024857 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 166390 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34466 | OtherCostOrOtherBasis |
| Book Value | 34466 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 789087 | OtherCostOrOtherBasis |
| Depreciation | 52029 | Depreciation |
| Book Value | 737058 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 84649 | OtherCostOrOtherBasis |
| Depreciation | 41416 | Depreciation |
| Book Value | 43233 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 414263 | OtherCostOrOtherBasis |
| Depreciation | 200543 | Depreciation |
| Book Value | 213720 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 119857 | OtherCostOrOtherBasis |
| Depreciation | 72519 | Depreciation |
| Book Value | 47338 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1075815 | TotalOfBookValueLandBuildings |
| Total Revenue | 2372876 | TotalRevenue |
| Total Expenses | 2206486 | TotalExpenses |
| Excess Or Deficit For Year | 166390 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 166390 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2379510 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 6634 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 6634 | RevenueNotRptdF990 |
| Revenue Subtotal | 2372876 | RevenueSubtotal |
| Total Revenue Per Form990 | 2372876 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2213120 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 6634 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 6634 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2206486 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2206486 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL FUNDRAIS | NameOfEvent1 |
| Gross Receipts Event1 | 57134 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 57134 | GrossRevenueEvent1 |
| Gross Receipts Total | 57134 | GrossReceiptsTotal |
| Gross Revenue Total Events | 57134 | GrossRevenueTotalEvents |
| Net Income Summary | 57134 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | FARHANA AMBREEN | NamePerson |
| Base Compensation Filing Org | 183261 | BaseCompensationFilingOrg |
| Total Compensation Filing Org | 183261 | TotalCompensationFilingOrg |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 113643 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | MEETING SET ON THE SAME DAY OF MONTHLY BOARD MEETING FOR PREPARER TO COME AND PRESENT FORM 990 TO ALL BOARD MEMBERS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD REVIEWS ALL POTENTIAL CONFLICTS OF INTEREST AND ULTIMATELY AGREES AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND THE CORRECT PATH FORWARD FOR DEALING WITH THE CONFLICT. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | INFORMATION IS MADE AVAILABLE UPON REQUEST. |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24E | OTHER PROCEDURES 40,341 TRAINING 30,434 MISCELLANEOUS 29,273 SMALL EQUIPMENT 26,618 UTILITIES 22,434 SUPPLIES 19,566 PROFESSIONAL SERVICES 19,448 DUES AND FEES 16,363 TELEPHONE 14,511 DENTAL SUPPLIES 11,494 OTHER SUPPLIES 6,017 LEASE 5,000 ADVERTISING 1,523 ANGEL FOOD COST 1,237 GRANT WRITING 500 RECRUITMENT AND RETENTION 225 |