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COASTAL FAMILY HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COASTAL FAMILY HEALTH CENTER INC (EIN 64-0592416)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-04-05
IRS object ID
201120959349300122
Schema version
2010v3.2
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)
Timestamp2011-04-05T12:18:02-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1S W Chiepalich CPA P CBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15905 Airport BlvdAddressLine1
CityMobileCity
StateALState
ZIP Code36608ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640592416EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Coastal Family Health Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOASNameControl
Phone2283742494Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O Box 475AddressLine1
CityBiloxCity
StateMSState
ZIP Code39533ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAngel GreerName
TitleChief Executive OfficerTitle
Phone2283742494Phone
Date Signed2011-03-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSteve ChiepalichName
Phone2516103792Phone
Date Prepared2011-03-31DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAngel GreerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O Box 475AddressLine1
CityBiloxiCity
StateMSState
ZIP Code39533ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15209891GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCoastalfamilyhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileMSStateLegalDomicile
Activity Or Mission DescriptionThe purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economin status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees250TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9139476ContributionsGrantsPriorYear
Contributions Grants Current Year10205420ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4061603ProgramServiceRevenuePriorYear
Program Service Revenue CY4716298ProgramServiceRevenueCY
Investment Income Prior Year35068InvestmentIncomePriorYear
Investment Income Current Year185858InvestmentIncomeCurrentYear
Other Revenue Prior Year5121OtherRevenuePriorYear
Other Revenue Current Year27923OtherRevenueCurrentYear
Total Revenue Prior Year13241268TotalRevenuePriorYear
Total Revenue Current Year15135499TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9421453SalariesEtcPriorYear
Salaries Etc Current Year9513882SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4719671OtherExpensePriorYear
Other Expenses Current Year6327441OtherExpensesCurrentYear
Total Expenses Prior Year14141124TotalExpensesPriorYear
Total Expenses Current Year15841323TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-899856RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-705824RevenuesLessExpensesCY
Total Assets BOY14357959TotalAssetsBOY
Total Assets EOY13824027TotalAssetsEOY
Total Liabilities BOY826006TotalLiabilitiesBOY
Total Liabilities EOY997898TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13531953NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12826129NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe purpose of Coastal Family Health Center, Inc. is to provide quality health care and social services to all persons regardless of economic status with the understanding that the term health is an inclusive one that seeks to improve the quality of life for the whole community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7203069Expense
Grants0Grants
Revenue4273478Revenue
DescriptionMedical Services - Providing high quality medical services primarily to the uninsured and the under-insured is one of our primary exempt purposes. During 2010, our organization had 80,051 patient medical appointments for various medical conditions wich were seen by family physicians or physician assistants, internists, pediatricians, or nurse practitioners. These appointments involved a total of 27,532 of our patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense581248Expense
Grants0Grants
Revenue4549Revenue
DescriptionHIV Services - Our organization provided, on an outpatient basis, high-quality early intervention services and primary care related services to HIV patients. We provide a continuum of HIV preventions for at-risk individuals, and care for individuals who are HIV-infected. During 2010, we provided these services to approximately 300 such patients, who had a cumulative total of approximately 1,200 appointments.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense675761Expense
Grants0Grants
Revenue333683Revenue
DescriptionDental services - Our organization also provides dental services primarily to the uninsured and the under-insured. During 2010, we had 10,760 dental appointments provided by one of our dentists to 5,530 dental patients.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5739769Expense
Revenue104588Revenue
DescriptionOther servicesDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5739769TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev104588TotalOfOtherProgramServiceRev
Total Program Service Expense14199847TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109638NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees250NumberOfEmployees
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKatherine HillNamePerson
Telephone Number2283742494TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11046 Division StreetAddressLine1
CityBiloxiCity
StateMSState
ZIP Code39533ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
Susan Stevens
President2X000
Martha Milner
Vice-President1X000
Stephanie Barnes Taylor
Secretary1X000
Kwantrell Green
Treasurer1X000
Karlyn Stephens
Director1X000
Zach Beasley
Director1X000
Judy Jones
Director1X000
Sally Bevill
Director1X000
Paulette Briscoe
Director1X000
Ethel Davis
Director1X000
Brandon Jacobs
Director1X000
Jessica Mardis
Director1X000
Christine McLeod
Director1X000
Bertha Oatis
Director1X000
Jerlean Osborne
Director1X000
Judy Roberts
Director1X000
Angel Greer
Chief Executive Officer409580000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org95800TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Healthport
15987 Collections Center DriveChicagoIL60693IT and network services1118163
Teklinks
201 Summit ParkwayBirminghamAL35209IT equipment644860
Laboratory Corporation of America
P O Box 12140BurlingtonNC27216Medical lab tests636522
Starks Contracting Company Inc
P O Box7149BiloxiMS39540Clinic construction577847
AT & T
85 AnnexAtlantaGA30385Communication services199468
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants9028402GovernmentGrants
All Other Contributions1177018AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions10205420TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Medical services621990427347842734780$0
Dental services6219903336833336830$0
Optometry211110104588104588
HIV services110000454945490$0
FieldValueIRS element (for citing)
Total Program Service Revenue4716298TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10250TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,250ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other250000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other74392Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other175608Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column175608TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$175,608ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscelaneousDescription
Business Code900099BusinessCode
Total Revenue Column27923TotalRevenueColumn
Related Or Exempt Function Income27923RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue27923TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15135499TotalRevenueColumn
Related Or Exempt Function Income4744221RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$185,858ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total136800Total
Management And General136800ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7561289Total
Program Services6877205ProgramServices
Management And General684084ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total359124Total
Program Services317694ProgramServices
Management And General41430ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total880755Total
Program Services769862ProgramServices
Management And General110893ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total575914Total
Program Services511676ProgramServices
Management And General64238ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1165Total
Management And General1165ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19645Total
Management And General19645ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total44564Total
Management And General44564ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total826827Total
Program Services564675ProgramServices
Management And General262152ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total51787Total
Program Services34633ProgramServices
Management And General17154ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3946Total
Management And General3946ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total648335Total
Program Services533618ProgramServices
Management And General114717ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total126485Total
Program Services91816ProgramServices
Management And General34669ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Med., dental & lab suppls89589589589500
Contract lab & med. servs.1252540125254000
Licenses & dues22034942143562599320
Education, dues & publs.977828946783150
Printed med. & educ. mats.383523835200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total116624Total
Program Services78852ProgramServices
Management And General37772ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15841323Total
Program Services14199847ProgramServices
Management And General1641476ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1814978BOY
EOY1765112EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY50625EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2670025BOY
EOY2208948EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45085BOY
EOY37871EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY130219BOY
EOY88608EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12766471LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3097323LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9694437BOY
EOY9669148EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3215BOY
EOY3715EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14357959BOY
EOY13824027EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY605436BOY
EOY972185EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY51500BOY
EOY25713EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY169070BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY826006BOY
EOY997898EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13531953BOY
EOY12826129EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13531953BOY
EOY12826129EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14357959BOY
EOY13824027EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-705824ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9892051CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17068057CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10110515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9216936CurrentTaxYearMinus1Year
Current Tax Year10282880CurrentTaxYear
Total56570439Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15321CurrentTaxYearMinus4Years
Total15321Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9907372CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17068057CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10110515CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9216936CurrentTaxYearMinus1Year
Current Tax Year10282880CurrentTaxYear
Total56585760Total
FieldValueIRS element (for citing)
Public Support Total17056585760PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39855CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35068CurrentTaxYearMinus1Year
Total177071Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years22605CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43604CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5121CurrentTaxYearMinus1Year
Current Tax Year27923CurrentTaxYear
Total99253Total
FieldValueIRS element (for citing)
Total Support56862084TotalSupport
Public Support Pertcentage1700.99514PublicSupportPertcentage170
Public Support Pertcent Prior Year0.9946PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSmall, inconsequential cash receipts throughout the year.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis352951OtherCostOrOtherBasis
Book Value352951BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9185115OtherCostOrOtherBasis
Depreciation1548949Depreciation
Book Value7636166BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis758285OtherCostOrOtherBasis
Depreciation2106Depreciation
Book Value756179BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2452938OtherCostOrOtherBasis
Depreciation1546268Depreciation
Book Value906670BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis17182OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value17182BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9669148TotalOfBookValueLandBuildings
Total Revenue15135499TotalRevenue
Total Expenses15841323TotalExpenses
Excess Or Deficit For Year-705824ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities77460DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments77460TotalAdjustments
Excess Or Deficit Per FS-628364ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15212959TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities77460DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F99077460RevenueNotRptdF990
Revenue Subtotal15135499RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015135499TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15918783TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities77460DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F99077460ExpensesNotRptdF990
Expenses Subtotal15841323ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015841323TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L04dForm 990, Part III, Line 4dIn addition to the above services, our organization provides mental health, lab, nutrition, patient transportation, OB/GYN, pharmacy, and other ancillary services. Our pharmacy fills over 150 prescriptions per day and our total patient count is over 30,000.
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aThe Form 990 is reviewed in detail with the Chief Financial Officer before filing. The Form 990 is reviewed and signed by the Chief Executive Officer. It is subsequently discussed on a cursory basis with the Board by the organization's auditor.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe conflict of interest policy is monitored and enforced by management through close oversight of, and frequent interaction with, department heads and the Board.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15A comprehensive market survey was performed in 2008 by the Board's Personnel Committee to evaluate and adjust the Chief Executive Officer's compensation package to reflect the current local market.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The organization is not required to, and does not, make its governing documents or conflict of interest policy available to the public. Its Form 990, however, is prepared from its annual audited financial statements and, as such, its annual financial statements are available to the public through review of its annual tax return.