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DOWNRIVER COMMUNITY SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DOWNRIVER COMMUNITY SERVICES INC (EIN 38-2080825)
Tax period
2010-06-01 to 2011-05-31
Filed
2011-09-13
IRS object ID
201122569349300022
Schema version
2010v3.4
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)
Timestamp2011-09-13T13:52:51-05:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1QUAST JANKE & CO CPA'S PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11010 N JOHNSONAddressLine1
CityBAY CITYCity
StateMIState
ZIP Code48708ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN382080825EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOWNRIVER COMMUNITY SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDOWNNameControl
Phone5862708055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line158144 GRATIOT AVEAddressLine1
CityNEW HAVENCity
StateMIState
ZIP Code48048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA ROUSHName
TitleEXECUTIVE DIRECTORTitle
Phone5862708055Phone
Date Signed2011-08-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID G GWIZDALA CPAName
Phone9898924549Phone
Date Prepared2011-09-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts9310414GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DOWNRIVERSC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A RANGE OF COMMUNITY BASED HEALTH AND HUMAN SERVICES, WHICH PROMOTE THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH OF ALL MEMBERS OF THE COMMUNITY. TO PROVIDE THESE SERVICES REGARDLESS OF THE PATIENTS ABILITY TO PAY IN AN AREA DEEMED TO BE MEDICALLY UNDERSERVED.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees117TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4278488ContributionsGrantsPriorYear
Contributions Grants Current Year3530452ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5035301ProgramServiceRevenuePriorYear
Program Service Revenue CY5745122ProgramServiceRevenueCY
Investment Income Prior Year42354InvestmentIncomePriorYear
Investment Income Current Year34840InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9356143TotalRevenuePriorYear
Total Revenue Current Year9310414TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6104701SalariesEtcPriorYear
Salaries Etc Current Year6592800SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2327227OtherExpensePriorYear
Other Expenses Current Year2248333OtherExpensesCurrentYear
Total Expenses Prior Year8431928TotalExpensesPriorYear
Total Expenses Current Year8841133TotalExpensesCurrentYear
Revenues Less Expenses Prior Year924215RevenuesLessExpensesPriorYear
Revenues Less Expenses CY469281RevenuesLessExpensesCY
Total Assets BOY11956379TotalAssetsBOY
Total Assets EOY12230433TotalAssetsEOY
Total Liabilities BOY6427878TotalLiabilitiesBOY
Total Liabilities EOY6232651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5528501NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5997782NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE A RANGE OF COMMUNITY BASED HEALTH AND HUMAN SERVICES, WHICH PROMOTE THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH OF ALL MEMBERS OF THE COMMUNITY. TO PROVIDE THESE SERVICES REGARDLESS OF THE PATIENTS ABILITY TO PAY IN AN AREA DEEMED TO BE MEDICALLY UNDERSERVED.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionSEE ATTACHED STATEMENT OF ACCOMPLISHMENTSDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense7563675Expense
DescriptionTHIS FEDERALLY QUALIFIED HEALTH CENTER WHICH RECEIVES FUNDING UNDER SECTION 330 OF HHS HAS 11,947 PATIENTS OF WHICH 7,525 ARE AT OR BELOW PROPERTY LEVELS. THE CENTER HAD A TOTAL OF 46,365 PATIENT ENCOUNTERS FOR THE YEAR.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp7563675TotalOfOtherProgramServiceExp
Total Program Service Expense7563675TotalProgramServiceExpense
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 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees117NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMIKE BARANOWSKINamePerson
Telephone Number5862708055TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line158144 GRATIOT AVEAddressLine1
CityNEW HAVENCity
StateMIState
ZIP Code48048ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TAMARIA MORRIS
DIRECTOR40.00X85320013953
SHIRLEY DRAKE
MEMBER2.00X000
DAVID MELDRUM
PRES2.00X000
JOHN ESSELINK
PRESIDENT2.00X000
SHIRLEY HUNTER
SECRETARY2.00X000
PARICIA GIBBS
MEMBER2.00X000
BETH ENGEL
TREAS2.00X000
BOB HOLLWAY
PAST PRESIDE2.00X000
CAROL SHORTT
MEMBER2.00X000
ALICE KING
MEMBER2.00X000
JON PARSONS
MEMBER2.00X000
MIKE BARANOWSKI
CFO40.00123854016980X
STARR ALLEN-BURTON
COO40.00110082019690X
CYNTHIA ROUSH
EXEC DIRECTO40.00192674014222X
KEVIN FAHEY
PHYSICIAN40.00409875021220X
SHELIA SINGLETON
PHYSICIAN40.00268491011709X
MICHAEL PRIEBE
PHYSICIAN40.00243192014461X
CLINTON BUTLER
PHYSICIAN40.0020312705477X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1636615TotalReportableCompFromOrg
Total Other Compensation117712TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TURNER CONSTRUCTIONBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1535 GRISWOLD ST 200AddressLine1
CityDETROITCity
StateMIState
ZIP Code48226ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSTRUCTIONDescriptionOfServices
Compensation1671585Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants3510329GovernmentGrants
All Other Contributions20123AllOtherContributions
Total Contributions3530452TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT FEES56484135648413
OFF SPACE OTHER HLTH 501C396709$96,709
FieldValueIRS element (for citing)
Total Program Service Revenue5745122TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column34840TotalRevenueColumn
Exclusion$34,840ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9310414TotalRevenueColumn
Related Or Exempt Function Income5648413RelatedOrExemptFunctionIncome
Exclusion$131,549ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5270143Total
Program Services4242018ProgramServices
Management And General1028125ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total135502Total
Program Services109995ProgramServices
Management And General25507ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total808184Total
Program Services732461ProgramServices
Management And General75723ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total378971Total
Program Services303177ProgramServices
Management And General75794ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4031Total
Program Services4031ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12945Total
Program Services12945ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total341748Total
Program Services304548ProgramServices
Management And General37200ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total119822Total
Program Services95818ProgramServices
Management And General24004ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total231057Total
Program Services231057ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total35153Total
Program Services34695ProgramServices
Management And General458ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31140Total
Program Services30890ProgramServices
Management And General250ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total229930Total
Program Services229930ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total355505Total
Program Services355505ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18150Total
Program Services18150ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY225726225726
SUPPLIES221004220602402
EQUIPMENT REPAIRS MAINT174854174854
TELEPHONE87397860721325
DUES AND SUBSCRIBTIONS57606510596547

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total102265Total
Program Services100142ProgramServices
Management And General2123ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8841133Total
Program Services7563675ProgramServices
Management And General1277458ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY742610BOY
EOY302189EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2096321BOY
EOY1017583EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY280976BOY
EOY1089787EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY471420BOY
EOY455551EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31953BOY
EOY75978EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY70051BOY
EOY78541EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11626303LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2415499LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8263048BOY
EOY9210804EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11956379BOY
EOY12230433EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY895295BOY
EOY983561EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY92871BOY
EOY62948EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5439712BOY
EOY5186142EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6427878BOY
EOY6232651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5528501BOY
EOY5997782EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5528501BOY
EOY5997782EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11956379BOY
EOY12230433EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses469281ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years2642311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2706033CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2988113CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4278488CurrentTaxYearMinus1Year
Current Tax Year3530452CurrentTaxYear
Total16145397Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2642311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2706033CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2988113CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4278488CurrentTaxYearMinus1Year
Current Tax Year3530452CurrentTaxYear
Total16145397Total
FieldValueIRS element (for citing)
Public Support Total17016145397PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25128CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years78112CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years49264CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year145645CurrentTaxYearMinus1Year
Current Tax Year131549CurrentTaxYear
Total429698Total
FieldValueIRS element (for citing)
Total Support16575095TotalSupport
Gross Receipts From Admissions Etc5648413GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97990PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1517135OtherCostOrOtherBasis
Book Value1517135BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8211654OtherCostOrOtherBasis
Depreciation2415499Depreciation
Book Value5796155BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1897514OtherCostOrOtherBasis
Book Value1897514BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9210804TotalOfBookValueLandBuildings
Total Revenue9310414TotalRevenue
Total Expenses8841133TotalExpenses
Excess Or Deficit For Year469281ExcessOrDeficitForYear
Excess Or Deficit Per FS469281ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9536764TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities226350DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990226350RevenueNotRptdF990
Revenue Subtotal9310414RevenueSubtotal
Total Revenue Per Form9909310414TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9067483TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities226350DonatedServicesUseOfFacilities
Expenses Not Rptd F990226350ExpensesNotRptdF990
Expenses Subtotal8841133ExpensesSubtotal
Total Expenses Per Form9908841133TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
CYNTHIA ROUSH
14320043243623171487074206896
KEVIN FAHEY
4050004875553215688431095
SHELIA SINGLETON
16000010849145177192280200
MICHAEL PRIEBE
1960004719271487313257653
CLINTON BUTLER
1750002812720423435208604

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTO PROVIDE A RANGE OF COMMUNITY BASED HEALTH AND HUMAN SERVICES, WHICH PROMOTE THE PHYSICAL, MENTAL AND EMOTIONAL HEALTH OF ALL MEMBERS OF THE COMMUNITY. TO PROVIDE THESE SERVICES REGARDLESS OF THE PATIENTS ABILITY TO PAY IN AN AREA DEEMED TO BE MEDICALLY UNDERSERVED.
ALL OTHER ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DTHIS FEDERALLY QUALIFIED HEALTH CENTER WHICH RECEIVES FUNDING UNDER SECTION 330 OF HHS HAS 11,947 PATIENTS OF WHICH 7,525 ARE AT OR BELOW PROPERTY LEVELS. THE CENTER HAD A TOTAL OF 46,365 PATIENT ENCOUNTERS FOR THE YEAR.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY BOARD WITH AUDITOR AS PART OF ANNUAL MEETING
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS REQUIRED TO ANNUALLY SIGN AND CONFIRM ANY CONFLICTS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACEO ANNUAL COMPENSATION DETERMINED BY COMPENSATION COMMITTEE WHICH COMPARES COMPENSATION LEVELS AT SIMILIAR ORGANIZATIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST