Civic Intelligence

Tulip Tree Health Services of Gibson County Inc.

990 • Fiscal year 2014 • EIN 35-2055749

Jul 01, 2013 to Jun 30, 2014 • Filed on Nov 20, 2014

123 N Mccreary Street47648

(812) 753-1020

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

48th percentile

0.04x

Higher debt load relative to assets than 48% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Liabilities / Revenue

45th percentile

0.03x

Higher debt load relative to revenue than 45% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Net Margin

31st percentile

-3.3%

Higher net margin than 31% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

34th percentile

-2.0%

Faster asset growth than 34% of similar nonprofits.

2014 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$551,807

Down $11,117 (-2.0%) from 2013

Net Assets

Down

$529,618

Down $24,089 (-4.4%) from 2013

Liabilities

Up

$22,189

Up $12,972 (+141%) from 2013

Revenue

$729,611

No earlier filing loaded for comparison.

Expenses

Up

$753,700

Up $189,768 (+34%) from 2013

Net Income

-$24,089

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$4.0M$3.0M$2.0M$1.0M$0Assets 2012: $576,244Liabilities 2012: $27,190Net Assets 2012: $549,0542012Assets 2013: $562,924Liabilities 2013: $9,217Net Assets 2013: $553,7072013Assets 2014: $551,807Liabilities 2014: $22,189Net Assets 2014: $529,6182014Assets 2015: $544,808Liabilities 2015: $18,883Net Assets 2015: $525,9252015Assets 2016: $533,225Liabilities 2016: $39,247Net Assets 2016: $493,9782016Assets 2017: $517,580Liabilities 2017: $70,503Net Assets 2017: $447,0772017Assets 2018: $613,565Liabilities 2018: $424,214Net Assets 2018: $189,3512018Assets 2019: $451,249Liabilities 2019: $440,565Net Assets 2019: $10,6842019Assets 2020: $959,291Liabilities 2020: $695,453Net Assets 2020: $263,8382020Assets 2021: $1,259,731Liabilities 2021: $479,582Net Assets 2021: $780,1492021Assets 2022: $1,768,147Liabilities 2022: $521,002Net Assets 2022: $1,247,1452022Assets 2023: $2,262,155Liabilities 2023: $419,179Net Assets 2023: $1,842,9762023Assets 2024: $3,392,687Liabilities 2024: $358,313Net Assets 2024: $3,034,3742024

Highlighted filing

2014

Assets$551,807
Liabilities$22,189
Net Assets$529,618

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2012: $577,7332012Expenses 2013: $563,9322013Revenue 2014: $729,611Expenses 2014: $753,700Net Income 2014: -$24,0892014Revenue 2015: $821,716Expenses 2015: $825,409Net Income 2015: -$3,6932015Revenue 2016: $958,646Expenses 2016: $990,593Net Income 2016: -$31,9472016Revenue 2017: $1,074,691Expenses 2017: $1,120,442Net Income 2017: -$45,7512017Revenue 2018: $1,030,557Expenses 2018: $1,289,035Net Income 2018: -$258,4782018Revenue 2019: $1,378,569Expenses 2019: $1,557,236Net Income 2019: -$178,6672019Revenue 2020: $2,137,747Expenses 2020: $1,884,593Net Income 2020: $253,1542020Revenue 2021: $3,190,786Expenses 2021: $2,753,018Net Income 2021: $437,7682021Revenue 2022: $3,120,240Expenses 2022: $2,653,244Net Income 2022: $466,9962022Revenue 2023: $3,491,617Expenses 2023: $2,895,786Net Income 2023: $595,8312023Revenue 2024: $4,325,435Expenses 2024: $3,182,238Net Income 2024: $1,143,1972024

Highlighted filing

2014

Revenue$729,611
Expenses$753,700
Net Income-$24,089
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Nov 20, 2014
Return Version
2013v3.0
Gross Receipts
$729,611
Mission and Program Overview

Mission

To provide health care services to the uninsured and underinsured.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$332,798$310,232▼ $22,566
Cash and Non-Interest-Bearing Accounts$144,687$130,217▼ $14,470
Accounts Receivable$63,325$96,152▲ $32,827
Prepaid Expenses and Deferred Charges$14,837$15,206▲ $369
Pledges and Grants Receivable$7,277--
Total Assets$562,924$551,807▼ $11,117
Liabilities
Accounts Payable and Accrued Expenses$9,217$22,189▲ $12,972
Total Liabilities$9,217$22,189▲ $12,972
Net Assets / Fund Balance
Unrestricted Net Assets$552,860$517,962▼ $34,898
Temporarily Rstr Net Assets$847$11,656▲ $10,809
Total Net Assets Fund Balance$553,707$529,618▼ $24,089
Total Liabilities and Net Assets / Fund Balance$562,924$551,807▼ $11,117

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$162,024$44,548$206,572
Equipment$76,272$124,473$200,745
Buildings$66,936$38,064$105,000
Land$5,000-$5,000
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Maureen ShepherdAdministratorFT$44,425$44,425
Bruce Brink Jr DoAssistant Medical Director-$2,400$2,400

Board Members and Trustees

NameTitle
Steve WelpPresident
Marla ScottVice President
Cindy L PettyBoard Member
Edward B PriorBoard Member
Gwen SiekmanBoard Member
J Robert KinkleBoard Member
Kelly KelleyBoard Member
Mary ThompsonBoard Member
Sherry a WhiteBoard Member
Stephanie PhelpsSecretary
Bill PigmanTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$291,893
Program Service Revenue
$437,503
Investment Income
$157
Other Revenue
$58
All Other Contributions
$291,893
Change in Net Assets
$-24,089
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$524,329
Other Expenses$229,371
Total Fundraising Expense$852
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$422,085$29,810-$451,895
Fees for Services Other$71,920--$71,920
Payroll Taxes$36,124$5,212-$41,336
Current Officers, Directors, Trustees, and Key Employees-$31,098-$31,098
Depreciation Depletion$27,310--$27,310
Office Expenses$20,399--$20,399
Insurance$11,447$3,499-$14,946
Occupancy$10,838--$10,838
Other Expenses$9,433$192$852$9,625
All Other Expenses$8,599--$8,599
Conferences and Meetings$4,326--$4,326
Fees for Services Accounting-$2,050-$2,050
Fees for Services Legal-$297-$297
Advertising-$175-$175
Total Functional Expenses$675,679$77,169$852$753,700
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

Form 990 is reviewed by the administrator. Administrator then presents it to the board of directors. After adminstrator and board of directors have reviewed and approved, it is then filed with the irs.

Form 990, Part VI, Section B, Line 12C

The organization has a formal conflict of interest policy provided to all employees. The organization reviews the policy annually to verify it addequately meets requirements of hipaa, and to monitor compliance with the policy.

Form 990, Part VI, Section B, Line 15

The board of directors approves the compensation rate for the officers and administrators of the organization.

Form 990, Part VI, Section C, Line 19

Governing documents and financial statements made available upon request.

Filing and Contact Details

Filer

EIN
35-2055749
Phone
8127531020

Signing Officer

Name
Maureen Shepherd
Title
Administrator
Phone
8127531039
Signed
2014-11-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Maureen Shepherd
Formed
1998
Legal Domicile
In
Voting Board Members
12
Independent Board Members
11
Employees
24
Volunteers
1

Preparer

Preparer
Michelle Smith CPA
Phone
8124218000
Raw XML AppendixShowing 400 of 450 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt09217
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt022189
IRS990/AccountsReceivableGrp/BOYAmt063325
IRS990/AccountsReceivableGrp/EOYAmt096152
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED.
IRS990/AdvertisingGrp/ManagementAndGeneralAmt0175
IRS990/AdvertisingGrp/TotalAmt0175
IRS990/AllOtherContributionsAmt0291893
IRS990/AllOtherExpensesGrp/ProgramServicesAmt08599
IRS990/AllOtherExpensesGrp/TotalAmt08599
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10MAUREEN SHEPHERD
IRS990/BooksInCareOfDetail/PhoneNum08127531020
IRS990/BooksInCareOfDetail/USAddress/AddressLine10123 N MCCREARY STREET
IRS990/BooksInCareOfDetail/USAddress/City0FORT BRANCH
IRS990/BooksInCareOfDetail/USAddress/State0IN
IRS990/BooksInCareOfDetail/USAddress/ZIPCode047648
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt0144687
IRS990/CashNonInterestBearingGrp/EOYAmt0130217
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt031098
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt031098
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt04326
IRS990/ConferencesMeetingsGrp/TotalAmt04326
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0291893
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0157
IRS990/CYOtherExpensesAmt0229371
IRS990/CYOtherRevenueAmt058
IRS990/CYProgramServiceRevenueAmt0437503
IRS990/CYRevenuesLessExpensesAmt0-24089
IRS990/CYSalariesCompEmpBnftPaidAmt0524329
IRS990/CYTotalExpensesAmt0753700
IRS990/CYTotalFundraisingExpenseAmt0852
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0729611
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ProgramServicesAmt027310
IRS990/DepreciationDepletionGrp/TotalAmt027310
IRS990/Desc0PROVIDING HEALTH CARE SERVICES TO UNINSURED AND UNDERINSURED.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt024
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt0675679
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt02050
IRS990/FeesForServicesAccountingGrp/TotalAmt02050
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt0297
IRS990/FeesForServicesLegalGrp/TotalAmt0297
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt071920
IRS990/FeesForServicesOtherGrp/TotalAmt071920
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt81.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt91.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt101.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt111.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1240.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/PersonNm0STEVE WELP
IRS990/Form990PartVIISectionAGrp/PersonNm1MARLA SCOTT
IRS990/Form990PartVIISectionAGrp/PersonNm2BILL PIGMAN
IRS990/Form990PartVIISectionAGrp/PersonNm3STEPHANIE PHELPS
IRS990/Form990PartVIISectionAGrp/PersonNm4MARY THOMPSON
IRS990/Form990PartVIISectionAGrp/PersonNm5EDWARD B PRIOR
IRS990/Form990PartVIISectionAGrp/PersonNm6GWEN SIEKMAN
IRS990/Form990PartVIISectionAGrp/PersonNm7SHERRY A WHITE
IRS990/Form990PartVIISectionAGrp/PersonNm8KELLY KELLEY
IRS990/Form990PartVIISectionAGrp/PersonNm9J ROBERT KINKLE
IRS990/Form990PartVIISectionAGrp/PersonNm10CINDY L PETTY
IRS990/Form990PartVIISectionAGrp/PersonNm11BRUCE BRINK JR DO
IRS990/Form990PartVIISectionAGrp/PersonNm12MAUREEN SHEPHERD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt112400
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1244425
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11ASSISTANT MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12ADMINISTRATOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01998
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0729611
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt011
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt03499
IRS990/InsuranceGrp/ProgramServicesAmt011447
IRS990/InsuranceGrp/TotalAmt014946
IRS990/InvestmentIncomeGrp/ExclusionAmt0157
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0157
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt05
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0207085
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0332798
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0310232
IRS990/LandBldgEquipCostOrOtherBssAmt0517317
IRS990/LegalDomicileStateCd0IN
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO PROVIDE HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0553707
IRS990/NetAssetsOrFundBalancesEOYAmt0529618
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt010838
IRS990/OccupancyGrp/TotalAmt010838
IRS990/OfficeExpensesGrp/ProgramServicesAmt020399
IRS990/OfficeExpensesGrp/TotalAmt020399
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0LAB/DENTIST FEES
IRS990/OtherExpensesGrp/Desc1MEDICAL AND DENTAL SUPP
IRS990/OtherExpensesGrp/Desc2MISCELLANEOUS
IRS990/OtherExpensesGrp/Desc3EQUIPMENT MAINTENANCE
IRS990/OtherExpensesGrp/FundraisingAmt0852
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt04836
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt1192
IRS990/OtherExpensesGrp/ProgramServicesAmt023910
IRS990/OtherExpensesGrp/ProgramServicesAmt123719
IRS990/OtherExpensesGrp/ProgramServicesAmt25569
IRS990/OtherExpensesGrp/ProgramServicesAmt39433
IRS990/OtherExpensesGrp/TotalAmt023910
IRS990/OtherExpensesGrp/TotalAmt123719
IRS990/OtherExpensesGrp/TotalAmt211257
IRS990/OtherExpensesGrp/TotalAmt39625
IRS990/OtherRevenueMiscGrp/BusinessCd0621110
IRS990/OtherRevenueMiscGrp/Desc0TAX CREDIT
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt058
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt058
IRS990/OtherRevenueTotalAmt058
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt029810
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0422085
IRS990/OtherSalariesAndWagesGrp/TotalAmt0451895
IRS990/PartialLiquidationInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt05212
IRS990/PayrollTaxesGrp/ProgramServicesAmt036124
IRS990/PayrollTaxesGrp/TotalAmt041336
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt07277
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt014837
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt015206
IRS990/PrincipalOfficerNm0MAUREEN SHEPHERD
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621400
IRS990/ProgramServiceRevenueGrp/Desc0MEDICAL & DENTAL CLINI
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0437503
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0437503
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0246616
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0-494
IRS990/PYOtherExpensesAmt0173218
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt0322463
IRS990/PYRevenuesLessExpensesAmt04653
IRS990/PYSalariesCompEmpBnftPaidAmt0390714
IRS990/PYTotalExpensesAmt0563932
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0568585
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-24089
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0437561
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0291893
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0246616
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0275366
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0319697
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0113339
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01246911
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0157
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0123
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0125
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt064
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0469
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0437503
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0322463
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0360362
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0232199
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0160341
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01512868
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0157
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0123
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0125
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt064
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0469
IRS990ScheduleA/InvestmentIncomeCYPct00.00020
IRS990ScheduleA/InvestmentIncomePYPct00.00010
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99980
IRS990ScheduleA/PublicSupportPY509Pct00.99990
IRS990ScheduleA/PublicSupportTotal509Amt02759779
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0729396
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0569079
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0635728
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0551896
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0273680
IRS990ScheduleA/Total509Grp/TotalAmt02759779
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0729553
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0569202
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0635853
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0551960
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0273680
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02760248
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BuildingsGrp/BookValueAmt066936
IRS990ScheduleD/BuildingsGrp/DepreciationAmt038064
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0105000
IRS990ScheduleD/EquipmentGrp/BookValueAmt076272
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0124473
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0200745
IRS990ScheduleD/LandGrp/BookValueAmt05000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt05000
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0162024
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt044548
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0206572
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0310232
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 IS REVIEWED BY THE ADMINISTRATOR. ADMINISTRATOR THEN PRESENTS IT TO THE BOARD OF DIRECTORS. AFTER ADMINSTRATOR AND BOARD OF DIRECTORS HAVE REVIEWED AND APPROVED, IT IS THEN FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS A FORMAL CONFLICT OF INTEREST POLICY PROVIDED TO ALL EMPLOYEES. THE ORGANIZATION REVIEWS THE POLICY ANNUALLY TO VERIFY IT ADDEQUATELY MEETS REQUIREMENTS OF HIPAA, AND TO MONITOR COMPLIANCE WITH THE POLICY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE BOARD OF DIRECTORS APPROVES THE COMPENSATION RATE FOR THE OFFICERS AND ADMINISTRATORS OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt0847
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt011656
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0562924
IRS990/TotalAssetsEOYAmt0551807
IRS990/TotalAssetsGrp/BOYAmt0562924
IRS990/TotalAssetsGrp/EOYAmt0551807
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0291893
IRS990/TotalEmployeeCnt024
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt0852
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt077169
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0675679
IRS990/TotalFunctionalExpensesGrp/TotalAmt0753700
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt09217
IRS990/TotalLiabilitiesEOYAmt022189
IRS990/TotalLiabilitiesGrp/BOYAmt09217
IRS990/TotalLiabilitiesGrp/EOYAmt022189
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0553707
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0529618
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0675679
IRS990/TotalProgramServiceRevenueAmt0437503
IRS990/TotalReportableCompFromOrgAmt046825

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings