Civic Intelligence

Boomer Medical Center Inc

990 • Fiscal year 2014 • EIN 56-1827674

Jul 01, 2013 to Jun 30, 2014 • Filed on Oct 17, 2014

Organization Profile
PO Box 23828606

(336) 921-2273

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

53rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

3rd percentile

-162%

Higher net margin than 3% of similar nonprofits.

2014 filings • 501(c)3 • <$500k 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

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

2014 filings • 501(c)3 • <$500k 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

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $305,390 (-100%) from 2013

Net Assets

Down

$0

Down $286,528 (-100%) from 2013

Liabilities

Down

$0

Down $18,862 (-100%) from 2013

Revenue And Expenses
Liabilities / Revenue53rd percentileNet Margin3rd percentile

Revenue

Down

$59,950

Down $383,315 (-86%) from 2013

Expenses

Down

$157,311

Down $273,683 (-64%) from 2013

Net Income

Down

-$97,361

Down $109,632 (-893%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

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

$400K$300K$200K$100K$0Assets 2011: $314,096Liabilities 2011: $30,174Net Assets 2011: $283,9222011Assets 2012: $339,812Liabilities 2012: $65,554Net Assets 2012: $274,2582012Assets 2013: $305,390Liabilities 2013: $18,862Net Assets 2013: $286,5282013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$600K$400K$200K$0-$200KExpenses 2011: $372,6572011Expenses 2012: $401,9852012Revenue 2013: $443,265Expenses 2013: $430,994Net Income 2013: $12,2712013Revenue 2014: $59,950Expenses 2014: $157,311Net Income 2014: -$97,3612014

Highlighted filing

2014

Revenue$59,950
Expenses$157,311
Net Income-$97,361
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Oct 17, 2014
Return Version
2013v3.1
Gross Receipts
$59,950
Mission and Program Overview

Mission

Operation of rural health clinic

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$211,151--
Cash and Non-Interest-Bearing Accounts$51,810--
Accounts Receivable$32,293--
Prepaid Expenses and Deferred Charges$7,242--
Inventories for Sale or Use$2,894--
Total Assets$305,390$0▼ $305,390
Liabilities
Accounts Payable and Accrued Expenses$18,862--
Total Liabilities$18,862$0▼ $18,862
Net Assets / Fund Balance
Unrestricted Net Assets$270,981--
Temporarily Rstr Net Assets$15,547--
Total Net Assets Fund Balance$286,528$0▼ $286,528
Total Liabilities and Net Assets / Fund Balance$305,390$0▼ $305,390
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
John GermanChairman
Gladys BaldwinVicechair
Bobby WattsDirector
Jerry KirbyDirector
Lillian DavisDirector
Louise LivingstonDirector
Ray PriceDirector
Ronald HowellDirector
Martha TownesSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$5,000
Program Service Revenue
$54,946
Investment Income
$4
Other Revenue
$0
Change in Net Assets
$-97,361

Audited Revenue Reconciliation

Revenue per Audited Statements
$59,950
Total Revenue per Audited Statements
$59,950
Total Revenue per Form 990
$59,950
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$101,886
Other Expenses$55,425
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$78,007--$78,007
Other Employee Benefits$15,814--$15,814
Insurance$12,990--$12,990
Payroll Taxes$8,065--$8,065
All Other Expenses$5,624$1,511-$7,135
Depreciation Depletion$6,449--$6,449
Occupancy$4,895--$4,895
Other Expenses$4,000$7,418-$4,000
Fees for Services Accounting-$1,100-$1,100
Travel$365--$365
Total Functional Expenses$147,282$10,029$0$157,311

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$157,311
Expenses per Audited Statements$150,862
Total Expenses per Audited Statements$150,862
Expenses Not Reported on Financial Statements$6,449
Other Expense Adjustments$6,449
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
Audit committee
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
No
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, Page 6, Part VI, Line 11B

“Form 990 prepared by outside accountants and delivered to the organizations administrator. The administrator reviews the form 990 with the treasure, who informs the board that the form 990 has been prepared and reviewed. Once approved the outside accountant e files the form 990 to the internal revenue service.”

Form 990, Page 6, Part VI, Line 12C

“The board has a conflict of interest policy in which every board member signs a resolution that he has no conflict of interest.”

Form 990, Page 6, Part VI, Line 15A

“Executive director's salary is approved by the board of directors using appropriate guidelines.”

Form 990, Page 6, Part VI, Line 18

“Form 990 is available for inspection at the clinic in boomer, n.c.”

Form 990, Page 6, Part VI, Line 19

“The form 990 is at the boomer medical center and is made available upon request.”

Filing and Contact Details

Filer

EIN
56-1827674
Phone
3369212273

Signing Officer

Name
Sandra Cleary
Title
Administrator
Phone
3369212273
Signed
2014-10-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John German
Formed
1993
Legal Domicile
Nc
Voting Board Members
9
Independent Board Members
9
Employees
6

Preparer

Preparer
Robert E Hughey
Phone
3367244446
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“Book / tax depreciation difference 6,449”

Form 990, Part XI, Line 9

“Assets transferred to hc memorial hospital 195,616”

Financial Statement Notes

Schedule D, Page 4, Part XII, Line 4B

“Book / tax depreciation difference 6,449”

Raw XML Appendix368 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.

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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0EFFECTIVE 11-01-14, BOOMER MEDICAL CENTER BECAME A PART OF HUGH CHATHAM MEMORIAL HOSPITAL BASED IN ELKIN, NC.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FORM 990 PREPARED BY OUTSIDE ACCOUNTANTS AND DELIVERED TO THE ORGANIZATIONS ADMINISTRATOR. THE ADMINISTRATOR REVIEWS THE FORM 990 WITH THE TREASURE, WHO INFORMS THE BOARD THAT THE FORM 990 HAS BEEN PREPARED AND REVIEWED. ONCE APPROVED THE OUTSIDE ACCOUNTANT E FILES THE FORM 990 TO THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD HAS A CONFLICT OF INTEREST POLICY IN WHICH EVERY BOARD MEMBER SIGNS A RESOLUTION THAT HE HAS NO CONFLICT OF INTEREST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EXECUTIVE DIRECTOR'S SALARY IS APPROVED BY THE BOARD OF DIRECTORS USING APPROPRIATE GUIDELINES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 IS AVAILABLE FOR INSPECTION AT THE CLINIC IN BOOMER, N.C.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FORM 990 IS AT THE BOOMER MEDICAL CENTER AND IS MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BOOK / TAX DEPRECIATION DIFFERENCE 6,449
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ASSETS TRANSFERRED TO HC MEMORIAL HOSPITAL 195,616
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IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9
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IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt015547
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0305390
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0305390
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IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt05000
IRS990/TotalEmployeeCnt06
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt010029
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0147282
IRS990/TotalFunctionalExpensesGrp/TotalAmt0157311
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt018862
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt018862
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0286528
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalProgramServiceExpensesAmt0147282
IRS990/TotalProgramServiceRevenueAmt054946
IRS990/TotalRevenueGrp/ExclusionAmt04
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt054946
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt059950
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0305390
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TravelGrp/ProgramServicesAmt0365
IRS990/TravelGrp/TotalAmt0365
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0270981
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0SANDRA CLEARY
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03369212273
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-10-17
ReturnHeader/Filer/BusinessName/BusinessNameLine10BOOMER MEDICAL CENTER INC
ReturnHeader/Filer/BusinessNameControlTxt0BOOM
ReturnHeader/Filer/EIN0561827674
ReturnHeader/Filer/PhoneNum03369212273
ReturnHeader/Filer/USAddress/AddressLine10PO BOX 238
ReturnHeader/Filer/USAddress/City0BOOMER
ReturnHeader/Filer/USAddress/State0NC
ReturnHeader/Filer/USAddress/ZIPCode028606
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0561698325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10GATEWOOD HUGHEY & COMPANY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine102000 W FIRST ST STE 411
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0WINSTON SALEM
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0NC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0271044224
ReturnHeader/PreparerPersonGrp/PhoneNum03367244446
ReturnHeader/PreparerPersonGrp/PreparationDt02014-11-13
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ROBERT E HUGHEY
ReturnHeader/ReturnTs02014-11-13T16:21:00-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$59,950
Expenses
$157,311
Net income
-$97,361
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.60$1.57$0.97
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.05$0.19$2.87$4.43$4.31$0.12
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.40$0.66$2.74$4.02
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.14$0.30$2.84$3.73