Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 751,715 | 968,272 | 837,517 | 922,506 | 1,263,988 | 4,743,998 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 751,715 | 968,272 | 837,517 | 922,506 | 1,263,988 | 4,743,998 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 4,743,998 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 751,715 | 968,272 | 837,517 | 922,506 | 1,263,988 | 4,743,998 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 8,528 | 13,300 | 7,848 | 29,676 | ||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 417,976 | 1,437,982 | 1,332,849 | 1,510,625 | 1,919,421 | 6,618,853 |
| 11 | Total support. Add lines 7 through 10 | 11,392,527 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
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| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | RENT INCOME - 2015 AMOUNT: $ 4,200. 2016 AMOUNT: $ 4,200. 2017 AMOUNT: $ 2,800. MISCELLANEOUS - 2015 AMOUNT: $ 40. 2016 AMOUNT: $ 6,113. 2017 AMOUNT: $ 5,405. 2018 AMOUNT: $ 6,405. 2019 AMOUNT: $ 27. 340B MEDICINE INCOME - 2015 AMOUNT: $ 390,539. 2016 AMOUNT: $ 1,299,042. 2017 AMOUNT: $ 1,164,980. 2018 AMOUNT: $ 1,338,610. 2019 AMOUNT: $ 1,725,082. MEDICAL SERVICE INCOME NET - 2015 AMOUNT: $ 23,197. 2016 AMOUNT: $ 128,627. 2017 AMOUNT: $ 159,664. 2018 AMOUNT: $ 165,610. 2019 AMOUNT: $ 194,312. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION WAS GRANTED A LOOK-ALIKE HEALTH CENTER DESIGNATION ON NOVEMBER 1, 2019. THIS DESIGNATION WILL ALLOW THE ORGANIZATION TO EXPAND ITS' PRIMARY HEALTHCARE SERVICES ONCE OPERATIONAL IN 2020. NEW BYLAWS WERE ADOPTED ON JULY 24, 2019 IN ORDER TO BE IN COMPLIANCE WITH THE LOOK-ALIKE HEALTH CENTER REGULATIONS. SIGNICANT CHANGES ARE AS FOLLOWS: (A)GOALS - ADDED "PROVIDE QUALITY, COMPREHENSIVE PREVENTIVE AND PRIMARY HEALTHCARE TO THE TARGET POPULATIONS OF NORTHEAST LOUISIANA, WITH EMPHASIS ON THE LOW-INCOME AND UNINSURED POPULATION AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE, AND FURTHER FOCUSING ATTENTION ON THE LGBTQ COMMUNITY AND PERSONS LIVING WITH HIV AND AIDS SPECIAL POPULATION." (B)GOALS - ALSO ADDED "INCREASE THE SHARE OF THE GENERAL POPULATION RECEIVING PREVENTIVE SCREENINGS, CHECK-UPS, AND PATIENT COUNSELING TO PREVENT ILLNESSES, DISEASE, AND OTHER HEALTH PROBLEMS OR TO DETECT ILLNESS AT AN EARLY STATE WHEN TREATMENT IS LIKELY TO WORK BEST." (C)BOARD - CHANGED NUMBER OF REQUIRED BOARD MEMBERS FROM NOT LESS THAN FIVE MEMBERS NOR MORE THAN FIFTEEN MEMBER TO NOT LESS THAN NINE MEMBERS NOR MORE THAN FIFTEEN MEMBERS. (D)BOARD - ADDED "THE MAJORITY OF THIS CORPORATION'S BOARD MEMBERS SHALL BE COMPRISED OF AT LEAST FIFTY-ONE PERCENT CLIENTS/PATIENTS SERVED BY GO CARE. THESE GO CARE BOARD MEMBERS, AS A GROUP, REPRESENT IN GENERAL, INDIVIDUALS WHO ARE SERVED BY GO CARE IN TERMS OF DEMOGRAPHIC FACTORS SUCH AS RACE, ETHNICITY, AND GENDER." (E)BOARD - ADDED "NON-PATIENT BOARD MEMBERS SHALL BE REPRESENTATIVE OF THE LGBTQ COMMUNITY AND GENERAL COMMUNITY AT LARGE SERVED BY GO CARE AND SHALL BE SELECTED FOR THEIR EXPERTISE IN RELEVANT SUBJECT MATTERS, SUCH AS COMMUNITY AFFAIRS, EDUCATION, LOCAL GOVERNMENT, FINANCE AND BANKING, LEGAL AFFAIRS, TRADE UNIONS, AND OTHER COMMERCIAL AND INDUSTRIAL CONCERNS, OR SOCIAL SERVICE AGENCIES WITHIN THE COMMUNITY." (F)BOARD - ADDED "OF THE NON-PATIENT BOARD MEMBERS, NO MORE THAN ONE-HALF SHALL DERIVE MORE THAN TEN PERCENT OF THEIR ANNUAL INCOME FROM THE HEALTHCARE INDUSTRY." (G)BOARD - ADDED "A BOARD MEMBER SHALL NOT BE AN EMPLOYEE OF GO CARE, OR SPOUSE OR CHILD, PARENT, BROTHER, SISTER BY BLOOD OR MARRIAGE OF SUCH AN EMPLOYEE. THE CEO MAY BE A NON-VOTING, EX-OFFICIO BOARD MEMBER." (H)BOARD - CHANGED TO "VACANCIES IN THE BOARD MAY BE FILLED BY APPOINTMENT OF THE BOARD PRESIDENT WITH APPROVAL BY A TWO-THIRDS MAJORITY OF THE BOARD OF DIRECTORS" FROM "VANCANCIES IN THE BOARD MAY BE FILLED BY APPOINTMENT OF THE PRESENT WITH THE APPROVAL BY THE BOARD OF DIRECTORS". (I)MEETINGS - CHANGED FROM "REGULAR MEETINGS OF THE BOARD OF DIRECTORS SHALL BE HELD AT LEAST EVERY OTHER MONTH" TO "REGULAR MEETINGS OF THE BOARD OF DIRECTORS SHALL BE HELD ON A MONTHLY BASIS". (J)DUTIES OF BOARD - EXPANDED TO INCLUDE "MANAGING THE AFFAIRS OF THE CORPORATION, INCLUDING THE SPECIFIC AUTHORITY FOR OVERSIGHT OF THE HEALTH CENTER PROGRAM AND THE RYAN WHITE HIV/AIDS PROGRAM PROJECTS", "APPROVE THE SELECTION, TERMINATION/DISMISSAL, AND EVALUATION OF THE GO CARE PROJECT DIRECTOR/CEO WHOSE DUTY WILL BE TO CARRY OUT POLICIES AND PROCEDURES FOR THE SUCCESSFUL COMPLETION OF THE GOALS AND OBJECTIVES OF THE ORGANIZATION, INCLUDING THE RYAN WHITE HIV/AIDS PROGRAM AND THE HEALTH CENTER PROGRAM PROJECTS AND WHO IS AN AGENT OF, AND ACCOUNTABLE TO, THE BOARD", "APPROVING THE ESTABLISHMENT OR ADOPTION OF POLICIES RELATIVE TO THE CONDUCT OF THE RYAN WHITE HIV/AIDS PROGRAM AND THE HEALTH CENTER PROGRAM PROJECTS AND FOR UPDATING THESE POLICIES WHEN NEEDED:, "ADOPTING HEALTHCARE POLICIES INCLUDING SCOPE AND AVAILABILITY OF SERVICES PROVED WITHIN THE RYAN WHITE HIV/AIDS PROGRAM AND THE HEALTH CENTER PROGRAM PROJECTS", "REVIEWING AND APPROVING THE ANNUAL HEALTH CENTER PROGRAM PROJECT BUDGET AND PROJECT BUDGETS IN CONNECTION WITH THE RYAN WHITE HIV/AIDS PROGRAM", "DIRECTING AND APPROVING THE GO CARE OVERALL PLAN FOR RYAN WHITE HIV/AIDS PROGRAM AND THE HEALTH CENTER PROGRAM PROJECTS", "ASSESSING THE ACHIEVEMENT OF THE RYAN WHITE HIV/AIDS PROGRAM AND THE HEALTH CENTER PROGRAM PROJECT OBJECTIVES THROUGH EVALUATION OF GO CARE ACTIVITIES", "ASSURING THAT GO CARE'S ACTIVITES ARE CONDUCTED IN COMPLIANCE WITH APPLICABLE FEDERAL, STATE, AND LOCAL LAWS AND REGULATIONS", "EVALUATING ITSELF PERIODICALLY FOR EFFICIENCY, EFFECTIVENESS, AND COMPLIANCE WITH ALL REQUIREMENTS IMPOSED UPON FEDERALLY QUALIFIED HEALTH CENTERS AS WELL AS ALL REQUIREMENTS IMPOSED UPON RYAN WHITE HIV/AIDS PROGRAM GRANT RECIPIENTS", "APPROVING APPLICATIONS RELATED TO THE HEALTH CENTER PROGRAM PROJECT". (K)CONFLICT OF INTEREST POLICY EXPANDED TO INCLUDE "NO EMPLOYEE, OFFICER, OR AGENT OF THE HEALTH CENTER MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT SUPPORTED BY A FEDERAL AWARD IF HE OR SHE HAS A REAL OR APPARENT CONFLICT OF INTEREST", "OFFICERS, EMPLOYEES, AND AGENTS OF THE HEALTH CENTER MAY NEITHER SOLICIT NOR ACCEPT GRATUITIES, FAVORS, OR ANYTHING OF MONETARY VALUE FROM CONTRACTORS OR PARTIES TO SUBCONTRACTS", "THE HEALTH CENTER HAS SET STANDARDS THAT DEFINE WHEN A FINANCIAL INTEREST IS NOT SUBSTANTIAL OR A GIFT IS AN UNSOLICITED ITEM OF NOMINAL VALUE, AND THEREFORE, COULD BE ACCEPTED BY EMPLOYEES, OFFICERS, BOARD MEMBERS, AND AGENTS OF THE HEALTH CENTER", AND "IN CASES WHERE A CONFLICT OF INTEREST IS IDENTIFIED, GO CARE'S PROCUREMENT RECORDS WILL DOCUMENT THE ADHERENCE TO ITS STANDARDS OF CONDUCT BY DOCUMENTING THE EFFORT TO MITIGATE THE CONFLICT OF INTEREST BY NOT PERMITTING THE AGENT, EMPLOYEE, OFFICER, OR BOARD MEMBER WITH A CONFLICT OF INTEREST TO PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF THE CONTRACT/PROCUREMENT". |
| FORM 990, PART VI, SECTION B, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE IS ENFORCED AS CONFLICTS OCCUR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PERSONNEL COMMITTEE PERFORMS AN ANNUAL EVALUATION OF THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR PERFORMS AN ANNUAL EVALUATION OF THE REST OF THE STAFF AND REPORTS HIS EVALUATIONS TO THE PERSONNEL COMMITTEE FOR THEIR INPUT AND APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE GOCARE OFFICE AND ARE AVAILABLE UPON REQUEST. |
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