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SOUTHEAST MISSOURI HEALTH NETWORK: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SOUTHEAST MISSOURI HEALTH NETWORK (EIN 43-1253101)
Tax period
2022-04-01 to 2023-03-31
Filed
2024-01-24
IRS object ID
202410249349301751
Schema version
2022v5.0
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)
Return2024-01-24T17:34:22-06:00ReturnTs
Tax Period End2023-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621804252PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WATKINS UIBERALL PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11661 AARON BRENNER DR STE 300AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN431253101EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHEAST MISSOURI HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone5733132500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRIS JONESPersonNm
Person TitleCEOPersonTitleTxt
Phone5737482407PhoneNum
Signature2024-01-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISPersonFirstNm
Person LastJONESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLESLIE D WILLIAMSPreparerPersonNm
PTINP01307263PTIN
Phone9017612720PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRIS JONESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,547,064GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SEMOHEALTHNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$13,101TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,070,833PYContributionsGrantsAmt
CY Contributions Grants$7,171,166CYContributionsGrantsAmt
PY Program Service Revenue$13,808,472PYProgramServiceRevenueAmt
CY Program Service Revenue$15,915,691CYProgramServiceRevenueAmt
PY Investment Income$28,682PYInvestmentIncomeAmt
CY Investment Income$64,120CYInvestmentIncomeAmt
PY Other Revenue$351,495PYOtherRevenueAmt
CY Other Revenue$374,029CYOtherRevenueAmt
PY Total Revenue$20,259,482PYTotalRevenueAmt
CY Total Revenue$23,525,006CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,155,958PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,235,528CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,650,381PYOtherExpensesAmt
CY Other Expenses$6,703,018CYOtherExpensesAmt
PY Total Expenses$17,806,339PYTotalExpensesAmt
CY Total Expenses$18,938,546CYTotalExpensesAmt
PY Revenues Less Expenses$2,453,143PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,586,460CYRevenuesLessExpensesAmt
Total Assets BOY$21,616,716TotalAssetsBOYAmt
Total Assets EOY$26,552,114TotalAssetsEOYAmt
Total Liabilities BOY$4,598,486TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,947,424TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,018,230NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,604,690NetAssetsOrFundBalancesEOYAmt
MissionSEMO HEALTH NETWORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTHCARE TO THE COMMUNITIES OF SOUTHEAST MISSOURI.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,682,753ExpenseAmt
Revenue$16,325,364RevenueAmt
DescSEMO HEALTH NETWORK PROVIDED 27,447 MEDICAL VISITS, 4,184 BEHAVIORAL HEALTH VISITS, 2,802 OBSTETRICAL AND GYNECOLOGICAL VISITS, 19,749 DENTAL VISITS, AND 124 NUTRITIONAL SERVICES IN SOUTHEAST MISSOURI THROUGH THE OPERATION OF MIGRANT AND COMMUNITY HEALTH CENTERS IN THE FISCAL YEAR.Desc
Total Program Service Expenses$14,682,753TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee184EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SARA DEANEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5737482592PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16738 HIGHWAY 77AddressLine1Txt
CityBENTONCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63736ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DON MILLER
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
LANCE CRAWFORD
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARY DAVIS
TREASURER2.00Yes (X)Yes (X)$0$0$0
CINDY AMICK
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CATHERINE BOCKHOLD
DIRECTOR2.00Yes (X)$0$0$0
LAURA COLLINS
DIRECTOR2.00Yes (X)$0$0$0
SHELIA COOPER
DIRECTOR2.00Yes (X)$0$0$0
JASON GINDER
DIRECTOR2.00Yes (X)$0$0$0
DAVID HOWARD
DIRECTOR2.00Yes (X)$0$0$0
RICHARD RICKMAN
DIRECTOR2.00Yes (X)$0$0$0
CHRIS JONES
CEO40.00Yes (X)$358,967$0$33,405
SARA BETH DEANE
CFO40.00Yes (X)$311,618$0$33,405
SCOTT LAWRENCE
COO40.00Yes (X)$144,887$0$14,493
TERESA RICHEY
CHIEF NURSING OFFICER40.00Yes (X)$126,950$0$1,361
MALLORY MATTHEWS
CHIEF CLINICAL OFFICER40.00Yes (X)$111,364$0$33,260
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER40.00Yes (X)$256,815$0$24,428
DR WILLIAM BLEDSOE
DENTIST40.00$189,308$0$456Yes (X)
DR NELSON PEREZ
DOCTOR40.00$426,702$0$33,405Yes (X)
DR NATHAN SPRENGEL
DOCTOR40.00$244,934$0$33,405Yes (X)
DR MACK TAYLOR
DENTIST40.00$215,611$0$14,567Yes (X)
DR STAS VIDYAKIN
DENTIST40.00$173,064$0$14,567Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,560,220TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$236,752TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON MEDICAL SURGICAL
PO BOX 634404CINCINATTIOH45263SUPPLIES$1,104,170
PATRICIA MERKLEY LLC
1747 N KINGS HIGHWAYCAPE GIRARDEAUMO63701DENTAL SERVICES$953,173
MOBILE SPECIALTY SERVICES
811 CR 2076NEWTONTX75966MOBILE UNIT$600,492
CONSOCIATE INC
PO BOX 1068DECATURIL62525INSURANCE$473,588
MCKESSON CORPORATION
4836 SOUTHRIDGE BOULEVARDMEMPHISTN38141SUPPLIES$424,855
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Government Grants$7,171,166GovernmentGrantsAmt
Total Contributions$7,171,166TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE FEES621110$11,926,563$11,926,563
340B PHARMACY PROGRAM REVENUE621110$3,989,128$3,989,128
FieldValueIRS element (for citing)
Total Program Service Revenue$15,915,691TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,577TotalRevenueColumnAmt
Exclusion$41,577ExclusionAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,101RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$13,101RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,101TotalRevenueColumnAmt
Unrelated Business Revenue-$13,101UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$31,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$8,957OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$22,543OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,543TotalRevenueColumnAmt
Related Or Exempt Func Income$22,543RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621110BusinessCd
Total Revenue Column$387,130TotalRevenueColumnAmt
Related Or Exempt Func Income$387,130RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$387,130OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,525,006TotalRevenueColumnAmt
Related Or Exempt Func Income$16,325,364RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$13,101UnrelatedBusinessRevenueAmt
Exclusion$41,577ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,450,952TotalAmt
Program Services$568,942ProgramServicesAmt
Management And General$882,010ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,570,731TotalAmt
Program Services$7,518,567ProgramServicesAmt
Management And General$1,052,164ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,213,845TotalAmt
Program Services$1,226,332ProgramServicesAmt
Management And General$987,513ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,326TotalAmt
Program Services$21,665ProgramServicesAmt
Management And General$86,661ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,280TotalAmt
Program Services$17,013ProgramServicesAmt
Management And General$4,267ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$237,132TotalAmt
Program Services$170,037ProgramServicesAmt
Management And General$67,095ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,497,181TotalAmt
Program Services$1,201,131ProgramServicesAmt
Management And General$296,050ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,038,203TotalAmt
Program Services$670,796ProgramServicesAmt
Management And General$367,407ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$253,298TotalAmt
Program Services$204,825ProgramServicesAmt
Management And General$48,473ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,297TotalAmt
Program Services$8,710ProgramServicesAmt
Management And General$15,587ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$45,408TotalAmt
Program Services$9,082ProgramServicesAmt
Management And General$36,326ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$405,307TotalAmt
Program Services$323,205ProgramServicesAmt
Management And General$82,102ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$229,766TotalAmt
Program Services$111,018ProgramServicesAmt
Management And General$118,748ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$1,241,406$1,241,406
340B PHARMACY PROGRAM E$1,004,322$954,106$50,216
UTILITIES$158,206$140,103$18,103
RECRUITING AND RETENTIO$147,141$131,889$15,252

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$291,745TotalAmt
Program Services$163,926ProgramServicesAmt
Management And General$127,819ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,938,546TotalAmt
Program Services$14,682,753ProgramServicesAmt
Management And General$4,255,793ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,322,083BOYAmt
EOY$3,758,403EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,389,589BOYAmt
EOY$11,285,977EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$184,211BOYAmt
EOY$318,202EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,406,588BOYAmt
EOY$4,748,209EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$118,156BOYAmt
EOY$166,445EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,175,153LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,434,493LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,161,897BOYAmt
EOY$5,740,660EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$34,192BOYAmt
EOY$534,218EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,616,716BOYAmt
EOY$26,552,114EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,203,883BOYAmt
EOY$1,385,449EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,384,078BOYAmt
EOY$785,303EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,010,525BOYAmt
EOY$2,776,672EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,598,486BOYAmt
EOY$4,947,424EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,018,230BOYAmt
EOY$21,604,690EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,018,230BOYAmt
EOY$21,604,690EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,616,716BOYAmt
EOY$26,552,114EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,586,460ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,051,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,324,863CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,816,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,070,833CurrentTaxYearMinus1YearAmt
Current Tax Year$7,171,166CurrentTaxYearAmt
Total$31,435,281TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,051,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,324,863CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,816,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,070,833CurrentTaxYearMinus1YearAmt
Current Tax Year$7,171,166CurrentTaxYearAmt
Total$31,435,281TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$31,435,281PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,351CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,959CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,682CurrentTaxYearMinus1YearAmt
Current Tax Year$41,577CurrentTaxYearAmt
Total$167,893TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$171,879CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$248,564CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$358,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$363,245CurrentTaxYearMinus1YearAmt
Current Tax Year$387,130CurrentTaxYearAmt
Total$1,529,163TotalAmt
FieldValueIRS element (for citing)
Total Support$33,132,337TotalSupportAmt
Public Support CY1700.94880PublicSupportCY170Pct
Public Support PY1700.94880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$412,454OtherCostOrOtherBasisAmt
Book Value$412,454BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$147,461InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,834,747OtherCostOrOtherBasisAmt
Depreciation$1,975,306DepreciationAmt
Book Value$4,006,902BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,692OtherCostOrOtherBasisAmt
Depreciation$35,698DepreciationAmt
Book Value$9,994BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,682,457OtherCostOrOtherBasisAmt
Depreciation$1,375,530DepreciationAmt
Book Value$1,306,927BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$52,342InvestmentCostOrOtherBasisAmt
Depreciation$47,959DepreciationAmt
Book Value$4,383BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,740,660TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$2,217,298
PATIENT OVERPAYMENT PAYABLE$60,139
OPERATING LEASE LIABILITY$499,235
FieldValueIRS element (for citing)
Total Liability$2,776,672TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$23,538,107TotalRevEtcAuditedFinclStmtAmt
Other Revenue$13,101OtherRevenueAmt
Revenue Not Reported$13,101RevenueNotReportedAmt
Revenue Subtotal$23,525,006RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,525,006TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,951,647TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$13,101OtherExpensesIncludedAmt
Expenses Not Reported$13,101ExpensesNotReportedAmt
Expenses Subtotal$18,938,546ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,938,546TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 13,101.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 13,101.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR NELSON PEREZ
DOCTOR$426,702$0$0$0$0$0$0$0$33,405$0$460,107$0$0$0
CHRIS JONES
CEO$358,967$0$0$0$0$0$0$0$33,405$0$392,372$0$0$0
SARA BETH DEANE
CFO$311,618$0$0$0$0$0$0$0$33,405$0$345,023$0$0$0
DR DANIEL DOMJAN
CHIEF MEDICAL OFFICER$256,815$0$0$0$0$0$0$0$24,428$0$281,243$0$0$0
DR NATHAN SPRENGEL
DOCTOR$244,934$0$0$0$0$0$0$0$33,405$0$278,339$0$0$0
DR MACK TAYLOR
DENTIST$215,611$0$0$0$0$0$0$0$14,567$0$230,178$0$0$0
DR WILLIAM BLEDSOE
DENTIST$189,308$0$0$0$0$0$0$0$456$0$189,764$0$0$0
DR STAS VIDYAKIN
DENTIST$173,064$0$0$0$0$0$0$0$14,567$0$187,631$0$0$0
SCOTT LAWRENCE
COO$144,887$0$0$0$0$0$0$0$14,493$0$159,380$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CONTRACTS ARE BROUGHT BEFORE THE BOARD AND THE SALARY IS DISCUSSED AND VOTED ON FOR EACH OFFICER DURING EXECUTIVE SESSIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY THE INDEPENDENT AUDITORS AND REVIEWED BY MANAGEMENT. A COPY IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANY CONFLICT BROUGHT TO LIGHT IS ADDRESSED AT THE BOARD MEETING AND A PLAN OF ACTION IS DECIDED BY THE BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION COMMITTEE MEETS AND REVIEWS PERFORMANCE APPRAISALS PREPARED BY ALL BOARD MEMBERS. THE COMMITTEE ALSO REVIEWS COMPENSATION OF OFFICIALS IN SIMILAR POSITIONS IN LIKE ORGANIZATIONS. AFTER THE REVIEW, THE EXECUTIVE DIRECTOR COMPENSATION IS THEN DETERMINED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.