STRATEGY STUDIO / PUBLIC DATA EXPLORER

MIDTOWN HEALTH CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MIDTOWN HEALTH CENTER INC (EIN 47-0833378)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-03-12
IRS object ID
202440729349301854
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)
Return2024-03-12T15:45:19-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470677245PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HBE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17140 STEPHANIE LANE PO BOX 23110AddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP685423110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN470833378EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIDTOWN HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMIDTBusinessNameControlTxt
Phone4023718000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 W PHILLIP AVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN NORDBYPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4023718000PhoneNum
Signature2024-02-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATHLEENPersonFirstNm
Person LastNORDBYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK A MEYER CPA CFEPreparerPersonNm
PTINP00283870PTIN
Phone4024234343PhoneNum
Preparation2024-02-21PreparationDt

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 OfficerKATHLEEN NORDBYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 W PHILLIP AVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,341,327GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MIDTOWNHEALTHNE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionPROVIDE HIGH QUALITY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee118TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,788,796PYContributionsGrantsAmt
CY Contributions Grants$5,635,106CYContributionsGrantsAmt
PY Program Service Revenue$6,263,420PYProgramServiceRevenueAmt
CY Program Service Revenue$7,500,937CYProgramServiceRevenueAmt
PY Investment Income$23,754PYInvestmentIncomeAmt
CY Investment Income$188,669CYInvestmentIncomeAmt
PY Other Revenue$36,351PYOtherRevenueAmt
CY Other Revenue$16,615CYOtherRevenueAmt
PY Total Revenue$11,112,321PYTotalRevenueAmt
CY Total Revenue$13,341,327CYTotalRevenueAmt
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$6,334,589PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,649,097CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$70,362CYTotalFundraisingExpenseAmt
PY Other Expenses$3,134,635PYOtherExpensesAmt
CY Other Expenses$3,686,547CYOtherExpensesAmt
PY Total Expenses$9,469,224PYTotalExpensesAmt
CY Total Expenses$10,335,644CYTotalExpensesAmt
PY Revenues Less Expenses$1,643,097PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,005,683CYRevenuesLessExpensesAmt
Total Assets BOY$11,599,492TotalAssetsBOYAmt
Total Assets EOY$15,172,209TotalAssetsEOYAmt
Total Liabilities BOY$1,970,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,537,924TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,628,602NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$12,634,285NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HIGH QUALITY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,527,035ExpenseAmt
Revenue$7,500,937RevenueAmt
DescMIDTOWN HEALTH CENTER IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MIDTOWN OFFERS MEDICAL, DENTAL, AND BEHAVIORAL HEALTH TO INSURED, UNINSURED, AND UNDER-INSURED INDIVIDUALS. THE NUMBER OF INDIVIDUALS MIDTOWN SERVES CONTINUES TO GROW. IN 2022, WE SAW 8,176 INDIVIDUALS REPRESENTING A 4% INCREASE FROM 2021 FOR A TOTAL OF 29,017 ENCOUNTERS. 24% PERCENT OF OUR PATIENTS DID NOT HAVE INSURANCE, 42.7% WERE ENROLLED IN EITHER MEDICAID OR MEDICARE AS THEIR THIRD PARTY PAYOR, 33.1% OF THE PATIENTS HAD INCOME BELOW THE 100% POVERTY GUIDELINE WITH A FULL 58.4% OF OUR PATIENTS DECLARING THEMSELVES AND THEIR HOUSEHOLD TO BE AT OR BELOW 200% OF POVERTY.Desc
Total Program Service Expenses$7,527,035TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee118EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHY NORDBYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4023718000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 W PHILLIP AVEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BETTY FROEHLICH
PAST CHAIR2.00Yes (X)$0$0$0
SUSAN LUTZ
CHAIR2.00Yes (X)$0$0$0Yes (X)
JARECSY MEDINA
BOARD MEMBER2.00Yes (X)$0$0$0
LANCE MORROW
TREASURER2.00Yes (X)$0$0$0Yes (X)
GRETCHEN FORSELL
BOARD MEMBER2.00Yes (X)$0$0$0
DAN FULLNER
BOARD MEMBER2.00Yes (X)$0$0$0
MARY LUHR
BOARD MEMBER2.00Yes (X)$0$0$0
BRENDA JONES
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
JOE MTIKA
BOARD MEMBER2.00Yes (X)$0$0$0
SANDRA RENNER
BOARD MEMBER2.00Yes (X)$0$0$0
KAREN WEIDNER
SECRETARY2.00Yes (X)$0$0$0Yes (X)
EUNICE RAMIREZ
BOARD MEMBER2.00Yes (X)$0$0$0
KATRIN LIMONTA
BOARD MEMBER2.00Yes (X)$0$0$0
KATHLEEN NORDBY
CHIEF EXECUTIVE OFFICER40.00$146,970$0$21,454Yes (X)
KARIE LANGHORST
CHIEF FINANCIAL OFFICER40.00$108,825$0$10,940Yes (X)
JESSICA GORDON
CHIEF OPERATING OFFICER40.00$107,963$0$10,612Yes (X)
DR EMILY VUCHETICH
PEDIATRICIAN40.00$336,573$0$39,514Yes (X)
DR RAYMOND HELLER
PHYSICIAN32.00$241,186$0$10,427Yes (X)
DR DAVID SEGER
DENTIST40.00$184,040$0$20,764Yes (X)
DR LOISKA SIVAGANESHAN
PHYSICIAN36.00$150,521$0$6,231Yes (X)
ALLISON WALLICK
PHYSICIAN40.00$207,826$0$14,802Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,483,904TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$134,744TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,085,072GovernmentGrantsAmt
All Other Contributions$550,034AllOtherContributionsAmt
Noncash Contributions$4,277NoncashContributionsAmt
Total Contributions$5,635,106TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$7,418,745$7,418,745
CONTRACT REVENUE621110$82,192$82,192
FieldValueIRS element (for citing)
Total Program Service Revenue$7,500,937TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$188,669TotalRevenueColumnAmt
Exclusion$188,669ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$16,615RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$16,615RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,615TotalRevenueColumnAmt
Exclusion$16,615ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,341,327TotalRevenueColumnAmt
Related Or Exempt Func Income$7,500,937RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$205,284ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$497,368TotalAmt
Management And General$497,368ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,889,100TotalAmt
Program Services$3,796,867ProgramServicesAmt
Management And General$1,038,756ManagementAndGeneralAmt
Fundraising$53,477FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$358,888TotalAmt
Program Services$225,122ProgramServicesAmt
Management And General$129,885ManagementAndGeneralAmt
Fundraising$3,881FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$542,898TotalAmt
Program Services$320,399ProgramServicesAmt
Management And General$216,975ManagementAndGeneralAmt
Fundraising$5,524FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$360,843TotalAmt
Program Services$209,289ProgramServicesAmt
Management And General$147,946ManagementAndGeneralAmt
Fundraising$3,608FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$259TotalAmt
Management And General$259ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,850TotalAmt
Program Services$28,850ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$947,713TotalAmt
Program Services$646,311ProgramServicesAmt
Management And General$301,402ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$108,154TotalAmt
Program Services$104,909ProgramServicesAmt
Fundraising$3,245FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$387,563TotalAmt
Program Services$269,511ProgramServicesAmt
Management And General$117,425ManagementAndGeneralAmt
Fundraising$627FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$139,803TotalAmt
Program Services$96,464ProgramServicesAmt
Management And General$43,339ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,420TotalAmt
Program Services$5,387ProgramServicesAmt
Management And General$18,033ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$48,271TotalAmt
Program Services$48,271ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$42,253TotalAmt
Program Services$39,802ProgramServicesAmt
Management And General$2,451ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$259,260TotalAmt
Program Services$248,890ProgramServicesAmt
Management And General$10,370ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,440TotalAmt
Program Services$10,911ProgramServicesAmt
Management And General$36,529ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DENTAL, MEDICAL & PHARM$1,286,932$1,286,932
ASSOCIATION DUES$171,264$23,976$147,288
TECHNICAL ASSISTANCE$72,015$66,254$5,761
REPAIRS AND MAINTENANCE$70,778$70,070$708

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,572TotalAmt
Program Services$28,820ProgramServicesAmt
Management And General$23,752ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,335,644TotalAmt
Program Services$7,527,035ProgramServicesAmt
Management And General$2,738,247ManagementAndGeneralAmt
Fundraising$70,362FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$106,444BOYAmt
EOY$238,268EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,074,774BOYAmt
EOY$7,998,849EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$398,960BOYAmt
EOY$464,042EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$416,119BOYAmt
EOY$439,218EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$173,382BOYAmt
EOY$150,895EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,257,407LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,597,608LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,426,661BOYAmt
EOY$5,659,799EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,152BOYAmt
EOY$784EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$220,354EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,599,492BOYAmt
EOY$15,172,209EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$888,453BOYAmt
EOY$1,458,983EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$194,922BOYAmt
EOY$14,533EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$887,515BOYAmt
EOY$842,794EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$221,614EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,970,890BOYAmt
EOY$2,537,924EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,628,602BOYAmt
EOY$12,634,285EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,628,602BOYAmt
EOY$12,634,285EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,599,492BOYAmt
EOY$15,172,209EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,005,683ReconcilationRevenueExpnssAmt
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$3,647,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,282,830CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,581,837CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,727,274CurrentTaxYearMinus1YearAmt
Current Tax Year$5,635,104CurrentTaxYearAmt
Total$24,874,104TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,647,059CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,282,830CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,581,837CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,727,274CurrentTaxYearMinus1YearAmt
Current Tax Year$5,635,104CurrentTaxYearAmt
Total$24,874,104TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$24,874,104PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,189CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,754CurrentTaxYearMinus1YearAmt
Current Tax Year$188,669CurrentTaxYearAmt
Total$267,011TotalAmt
FieldValueIRS element (for citing)
Total Support$25,141,115TotalSupportAmt
Gross Receipts Rltd Activities$25,350,446GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98940PublicSupportCY170Pct
Public Support PY1700.99540PublicSupportPY170Pct
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$769,102OtherCostOrOtherBasisAmt
Book Value$769,102BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,288,992OtherCostOrOtherBasisAmt
Depreciation$724,969DepreciationAmt
Book Value$4,564,023BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,199,313OtherCostOrOtherBasisAmt
Depreciation$872,639DepreciationAmt
Book Value$326,674BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,659,799TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE OBLIGATIONSDesc
Amt$221,614Amt
FieldValueIRS element (for citing)
Total Liability$221,614TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,341,327TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,341,327RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,341,327TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,335,644TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,335,644ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,335,644TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED SEPTEMBER 30, 2023, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REIMBURSEMENTS
PART XII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSEMENTS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (6 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 EMILY VUCHETICH
PEDIATRICIAN$235,406$0$101,167$0$0$0$15,029$0$24,485$0$376,087$0$0$0
DR RAYMOND HELLER
PHYSICIAN$236,319$0$4,867$0$0$0$9,658$0$769$0$251,613$0$0$0
ALLISON WALLICK
PHYSICIAN$201,803$0$6,023$0$0$0$6,412$0$8,390$0$222,628$0$0$0
DR DAVID SEGER
DENTIST$177,957$0$6,083$0$0$0$13,596$0$7,168$0$204,804$0$0$0
KATHLEEN NORDBY
CHIEF EXECUTIVE OFFICER$140,887$0$6,083$0$0$0$11,997$0$9,457$0$168,424$0$0$0
DR LOISKA SIVAGANESHAN
PHYSICIAN$150,521$0$0$0$0$0$0$0$6,231$0$156,752$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$4,277NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CA NEW CONFLICT OF INTEREST POLICY IS DISTRIBUTED AND SIGNED ANNUALLY BY BOARD MEMBERS. THE POLICY CLEARLY STATES THE BOARD MEMBERS RESPONSIBILITY TO DISCLOSE EXISTING KNOWN CONFLICTS AT THAT TIME AND DISCLOSE FUTURE CONFLICTS OR POTENTIAL/PERCEIVED CONFLICTS AT THE TIME ANY NEW SITUATION OR DECISION MAY WARRANT SUCH DISCLOSURE.
FORM 990, PART VI, SECTION B, LINE 15THERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.