ESPERANZA HEALTH CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ESPERANZA HEALTH CENTER INC (EIN 23-2480701)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202421359349301947
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-14T08:10:34-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232480701 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ESPE | BusinessNameControlTxt |
| Phone | 2158078613 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4417 N 6TH ST | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19140 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSALIND WILLIFORD | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2158078613 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROSALIND | PersonFirstNm |
| Person Last | WILLIFORD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA CPA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Preparation | 2024-05-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SUSAN POST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4417 N 6TH ST | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,562,521 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ESPERANZAHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | ESPERANZA HEALTH CENTER OPERATES THREE HEALTHCARE SITES IN NORTH PHILADELPHIA, PA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 270 | TotalEmployeeCnt |
| Total Volunteers | 115 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,983,354 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,225,664 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,209,568 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,629,884 | CYProgramServiceRevenueAmt |
| PY Investment Income | $303,589 | PYInvestmentIncomeAmt |
| CY Investment Income | $294,493 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,134,850 | PYOtherRevenueAmt |
| CY Other Revenue | $2,141,173 | CYOtherRevenueAmt |
| PY Total Revenue | $24,631,361 | PYTotalRevenueAmt |
| CY Total Revenue | $23,291,214 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,258,041 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,756,381 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $55,526 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,187,052 | PYOtherExpensesAmt |
| CY Other Expenses | $4,502,317 | CYOtherExpensesAmt |
| PY Total Expenses | $18,445,093 | PYTotalExpensesAmt |
| CY Total Expenses | $18,258,698 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,186,268 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,032,516 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,761,717 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,747,527 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,247,127 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,908,433 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,514,590 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $43,839,094 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMPELLED BY THE LOVE OF GOD IN CHRIST JESUS, IN COOPERATION WITH THE CHURCH AND OTHERS, ESPERANZA HEALTH CENTER IS A MULTI-CULTURAL MINISTRY PROVIDING HOLISTIC HEALTHCARE TO THE LATINO AND UNDERSERVED COMMUNITIES OF PHILADELPHIA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,122,712 | ExpenseAmt |
| Revenue | $13,629,884 | RevenueAmt |
| Desc | SINCE OUR FOUNDING IN 1989, ESPERANZA HAS BEEN COMMITTED TO PROVIDING ACCESS TO AFFORDABLE, HIGH-QUALITY BILINGUAL HEALTH CARE AND WELLNESS SERVICES AS WE PURSUE HEALTH WITH OUR PATIENTS AND OUR COMMUNITY. OUR THREE HEALTH CENTER SITES IN NORTH PHILADELPHIA (FIFTH STREET, HUNTING PARK, AND KENSINGTON) ARE CONVENIENTLY LOCATED FOR EASY ACCESS. SERVICES INCLUDE PRIMARY MEDICAL CARE FOR ADULTS AND CHILDREN, DENTAL CARE, PRENATAL CARE, BEHAVIORAL HEALTH SERVICES, ON-SITE MEDICATION DISPENSARIES, SOCIAL SERVICES ASSISTANCE, AND OTHER SERVICES. COMMUNITY HEALTH AND WELLNESS PROGRAMS ARE OPEN TO ALL RESIDENTS. ESPERANZA HEALTH CENTER IS RECOGNIZED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION, BUREAU OF PRIMARY HEALTH CARE. DURING THE CALENDAR YEAR 2023, EHC DELIVERED PRIMARY CARE SERVICES TO MORE THAN 13,501 PATIENTS. THESE PATIENTS ACCOUNTED FOR 47,426 MEDICAL VISITS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, AND ORTHOPEDICS. IN ADDITION, THERE WERE 5,643 BEHAVIORAL HEALTH VISITS, AND 6,757 DENTAL VISITS. APPROXIMATELY 55% OF PATIENT SERVICES REVENUE WAS REIMBURSED THROUGH MEDICAID INSURANCE COVERAGE, 9% BY MEDICARE, 5% BY PRIVATE/COMMERCIAL INSURANCE AND SELF-PAY FROM PATIENTS WHO HAVE NEITHER PUBLIC OR PRIVATE INSURANCE COVERAGE, AND 30% FROM 340B MEDICATION DISPENSARY. ALL OF EHC'S PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A DISCOUNT FOR THE PATIENT'S SHARE OF FINANCIAL RESPONSIBILITY, AS DEFINED BY EHC'S SLIDING FEE DISCOUNT SCALE. THIS SCALE, WHICH IS BASED ON THE PATIENT'S FAMILY SIZE/DEMONSTRATED HOUSEHOLD INCOME, IS ADJUSTED ANNUALLY TO REFLECT THE MOST CURRENT FEDERAL POVERTY GUIDELINES. | Desc |
| Total Program Service Expenses | $15,122,712 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 270 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSALIND WILLIFORD CHIEF FINANCIAL | PersonNm |
| Phone | 2153023600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4417 N 6TH ST | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19140 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SHANA KLINE | ||||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE STANFORD | ||||||||
| VICE PRESIDENT | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RUTH ELLIOTT | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALAN POPOLI | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN FOY | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LARA LAHR RN | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV TAEHOO LEE | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TOLULOPE OLABINTAN MD | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID CROSSCOMBE | ||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANEESH KHUSHMAN MD | ||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN M POST | ||||||||
| CHIEF EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $170,013 | $0 | $6,224 | ||
| ROSALIND WILLIFORD | ||||||||
| CFO | 39.00 | 1.00 | Yes (X) | $124,430 | $0 | $22,314 | ||
| JUAN PEREZ | ||||||||
| CHIEF OPERATIONS OFFICER | 39.00 | 1.00 | Yes (X) | $112,618 | $0 | $11,501 | ||
| JAMES BECKER | ||||||||
| CHIEF ADMINISTRATIVE OFFICER | 39.00 | 1.00 | Yes (X) | $115,628 | $0 | $12,648 | ||
| TIMOTHY LEAMAN | ||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | Yes (X) | $141,018 | $0 | $25,425 | ||
| BRYAN HOLLINGER | ||||||||
| MEDICAL DIRECTOR UNTIL 12/31/22 | 10.00 | 0.00 | Yes (X) | $42,521 | $0 | $2,622 | ||
| FAITH PULLINGER | ||||||||
| CLINICIAN | 32.00 | 0.00 | $145,753 | $0 | $16,466 | Yes (X) | ||
| TIMOTHY JOHNSTON | ||||||||
| CLINICIAN | 32.00 | 0.00 | $121,892 | $0 | $6,265 | Yes (X) | ||
| MARYANN SALIB | ||||||||
| CLINICIAN | 32.00 | 0.00 | $126,779 | $0 | $8,370 | Yes (X) | ||
| DARIA CHACON | ||||||||
| CLINICIAN | 32.00 | 0.00 | $122,484 | $0 | $19,106 | Yes (X) | ||
| MONROE MADISON | ||||||||
| IT DIRECTOR | 40.00 | 0.00 | $101,106 | $0 | $12,648 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,324,242 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $143,589 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VIRENCE HEALTH TECHNOLOGIES | |||||
| PO BOX 840952 | DALLAS | TX | 752840952 | IT SERVICES | $267,819 |
| LAB CORPORATION | |||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | CLINICAL LABORATORY SERVICES | $131,258 |
| ROBERT HALF | |||||
| 12400 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED ACCOUNTING SERVICES | $114,296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,173,333 | GovernmentGrantsAmt |
| All Other Contributions | $1,052,331 | AllOtherContributionsAmt |
| Noncash Contributions | $514,061 | NoncashContributionsAmt |
| Total Contributions | $7,225,664 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PRIMARY CARE | 621400 | $11,376,970 | $11,376,970 |
| BEHAVIORAL HEALTH | 621400 | $1,334,343 | $1,334,343 |
| DENTAL SERVICES | 621400 | $918,571 | $918,571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,629,884 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,493 | TotalRevenueColumnAmt |
| Exclusion | $294,493 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,710 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $75,710 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $75,710 | TotalRevenueColumnAmt |
| Exclusion | $75,710 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,219,846 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,271,307 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,948,539 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,948,539 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INSURANCE CLAIM | 900099 | $48,802 | $48,802 |
| MEDICAL RECORDS | 900099 | $32,941 | $32,941 |
| VENDOR REFUND | 900099 | $21,069 | $21,069 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,112 | TotalRevenueColumnAmt |
| Exclusion | $14,112 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $116,924 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,291,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,578,423 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $487,127 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,380 | TotalAmt |
| Program Services | $172,605 | ProgramServicesAmt |
| Management And General | $548,775 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,566,922 | TotalAmt |
| Program Services | $10,340,195 | ProgramServicesAmt |
| Management And General | $204,204 | ManagementAndGeneralAmt |
| Fundraising | $22,523 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,570 | TotalAmt |
| Program Services | $443,297 | ProgramServicesAmt |
| Management And General | $19,315 | ManagementAndGeneralAmt |
| Fundraising | $958 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,310 | TotalAmt |
| Program Services | $1,065,778 | ProgramServicesAmt |
| Management And General | $65,243 | ManagementAndGeneralAmt |
| Fundraising | $2,289 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,199 | TotalAmt |
| Program Services | $812,829 | ProgramServicesAmt |
| Management And General | $56,628 | ManagementAndGeneralAmt |
| Fundraising | $1,742 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,935 | TotalAmt |
| Program Services | $2,315 | ProgramServicesAmt |
| Management And General | $2,620 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,097 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
| Management And General | $188,097 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,969 | TotalAmt |
| Program Services | $262,672 | ProgramServicesAmt |
| Management And General | $273,297 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,399 | TotalAmt |
| Fundraising | $13,399 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,955 | TotalAmt |
| Program Services | $99,635 | ProgramServicesAmt |
| Management And General | $204,130 | ManagementAndGeneralAmt |
| Fundraising | $9,190 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $689,573 | TotalAmt |
| Management And General | $689,573 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,258 | TotalAmt |
| Management And General | $564,258 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,735 | TotalAmt |
| Program Services | $34,518 | ProgramServicesAmt |
| Management And General | $26,217 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,855 | TotalAmt |
| Program Services | $34,430 | ProgramServicesAmt |
| Fundraising | $5,425 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,981 | TotalAmt |
| Program Services | $319,798 | ProgramServicesAmt |
| Management And General | $70,183 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,009 | TotalAmt |
| Management And General | $112,009 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,385,529 | $1,385,529 | |
| PROFESSIONAL DEVELOP. | $45,480 | $45,480 | |
| DUES & SUBSCRIPTIONS | $44,000 | $35,000 | $9,000 |
| SPECIAL EVENTS | $24,476 | $24,476 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,066 | TotalAmt |
| Program Services | $67,631 | ProgramServicesAmt |
| Management And General | $22,435 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,258,698 | TotalAmt |
| Program Services | $15,122,712 | ProgramServicesAmt |
| Management And General | $3,080,460 | ManagementAndGeneralAmt |
| Fundraising | $55,526 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,219,273 | BOYAmt |
| EOY | $1,118,384 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,748,853 | BOYAmt |
| EOY | $5,149,833 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,184 | BOYAmt |
| EOY | $8,696 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,313,649 | BOYAmt |
| EOY | $1,976,079 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,796,700 | BOYAmt |
| EOY | $20,796,700 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,287 | BOYAmt |
| EOY | $88,508 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,516 | BOYAmt |
| EOY | $122,526 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,494,656 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,428,863 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,093,117 | BOYAmt |
| EOY | $6,065,793 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,126,798 | BOYAmt |
| EOY | $11,421,008 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,340 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,761,717 | BOYAmt |
| EOY | $46,747,527 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,866,320 | BOYAmt |
| EOY | $1,814,825 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,807 | BOYAmt |
| EOY | $1,093,608 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,247,127 | BOYAmt |
| EOY | $2,908,433 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,207,368 | BOYAmt |
| EOY | $43,531,872 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,222 | BOYAmt |
| EOY | $307,222 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,514,590 | BOYAmt |
| EOY | $43,839,094 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,761,717 | BOYAmt |
| EOY | $46,747,527 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,032,516 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $291,988 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,230,674 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,360,544 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,964,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,983,354 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,225,664 | CurrentTaxYearAmt |
| Total | $36,764,281 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,230,674 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,360,544 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,964,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,983,354 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,225,664 | CurrentTaxYearAmt |
| Total | $36,764,281 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $36,764,281 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $254,767 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $266,992 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $214,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $322,771 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $370,203 | CurrentTaxYearAmt |
| Total | $1,429,589 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $84,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,637 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,089 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,550 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $116,924 | CurrentTaxYearAmt |
| Total | $340,545 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $38,534,415 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $89,130,042 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95410 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95700 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2018 AMOUNT: $ 4,388. 2019 AMOUNT: $ 4,348. 2020 AMOUNT: $ 3,767. 2021 AMOUNT: $ 8,502. 2022 AMOUNT: $ 11,112. ADMINSTRATION - 2018 AMOUNT: $ 20,497. 2019 AMOUNT: $ 20,071. FITNESS INCOME - 2018 AMOUNT: $ 1,499. 2019 AMOUNT: $ 2,033. CAFE INCOME - 2018 AMOUNT: $ 32,646. 2019 AMOUNT: $ 636. 2021 AMOUNT: $ -362. REIMBURSEMENTS - 2018 AMOUNT: $ 25,315. 2019 AMOUNT: $ 12,393. 2021 AMOUNT: $ 404. BAD DEBT RECOVERY - 2019 AMOUNT: $ 185. 2021 AMOUNT: $ 1,230. MEDICAL CLAIMS - 2019 AMOUNT: $ 15,971. MEDICAL RECORDS - 2020 AMOUNT: $ 17,649. 2021 AMOUNT: $ 23,135. 2022 AMOUNT: $ 32,941. REFUNDS - 2020 AMOUNT: $ 6,208. 2021 AMOUNT: $ 3,175. 2022 AMOUNT: $ 21,069. CREDIT CARD REWARDS - 2020 AMOUNT: $ 10,465. 2021 AMOUNT: $ 9,466. 2022 AMOUNT: $ 3,000. INSURANCE CLAIM - 2022 AMOUNT: $ 48,802. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $598,644 | OtherCostOrOtherBasisAmt |
| Book Value | $598,644 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,377,700 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,208,812 | DepreciationAmt |
| Book Value | $4,168,888 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,250,645 | OtherCostOrOtherBasisAmt |
| Depreciation | $909,617 | DepreciationAmt |
| Book Value | $341,028 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,780,505 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,310,434 | DepreciationAmt |
| Book Value | $470,071 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $487,162 | OtherCostOrOtherBasisAmt |
| Book Value | $487,162 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,065,793 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUSAN M POST | ||||||||||||||
| CHIEF EXECUTIVE DIRECTOR | $170,013 | $0 | $0 | $0 | $0 | $0 | $4,823 | $0 | $1,401 | $0 | $176,237 | $0 | $0 | $0 |
| TIMOTHY LEAMAN | ||||||||||||||
| MEDICAL DIRECTOR | $141,018 | $0 | $0 | $0 | $0 | $0 | $5,868 | $0 | $19,557 | $0 | $166,443 | $0 | $0 | $0 |
| FAITH PULLINGER | ||||||||||||||
| CLINICIAN | $145,753 | $0 | $0 | $0 | $0 | $0 | $4,314 | $0 | $12,152 | $0 | $162,219 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | VACCINES | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $514,061 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER OF CONTRIBUTORS IS REPORTED FOR THE NON-CASH CONTRIBUTION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED UNDER THE DIRECT SUPERVISION OF THE HEALTH CENTER'S CHIEF FINANCIAL OFFICER. THIS OFFICIAL REVIEWS THE RETURN WITH THE CENTER'S FINANCE COMMITTEE, WHOSE MEMBERS INCLUDE THE BOARD TREASURER, TOP MANAGEMENT OFFICIAL, AND CHIEF ADMINISTRATIVE OFFICER, CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. FOLLOWING THIS REVIEW, THE PREPARED FORM 990 IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THE HEALTH CENTER'S BOARD OF DIRECTORS CONSIDERS POSSIBLE CONFLICTS OF INTEREST OF EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IN EACH MEETING DEPENDING UPON THE SUBJECT AT HAND. WHEN DEEMED NECESSARY, BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSIONS AND/OR ABSTAIN FROM VOTING REGARDING ANY MATTER INVOLVING POSSIBLE CONFLICTS OF INTEREST. FAMILY AND BUSINESS RELATIONSHIPS AS SOURCES OF POTENTIAL CONFLICTS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING COMPENSATION FOR THE HEATH CENTER'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES WAS LED BY THE HEALTH CENTER'S BOARD OF DIRECTORS OVER A YEAR-LONG PROCESS IN 2019. THIS PROCESS INCLUDED SEVERAL REVIEWS BY THE FULL BOARD, COMPARABILITY DATA, AND DETAILED, POSITION-BY-POSITION REVIEW. THE PROCESS RESULTED IN AN ORGANIZATION WIDE SALARY GUIDE FOR FISCAL YEAR 2019-2020 WHICH HAS BEEN IMPLEMENTED GOING FORWARD. THIS GUIDE INCLUDES A SALARY RANGE BY POSITION WHICH ACCOUNTS FOR EXPERIENCE AND QUALIFICATIONS. THESE DISCUSSIONS ARE DOCUMENTED IN MEETING MINUTES. SUBSEQUENT CHANGES IN SALARY HAVE BEEN BASED ON ORGANIZATION-WIDE ADJUSTMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HEATH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH SUPPORT CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4417 N 6TH ST | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19140 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 825433613 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ESPERANZA HEALTH CENTER SUPPORT CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $198,000 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |