SPECTRUM HEALTHCARE GROUP INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SPECTRUM HEALTHCARE GROUP INC (EIN 86-0207499)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-15
- IRS object ID
- 202402289349302435
- 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 | 2024-08-15T15:23:36-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341884125 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4722 N 24TH ST STE 300 | AddressLine1Txt |
| City | PHOENIX | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85016 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860207499 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTHCARE GROUP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPEC | BusinessNameControlTxt |
| Phone | 9286342236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 EAST COTTONWOOD STREET | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | APRIL RHODES | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9286342236 | PhoneNum |
| Signature | 2024-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| 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 | KRISTEN M BASS | PreparerPersonNm |
| PTIN | P01247587 | PTIN |
| Phone | 6022646835 | PhoneNum |
| Preparation | 2024-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | APRIL RHODES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 EAST COTTONWOOD STREET | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,674,894 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SPECTRUMHEALTHCARE-GROUP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | SHG EXISTS TO SERVE YOU AND THE HEALTHCARE NEEDS OF ARIZONANS PROVIDING EXCEPTIONAL INTEGRATED CARESHG EXISTS TO SERVE YOU AND THE HEALTHCARE NEEDS OF ARIZONANS PROVIDING EXCEPTIONAL INTEGRATED CARE WHEN, WHERE, AND HOW PATIENTS NEED IT. THROUGH PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES, MOBILE CRISIS RESPONSE, RESIDENTIAL TREATMENT AND MORE, SPECTRUM IS COMMITTED TO COMPASSIONATE CAREFOR MIND, FOR BODY, FOR ALL OF YOU! | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 489 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,725,547 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,410,026 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,411,596 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,880,582 | CYProgramServiceRevenueAmt |
| PY Investment Income | $344,069 | PYInvestmentIncomeAmt |
| CY Investment Income | $238,005 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,254 | PYOtherRevenueAmt |
| CY Other Revenue | $398,554 | CYOtherRevenueAmt |
| PY Total Revenue | $31,552,466 | PYTotalRevenueAmt |
| CY Total Revenue | $30,927,167 | 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 | $19,135,488 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,740,166 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,489,012 | PYOtherExpensesAmt |
| CY Other Expenses | $8,602,767 | CYOtherExpensesAmt |
| PY Total Expenses | $33,624,500 | PYTotalExpensesAmt |
| CY Total Expenses | $34,342,933 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,072,034 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,415,766 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,385,807 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,931,134 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,536,998 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,882,838 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,848,809 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,048,296 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SHG EXISTS TO SERVE YOU AND THE HEALTHCARE NEEDS OF ARIZONA BY PROVIDING EXCEPTIONAL INTEGRATED CARE BY A TEAM DEDICATED TO YOUR WELLNESS. WE ARE COMMITTED TO HELP YOU FEEL BETTER, BOTH MIND AND BODY, WHICH IS WHY WE SAY AT SHG, WE ARE HERE FOR ALL OF YOU! | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,585,490 | ExpenseAmt |
| Revenue | $21,372,478 | RevenueAmt |
| Desc | SHG HAS HISTORICALLY PROVIDED INTEGRATED BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES TO RESIDENTS OF YAVAPAI COUNTRY. IN FISCAL YEARS 2021 AND 2022, SHG EXPANDED THEIR INTEGRATED CARE SERVICES TO RESIDENTS IN CENTRAL ARIZONA, MAINLY THE GREATER-PHOENIX METROPOLITAN AREA, AND SOUTHERN ARIZONA.BEHAVIORAL HEALTH PROGRAMS: PSYCHIATRY - OUR TEAM OF PSYCHIATRIC EXPERTS CARE FOR YOUR MENTAL HEALTH AND ARE DEDICATED TO YOUR WELLNESS OF MIND. COUNSELING - WHETHER INDIVIDUAL OR GROUP, WE OFFER MANY DIFFERENT LEVELS OF COUNSELING FOR A VARIETY OF NEEDS INCLUDING MARRIAGE, FAMILY, SUBSTANCE ABUSE, AND GRIEF. MOBILE CRISIS TEAM - WORKING WITH LOCAL AREA FIRST RESPONDERS, WE BRING THE RIGHT HELP TO THOSE IN OUR COMMUNITY. SUPPORT & ASSISTANCE - WITH INDIVIDUALIZED CARE, WE OFFER RECOVERY-FOCUSED SERVICES THAT ALLOW INDIVIDUALS THE OPPORTUNITY TO LEARN TO MANAGE THEIR OWN RECOVERY AND ADVOCACY PROCESS. WITH THE HELP OF OUR PEER SUPPORT STAFF, OUR PATIENTS LEARN TO ENHANCE THE DEVELOPMENT OF NATURAL SUPPORTS, AS WELL AS LEARN COPING AND SELF-MANAGEMENT SKILLS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,236,188 | ExpenseAmt |
| Revenue | $3,187,633 | RevenueAmt |
| Desc | PHYSICAL HEALTH PROGRAMS:PRIMARY CARE - THE ORGANIZATION'S FAMILY PHYSICIANS PROVIDE FAMILY-CENTERED PRIMARY CARE FOR PATIENTS OF ALL AGES, FROM INFANTS TO THE ELDERLY. THEY PLACE AN EMPHASIS ON PREVENTION AND EARLY DETECTION AND OFFER A WIDE RANGE OF SERVICES. LABORATORY SERVICES - OFFER ON-SITE LAB SERVICES, YOU CAN HAVE YOUR LAB WORK DONE BEFORE YOU LEAVE THE BUILDING. PAIN MANAGEMENT - CHRONIC PAIN IS COMPLEX AND IMPACTS ALL ASPECTS OF LIFE. SPECTRUM TAKES A WHOLE HEALTH APPROACH TO PAIN MANAGEMENT, LOOKING AT ALL THE CONTRIBUTING FACTORS YOU ARE FACING. WE WORK WITH YOU TO CREATE A SAFE AND PATIENT-LED PLAN, USING INTERNAL AND EXTERNAL RESOURCES TO HELP YOU MANAGE YOUR PAIN. MEDICATION MANAGEMENT - MEDICATION OFTEN REQUIRES ONGOING MONITORING AND EVALUATION. WE OFFER INITIAL EVALUATION OF YOUR PAIN, AND IF NEEDED UTILIZE PRESCRIPTION MEDICATIONS TO HELP YOU IMPROVE YOUR OVERALL QUALITY OF LIFE AND LEVEL OF FUNCTIONING. ALTERNATIVE TREATMENTS - PAIN MANAGEMENT AT SPECTRUM UTILIZES ALTERNATIVE TREATMENTS INCLUDING ACUPUNCTURE, MASSAGE, PHYSICAL THERAPY, COUNSELING, AND MORE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,268,768 | ExpenseAmt |
| Revenue | $2,417,821 | RevenueAmt |
| Desc | RESIDENTIAL PROGRAMS: MOMENTUM RESIDENTIAL PROVIDES INTEGRATED HEALTH SERVICES IN A RESIDENTIAL SETTING TO MEN AND WOMEN EXPERIENCING SUBSTANCE USE AND/OR MENTAL HEALTH CHALLENGES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $479,134 | ExpenseAmt |
| Revenue | $301,204 | RevenueAmt |
| Desc | VOCATIONAL REHABILITATION - OUR WORK ADJUSTMENT TRAINING PROGRAM (WAT) HELPS INDIVIDUALS RE-ENTER THE WORKFORCE. THEY OPERATES A KIOSK (NEW DAY CAFE) WHICH PROVIDES SKILLS AND TRAINING NECESSARY TO HELP MANY IMPROVE THEIR LIVES AND ENTER THE WORK FORCE. LAPAZ APARTMENTSCOMMUNITY LIVING (11 UNITS) TO PROVIDE LOW INCOME HOUSING FOR THE POPULATION WITH MENTAL HEALTH CHALLENGES. OTHER RENTS - RENTS RECEIVED FROM SPACE RENTED FOR PHARMACY AND GROUP MEETING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $479,134 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $301,204 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $27,569,580 | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 0 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 489 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GAYLE LUBAHN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9286342236 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 E COTTONWOOD STREET | AddressLine1Txt |
| City | COTTONWOOD | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86326 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RANDY TAYLOR | |||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROB OLSON | |||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARMEN GRIFFIN | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM PENDER | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD DEHNERT | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DR DEBBIE NIXON | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GREG MENGARELLI | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| APRIL RHODES | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $291,645 | $0 | $49,426 | ||
| FRED SCHAFFNER | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $172,985 | $0 | $46,471 | ||
| CHRISTHINE N NUEZ | |||||||
| PSYCHIATRIST | 40.00 | $242,695 | $0 | $58,071 | Yes (X) | ||
| FAWAD RAST | |||||||
| PRIMARY CARE PHYSICIAN | 40.00 | $242,475 | $0 | $53,141 | Yes (X) | ||
| WENHUI CAI | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $257,625 | $0 | $15,258 | Yes (X) | ||
| SHAWN K HATCH | |||||||
| REGIONAL VICE PRESIDENT | 40.00 | $173,090 | $0 | $26,263 | Yes (X) | ||
| CAROL DEXTER HAYES | |||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $177,069 | $0 | $11,733 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,557,584 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $260,363 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| IRIS TELEHEALTH MEDICAL GROUP | |||||
| 114 W 7TH ST | AUSTIN | TX | 78701 | MEDICAL SERVICES | $393,270 |
| HENRY SCHEIN | |||||
| PO BOX 7156 | PASADENA | CA | 911097156 | MEDICAL SERVICES | $306,632 |
| MCKESSON MEDICAL SURGICAL | |||||
| 7343 S HARDY DR | TEMPE | AZ | 85283 | MEDICAL SERVICES | $171,418 |
| SANOFI PASTEUR INC | |||||
| 1 DISCOVERY DR | SWIFTWATER | PA | 18370 | MEDICAL SERVICES | $151,637 |
| CARISSA HIGGINS INC | |||||
| 127 SOUTH MESQUITE DRIVE | PAYSON | AZ | 85541 | MEDICAL SERVICES | $136,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,408,926 | GovernmentGrantsAmt |
| All Other Contributions | $1,100 | AllOtherContributionsAmt |
| Total Contributions | $3,410,026 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT & CLIENT FEES | 621400 | $21,774,154 | $21,774,154 |
| BEHAVIORAL HEALTH SVS | 624100 | $4,583,053 | $4,583,053 |
| GRANTS & CONTRACTS | 624210 | $488,725 | $488,725 |
| LAPAZ RENTAL INCOME | 531110 | $26,100 | $26,100 |
| PHARMACY RENT | 531120 | $8,550 | $8,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,880,582 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $308,780 | TotalRevenueColumnAmt |
| Exclusion | $308,780 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,065 | 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 | $1,065 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,065 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,661,400 | SecuritiesAmt |
| Other | $15,552 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,714,543 | SecuritiesAmt |
| Other | $33,184 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$53,143 | SecuritiesAmt |
| Other | -$17,632 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$70,775 | TotalRevenueColumnAmt |
| Exclusion | -$70,775 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER REVENUES | 900099 | $365,118 | $365,118 |
| CAFE REVENUE | 722514 | $32,371 | $32,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $397,489 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,927,167 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,279,136 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $238,005 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,526 | TotalAmt |
| Program Services | $487,733 | ProgramServicesAmt |
| Management And General | $72,793 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,825,734 | TotalAmt |
| Program Services | $17,259,244 | ProgramServicesAmt |
| Management And General | $2,566,490 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,209 | TotalAmt |
| Program Services | $629,578 | ProgramServicesAmt |
| Management And General | $95,631 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,186,547 | TotalAmt |
| Program Services | $2,766,347 | ProgramServicesAmt |
| Management And General | $420,200 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,150 | TotalAmt |
| Program Services | $1,251,978 | ProgramServicesAmt |
| Management And General | $190,172 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,810 | TotalAmt |
| Management And General | $337,810 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,479 | TotalAmt |
| Management And General | $129,479 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,075 | TotalAmt |
| Management And General | $64,075 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,106 | TotalAmt |
| Management And General | $22,106 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,197,589 | TotalAmt |
| Program Services | $1,123,744 | ProgramServicesAmt |
| Management And General | $73,845 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,143 | TotalAmt |
| Program Services | $138,063 | ProgramServicesAmt |
| Management And General | $229,080 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,437 | TotalAmt |
| Program Services | $73,117 | ProgramServicesAmt |
| Management And General | $121,320 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,055,862 | TotalAmt |
| Program Services | $397,052 | ProgramServicesAmt |
| Management And General | $658,810 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175,097 | TotalAmt |
| Program Services | $1,124,444 | ProgramServicesAmt |
| Management And General | $50,653 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $605,719 | TotalAmt |
| Program Services | $416,340 | ProgramServicesAmt |
| Management And General | $189,379 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,931 | TotalAmt |
| Program Services | $33,442 | ProgramServicesAmt |
| Management And General | $55,489 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,572 | TotalAmt |
| Program Services | $95,563 | ProgramServicesAmt |
| Management And General | $189,009 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $905,121 | TotalAmt |
| Program Services | $821,256 | ProgramServicesAmt |
| Management And General | $83,865 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,097 | TotalAmt |
| Program Services | $56,443 | ProgramServicesAmt |
| Management And General | $93,654 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEPHONE | $558,512 | $210,026 | $348,486 |
| MEDICAL SUPPLIES | $430,883 | $162,032 | $268,851 |
| FOOD | $255,898 | $96,229 | $159,669 |
| BAD DEBT | $214,511 | $214,511 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,925 | TotalAmt |
| Program Services | $212,438 | ProgramServicesAmt |
| Management And General | $352,487 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,342,933 | TotalAmt |
| Program Services | $27,569,580 | ProgramServicesAmt |
| Management And General | $6,773,353 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,551,070 | BOYAmt |
| EOY | $753,806 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,299 | BOYAmt |
| EOY | $644,591 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,082,679 | BOYAmt |
| EOY | $910,907 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070,203 | BOYAmt |
| EOY | $2,730,776 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,723 | BOYAmt |
| EOY | $130,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,736,167 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,853,105 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,464,383 | BOYAmt |
| EOY | $8,883,062 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,091,702 | BOYAmt |
| EOY | $729,586 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,007,333 | BOYAmt |
| EOY | $1,391,396 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,415 | BOYAmt |
| EOY | $756,854 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,385,807 | BOYAmt |
| EOY | $16,931,134 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,948,507 | BOYAmt |
| EOY | $1,902,668 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $114,045 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,783 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,112,708 | BOYAmt |
| EOY | $5,162,902 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $703,223 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,536,998 | BOYAmt |
| EOY | $7,882,838 | 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 | $11,848,809 | BOYAmt |
| EOY | $9,048,296 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,848,809 | BOYAmt |
| EOY | $9,048,296 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,385,807 | BOYAmt |
| EOY | $16,931,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,415,766 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $98,990 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $516,263 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | 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 | $3,755,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,076,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,603,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,725,547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,410,026 | CurrentTaxYearAmt |
| Total | $23,570,590 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,755,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,076,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,603,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,725,547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,410,026 | CurrentTaxYearAmt |
| Total | $23,570,590 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,570,590 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,100 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $124,525 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $308,780 | CurrentTaxYearAmt |
| Total | $762,945 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101,187 | CurrentTaxYearMinus4YearsAmt |
| Total | $101,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $24,434,722 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $113,990,418 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97980 | 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 | OTHER REVENUE - RECOVERY OF BAD DEBT - 2018 AMOUNT: $ 101,187. CAFE REVENUE - | 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 | $1,307,422 | OtherCostOrOtherBasisAmt |
| Book Value | $1,307,422 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,207,919 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,334,105 | DepreciationAmt |
| Book Value | $5,873,814 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,118,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $908,514 | DepreciationAmt |
| Book Value | $210,304 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,102,008 | OtherCostOrOtherBasisAmt |
| Depreciation | $610,486 | DepreciationAmt |
| Book Value | $1,491,522 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,883,062 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN AHRIC | Desc |
| Book Value | $1,391,396 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,391,396 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITIES | Desc |
| Amt | $703,223 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $703,223 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APRIL RHODES | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $291,520 | $0 | $125 | $0 | $0 | $0 | $23,850 | $0 | $25,576 | $0 | $341,071 | $0 | $0 | $0 |
| CHRISTHINE N NUEZ | ||||||||||||||
| PSYCHIATRIST | $242,300 | $0 | $395 | $0 | $0 | $0 | $20,575 | $0 | $37,496 | $0 | $300,766 | $0 | $0 | $0 |
| FAWAD RAST | ||||||||||||||
| PRIMARY CARE PHYSICIAN | $225,552 | $0 | $16,923 | $0 | $0 | $0 | $13,380 | $0 | $39,761 | $0 | $295,616 | $0 | $0 | $0 |
| WENHUI CAI | ||||||||||||||
| CHIEF MEDICAL OFFICER | $257,500 | $0 | $125 | $0 | $0 | $0 | $15,258 | $0 | $0 | $0 | $272,883 | $0 | $0 | $0 |
| FRED SCHAFFNER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $167,460 | $0 | $5,525 | $0 | $0 | $0 | $5,566 | $0 | $40,905 | $0 | $219,456 | $0 | $0 | $0 |
| SHAWN K HATCH | ||||||||||||||
| REGIONAL VICE PRESIDENT | $167,465 | $0 | $5,625 | $0 | $0 | $0 | $10,675 | $0 | $15,588 | $0 | $199,353 | $0 | $0 | $0 |
| CAROL DEXTER HAYES | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $176,314 | $0 | $755 | $0 | $0 | $0 | $2,663 | $0 | $9,070 | $0 | $188,802 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUS PAYMENTS ARE MADE BASED ON MEETING ORGANIZATIONAL GOALS AND ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETED 990 WILL BE REVIEWED BY THE CEO AND THE DIRECTOR OF FINANCE FOR ACCURACY BEFORE IT IS FILED AND THEN THE FILED 990 WILL BE PRESENTED AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION (SHG) WILL VALIDATE THAT ALL CONTRACTS ARE IN COMPLIANCE WITH APPLICABLE LAWS, REGULATIONS, AND ACCREDITATION STANDARDS. THE SHG HAS A RESPONSIBILITY TO NOT ENTER INTO CONTRACTS OR AGREEMENTS WITH OUTSIDE INDIVIDUALS OR AGENCIES WHEN SUCH A RELATIONSHIP CREATES A CLEAR CONFLICT OF INTEREST, WHICH MAY NEGATIVELY IMPACT CLIENT CARE OR COMMUNITY INTERESTS. THE SHG'S MANAGEMENT TEAM REVIEWS ALL CONTRACT ARRANGEMENTS THAT THE AGENCY CONSIDERS ENTERING INTO, TO ASSESS THE FOLLOWING: - WHETHER A CONFLICT OF INTEREST EXISTS OR MAY POTENTIALLY EXIST. THIS IS ESPECIALLY TRUE FOR CONTRACTS THAT THE AGENCY ESTABLISHES WITH OUTSIDE PROVIDERS TO PROVIDE SERVICES ON BEHALF OF THE SHG. - IN THOSE CASES WHERE THE SHG CONTRACTS WITH ANOTHER PROVIDER TO PROVIDE TREATMENT SERVICES FOR SHG REFERRALS, THE MANAGEMENT TEAM REVIEWS THE CREDENTIALS OF THE PROVIDER TO VALIDATE THAT THE PROVIDER IS QUALIFIED TO PROVIDE THE DESIRED SERVICES. - REVIEW CONTRACTS THAT ARE AVAILABLE TO THE SHG TO DETERMINE WHETHER THE CONTACT REQUIREMENTS ARE ACCEPTABLE IN TERMS OF ETHICAL TREATMENT OF CONSUMERS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE GOVERNING BOARD OF DIRECTORS REVIEWS THE MOST CURRENTLY AVAILABLE SALARY SURVEYS AND OTHER COMPENSATION DATA, TO SET THE SALARY OF THE CEO. THE CEO SETS THE COMPENSATION FOR OTHER KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 3B: | THE ORGANIZATION IS IN THE PROCESS OF COMPLETING THE REQUIRED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. AS OF THE FILING DATE OF THE FORM 990, FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, A SINGLE AUDIT HAS NOT BEEN COMPLETED. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPLETE CARE PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3343 N WINDSONG DR | AddressLine1Txt |
| City | PRESCOTT VALLEY | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 86314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850563935 | EIN |
| Primary Activities | HEALTH SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $25,722 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $53,801 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |