FAITH FAMILY MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FAITH FAMILY MEDICAL CENTER (EIN 62-1816811)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-05-14
- IRS object ID
- 202501349349302855
- Schema version
- 2024v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-14T09:42:59-04:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450491842 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANKENSHIP CPA GROUP PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2672 NORTH MT JULIET RD | AddressLine1Txt |
| City | MT JULIET | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 371228015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621816811 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAITH FAMILY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAIT | BusinessNameControlTxt |
| Phone | 6153410808 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 21ST AVENUE NORTH | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PHILLIP W ELLENBURG JD | PersonNm |
| Person Title | PRESIDENT AND CHIEF | PersonTitleTxt |
| Phone | 6153410808 | PhoneNum |
| Signature | 2025-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESSICA FREEMAN CPA | PreparerPersonNm |
| PTIN | P01261457 | PTIN |
| Phone | 6158891153 | PhoneNum |
| Preparation | 2025-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PHILLIP W ELLENBURG JD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 21ST AVENUE NORTH | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,253,489 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAITHMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | DRIVEN BY FAITH, WE PROVIDE HOPE AND HEALING TO OUR HARDWORKING NEIGHBORS IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 24 | VotingMembersIndependentCnt |
| Total Employee | 42 | TotalEmployeeCnt |
| Total Volunteers | 52 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,150,351 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,814,370 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $349,758 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $420,741 | CYProgramServiceRevenueAmt |
| PY Investment Income | $183,827 | PYInvestmentIncomeAmt |
| CY Investment Income | $239,265 | CYInvestmentIncomeAmt |
| PY Other Revenue | $94,408 | PYOtherRevenueAmt |
| CY Other Revenue | $83,068 | CYOtherRevenueAmt |
| PY Total Revenue | $5,778,344 | PYTotalRevenueAmt |
| CY Total Revenue | $7,557,444 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,769,914 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,037,145 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $333,112 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,099,399 | PYOtherExpensesAmt |
| CY Other Expenses | $4,330,978 | CYOtherExpensesAmt |
| PY Total Expenses | $6,869,313 | PYTotalExpensesAmt |
| CY Total Expenses | $7,368,123 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,090,969 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $189,321 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,456,561 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,826,137 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,304,673 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,362,127 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,151,888 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,464,010 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DRIVEN BY FAITH, WE PROVIDE HOPE AND HEALING TO OUR HARDWORKING NEIGHBORS IN NEED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,353,799 | ExpenseAmt |
| Revenue | $420,741 | RevenueAmt |
| Desc | FAITH FAMILY MEDICAL CENTER PROVIDES SERVICES IN FAMILY MEDICINE, BEHAVIORAL HEALTH, DIAGNOSTIC LAB TESTING, WELLNESS PROGRAM AND INDIVIDUAL AND/OR FAMILY COUNSELING. IN ORDER TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO PATIENTS, THE ORGANIZATION HAS AN EXTENSIVE NETWORK OF SPECIALIST PHYSICIANS WHO SEE OUR PATIENTS AT A REDUCED COST OR NO COST. WE ALSO HAVE RELATIONSHIPS WITH IMAGING CENTERS WHERE BASIC X-RAYS, CT SCANS AND MRIS CAN BE DONE FOR A REDUCED FEE. SPECIALTY CARE IS AVAILABLE THROUGH PHYSICIANS WHO VOLUNTEER AT THE CENTER FOR INTERNAL MEDICINE, ORTHOPEDICS, CARDIOLOGY, OPHTHALMOLOGY, OPTOMETRY, GYNECOLOGY AND DERMATOLOGY AND A PHYSICAL THERAPIST. WE HAVE STRONG RELATIONSHIPS WITH AREA HOSPITAL SYSTEMS AND OTHER HEALTH CARE NONPROFITS. - CONTINUED ON SCHEDULE O | Desc |
| Total Program Service Expenses | $6,353,799 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 42 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 24 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRYAN JONES | PersonNm |
| Phone | 6153410808 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 21ST AVENUE NORTH | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| PARKER PANOVEC MD | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $269,046 | $0 | $24,711 | ||
| PHILLIP W ELLENBURG JD | |||||||
| PRESIDENT AN | 40.00 | Yes (X) | $165,268 | $0 | $18,483 | ||
| BRYAN JONES | |||||||
| CFO | 40.00 | Yes (X) | $123,900 | $0 | $18,643 | 0.00 | |
| SHERRY MAST | |||||||
| CHIEF OPERAT | 40.00 | Yes (X) | $130,263 | $0 | $6,132 | 1.00 | |
| JEFF PARSLEY | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $82,156 | $0 | $10,201 | ||
| REGGIE RAMSEY | |||||||
| BOARD CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANNE HANCOCK TOOMEY | |||||||
| BOARD VICE C | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PHIL ROE | |||||||
| BOARD IMMEDI | 0.50 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) |
| ANNA GRIZZLE JD | |||||||
| BOARD SECRET | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GERRY ANDRADY | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| STEPHANIE WALL BOWMAN | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| DUNCAN DASHIFF | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| DAVID GAW MD | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| DON GRIFFIN MD | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| FRANK HAMMER | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| TOM HENDERSON MD | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| BRITTANY IRBY | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ELLIOT KYLE | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| CHARLES N MARTIN JR | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| WATECHIA LAWLESS MITCHELL EDD | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ERIC MOSS | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JAMESON NORTON | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JEFF PATE | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JULIO A RIVAS PHD | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ZACK SAMPLES | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY VAN HAL | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| KELLY BIRDWELL AUSTIN | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| CHRIS BISHOP | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MANUEL CALDERON | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| RALPH HILDABRAND | |||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $770,633 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $78,170 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED HEALTHCARE | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5803 | AddressLine1Txt |
| City | CAROL STREAM | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60197 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MEDICAL | ServicesDesc |
| Compensation | $156,049 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $490,028 | FundraisingAmt |
| Related Organizations | $177,606 | RelatedOrganizationsAmt |
| Government Grants | $604,027 | GovernmentGrantsAmt |
| All Other Contributions | $5,542,709 | AllOtherContributionsAmt |
| Noncash Contributions | $3,805,041 | NoncashContributionsAmt |
| Total Contributions | $6,814,370 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICES | 621111 | $417,780 | $417,780 |
| PRESCRIPTION ADMIN FEES | 621111 | $2,961 | $2,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $420,741 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $182,284 | TotalRevenueColumnAmt |
| Exclusion | $182,284 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $116,317 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $116,317 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,317 | TotalRevenueColumnAmt |
| Exclusion | $116,317 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $664,046 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $602,613 | SecuritiesAmt |
| Other | $4,452 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $61,433 | SecuritiesAmt |
| Other | -$4,452 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,981 | TotalRevenueColumnAmt |
| Exclusion | $56,981 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $49,031 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $490,028 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $88,980 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$39,949 | TotalRevenueColumnAmt |
| Exclusion | -$39,949 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $6,700 | TotalRevenueColumnAmt |
| Exclusion | $6,700 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,700 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,557,444 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $420,741 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $322,333 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,803 | TotalAmt |
| Program Services | $633,428 | ProgramServicesAmt |
| Management And General | $137,883 | ManagementAndGeneralAmt |
| Fundraising | $77,492 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,790,821 | TotalAmt |
| Program Services | $1,336,419 | ProgramServicesAmt |
| Management And General | $290,909 | ManagementAndGeneralAmt |
| Fundraising | $163,493 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,136 | TotalAmt |
| Program Services | $71,742 | ProgramServicesAmt |
| Management And General | $15,617 | ManagementAndGeneralAmt |
| Fundraising | $8,777 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,957 | TotalAmt |
| Program Services | $85,041 | ProgramServicesAmt |
| Management And General | $18,512 | ManagementAndGeneralAmt |
| Fundraising | $10,404 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,428 | TotalAmt |
| Program Services | $139,870 | ProgramServicesAmt |
| Management And General | $30,447 | ManagementAndGeneralAmt |
| Fundraising | $17,111 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100 | TotalAmt |
| Management And General | $100 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,073 | TotalAmt |
| Management And General | $24,073 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,396 | TotalAmt |
| Management And General | $9,396 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,565 | TotalAmt |
| Program Services | $9,003 | ProgramServicesAmt |
| Management And General | $52,835 | ManagementAndGeneralAmt |
| Fundraising | $11,727 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,477 | TotalAmt |
| Program Services | $448 | ProgramServicesAmt |
| Management And General | $50 | ManagementAndGeneralAmt |
| Fundraising | $20,979 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,226 | TotalAmt |
| Program Services | $58,963 | ProgramServicesAmt |
| Management And General | $20,220 | ManagementAndGeneralAmt |
| Fundraising | $2,043 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,640 | TotalAmt |
| Program Services | $31,458 | ProgramServicesAmt |
| Management And General | $30,137 | ManagementAndGeneralAmt |
| Fundraising | $3,045 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,568 | TotalAmt |
| Program Services | $587,799 | ProgramServicesAmt |
| Management And General | $5,554 | ManagementAndGeneralAmt |
| Fundraising | $4,215 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,095 | TotalAmt |
| Program Services | $12,207 | ProgramServicesAmt |
| Management And General | $3,269 | ManagementAndGeneralAmt |
| Fundraising | $2,619 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,842 | TotalAmt |
| Program Services | $26,121 | ProgramServicesAmt |
| Management And General | $1,512 | ManagementAndGeneralAmt |
| Fundraising | $1,209 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,860 | TotalAmt |
| Management And General | $35,860 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPP. & LAB SERV. | $3,333,993 | $3,333,993 | ||
| LICENSES, FEES, & DUES | $40,048 | $25,793 | $4,257 | $9,998 |
| MISCELLANEOUS | $1,154 | $573 | $581 | |
| BAD DEBT EXPENSE | $941 | $941 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,368,123 | TotalAmt |
| Program Services | $6,353,799 | ProgramServicesAmt |
| Management And General | $681,212 | ManagementAndGeneralAmt |
| Fundraising | $333,112 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,763 | BOYAmt |
| EOY | $165,878 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,624,838 | BOYAmt |
| EOY | $1,437,501 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,535 | BOYAmt |
| EOY | $331,001 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,403 | BOYAmt |
| EOY | $45,891 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,046,050 | BOYAmt |
| EOY | $6,046,050 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $578,737 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,815 | BOYAmt |
| EOY | $25,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $181,263 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $86,240 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,775 | BOYAmt |
| EOY | $95,023 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,224,235 | BOYAmt |
| EOY | $2,570,458 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,888,147 | BOYAmt |
| EOY | $12,530,137 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,456,561 | BOYAmt |
| EOY | $23,826,137 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,294 | BOYAmt |
| EOY | $407,745 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,199 | BOYAmt |
| EOY | $102,459 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,978,180 | BOYAmt |
| EOY | $11,851,923 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,304,673 | BOYAmt |
| EOY | $12,362,127 | 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 | $11,009,958 | BOYAmt |
| EOY | $11,409,430 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,930 | BOYAmt |
| EOY | $54,580 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,151,888 | BOYAmt |
| EOY | $11,464,010 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,456,561 | BOYAmt |
| EOY | $23,826,137 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $189,321 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $122,801 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,187,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,183,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,770,199 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,150,351 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,814,370 | CurrentTaxYearAmt |
| Total | $24,106,510 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $312,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $363,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $479,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $350,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $420,741 | CurrentTaxYearAmt |
| Total | $1,926,265 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,500,931 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,546,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,249,377 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,500,593 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,235,111 | CurrentTaxYearAmt |
| Total | $26,032,775 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,254,956 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $227,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $234,835 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233,589 | CurrentTaxYearAmt |
| Total | $1,950,942 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,254,956 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $227,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $234,835 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233,589 | CurrentTaxYearAmt |
| Total | $1,950,942 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $24,081,833 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,542 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $286,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $225,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $302,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $298,601 | CurrentTaxYearAmt |
| Total | $1,137,226 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,542 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $286,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $225,206 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $302,042 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $298,601 | CurrentTaxYearAmt |
| Total | $1,137,226 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,525,473 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,833,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,474,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,802,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,533,712 | CurrentTaxYearAmt |
| Total | $27,170,001 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.88630 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86900 | PublicSupportPY509Pct |
| Investment Income CY | 0.04000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.04000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 0 | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,050 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,835 | DepreciationAmt |
| Book Value | $23,215 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,405 | DepreciationAmt |
| Book Value | $71,808 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,023 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSET - OFFICE SPACE | $11,175,809 |
| DUE FROM SUPPORT ORGANIZATION | $1,334,456 |
| DEPOSITS | $19,872 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,530,137 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITIES | Desc |
| Amt | $11,851,923 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,851,923 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,868,871 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $122,801 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $109,042 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $231,843 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,637,028 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $9,396 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$88,980 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$79,584 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,557,444 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,556,749 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $109,042 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $88,980 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $198,022 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,358,727 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $9,396 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $9,396 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,368,123 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | SPECIAL EVENT EXPENSES NETTED AGAINST REVENUE PER 990 -88,980 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | SPECIAL EVENT EXPENSES NETTED AGAINST REVENUE PER 990 88,980 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BREAKFAST | Event1Nm |
| Gross Receipts Event1 | $402,087 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $374,302 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $27,785 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $9,600 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $27,785 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $12,496 | OtherDirectExpensesEvent1Amt |
| Event2 | NEIGHBORS NIGHT | Event2Nm |
| Gross Receipts Event2 | $113,000 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $101,095 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $11,905 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $6,153 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $11,905 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $3,497 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $23,972 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $14,631 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $9,341 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $4,192 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,590 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $5,149 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,613 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $539,059 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $490,028 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $49,031 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,192 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $22,343 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $44,839 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,606 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $88,980 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$39,949 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| PARKER PANOVEC MD | ||||||
| EXECUTIVE DIRECTOR | $240,103 | $28,293 | $650 | $16,144 | $8,567 | $293,757 |
| PHILLIP W ELLENBURG JD | ||||||
| PRESIDENT AND CHIEF | $158,244 | $6,374 | $650 | $9,916 | $8,567 | $183,751 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 42167 | ContributionCnt |
| Noncash Contributions Rpt F990 | $3,804,991 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $50 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | LINE 4A - FIRST ACCOMPLISHMENT FAITH FAMILY MEDICAL CENTER PROVIDES SERVICES IN FAMILY MEDICINE, BEHAVIORAL HEALTH, DIAGNOSTIC LAB TESTING, WELLNESS PROGRAM AND INDIVIDUAL AND/OR FAMILY COUNSELING. IN ORDER TO PROVIDE COMPREHENSIVE HEALTH CARE SERVICES TO PATIENTS, THE ORGANIZATION HAS AN EXTENSIVE NETWORK OF SPECIALIST PHYSICIANS WHO SEE OUR PATIENTS AT A REDUCED COST OR NO COST. WE ALSO HAVE RELATIONSHIPS WITH IMAGING CENTERS WHERE BASIC X-RAYS, CT SCANS AND MRIS CAN BE DONE FOR A REDUCED FEE. SPECIALTY CARE IS AVAILABLE THROUGH PHYSICIANS WHO VOLUNTEER AT THE CENTER FOR INTERNAL MEDICINE, ORTHOPEDICS, CARDIOLOGY, OPHTHALMOLOGY, OPTOMETRY, GYNECOLOGY AND DERMATOLOGY AND A PHYSICAL THERAPIST. WE HAVE STRONG RELATIONSHIPS WITH AREA HOSPITAL SYSTEMS AND OTHER HEALTH CARE NONPROFITS. FREE MAMMOGRAMS ARE OFFERED REGULARLY ONSITE VIA A MOBILE MAMMOGRAPHY UNIT. PATIENTS PAY BETWEEN 25 AND 65 BASED ON THEIR INCOME AND NUMBER OF DEPENDENTS. PATIENT-RELATED FEES AND REIMBURSEMENTS COVER ONLY A SMALL PORTION OF OUR YEARLY BUDGET; THE BALANCE IS PROVIDED BY GRANTS AND PRIVATE DONATIONS FROM CARING INDIVIDUALS, FOUNDATIONS, CHURCHES AND BUSINESSES. TO BE ELIGIBLE FOR TREATMENT, INDIVIDUALS MUST BE EITHER WORKING AT LEAST 20 HOURS PER WEEK, BE DEPENDENT ON A FAMILY MEMBER WHO WORKS, BE RECEIVING UNEMPLOYMENT BENEFITS, OR BE A FULL-TIME STUDENT; AND EITHER HAS NO HEALTH INSURANCE, OR WHO IS NOW INSURED, BUT CANNOT AFFORD THE CO-PAY, COINSURANCE AND/OR DEDUCTIBLE EXPENSES. DURING 2024, FAITH FAMILY MEDICAL CENTER PROVIDED CARE TO APPROXIMATELY 3,281 PATIENTS - 1,117 OF THESE WERE NEW PATIENTS. THE NUMBER OF APPROXIMATE PATIENT ENCOUNTERS TO EACH PART OF OUR PROGRAM WAS 8,164 MEDICAL ENCOUNTERS, 914 BEHAVIORAL HEALTH ENCOUNTERS, 677 NURSE CONSULTATIONS, 1,857 WELLNESS EDUCATION ENCOUNTERS AND 886 COMMUNITY HEALTH ENCOUNTERS FOR A GRAND TOTAL OF 12,498. THESE ENCOUNTERS INCLUDE BOTH IN- FACILITY AND TELEHEALTH SETTINGS. FAITH FAMILY ALSO FACILITATED NEARLY 1,300 REFERRAL APPOINTMENTS FOR DIAGNOSTIC TESTING OR SPECIALTY CONSULTATIONS. THE CENTER'S JOURNEY TO WELLNESS PROGRAM IS AN INTEGRATED, MULTIDISCIPLINARY APPROACH DESIGNED TO HELP OUR PATIENTS WITH CHRONIC DISEASES. THIS PROGRAM IS OFFERED TO EQUIP PATIENTS WITH THE KNOWLEDGE AND RESOURCES TO LIVE A HEALTHIER LIFE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO, ACCOUNTANT, AND FINANCE COMMITTEE. AMOUNTS ARE COMPARED TO THE AUDITED FINANCIAL STATEMENTS; ALL OTHER ITEMS ARE REVIEWED FOR ACCURACY. THE FORM 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS ASSESSES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. MORE FREQUENT ASSESSMENTS ARE PERFORMED IF THE NEED ARISES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CHAIR OF THE BOARD, THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS APPROVE THE TOTAL COMPENSATION FOR THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. AUDITED FINANCIAL STATEMENTS AND THE FORM 990 ARE PUBLISHED ON WWW.GIVINGMATTERS.COM OR UPON REQUEST. THE GOVERNING DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FFMC SUPPORT ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 326 21ST AVENUE NORTH | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 842598535 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FFMC | BusinessNameLine1Txt |
| Business Name Line2 | FAMILY MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FFMC SUPPORT ORGANIZATION | ||
| N | $298,811 | CASH |
| FFMC SUPPORT ORGANIZATION | ||
| K | $352,187 | CASH |
| FFMC SUPPORT ORGANIZATION | ||
| C | $177,606 | CASH |