BETTY JEAN KERR PEOPLES HEALTH CENTERS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BETTY JEAN KERR PEOPLES HEALTH CENTERS INC (EIN 43-1036785)
- Tax period
- 2021-06-01 to 2022-05-31
- Filed
- 2023-04-18
- IRS object ID
- 202321089349300807
- Schema version
- 2021v4.2
- 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 | 2023-04-18T11:42:21-05:00 | ReturnTs |
| Tax Period End | 2022-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 CHURCH STREET 12TH FLOOR | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431036785 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETTY JEAN KERR PEOPLE'S HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETT | BusinessNameControlTxt |
| Phone | 3143677848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 DELMAR BOULEVARD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA MANKIN | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3143677848 | PhoneNum |
| Signature | 2023-04-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | REBECCA | PersonFirstNm |
| Person Last | MANKIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9592007000 | PhoneNum |
| Preparation | 2023-04-17 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEOPLE'S HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DWAYNE BUTLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 DELMAR BOULEVARD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,598,480 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW,PHCENTERS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 383 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,151,170 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,709,011 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,728,877 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,190,727 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,370 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,435 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,260,743 | PYOtherRevenueAmt |
| CY Other Revenue | $695,307 | CYOtherRevenueAmt |
| PY Total Revenue | $23,161,160 | PYTotalRevenueAmt |
| CY Total Revenue | $30,598,480 | 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 | $16,062,521 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,518,253 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,095,642 | PYOtherExpensesAmt |
| CY Other Expenses | $9,939,042 | CYOtherExpensesAmt |
| PY Total Expenses | $23,158,163 | PYTotalExpensesAmt |
| CY Total Expenses | $27,457,295 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,997 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,141,185 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,093,796 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,041,243 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,010,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,841,669 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,082,842 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,199,574 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,823,697 | ExpenseAmt |
| Revenue | $14,283,170 | RevenueAmt |
| Desc | THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY BY PROVIDING, IN A CULTURALLY SENSITIVE MANNER, COMPREHENSIVE PRIMARY HEALTH CARE AND RELATED SERVICES DIRECTLY AND THROUGH COLLABORATIONS AND PARTNERSHIPS. AS A FEDERALLY QUALIFIED HEALTH CENTER, WE PROVIDED MEDICAL, DENTAL, PRENATAL, FAMILY PLANNING, AND PEDIATRIC SERVICES. THE ORGANIZATION HAD 71,969 VISITS TO LOW INCOME RESIDENTS OF THE ST. LOUIS AREA IN FISCAL YEAR 2022. THESE SERVICES WERE PROVIDED FROM OUR THREE MAIN SITES IN THE CENTRAL WEST-END SECTION OF ST. LOUIS, THE NORTH COUNTY, AND LINDELL SITES. | Desc |
| Total Program Service Expenses | $21,823,697 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 383 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 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 | REBECCA MANKIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3143677848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 DELMAR BOULEVARD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BARBARA MURPHY | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRIAN C WILLIAMS | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES SAULSBERRY | |||||||||
| BOARD CHAIR | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DANIEL WHITEHEAD JR MD | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| DORETHA GILBERT | |||||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| DR MARK MILLER | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| HERMAN NOAH | |||||||||
| TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL JAMISON | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD KING | |||||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| RODNEY WEAD | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| STACY A JEFFERSON | |||||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| BENJAMIN WASHINGTON | |||||||||
| OUTGOING CHIEF FINANCIAL OFFICER | 36.00 | $191,978 | $0 | $3,644 | Yes (X) | 4.00 | |||
| DWAYNE A BUTLER | |||||||||
| CHIEF EXECUTIVE OFFICER | 36.00 | $384,446 | $0 | $14,174 | Yes (X) | 4.00 | |||
| GAIL MONTGOMERY-EDWARDS | |||||||||
| VP OF CLINICAL SERVICES | 36.00 | $162,965 | $0 | $2,718 | Yes (X) | 4.00 | |||
| JACQUELINE HARVEY | |||||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | $223,281 | $0 | $25,963 | Yes (X) | ||||
| MARK SANFORD | |||||||||
| EXECUTIVE VICE PRESIDENT | 36.00 | $243,860 | $0 | $27,848 | Yes (X) | 4.00 | |||
| REBECCA MANKIN | |||||||||
| CHIEF FINANCIAL OFFICER | 36.00 | $53,096 | $0 | $3,803 | Yes (X) | 4.00 | |||
| KAREN RICHARDSON | |||||||||
| DIRECTOR OF DENTAL SERVICES | 40.00 | $229,604 | $0 | $46,058 | Yes (X) | ||||
| ARIANE MAY | |||||||||
| PHYSICIAN | 40.00 | $177,626 | $0 | $1,876 | Yes (X) | ||||
| CARMEL BOYKIN WRIGHT | |||||||||
| PHYSICIAN | 40.00 | $176,420 | $0 | $4,069 | Yes (X) | ||||
| EMMA CERMAK | |||||||||
| PHYSICIAN | 40.00 | $223,528 | $0 | $32,002 | Yes (X) | ||||
| JACQUELYN MCFADDEN | |||||||||
| PHYSICIAN | 40.00 | $197,172 | $0 | $21,166 | Yes (X) | ||||
| MARC LUCKETT | |||||||||
| PHYSICIAN | 40.00 | $236,140 | $0 | $33,661 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,500,116 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,982 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| BEACON HILL STAFFING GROUP LLC | |||||
| PO BOX 846193 | BOSTON | MA | 02284 | TEMPORARY STAFFING | $286,870 |
| BKD LLP | |||||
| 211 N BROADWAY SUITE 600 | ST LOUIS | MO | 63102 | AUDIT AND TAX SERVICES | $216,290 |
| PLATFORM HEALTH CARE SOLUTIONS | |||||
| 9529 OLD BONHOMME RD | ST LOUIS | MO | 63132 | TESTING LAB SERVICE/COVID TESTING | $211,620 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 772976 | CHICAGO | IL | 60667 | LAB SERVICES | $184,386 |
| HG JONES & ASSCOCIATES | |||||
| 211 W WACKER DR STE 1230 | CHICAGO | IL | 60606 | CONSULTING SERVICES | $178,515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,709,011 | GovernmentGrantsAmt |
| Noncash Contributions | $57,395 | NoncashContributionsAmt |
| Total Contributions | $15,709,011 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621400 | $8,172,619 | $8,172,619 |
| OTHER THIRD PARTY | 621400 | $3,601,424 | $3,601,424 |
| MEDICARE | 621400 | $686,539 | $686,539 |
| SELF-PAY | 621400 | $647,658 | $647,658 |
| CAPITATION REVENUE | 621400 | $586,625 | $586,625 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $495,862 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $495,862 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,190,727 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,435 | TotalRevenueColumnAmt |
| Exclusion | $3,435 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $138,000 | 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 | $138,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,000 | TotalRevenueColumnAmt |
| Exclusion | $138,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| MGMT FEES-HOPEWELL | 561000 | $334,872 | $334,872 | |
| MGMT FEES-PCAC | 561000 | $129,992 | $129,992 | |
| MEDICAL ABSTRACTS | 900099 | $6,423 | $6,423 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $86,020 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $557,307 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,598,480 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,283,170 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $606,299 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,441,173 | TotalAmt |
| Program Services | $605,789 | ProgramServicesAmt |
| Management And General | $835,384 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,529,348 | TotalAmt |
| Program Services | $11,872,138 | ProgramServicesAmt |
| Management And General | $1,657,210 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,724 | TotalAmt |
| Program Services | $267,981 | ProgramServicesAmt |
| Management And General | $55,743 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,095,235 | TotalAmt |
| Program Services | $906,643 | ProgramServicesAmt |
| Management And General | $188,592 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128,773 | TotalAmt |
| Program Services | $934,406 | ProgramServicesAmt |
| Management And General | $194,367 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,593 | TotalAmt |
| Management And General | $110,593 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,945 | TotalAmt |
| Management And General | $246,945 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,460,987 | TotalAmt |
| Program Services | $1,811,392 | ProgramServicesAmt |
| Management And General | $649,595 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,693 | TotalAmt |
| Management And General | $85,693 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,265,853 | TotalAmt |
| Program Services | $962,021 | ProgramServicesAmt |
| Management And General | $303,832 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $916,949 | TotalAmt |
| Program Services | $696,861 | ProgramServicesAmt |
| Management And General | $220,088 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,320 | TotalAmt |
| Program Services | $463,070 | ProgramServicesAmt |
| Management And General | $146,250 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,157 | TotalAmt |
| Program Services | $27,479 | ProgramServicesAmt |
| Management And General | $8,678 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,338 | TotalAmt |
| Program Services | $35,976 | ProgramServicesAmt |
| Management And General | $11,362 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,390 | TotalAmt |
| Program Services | $98,390 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,932 | TotalAmt |
| Program Services | $536,949 | ProgramServicesAmt |
| Management And General | $178,983 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,741 | TotalAmt |
| Program Services | $142,679 | ProgramServicesAmt |
| Management And General | $45,062 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,405,552 | $1,405,552 | |
| REPAIRS AND MAINTENANE | $687,925 | $522,808 | $165,117 |
| EQUIPMENT EXPENSE | $267,598 | $203,369 | $64,229 |
| DUES & MEMBERSHIPS | $200,103 | $152,074 | $48,029 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,966 | TotalAmt |
| Program Services | $178,120 | ProgramServicesAmt |
| Management And General | $417,846 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,457,295 | TotalAmt |
| Program Services | $21,823,697 | ProgramServicesAmt |
| Management And General | $5,633,598 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,935,035 | BOYAmt |
| EOY | $5,535,924 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $834,336 | BOYAmt |
| EOY | $809,612 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,560 | BOYAmt |
| EOY | $1,967,425 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,992 | BOYAmt |
| EOY | $99,426 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,854 | BOYAmt |
| EOY | $62,058 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,831,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,670,873 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,826,302 | BOYAmt |
| EOY | $11,160,947 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,098,983 | BOYAmt |
| EOY | $1,074,531 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $762,439 | BOYAmt |
| EOY | $762,439 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,549,295 | BOYAmt |
| EOY | $2,568,881 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,093,796 | BOYAmt |
| EOY | $24,041,243 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,954,355 | BOYAmt |
| EOY | $2,554,168 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $270,174 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,020,604 | BOYAmt |
| EOY | $1,995,795 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,035,995 | BOYAmt |
| EOY | $21,532 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,010,954 | BOYAmt |
| EOY | $4,841,669 | 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 | $16,082,842 | BOYAmt |
| EOY | $19,199,574 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,082,842 | BOYAmt |
| EOY | $19,199,574 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,093,796 | BOYAmt |
| EOY | $24,041,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,141,185 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$24,453 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,994,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,717,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,834,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,151,170 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,709,011 | CurrentTaxYearAmt |
| Total | $51,405,523 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,994,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,717,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,834,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,151,170 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,709,011 | CurrentTaxYearAmt |
| Total | $51,405,523 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $51,405,523 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,054 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $274,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $237,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $218,695 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $141,435 | CurrentTaxYearAmt |
| Total | $1,020,007 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $972,896 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $432,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,093,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,062,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $557,307 | CurrentTaxYearAmt |
| Total | $4,118,974 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $56,544,504 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $67,354,478 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90910 | PublicSupportCY170Pct |
| Public Support PY170 | 0.88770 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2017 AMOUNT: $ 295,583. 2018 AMOUNT: $ 4,702. 2019 AMOUNT: $ 507,147. 2020 AMOUNT: $ 671,936. 2021 AMOUNT: $ 86,020. MGMT FEES-HOPEWELL - 2017 AMOUNT: $ 457,982. 2018 AMOUNT: $ 278,482. 2019 AMOUNT: $ 290,730. 2020 AMOUNT: $ 250,724. 2021 AMOUNT: $ 334,872. MGMT FEES-PCAC - 2017 AMOUNT: $ 160,821. 2018 AMOUNT: $ 126,834. 2019 AMOUNT: $ 131,967. 2020 AMOUNT: $ 132,820. 2021 AMOUNT: $ 129,992. MEDICAL ABSTRACTS - 2017 AMOUNT: $ 58,510. 2018 AMOUNT: $ 22,385. 2019 AMOUNT: $ 164,106. 2020 AMOUNT: $ 6,938. 2021 AMOUNT: $ 6,423. | 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 | $1,263,523 | OtherCostOrOtherBasisAmt |
| Book Value | $1,263,523 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,436,365 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,134,288 | DepreciationAmt |
| Book Value | $8,302,077 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,821 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,318,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,479,764 | DepreciationAmt |
| Book Value | $838,524 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $756,823 | OtherCostOrOtherBasisAmt |
| Book Value | $756,823 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,160,947 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $1,310,357 |
| EST AMOUNTS DUE FROM MEDICAID | $1,258,524 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,568,881 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATE | Desc |
| Amt | $21,532 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,532 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MAY 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULING. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DWAYNE A BUTLER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $340,311 | $0 | $40,539 | $0 | $3,596 | $0 | $14,174 | $0 | $0 | $0 | $398,620 | $0 | $0 | $0 |
| KAREN RICHARDSON | ||||||||||||||
| DIRECTOR OF DENTAL SERVICES | $202,566 | $0 | $25,468 | $0 | $1,570 | $0 | $26,000 | $0 | $20,058 | $0 | $275,662 | $0 | $0 | $0 |
| MARK SANFORD | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $203,968 | $0 | $34,552 | $0 | $5,340 | $0 | $8,760 | $0 | $19,088 | $0 | $271,708 | $0 | $0 | $0 |
| MARC LUCKETT | ||||||||||||||
| PHYSICIAN | $214,942 | $0 | $17,813 | $0 | $3,385 | $0 | $0 | $0 | $33,661 | $0 | $269,801 | $0 | $0 | $0 |
| EMMA CERMAK | ||||||||||||||
| PHYSICIAN | $215,779 | $0 | $7,077 | $0 | $672 | $0 | $19,200 | $0 | $12,802 | $0 | $255,530 | $0 | $0 | $0 |
| JACQUELINE HARVEY | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $197,151 | $0 | $21,623 | $0 | $4,507 | $0 | $7,923 | $0 | $18,040 | $0 | $249,244 | $0 | $0 | $0 |
| JACQUELYN MCFADDEN | ||||||||||||||
| PHYSICIAN | $184,712 | $0 | $11,009 | $0 | $1,451 | $0 | $7,923 | $0 | $13,243 | $0 | $218,338 | $0 | $0 | $0 |
| BENJAMIN WASHINGTON | ||||||||||||||
| OUTGOING CHIEF FINANCIAL OFFICER | $182,834 | $0 | $5,915 | $0 | $3,229 | $0 | $3,644 | $0 | $0 | $0 | $195,622 | $0 | $0 | $0 |
| CARMEL BOYKIN WRIGHT | ||||||||||||||
| PHYSICIAN | $174,060 | $0 | $0 | $0 | $2,360 | $0 | $0 | $0 | $4,069 | $0 | $180,489 | $0 | $0 | $0 |
| ARIANE MAY | ||||||||||||||
| PHYSICIAN | $173,987 | $0 | $0 | $0 | $3,639 | $0 | $0 | $0 | $1,876 | $0 | $179,502 | $0 | $0 | $0 |
| GAIL MONTGOMERY-EDWARDS | ||||||||||||||
| VP OF CLINICAL SERVICES | $150,257 | $0 | $10,520 | $0 | $2,188 | $0 | $0 | $0 | $2,718 | $0 | $165,683 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | PROVIDERS WERE PAID NON-FIXED BONUSES BASED ON AN ASSESSMENT OF THEIR CONTRIBUTION AND VALUE TO THE COMPANY. EXECUTIVE TEAM MEMBER BONUSES ARE DETERMINED BASED ON PERFORMANCE EVALUATIONS CONDUCTED BY THE CEO. THE BONUS FOR THE CEO IS DETERMINED BASED UPON A PERFORMANCE EVALUATION CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $57,395 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 WITH THE EXECUTIVE MANAGEMENT TEAM PRIOR TO SUBMITTAL. THE FORM 990 IS ALSO REVIEWED BY THE CFO AND THE ACCOUNTING STAFF MEMBERS WITH RESPONSIBILITY FOR COMPILING THE DATA. |
| FORM 990, PART VI, SECTION B, LINE 12C | UNDER THE CONFLICT OF INTEREST POLICY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY CERTIFY THAT THEY DO NOT HAVE A CONFLICT OF INTEREST. THERE IS CURRENTLY NO CONSISTENT MONITORING OF THE POLICY, HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF DEVELOPING PROCEDURES TO ADDRESS MONITORING AND ENFORCEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD IN CONSULTATION WITH THE CEO. SOME KEY EMPLOYEES RECEIVE EMPLOYMENT CONTRACTS WHICH ARE BASED ON NEGOTIATIONS BETWEEN THE PARTIES. A REVIEW WAS CONDUCTED IN 2010 BY THE COMPENSATION COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IV, LINE 20: | THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PEOPLE'S COMMUNITY ACTION CORPORATION | ||||||||||
| 5701 DELMAR BLVD | SAINT LOUIS | MO | 63112 | 461027572 | COMM ACTION | MO | 501(C)(3) | 7 | PHC | Yes (1) |
| AMANDA LUCKETT MURPHY HOPEWELL VENTER | ||||||||||
| 2012 DR MARTIN LUTHER KING DR | SAINT LOUIS | MO | 63101 | 431496431 | BEHAVIOR HEALTH | MO | 501(C)(3) | 7 | PHC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AMANDA LUCKETT MURPHY HOPEWELL CENTER | ||
| L | $334,872 | MANAGEMENT FEES |
| PEOPLE'S COMMUNITY ACTION CORPORATION | ||
| L | $129,992 | MANAGEMENT FEES |