CHRIST HEALTH CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHRIST HEALTH CENTER INC (EIN 20-1935552)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-04-07
- IRS object ID
- 202340979349300009
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-07T07:56:19-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 630590670 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kassouf & Co PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2101 Highland Ave S Suite 300 | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352054009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201935552 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christ Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHRI | BusinessNameControlTxt |
| Phone | 2053809455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 1st Ave S | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert Rex Record | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2053809455 | PhoneNum |
| Signature | 2023-04-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Robert | PersonFirstNm |
| Person Last | Rex Record | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William P Bach | PreparerPersonNm |
| PTIN | P01315784 | PTIN |
| Phone | 2054432500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Rex Record | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 1st Ave S | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,827,662 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.christhealthcenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | We demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 176 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,414,818 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,934,606 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,048,841 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,221,466 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,892 | PYInvestmentIncomeAmt |
| CY Investment Income | $210,837 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,289,885 | PYOtherRevenueAmt |
| CY Other Revenue | $184,352 | CYOtherRevenueAmt |
| PY Total Revenue | $18,759,436 | PYTotalRevenueAmt |
| CY Total Revenue | $18,551,261 | 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 | $8,458,533 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,675,952 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,381,121 | PYOtherExpensesAmt |
| CY Other Expenses | $7,263,150 | CYOtherExpensesAmt |
| PY Total Expenses | $13,839,654 | PYTotalExpensesAmt |
| CY Total Expenses | $20,939,102 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,919,782 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,387,841 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,647,506 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,069,385 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $318,601 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,960,122 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,328,905 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,109,263 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We demonstrate the love and power of Jesus Christ by providing excellent, affordable healthcare and participating in the development of the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,985,352 | ExpenseAmt |
| Revenue | $8,753,733 | RevenueAmt |
| Desc | To provide medical and dental services to the indigent and uninsured. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,695,324 | ExpenseAmt |
| Revenue | $3,652,085 | RevenueAmt |
| Desc | To provide a pharmacy to the indigent and uninsured. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $15,680,676 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 176 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert R Record | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2053809455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5720 First Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 352122522 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Robert R Record MD | |||||||
| Chief Executive Director | 40.00 | Yes (X) | Yes (X) | $425,000 | $0 | $9,072 | |
| Elizabeth Livesay CPA | |||||||
| Chief Financial Officer | 40.00 | Yes (X) | Yes (X) | $172,063 | $0 | $17,235 | |
| Amelia Morton Haueter CRNP | |||||||
| Chief Medical Officer | 40.00 | Yes (X) | Yes (X) | $249,742 | $0 | $15,869 | |
| Brant McDuffie | |||||||
| Chairman | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Gil Murdock | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Dilma Carter | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Tarana Billups | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| John O'Neil | |||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Mike Flink | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Yoe | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Marion H Sims | |||||||
| Residency Program Director | 40.00 | Yes (X) | Yes (X) | $353,313 | $0 | $21,142 | |
| Barry Howton | |||||||
| Vice Chair | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Cory Harris MSHA CRNP | |||||||
| Chief Operating Officer | 40.00 | Yes (X) | Yes (X) | $186,346 | $0 | $17,891 | |
| Christson Adedoyin | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Beth Cunningham | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Jenny Sobera | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Carter Bryars III | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Demitri Carpenter | |||||||
| Chief Culture Officer | 40.00 | Yes (X) | Yes (X) | $143,164 | $0 | $8,476 | |
| Courtney Winston | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Gavin Brunsvold | |||||||
| Employee | 40.00 | $371,500 | $0 | $20,129 | Yes (X) | ||
| English H Gonzales | |||||||
| Employee | 40.00 | $330,100 | $0 | $14,412 | Yes (X) | ||
| Cleon L Rogers | |||||||
| Employee | 40.00 | $310,110 | $0 | $20,113 | Yes (X) | ||
| Elissa H Tyson | |||||||
| Employee | 40.00 | $270,100 | $0 | $14,420 | Yes (X) | ||
| David Villanueva | |||||||
| Employee | 40.00 | $300,100 | $0 | $16,211 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,111,538 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $174,970 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,813,150 | GovernmentGrantsAmt |
| All Other Contributions | $1,121,456 | AllOtherContributionsAmt |
| Total Contributions | $5,934,606 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medical Collections | 621110 | $7,552,111 | $7,552,111 |
| Pharmacy Collections | 541511 | $3,652,085 | $3,652,085 |
| Contract Revenues | 621110 | $906,824 | $906,824 |
| Dental Collections | 621110 | $110,446 | $110,446 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,221,466 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,109 | TotalRevenueColumnAmt |
| Exclusion | $26,109 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,461,129 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,276,401 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $184,728 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,728 | TotalRevenueColumnAmt |
| Exclusion | $184,728 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Incentives | 900099 | $71,782 | $71,782 |
| Other Income/Reimbursements | 900099 | $51,000 | $51,000 |
| Rent | 900099 | $48,000 | $48,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,570 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,570 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $184,352 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,551,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,405,818 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $210,837 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,033,151 | TotalAmt |
| Program Services | $1,033,151 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,980,869 | TotalAmt |
| Program Services | $7,651,794 | ProgramServicesAmt |
| Management And General | $3,329,075 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,522 | TotalAmt |
| Program Services | $588,882 | ProgramServicesAmt |
| Management And General | $271,640 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801,410 | TotalAmt |
| Program Services | $568,610 | ProgramServicesAmt |
| Management And General | $232,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,690 | TotalAmt |
| Program Services | $77,744 | ProgramServicesAmt |
| Management And General | $89,946 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,458 | TotalAmt |
| Program Services | $100,458 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $771,849 | TotalAmt |
| Program Services | $47,745 | ProgramServicesAmt |
| Management And General | $724,104 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,514 | TotalAmt |
| Program Services | $100,886 | ProgramServicesAmt |
| Management And General | $33,628 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $724,081 | TotalAmt |
| Program Services | $564,736 | ProgramServicesAmt |
| Management And General | $159,345 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,957 | TotalAmt |
| Program Services | $65,957 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,395 | TotalAmt |
| Management And General | $1,395 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,880 | TotalAmt |
| Program Services | $367,410 | ProgramServicesAmt |
| Management And General | $122,470 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,040 | TotalAmt |
| Program Services | $147,367 | ProgramServicesAmt |
| Management And General | $97,673 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Pharmacy expenses | $2,177,566 | $2,177,566 |
| Dental and medical supp | $812,566 | $812,566 |
| Billing | $572,760 | $572,760 |
| Lab fees | $192,229 | $192,229 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,165 | TotalAmt |
| Program Services | $610,815 | ProgramServicesAmt |
| Management And General | $196,350 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,939,102 | TotalAmt |
| Program Services | $15,680,676 | ProgramServicesAmt |
| Management And General | $5,258,426 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,350,894 | BOYAmt |
| EOY | $8,068,333 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,765 | BOYAmt |
| EOY | $75,471 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,119,132 | BOYAmt |
| EOY | $443,459 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,201 | BOYAmt |
| EOY | $357,015 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,252 | BOYAmt |
| EOY | $109,877 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,605,355 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,045,250 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,743,262 | BOYAmt |
| EOY | $4,560,105 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,455,125 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,647,506 | BOYAmt |
| EOY | $15,069,385 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,001 | BOYAmt |
| EOY | $504,402 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $1,455,720 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,601 | BOYAmt |
| EOY | $1,960,122 | 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 | $15,228,905 | BOYAmt |
| EOY | $13,035,263 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $74,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,328,905 | BOYAmt |
| EOY | $13,109,263 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,647,506 | BOYAmt |
| EOY | $15,069,385 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,387,841 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$15,443 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $183,642 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,001,585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,561,335 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,241,064 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,414,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,934,608 | CurrentTaxYearAmt |
| Total | $23,153,410 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,001,585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,561,335 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,241,064 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,414,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,934,608 | CurrentTaxYearAmt |
| Total | $23,153,410 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,153,410 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,027 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,153 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,099 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,892 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,109 | CurrentTaxYearAmt |
| Total | $82,280 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $23,235,690 | TotalSupportAmt |
| Public Support CY170 | 0.99650 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99700 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $265,810 | OtherCostOrOtherBasisAmt |
| Book Value | $265,810 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,984,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $232,905 | DepreciationAmt |
| Book Value | $2,751,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $664,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $123,488 | DepreciationAmt |
| Book Value | $540,722 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,691,053 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,688,857 | DepreciationAmt |
| Book Value | $1,002,196 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,560,105 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ROU Asset - Operating | $1,418,083 |
| ROU Asset - Finance | $37,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,455,125 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Operating Lease Obligations | $1,418,083 |
| Finance Lease Obligations | $37,637 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,455,720 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $18,759,107 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$15,443 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $223,289 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $207,846 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,551,261 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,551,261 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,978,749 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $39,647 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $39,647 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,939,102 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,939,102 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert R Record MD | ||||||||||||||
| Chief Executive Director | $425,000 | $0 | $0 | $0 | $0 | $0 | $9,072 | $0 | $0 | $0 | $434,072 | $0 | $0 | $0 |
| Gavin Brunsvold | ||||||||||||||
| Employee | $371,500 | $0 | $0 | $0 | $0 | $0 | $8,137 | $0 | $11,992 | $0 | $391,629 | $0 | $0 | $0 |
| Marion H Sims | ||||||||||||||
| Residency Program Director | $353,313 | $0 | $0 | $0 | $0 | $0 | $9,150 | $0 | $11,992 | $0 | $374,455 | $0 | $0 | $0 |
| English H Gonzales | ||||||||||||||
| Employee | $330,100 | $0 | $0 | $0 | $0 | $0 | $9,150 | $0 | $5,262 | $0 | $344,512 | $0 | $0 | $0 |
| Cleon L Rogers | ||||||||||||||
| Employee | $310,110 | $0 | $0 | $0 | $0 | $0 | $8,072 | $0 | $12,041 | $0 | $330,223 | $0 | $0 | $0 |
| David Villanueva | ||||||||||||||
| Employee | $300,100 | $0 | $0 | $0 | $0 | $0 | $6,099 | $0 | $10,112 | $0 | $316,311 | $0 | $0 | $0 |
| Elissa H Tyson | ||||||||||||||
| Employee | $270,100 | $0 | $0 | $0 | $0 | $0 | $5,657 | $0 | $8,763 | $0 | $284,520 | $0 | $0 | $0 |
| Amelia Morton Haueter CRNP | ||||||||||||||
| Chief Medical Officer | $249,742 | $0 | $0 | $0 | $0 | $0 | $6,018 | $0 | $9,851 | $0 | $265,611 | $0 | $0 | $0 |
| Cory Harris MSHA CRNP | ||||||||||||||
| Chief Operating Officer | $186,346 | $0 | $0 | $0 | $0 | $0 | $5,899 | $0 | $11,992 | $0 | $204,237 | $0 | $0 | $0 |
| Elizabeth Livesay CPA | ||||||||||||||
| Chief Financial Officer | $172,063 | $0 | $0 | $0 | $0 | $0 | $5,243 | $0 | $11,992 | $0 | $189,298 | $0 | $0 | $0 |
| Demitri Carpenter | ||||||||||||||
| Chief Culture Officer | $143,164 | $0 | $0 | $0 | $0 | $0 | $4,191 | $0 | $4,285 | $0 | $151,640 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | A final draft of the tax return will be circulated to the Board of Directors for its review and recommendation to the full board. |
| Form 990, Part VI, Section B, line 12c | An annual review is conducted of the board members' professional relationships and results are reported to the Chair and Secretary. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are available to the public on site with a three day advance notice. |
| Form 990, Part XII, Line 2c | There have been no changes to the Organization's oversight or selection process during the tax year. |