HEALTHFIRST FAMILY CARE CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHFIRST FAMILY CARE CENTER INC (EIN 04-2503444)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-08
- IRS object ID
- 202341289349303929
- 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 | 2023-05-08T18:58:42-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | 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 | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042503444 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHFIRST FAMILY CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 5086799376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 387 QUARRY ST 100 | AddressLine1Txt |
| City | FALL RIVER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02723 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE ALMOND | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5086799376 | PhoneNum |
| Signature | 2023-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIE | PersonFirstNm |
| Person Last | ALMOND | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL BALLASY | PreparerPersonNm |
| PTIN | P00852868 | PTIN |
| Phone | 9592007000 | PhoneNum |
| Preparation | 2023-04-21 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JULIE ALMOND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 387 QUARRY ST 100 | AddressLine1Txt |
| City | FALL RIVER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02723 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,252,336 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHFIRSTFR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | AFFORDABLE HEALTH CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 209 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,992,363 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,164,755 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,067,265 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,732,094 | CYProgramServiceRevenueAmt |
| PY Investment Income | $60 | PYInvestmentIncomeAmt |
| CY Investment Income | -$51,425 | CYInvestmentIncomeAmt |
| PY Other Revenue | $71,850 | PYOtherRevenueAmt |
| CY Other Revenue | $180,377 | CYOtherRevenueAmt |
| PY Total Revenue | $19,131,538 | PYTotalRevenueAmt |
| CY Total Revenue | $20,025,801 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,459,513 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,895,737 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,817,840 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,274,161 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,452,684 | PYOtherExpensesAmt |
| CY Other Expenses | $6,336,290 | CYOtherExpensesAmt |
| PY Total Expenses | $16,730,037 | PYTotalExpensesAmt |
| CY Total Expenses | $19,506,188 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,401,501 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $519,613 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,737,326 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,085,862 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,932,019 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,810,924 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,805,307 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,274,938 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION'S MISSION IS TO PROVIDE AFFORDABLE HEALTH CARE SERVICES TO THE RESIDENTS OF THE FALL RIVER AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,638,911 | ExpenseAmt |
| Grant | $1,895,737 | GrantAmt |
| Revenue | $10,965,634 | RevenueAmt |
| Desc | HEALTHFIRST FAMILY CARE CENTER, INC. HAS BEEN SERVING THE GREATER FALL RIVER COMMUNITY SINCE 1971. IN 2004, WE BECAME A FEDERALLY QUALIFIED HEALTH CENTER. OUR MISSION: HEALTHFIRST IS PROUD TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO EVERYONE IN OUR DIVERSE COMMUNITY. CURRENT SERVICES INCLUDE: ADULT & PEDIATRIC MEDICINE, ADULT & PEDIATRIC DENTAL CARE, ADULT BEHAVIORAL HEALTH, CARE MANAGEMENT OF CHRONIC DISEASES, INTEGRATED SUBSTANCE USE RECOVERY SERVICES, NUTRITION COUNSELING, INTERPRETER SERVICES AND COMMUNITY INITIATIVES, PATIENT BENEFITS (INSURANCE ELIGIBILITY), AND THE FALL RIVER WIC PROGRAM SERVICES. | Desc |
| Total Program Service Expenses | $15,638,911 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | 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 | 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 | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 209 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAMUEL LIMIADI | PersonNm |
| Phone | 7746271296 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 387 QUARRY ST 100 | AddressLine1Txt |
| City | FALL RIVER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02723 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CARMEN AGUILAR | ||||||||
| VICE PRESIDENT | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID SIMONS | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FRANK BAPTISTA | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN WELDON | ||||||||
| PRESIDENT | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MORAN | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE COSTA | ||||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MARCHAND | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ROGER CABRAL | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL LIMIADI | ||||||||
| CFO | 40.00 | Yes (X) | Yes (X) | $157,411 | $0 | $14,052 | ||
| TESS CURRAN | ||||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIE ALMOND | ||||||||
| CEO | 40.00 | Yes (X) | $151,283 | $0 | $30,924 | |||
| ERIC VAUGHT | ||||||||
| CMO | 40.00 | $250,986 | $0 | $30,221 | Yes (X) | |||
| AMANDA KELVEY | ||||||||
| PHYSICIAN | 40.00 | $183,629 | $0 | $30,588 | Yes (X) | |||
| ANILA KHALID | ||||||||
| DENTAL DIRECTOR | 32.00 | $126,320 | $0 | $29,060 | Yes (X) | |||
| GLORIA MERCADO | ||||||||
| PHYSICIAN | 40.00 | $213,706 | $0 | $24,440 | Yes (X) | |||
| KARLA KIKER | ||||||||
| PHYSICIAN | 40.00 | $176,520 | $0 | $24,237 | Yes (X) | |||
| NARON KEO | ||||||||
| PHYSICIAN | 40.00 | $231,371 | $0 | $20,907 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,491,226 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $204,429 | 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 (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL SYSTEM INCHEALTHCARE FINANCIAL | |||||
| 83 PINE STREET | PEABODY | MA | 01960 | INSURANCE & PATIENT BILLING | $335,880 |
| STANDARD PHARMACY | |||||
| 387 QUARRY STREET | FALL RIVER | MA | 02723 | 340B PHARMACY PROGRAM | $320,163 |
| ECLINICAL WORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 022847950 | ELECTRONIC HEALTH RECORDS | $235,607 |
| PACIFIC INTERPRETERS | |||||
| PO BOX 204313 | DALLAS | TX | 75320 | INTERPRETING SERVICES | $108,499 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,828,883 | GovernmentGrantsAmt |
| All Other Contributions | $1,335,872 | AllOtherContributionsAmt |
| Noncash Contributions | $1,895,737 | NoncashContributionsAmt |
| Total Contributions | $9,164,755 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621110 | $6,023,190 | $6,023,190 |
| PHARMACY REVENUE | 621110 | $1,946,157 | $1,946,157 |
| PATIENTS AND HEALTH SAFETY | 621110 | $1,248,964 | $1,248,964 |
| THIRD-PARTY PAYORS AND OTHER | 621110 | $596,731 | $596,731 |
| MEDICARE | 621110 | $539,801 | $539,801 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $377,251 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $377,251 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,732,094 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,293 | TotalRevenueColumnAmt |
| Exclusion | $4,293 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $117,654 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $170,817 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$53,163 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$53,163 | TotalRevenueColumnAmt |
| Exclusion | -$53,163 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $55,718 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$55,718 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,718 | TotalRevenueColumnAmt |
| Exclusion | -$55,718 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EHR INCENTIVE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $42,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,500 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,040 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $191,040 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $233,540 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,025,801 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,965,634 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$104,588 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,895,737 | TotalAmt |
| Program Services | $1,895,737 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $652,457 | TotalAmt |
| Program Services | $291,285 | ProgramServicesAmt |
| Management And General | $361,172 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,811,981 | TotalAmt |
| Program Services | $7,362,190 | ProgramServicesAmt |
| Management And General | $1,449,791 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,533 | TotalAmt |
| Program Services | $107,234 | ProgramServicesAmt |
| Management And General | $30,299 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,298 | TotalAmt |
| Program Services | $703,460 | ProgramServicesAmt |
| Management And General | $233,838 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $734,892 | TotalAmt |
| Program Services | $584,969 | ProgramServicesAmt |
| Management And General | $149,923 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,330 | TotalAmt |
| Management And General | $29,330 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,150 | TotalAmt |
| Management And General | $49,150 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,208 | TotalAmt |
| Management And General | $2,208 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,197,244 | TotalAmt |
| Program Services | $740,779 | ProgramServicesAmt |
| Management And General | $456,465 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,040 | TotalAmt |
| Management And General | $60,040 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,118 | TotalAmt |
| Program Services | $17,946 | ProgramServicesAmt |
| Management And General | $135,172 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,450 | TotalAmt |
| Program Services | $69,653 | ProgramServicesAmt |
| Management And General | $354,797 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,771 | TotalAmt |
| Program Services | $6,197 | ProgramServicesAmt |
| Management And General | $574 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,372 | TotalAmt |
| Management And General | $51,372 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,401 | TotalAmt |
| Program Services | $179,162 | ProgramServicesAmt |
| Management And General | $358,239 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,421 | TotalAmt |
| Program Services | $33,550 | ProgramServicesAmt |
| Management And General | $26,871 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM SUPPORT | $2,002,303 | $2,002,303 | |
| PROGRAM SUPPLIES & MATE | $1,100,306 | $1,100,306 | |
| DIRECT STATE/FEDERAL NO | $488,751 | $488,751 | |
| DUES & SUBSCRIPTIONS | $53,613 | $53,613 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,812 | TotalAmt |
| Program Services | $55,389 | ProgramServicesAmt |
| Management And General | $64,423 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,506,188 | TotalAmt |
| Program Services | $15,638,911 | ProgramServicesAmt |
| Management And General | $3,867,277 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,448 | BOYAmt |
| EOY | $171,275 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,219,963 | BOYAmt |
| EOY | $3,097,022 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,049 | BOYAmt |
| EOY | $688,129 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884,471 | BOYAmt |
| EOY | $1,500,538 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,735 | BOYAmt |
| EOY | $30,432 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,580 | BOYAmt |
| EOY | $93,871 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,148,509 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,582,643 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,650,080 | BOYAmt |
| EOY | $10,565,866 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $938,729 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,737,326 | BOYAmt |
| EOY | $17,085,862 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,484,794 | BOYAmt |
| EOY | $1,276,196 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $328,677 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,072,455 | BOYAmt |
| EOY | $1,024,689 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,770 | BOYAmt |
| EOY | $181,362 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,932,019 | BOYAmt |
| EOY | $2,810,924 | 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 | $13,805,307 | BOYAmt |
| EOY | $14,274,938 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,805,307 | BOYAmt |
| EOY | $14,274,938 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,737,326 | BOYAmt |
| EOY | $17,085,862 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $519,613 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$49,982 | 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) |
|---|---|---|
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,509,874 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,559,961 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,179,943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,992,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,164,755 | CurrentTaxYearAmt |
| Total | $36,406,896 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,435,604 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,582,851 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,696,654 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,067,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,732,094 | CurrentTaxYearAmt |
| Total | $44,514,468 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,945,478 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,142,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,876,597 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,059,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,896,849 | CurrentTaxYearAmt |
| Total | $80,921,364 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $80,921,364 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $114,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,916 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,936 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,947 | CurrentTaxYearAmt |
| Total | $563,814 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $114,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,916 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,936 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,947 | CurrentTaxYearAmt |
| Total | $563,814 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,232 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,791 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $105,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233,540 | CurrentTaxYearAmt |
| Total | $497,451 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,151,150 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,275,960 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,026,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,276,939 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,252,336 | CurrentTaxYearAmt |
| Total | $81,982,629 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98710 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98540 | PublicSupportPY509Pct |
| Investment Income CY | 0.00690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00760 | 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 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 29,963. 2018 AMOUNT: $ 25,232. 2019 AMOUNT: $ 41,791. 2020 AMOUNT: $ 62,875. 2021 AMOUNT: $ 191,040. EHS INCENTIVE - 2017 AMOUNT: $ 61,550. 2020 AMOUNT: $ 42,500. 2021 AMOUNT: $ 42,500. | 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 | $311,609 | OtherCostOrOtherBasisAmt |
| Book Value | $311,609 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,430,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,104,234 | DepreciationAmt |
| Book Value | $9,325,861 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,406,805 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,478,409 | DepreciationAmt |
| Book Value | $928,396 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,565,866 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FEDERAL FUNDS PAYABLE TO SUBRECIPIENTS | $102,051 |
| CAPITAL LEASE OBLIGATIONS | $79,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $181,362 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,144,428 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$49,982 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$49,982 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,194,410 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,208 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$170,817 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$168,609 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,025,801 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,674,797 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $170,817 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $170,817 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,503,980 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $2,208 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $2,208 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,506,188 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2022. 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 RULINGS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -170,817. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 170,817. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | WIC FOOD VOUCHERS | GrantTypeTxt |
| Recipient | 27915 | RecipientCnt |
| Non Cash Assistance | $1,895,737 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | FOOD VOUCHERS | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION USES MONTHLY INCOME VERIFICATIONS REPORT TO CONDUCT QUALITY ASSURANCE ON INCOME CAPTURED AT (RE)CERTIFICATION, BY IDENTIFYING WIC PARTICIPANTS WHO HAD A (RE)CERTIFICATION IN THE PREVIOUS MONTH TO ENSURE INCOME VERIFICATIONS ARE COMPLIANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC VAUGHT | ||||||||||||||
| CMO | $250,930 | $0 | $0 | $0 | $56 | $0 | $3,710 | $0 | $26,511 | $0 | $281,207 | $0 | $0 | $0 |
| NARON KEO | ||||||||||||||
| PHYSICIAN | $227,896 | $0 | $0 | $0 | $3,475 | $0 | $0 | $0 | $20,907 | $0 | $252,278 | $0 | $0 | $0 |
| GLORIA MERCADO | ||||||||||||||
| PHYSICIAN | $213,416 | $0 | $0 | $0 | $290 | $0 | $5,030 | $0 | $19,410 | $0 | $238,146 | $0 | $0 | $0 |
| AMANDA KELVEY | ||||||||||||||
| PHYSICIAN | $183,581 | $0 | $0 | $0 | $48 | $0 | $5,499 | $0 | $25,089 | $0 | $214,217 | $0 | $0 | $0 |
| KARLA KIKER | ||||||||||||||
| PHYSICIAN | $176,262 | $0 | $0 | $0 | $258 | $0 | $5,138 | $0 | $19,099 | $0 | $200,757 | $0 | $0 | $0 |
| JULIE ALMOND | ||||||||||||||
| CEO | $150,993 | $0 | $0 | $0 | $290 | $0 | $3,113 | $0 | $27,811 | $0 | $182,207 | $0 | $0 | $0 |
| SAMUEL LIMIADI | ||||||||||||||
| CFO | $157,121 | $0 | $0 | $0 | $290 | $0 | $3,845 | $0 | $10,207 | $0 | $171,463 | $0 | $0 | $0 |
| ANILA KHALID | ||||||||||||||
| DENTAL DIRECTOR | $126,182 | $0 | $0 | $0 | $138 | $0 | $2,600 | $0 | $26,460 | $0 | $155,380 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,895,737 | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETE FORM 990 IS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH EMPLOYEE SUPERVISION. THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO SIGN THE COI POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S GOVERNING BOARD DETERMINES AND APPROVES THE COMPENSATION OF THE CEO AND OTHER OFFICERS THROUGH USE OF THE ANNUAL NATIONAL TRADE ASSOCIATION SALARY SURVEY BY REGIONAL COST AS A GUIDE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |