BEHAVIORAL WELLNESS CENTER AT GIRARD: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BEHAVIORAL WELLNESS CENTER AT GIRARD (EIN 23-2610538)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202511359349300146
- Schema version
- 2023v6.0
- 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 | 2025-05-15T07:47:35-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232610538 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BEHAVIORAL WELLNESS CENTER AT GIRARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEHA | BusinessNameControlTxt |
| Phone | 2157872300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 W GIRARD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19122 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCO GIORDANO | PersonNm |
| Person Title | VICE PRESIDENT/CFO | PersonTitleTxt |
| Phone | 2157872300 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA CPA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Preparation | 2025-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BEHAVIORAL WELLNESS CENTER AT GIRARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GERRI WALKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 W GIRARD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $55,233,409 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEWELLCTR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | QUALITY HEALTHCARE THROUGH PREVENTION, EDUCATION AND TREATMENT IN OUR HOSPITAL AND COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 683 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,276,326 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,836,174 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,124,227 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,120,453 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,916 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,900 | CYInvestmentIncomeAmt |
| PY Other Revenue | $377,270 | PYOtherRevenueAmt |
| CY Other Revenue | $201,825 | CYOtherRevenueAmt |
| PY Total Revenue | $52,813,739 | PYTotalRevenueAmt |
| CY Total Revenue | $55,189,352 | 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 | $33,714,028 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $38,638,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,265,317 | PYOtherExpensesAmt |
| CY Other Expenses | $20,964,519 | CYOtherExpensesAmt |
| PY Total Expenses | $50,979,345 | PYTotalExpensesAmt |
| CY Total Expenses | $59,603,096 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,834,394 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,413,744 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $63,801,066 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,913,296 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,186,016 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,331,634 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,615,050 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,581,662 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HEALTH CARE FACILITIES TO PROVIDE QUALITY HEALTHCARE THROUGH PREVENTION, EDUCATION AND TREATMENT IN OUR HOSPITAL AND COMMUNITY, INCLUDING SERVICES AND SPECIAL PROGRAMS FOR PERSONS WITH BEHAVIORAL DISORDERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $52,158,369 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $53,120,453 | RevenueAmt |
| Desc | THE ORGANIZATION SERVES THE BEHAVIORAL HEALTH NEEDS OF THE NORTH PHILADELPHIA COMMUNITY WHICH INCLUDES SOME OF THE HARDEST HIT NEIGHBORHOODS IN THE COUNTRY FOR THE OPIOID EPIDEMIC. SPECIFICALLY, THE ORGANIZATION PROVIDED: - OVER 25,000 PSYCHIATRIC PATIENT DAYS, INCLUDING BEHAVIORAL HEALTH SERVICES PROVIDED AT MONUMENTAL POST ACUTE CARE (MPAC)- OVER 54,000 DRUG AND ALCOHOL DETOX AND REHAB PATIENT DAYS- DISPENSED OVER 2,620,000 DOSES OF METHADONE TO CLIENTS IN THE MEDICALLY ASSISTED TREATMENT PROGRAMS.- MAINTAINED OVER 677 CLIENTS ON THE AVERAGE IN OUR OUTPATIENT COUNSELING CLINICS. | Desc |
| Total Program Service Expenses | $52,158,369 | 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 | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 683 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARCO GIORDANO VP CFO | PersonNm |
| Phone | 2157872300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 W GIRARD AVE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19122 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| GERRI WALKER | |||||||||
| CEO AND BOARD MEMBER | 40.00 | 0.00 | Yes (X) | Yes (X) | $576,221 | $0 | $8,500 | ||
| REV RALPH E BLANKS | |||||||||
| CHAIRMAN | 0.10 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DOMINIC SABATINI | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HON EUGENE EDWARD J MAIER | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HON FELICE ROWLEY STACK | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| FOLASADE OLANIPEKUN-LEWIS | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN W MEACHAM | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MILES LADENHEIM JD MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $91,670 | $0 | $0 | |||
| WILLIAM VANORRE | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| IDETTE ELIZONDO | |||||||||
| BOARD MEMBER | 0.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| P DOUGLAS MAIER | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $331,582 | $0 | $6,174 | |||
| SHARITA BARNETT | |||||||||
| VP OF HR | 40.00 | 0.00 | Yes (X) | $193,844 | $0 | $18,018 | |||
| WANDA NOLASCO RN | |||||||||
| VP OF PATIENT SERVICES | 40.00 | 0.00 | Yes (X) | $199,455 | $0 | $4,206 | |||
| XAVIER BANCROFT | |||||||||
| COO | 40.00 | 0.00 | Yes (X) | $195,594 | $0 | $30,899 | |||
| MARLENE DOUGLAS-WALSH | |||||||||
| VP OF BEHAVIORAL HEALTH | 40.00 | 0.00 | Yes (X) | $205,198 | $0 | $2,462 | |||
| DR SIMON LEUL | |||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $381,048 | $0 | $15,219 | Yes (X) | |||
| DR ILIA NIKHINSON | |||||||||
| CHIEF OF PSYCHIATRY | 40.00 | 0.00 | $402,188 | $0 | $26,693 | Yes (X) | |||
| DR GIRISHKUMAR SHAH | |||||||||
| PSYCHIATRIST | 40.00 | 0.00 | $280,053 | $0 | $15,219 | Yes (X) | |||
| DR MONIKA VANSANT | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $274,714 | $0 | $4,488 | Yes (X) | |||
| DR BIANA LIFSCHITZ | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $262,155 | $0 | $26,693 | Yes (X) | |||
| LAURA BOSTON JONES | |||||||||
| SVP OF BEHAVIORAL HEALTH | 40.00 | 0.00 | $286,297 | $0 | $20,935 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,680,019 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $179,506 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 51 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| PHILADELPHIA PREMIER CATERERS | |||||
| 2401 PENROSE AVENUE | PHILADELPHIA | PA | 19145 | DIETARY SERVICES | $2,408,041 |
| LIFE TREE PHARMACY | |||||
| 5 BLUE HERON DRIVE | COLLEGEVILLE | PA | 19426 | PHARMACY SERVICES | $886,236 |
| WISHLER GROUP | |||||
| 7715 CRITTENDEN STREET SUITE 195 | PHILADELPHIA | PA | 19118 | HOUSEKEEPING SERVICES | $801,500 |
| AXIS CONSTRUCTION MGMT INC | |||||
| 215 W CHURCH RD STE 111 | KING OF PRUSSIA | PA | 19405 | CONSTRUCTION | $630,694 |
| DELTA T GROUP | |||||
| PO BOX 884 | BRYN MAWR | PA | 19010 | AGENCY STAFFING | $505,169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $67,110 | FundraisingAmt |
| Government Grants | $1,441,323 | GovernmentGrantsAmt |
| All Other Contributions | $327,741 | AllOtherContributionsAmt |
| Total Contributions | $1,836,174 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $53,120,453 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,120,453 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,120,453 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,900 | TotalRevenueColumnAmt |
| Exclusion | $30,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,675 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $67,110 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $44,057 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$26,382 | TotalRevenueColumnAmt |
| Exclusion | -$26,382 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PAY FOR PERFORMANCE | 900099 | $187,794 | $187,794 |
| MISCELLANEOUS INCOME | 900099 | $40,413 | $40,413 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $228,207 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,189,352 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,120,453 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $232,725 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,995,951 | TotalAmt |
| Management And General | $1,995,951 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,199,521 | TotalAmt |
| Program Services | $27,042,879 | ProgramServicesAmt |
| Management And General | $2,156,642 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,638 | TotalAmt |
| Program Services | $391,361 | ProgramServicesAmt |
| Management And General | $29,277 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,724,552 | TotalAmt |
| Program Services | $4,140,039 | ProgramServicesAmt |
| Management And General | $584,513 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,297,915 | TotalAmt |
| Program Services | $1,996,524 | ProgramServicesAmt |
| Management And General | $301,391 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,000 | TotalAmt |
| Management And General | $160,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,711 | TotalAmt |
| Management And General | $102,711 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,724,945 | TotalAmt |
| Program Services | $7,588,147 | ProgramServicesAmt |
| Management And General | $1,136,798 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,496 | TotalAmt |
| Management And General | $39,496 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,355,028 | TotalAmt |
| Program Services | $1,289,818 | ProgramServicesAmt |
| Management And General | $65,210 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,100 | TotalAmt |
| Program Services | $100,100 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,910,631 | TotalAmt |
| Program Services | $4,909,628 | ProgramServicesAmt |
| Management And General | $1,003 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,170 | TotalAmt |
| Program Services | $64,262 | ProgramServicesAmt |
| Management And General | $25,908 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,859 | TotalAmt |
| Management And General | $33,859 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $783,967 | TotalAmt |
| Management And General | $783,967 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,397,275 | TotalAmt |
| Program Services | $2,397,275 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER DIRECT EXPENSES | $1,328,925 | $1,311,493 | $17,432 |
| PHARMACEUTICALS | $844,274 | $844,274 | |
| TRAINING | $88,199 | $82,220 | $5,979 |
| LICENSES & TAXES | $4,102 | $4,102 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $837 | TotalAmt |
| Program Services | $349 | ProgramServicesAmt |
| Management And General | $488 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,603,096 | TotalAmt |
| Program Services | $52,158,369 | ProgramServicesAmt |
| Management And General | $7,444,727 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126,526 | BOYAmt |
| EOY | $19,114 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,201,771 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,130,208 | BOYAmt |
| EOY | $5,921,719 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,601 | BOYAmt |
| EOY | $30,119 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $377,438 | BOYAmt |
| EOY | $493,276 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,750,344 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,908,518 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,332 | BOYAmt |
| EOY | $2,841,826 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,529 | BOYAmt |
| EOY | $245,722 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,640,661 | BOYAmt |
| EOY | $48,361,520 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,801,066 | BOYAmt |
| EOY | $57,913,296 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,131,832 | BOYAmt |
| EOY | $2,813,118 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $730,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,054,184 | BOYAmt |
| EOY | $41,788,516 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,186,016 | BOYAmt |
| EOY | $45,331,634 | 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 | $9,450,628 | BOYAmt |
| EOY | $4,970,246 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,164,422 | BOYAmt |
| EOY | $7,611,416 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,615,050 | BOYAmt |
| EOY | $12,581,662 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,801,066 | BOYAmt |
| EOY | $57,913,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,413,744 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $380,356 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,164,422 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $380,356 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,544,778 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,023,803 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $140,619 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,164,422 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,411,957 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,388,154 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $7,023,803 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,819,470 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,592,487 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,411,957 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,943,075 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$123,605 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,819,470 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,750,344 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,908,518 | DepreciationAmt |
| Book Value | $2,841,826 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,841,826 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NPHS INTEREST IN PERPETUAL TRUSTS | $7,544,778 |
| RIGHT-OF-USE ASSETS | $40,816,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,361,520 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $41,788,516 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $41,788,516 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $55,613,765 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $380,356 | OtherRevenueAmt |
| Revenue Not Reported | $380,356 | RevenueNotReportedAmt |
| Revenue Subtotal | $55,233,409 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$44,057 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$44,057 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $55,189,352 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,647,153 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $44,057 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $44,057 | ExpensesNotReportedAmt |
| Expenses Subtotal | $59,603,096 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $59,603,096 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE PURPOSE OF THE ENDOWMENT FUND IS TO PRODUCE INCOME ON THE FUNDS TO SUPPORT OUR OPERATIONS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 380,356. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -44,057. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 44,057. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BE WELL GALA | Event1Nm |
| Gross Receipts Event1 | $84,785 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $67,110 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $17,675 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $11,271 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $22,500 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,575 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $7,711 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $84,785 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $67,110 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $17,675 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $11,271 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $22,500 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,575 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,711 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $44,057 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$26,382 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,739 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,739 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,350,738 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,916,772 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,433,966 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10790 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,610,473 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,429,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $180,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,061,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,346,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,715,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $59,061,950 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,346,572 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,715,378 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11260 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BEHVAIORAL WELLNESS CENTER AT GIRARD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 WEST GIRARD AVENUE | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BEWELLCTR.ORG | WebsiteAddressTxt |
| State License | 142360 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | PRIVATE PSYCHIATRIC HOSPITAL, RESIDENTIAL AND OUTPATIENT PROGRAMS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BEHVAIORAL WELLNESS CENTER AT GIRARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BEWELLCTR.ORG | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BEWELLCTR.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.BEWELLCTR.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.BEWELLCTR.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.BEWELLCTR.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE BEHVAIORAL WELLNESS CENTER AT GIRARD | PART V, SECTION B, LINE 3J: THE BEHAVIORAL WELLNESS CENTER AT GIRARD HAS COMPLETED A CHNA DURING 2024 AND ADOPTED AN IMPLEMENTATION STRATEGY AT THAT TIME. THE SOURCE OF THE DATA INCLUDED: THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT (HC4), THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE ORGANIZATION'S OWN INTERNAL DATA. THE CHNA IDENTIFIED THE MEDICAL HEALTH CARE NEEDS OF THE COMMUNITY AND HOW THE ORGANIZATION WAS GOING TO MEET THOSE NEEDS. |
| THE BEHVAIORAL WELLNESS CENTER AT GIRARD | PART V, SECTION B, LINE 5: THE BEHAVIORAL WELLNESS CENTER AT GIRARD HAS COMPLETED A CHNA DURING 2024. THE HOSPITAL WORKED WITH COMMUNITY MEMBERS WHO WERE AWARE OF THE NEEDS OF ITS INDIVIDUALS. SPECIFICALLY, THE HOSPITAL CONSULTED WITH HELENE VILLANUEVA AND VINCE VILLANUEVA, EACH REVIEWED THE CHNA AND THEIR QUESTIONS IMPACTED THE DIRECTION OF THE PROJECT. |
| THE BEHVAIORAL WELLNESS CENTER AT GIRARD | PART V, SECTION B, LINE 11: THE BEHAVIORAL WELLNESS CENTER AT GIRARD HAS COMPLETED A CHNA DURING 2024 AND ADOPTED AN IMPLEMENTATION STRATEGY AT THAT TIME. THE EXTENDED ACUTE (EAC) PSYCHIATRIC UNIT WAS RECENTLY INCREASED TO 71 BEDS FROM 51. THIS COMBINED WITH ACUTE AND SUB-ACUTE PSYCH BEDS WHICH IS 14 BEDS, BRINGS THE TOTAL TO 85 BEDS. THE CURRENT STAFFING ON THE FOUR UNITS THAT MAKE UP ALL PSYCHIATRIC PROGRAMS WILL BE FLEXED TO PERMIT ALL PSYCH PATIENTS TO ENTER THE FACILITY. CLIENTS WILL BE ADMITTED TO THE UNITS WITHOUT CAPS ON SERVICES. THIS WILL PERMIT A HIGHER CENSUS AND SERVE MORE CLIENTS IN NEED OF CARE. A RECREATION VEHICLE (RV) WAS ACQUIRED SEVERAL YEARS AGO AND HAS INCREASED ADMISSIONS. ADDITIONALLY, THE BEHAVIORAL INTAKE UNIT (BIU) WILL BE ENHANCED TO MAXIMIZE WALK IN CLIENTS. FINALLY, OUTREACH TO ALL REFERRAL SOURCES WILL BE MORE FORMALIZED TO GENERATE MORE ADMISSIONS. ALL OF THESE STEPS SHOULD INCREASE VOLUMES AND HELP RESPOND TO THE COMMUNITY'S NEEDS. THE ORGANIZATION CREATED A 15 BED WOUND CARE UNIT. THE EXPANSION OF THE USE OF XYLAZINE WHICH IS CUT INTO OPIOIDS TO LENGTHEN THE EFFECTS OF THE DRUG HAS RESULTED IN WOUNDS AND AMPUTATIONS FOR THE OPIOID USERS. THE WOUND CARE UNIT CARES FOR THESE CLIENTS ON BOTH A MEDICAL AND DETOX/REHABILITATION BASIS. THE ORGANIZATION CREATED A 20 BED WITHDRAW MANAGEMENT UNIT. THE EXPANSION OF THE USE OF FENTANYL AS AN ADDED AGENT IN OPIOIDS HAS INCREASED THE ADDICTION LEVEL OF THOSE WHO USE THE DRUG. IT IS NOT PRACTICABLE TO DETOX CLIENTS DOWN TO ZERO DRUG USAGE AND INSTEAD THEIR ADDICTION IS LOWERED AND THEN THEY ARE SLOWLY BROUGHT DOWN TO ZERO ADDICTION. |
| THE BEHVAIORAL WELLNESS CENTER AT GIRARD | PART V, SECTION B, LINE 13H: MOST PATIENTS WOULD QUALIFY FOR MEDICAL ASSISTANCE IN PENNSYLVANIA OR THE CITY PROGRAM BHSI FOR THE DRUG AND ALCOHOL PROGRAMS. TIME PAYMENTS AT A DISCOUNTED RATE CAN ALSO BE SET UP WHEN NEEDED. |
| THE BEHVAIORAL WELLNESS CENTER AT GIRARD | PART V, SECTION B, LINE 15E: MEDICAL ASSISTANCE APPLICATIONS ARE SUBMITTED ONLINE BY THE MA COORDINATOR IN THE BUSINESS OFFICE WITH THE INFORMATION GIVEN BY THE PATIENT OR CLIENT, WITH THE SUPPORTING DOCUMENTATION SUCH AS IDENTIFICATION, SOURCE OF INCOME AND PROOF, RESIDENCE, NUMBER OF FAMILY NUMBERS, AND BIRTH CERTIFICATE BEING ATTACHED TO THE APPLICATION. IF THE APPLICATION IS DENIED, THE MA COORDINATOR WILL APPEAL THE REJECTION AT THE FIRST AND SECOND LEVEL OF APPEAL. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION SHOWS A VERY SMALL COMMUNITY BENEFIT BASED ON FREE CARE AS BHSI PICKS UP THE COVERAGE FOR ALL INDIVIDUALS WHO APPLY FOR MA IN THE FIRST FEW WEEKS UNTIL THEY ARE APPROVED FOR MA. ONCE APPROVED, CBH, THE BEHAVIORAL HEALTH HMO FOR MA IN PHILADELPHIA COUNTY, INSURES THE CLIENTS. WE ONLY HAVE A SMALL UNINSURED POPULATION WHO ARE CLIENTS WHO ARE NOT APPROVED OR THE SMALL PERCENTAGE OF MEDICALLY ASSISTED TREATMENT (MAT) O/P PATIENTS WHO ARE SELF-PAY AND DO NOT PAY. |
| PART III, LINE 2: | THE ORGANIZATION USES A COST TO CHARGE RATIO TO DETERMINE BAD DEBT EXPENSE. THE ORGANIZATION BUDGETS A FLAT 1% FOR BAD DEBTS DUE TO DENIALS AND SELF PAYS WHO DO NOT PAY. THIS AMOUNT IS VERY LOW/ZERO FOR HEALTHCARE PROVIDERS DUE TO THE ARRANGEMENT WITH BHSI WHO COVERS UNINSURED INDIVIDUALS WHILE THEY APPLY FOR MA COVERAGE. |
| PART III, LINE 3: | THE ORGANIZATION USES A COST TO CHARGE RATIO FOR BAD DEBT CHARGES. |
| PART III, LINE 4: | THERE WAS NO SPECIFIC FINANCIAL STATEMENT NOTE WHICH REFERENCED BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE ORGANIZATION DID NOT RECEIVE ANY MEDICARE INCOME DURING THE YEAR. |
| PART VI, LINE 2: | THE MANAGEMENT TEAM PERFORMS AN ANNUAL PLANNING RETREAT WHERE THE COMMUNITY NEEDS ARE REVIEWED TO DETERMINE IF NEW SERVICES OR ALTERATIONS TO CURRENT SERVICES ARE NEEDED. ADDITIONALLY, THE ORGANIZATION IS IN FREQUENT CONTACT WITH OUR REGULATORY AND INSURANCE CONTACTS FOR ANY ADDITIONS OR MODIFICATION THAT THEY WOULD LIKE. |
| PART VI, LINE 3: | EMPLOYEES PERSONALLY SPEAK TO EVERY UNINSURED OR UNDERINSURED PERSON WHILE IN-HOUSE ABOUT THE PATIENT'S INSURANCE COVERAGE AND ASK THEM TO APPLY FOR MEDICAL ASSISTANCE OR BHSI COVERAGE THROUGH THE CITY OF PHILADELPHIA. |
| PART VI, LINE 4: | THE ORGANIZATION SERVES THE LOWER NORTH PHILADELPHIA REGION WHICH IS COMPRISED OF A LOWER INCOME AND DIVERSE MARKET. THE COMMUNITY, UNDERSERVED AND UNDERINSURED, IS ONE OF THE POOREST NEIGHBORHOODS IN PHILADELPHIA. THE REGION IS PLAGUED BY DRUG USAGE AND THE CITY OF PHILADELPHIA AS A WHOLE EXPERIENCES 3.5 OVERDOSE DEATHS PER DAY AND 86 PERCENT INVOLVE OPIOIDS. THE ORGANIZATION IS ONE OF THE LARGEST LOCAL PROVIDERS OF DETOX AND REHAB SERVICES FOR THESE CLIENTS. |
| PART VI, LINE 5: | THE BEHAVIORAL WELLNESS CENTER AT GIRARD ACCPETS PATIENTS WITHOUT INSURANCE RELYING ON FUNDING OPTIONS FOR PENNSYLVANIA RESIDENTS WITHOUT HEALTH INSURANCE. THE CRISIS REFERRAL SERVICES KNOW THAT THEY CAN COUNT ON THE CENTER TO ACCEPT THEIR REFERRALS.THE ORGANIZATION PURCHASED AN RV WHICH HAS MADE SCHEDULED STOPS AT LOCATIONS WHERE THE ORGANIZATION IS INTERESTED IN HELPING THOSE ADDICTED TO DRUGS IN SURROUNDING NEIGHBORHOODS. TOWARDS ACCOMPLISHING POPULATION HEALTH GOALS THE ORGANIZATION PROMOTES HIV PREVENTION. IN ADDITION, ANY PARTICIPANT WHO RECEIVES A POSITIVE HEPATITUS C VIRUS ANITBODY TEST AND IS INTERESTED IN RECEIVING TREATMENT, IS REFERRED TO OUR ONSITE PUBLIC HEALTH COORDINATOR WHO WILL HELP THE PARTICIPANT NAVIGATE THE SYSTEM TO ENSURE THAT THEY RECEIVE THE HEP C VACCINE AND ARE SUPPORTED IN THE PROCESS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GERRI WALKER | ||||||||||||||
| CEO AND BOARD MEMBER | $576,221 | $0 | $0 | $0 | $0 | $0 | $8,500 | $0 | $0 | $0 | $584,721 | $0 | $0 | $0 |
| DR ILIA NIKHINSON | ||||||||||||||
| CHIEF OF PSYCHIATRY | $402,188 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $26,693 | $0 | $428,881 | $0 | $0 | $0 |
| DR SIMON LEUL | ||||||||||||||
| PSYCHIATRIST | $381,048 | $0 | $0 | $0 | $0 | $0 | $6,123 | $0 | $9,096 | $0 | $396,267 | $0 | $0 | $0 |
| P DOUGLAS MAIER | ||||||||||||||
| CFO | $331,582 | $0 | $0 | $0 | $0 | $0 | $6,174 | $0 | $0 | $0 | $337,756 | $0 | $0 | $0 |
| LAURA BOSTON JONES | ||||||||||||||
| SVP OF BEHAVIORAL HEALTH | $286,297 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,935 | $0 | $307,232 | $0 | $0 | $0 |
| DR GIRISHKUMAR SHAH | ||||||||||||||
| PSYCHIATRIST | $280,053 | $0 | $0 | $0 | $0 | $0 | $6,123 | $0 | $9,096 | $0 | $295,272 | $0 | $0 | $0 |
| DR BIANA LIFSCHITZ | ||||||||||||||
| PHYSICIAN | $262,155 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $26,693 | $0 | $288,848 | $0 | $0 | $0 |
| DR MONIKA VANSANT | ||||||||||||||
| PHYSICIAN | $274,714 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,488 | $0 | $279,202 | $0 | $0 | $0 |
| XAVIER BANCROFT | ||||||||||||||
| COO | $195,594 | $0 | $0 | $0 | $0 | $0 | $4,206 | $0 | $26,693 | $0 | $226,493 | $0 | $0 | $0 |
| SHARITA BARNETT | ||||||||||||||
| VP OF HR | $193,844 | $0 | $0 | $0 | $0 | $0 | $4,254 | $0 | $13,764 | $0 | $211,862 | $0 | $0 | $0 |
| MARLENE DOUGLAS-WALSH | ||||||||||||||
| VP OF BEHAVIORAL HEALTH | $205,198 | $0 | $0 | $0 | $0 | $0 | $2,462 | $0 | $0 | $0 | $207,660 | $0 | $0 | $0 |
| WANDA NOLASCO RN | ||||||||||||||
| VP OF PATIENT SERVICES | $199,455 | $0 | $0 | $0 | $0 | $0 | $4,206 | $0 | $0 | $0 | $203,661 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | LAURA BOSTON JONES, SVP OF BEHAVIORAL HEALTH, RECEIVED SEVERANCE OF $286,297. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | P. DOUGLAS MAIER AND HON. EUGENE EDWARD J. MAIER HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION CHANGED ITS NAME TO THE BEHAVIORIAL WELLNESS CENTER AT GIRARD DURING FISCAL YEAR END 6/30/24. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE CFO WILL REVIEW THE FORM 990 IN ITS ENTIRETY AND SHARE THE FULL RETURN WITH THE BOARD PRIOR TO FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUAL CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO BOARD MEMBERS AND ARE REQUIRED TO BE SIGNED BY EACH PERSON. BOARD MEMBERS AND OFFICERS SHALL DISCLOSE THEIR INTEREST IN ANY BUSINESS OR IN MATTERS THAT MAY OR WILL AFFECT THEM EITHER DIRECTLY OR INDIRECTLY. THE CONFLICT OF INTEREST POLICY EXPRESSLY INCLUDES FAMILY AND BUSINESS RELATIONSHIPS. IF A CONFLICT ARISES, THE CONFLICT IS DOCUMENTED AND THE PERSON HAS NO VOTE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS REVIEWED AND DETERMINED BY THE COMPENSATION COMMITTEE. A CONTRACTED FIRM COMPARES SALARIES WITH SIMILAR ORGANIZATIONS TO ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | AGENCY STAFFING: PROGRAM SERVICE EXPENSES 1,032,938. MANAGEMENT AND GENERAL EXPENSES 122,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,155,771. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 119,151. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,151. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 878,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 878,783. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 65,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,000. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,490,209. MANAGEMENT AND GENERAL EXPENSES 16,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,506,240. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 380,356. |