STRATEGY STUDIO / PUBLIC DATA EXPLORER

CHATTANOOGA C A R E S INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHATTANOOGA C A R E S INC (EIN 62-1325543)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-15
IRS object ID
202511359349304176
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

FieldValueIRS element (for citing)
Return2025-05-15T09:41:33-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAULDIN & JENKINS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 W MLK BLVD STE 1100AddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP374021239ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621325543EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHATTANOOGA CARES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHATBusinessNameControlTxt
Phone4236489911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 EAST 3RD STREETAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHANNON BURGERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4236489911PhoneNum
Signature2025-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTIAN BENNETTPreparerPersonNm
PTINP01902272PTIN
Phone4237566133PhoneNum
Preparation2025-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CEMPA COMMUNITY CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSHANNON BURGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 EAST 3RD STREETAddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$51,081,893GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHATTANOOGACARES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO REACH, ASSIST, AND SUPPORT PEOPLE IMPACTED BY HIV, HEPATITIS C AND STIS THROUGH COMPASSIONATE AND RESPONSIVE DELIVERY OF EDUCATION, HEALTH, SOCIAL, AND ADVOCACY RELATED SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee122TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,161,370PYContributionsGrantsAmt
CY Contributions Grants$2,523,528CYContributionsGrantsAmt
PY Program Service Revenue$35,436,617PYProgramServiceRevenueAmt
CY Program Service Revenue$48,114,696CYProgramServiceRevenueAmt
PY Investment Income$109,695PYInvestmentIncomeAmt
CY Investment Income$355,158CYInvestmentIncomeAmt
PY Other Revenue$212,831PYOtherRevenueAmt
CY Other Revenue$78,171CYOtherRevenueAmt
PY Total Revenue$38,920,513PYTotalRevenueAmt
CY Total Revenue$51,071,553CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,489,067PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,120,946CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$300,697CYTotalFundraisingExpenseAmt
PY Other Expenses$28,487,062PYOtherExpensesAmt
CY Other Expenses$36,631,539CYOtherExpensesAmt
PY Total Expenses$34,976,129PYTotalExpensesAmt
CY Total Expenses$44,752,485CYTotalExpensesAmt
PY Revenues Less Expenses$3,944,384PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,319,068CYRevenuesLessExpensesAmt
Total Assets BOY$22,095,698TotalAssetsBOYAmt
Total Assets EOY$28,198,106TotalAssetsEOYAmt
Total Liabilities BOY$4,795,043TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,578,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,300,655NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,619,723NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCEMPA COMMUNITY CARE'S MISSION IS TO CHAMPION HEALTHY COMMUNITIES BY PROVIDING AFFORDABLE, COMPASSIONATE, AND HIGH QUALITY CARE THROUGH ADVANCING COMPREHENSIVE SUPPORT SERVICES AND PERSON-CENTERED BEST PRACTICES. LEADING THE WAY IN CARE FOR PEOPLE (CONT. AT SCHEDULE O) LIVING WITH HIV FOR THIRTY THREE YEARS, CEMPA COMMUNITY CARE HAS EXPANDED TO BECOME A COMMUNITY HEALTH CENTER TO HELP ALL PEOPLE FIGHT ALL ILLNESSES. CEMPA PROVIDES TREATMENT, PREVENTION, AND SUPPORT SERVICES TO THOSE IMPACTED BY HEALTH DISPARITIES WITH A FOCUS ON PRIMARY AND INFECTIONS DISEASE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,304,522ExpenseAmt
DescPREVENTION, EDUCATION, AND OUTREACH SERVICES PARTNERS WITH OVER SIXTY AGENCIES AND ORGANIZATIONS TO PROVIDE TESTING, EDUCATION, AND OUTREACH TO CHAMPION HEALTHY COMMUNITIES AND TO HELP PREVENT THE SPREAD OF INFECTIOUS DISEASE IN OUR COMMUNITY. SYRINGE TRADE & EDUCATION (PART OF PREVENTION) IS A HARM REDUCTION AND EDUCATION PRGRAM FOR INJECTION DRUG USERS DEVELOPED BY CEMPA COMMUNITY CARE. STEP TN IS DESIGNED TO REDUCE THE SPREAD OF HIV, HCV, AND OTHER BLODDBORNE INFECTIONS, AS WELL AS PROVIDE SAFE DISPOSAL OF NEEDLES AND SYRINGES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,789,042ExpenseAmt
Revenue$2,025,202RevenueAmt
DescSUPPORT SERVICES COORDINATES A COMPREHENSIVE CONTINUUM OF CARE THAT ENCOMPASSES SOCIAL SUPPORT NECESSARY TO ASSIST CLIENTS IN OBTAINING AN OPTIMUM OF CARE. THIS CAN BE DONE BY PROVIDING, COORDINATING, AND ASSURING SOCIAL SUPPORT NECESSARY TO ASSIST CLIENTS IN MAINTAINING THEIR PRESPECTIVE HEALTH, SAFETY, AND WELL-BEING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$34,449,346ExpenseAmt
Revenue$45,366,966RevenueAmt
DescWITH A FOCUS IN PRIMARY AND INFECTIOUS DISEASE CARE, THE CEMPA COMMUNITY CARE CLINIC OFFERS A FULL RANGE OF SERVICES INCLUDING PRIMARY AND INFECTIOUS DISEASE CARE, NUTRITIONAL COUNSELING, MENTAL HEALTH COUNSELING, LABORATORY SERVICES, AND HEALTH MAINTENANCE FOR PREVENTATIVE CARE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,233,477ExpenseAmt
Revenue$722,528RevenueAmt
DescCEMPA DENTISTS AND DENTAL HYGIENISTS PROVIDE SPECIALIZED SERVICES AND TREATMENT IN A STATE-OF-THE-ART FACILITY AND RELAXED SETTING.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,233,477TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$722,528TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$39,776,387TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document214IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee122EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHANNON STEPHENSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4236489911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 E 3RD STREET SUITE 300AddressLine1Txt
CityCHATTANOOGACityNm
State AbbreviationTNStateAbbreviationCd
ZIP37403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT MORRIS
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
DANIEL LEDO
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
DANNY WAXENBERG
TREASURER1.00Yes (X)Yes (X)$0$0$0
EVIE BAKER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ALMA ESTRADA
DIRECTOR1.00Yes (X)$0$0$0
SHEWANEE HOWARD-BAPTISTE
DIRECTOR1.00Yes (X)$0$0$0
AMANDA JOHNS
DIRECTOR1.00Yes (X)$0$0$0
REGINALD SMITH
DIRECTOR1.00Yes (X)$0$0$0
EILIER TERUEL
DIRECTOR1.00Yes (X)$0$0$0
TRACY WOOD
DIRECTOR1.00Yes (X)$0$0$0
SHANNON BURGER
CHIEF EXECUTIVE OFFICER40.00Yes (X)$277,227$0$15,393
CORY HOWARD
FORMER CHIEF OPERATING OFFICER40.00Yes (X)$133,504$0$10,125
JAMIE BARBEAULD
CHIEF FINANCIAL OFFICER20.00Yes (X)$10,515$0$0
JAMES SIZEMORE
CHIEF MEDICAL OFFICER40.00$339,937$0$34,432Yes (X)
MICHAEL DAVIS
MEDICAL DIRECTOR40.00$193,938$0$11,572Yes (X)
PATRICK DURHAM
DIRECTOR OF PHARMACY40.00$174,105$0$25,310Yes (X)
CHRISTOPHER SNYDER
ADVANCED PRACTICE PROVIDER40.00$127,366$0$28,718Yes (X)
KIMBERLY SARGENT
FORMER DIRECTOR OF BEHAVIORAL HEALTH40.00$110,414$0$39,249Yes (X)
BRONTE NAPLES
ADVANCED PRACTICE PROVIDER40.00$102,767$0$18,524Yes (X)
ZACHARY CAMPBELL
ADVANCED PRACTICE PROVIDER40.00$108,017$0$6,779Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,577,790TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$190,102TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TONJA PERKINS
1000 E ML KING BLVD 103CHATTANOOGATN37403CONTRACT COO SERVICES$376,508
ROBERT HALF
PO BOX 743295LOS ANGELESCA90074TEMPORARY EMPLOYEE SERVICES$122,911
A MEDIDA
215 CITYGREEN WAY 303CHATTANOOGATN37405LATINX OUTREACH AND TRANSLATION SERVICES$112,020
LITEFOOT TECHNOLOGY LLC
4295 CROMWELL ROADCHATTANOOGATN37421IT SUPPORT$104,639
MAULDIN & JENKINS
200 GALLERIA PARKWAY STE 1700ATLANTAGA30339AUDIT AND TAX SERVICES$102,548
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$2,319,988GovernmentGrantsAmt
All Other Contributions$203,540AllOtherContributionsAmt
Total Contributions$2,523,528TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B DRUG PROGRAM REVENUE621400$45,366,966$45,366,966
PATIENT SERVICE REVENUE621400$2,689,001$2,689,001
WALK-IN PATIENT REVENUE621400$58,729$58,729
FieldValueIRS element (for citing)
Total Program Service Revenue$48,114,696TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,795TotalRevenueColumnAmt
Exclusion$347,795ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$62,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$62,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,000TotalRevenueColumnAmt
Exclusion$62,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$7,363OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$7,363OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,363TotalRevenueColumnAmt
Exclusion$7,363ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$26,308FundraisingGrossIncomeAmt
Fundraising Direct Expenses$10,340FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,968TotalRevenueColumnAmt
Exclusion$15,968ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$203TotalRevenueColumnAmt
Exclusion$203ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$203OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,071,553TotalRevenueColumnAmt
Related Or Exempt Func Income$48,114,696RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$433,329ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$369,710TotalAmt
Program Services$59,116ProgramServicesAmt
Management And General$310,594ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$5,994,817TotalAmt
Program Services$4,794,440ProgramServicesAmt
Management And General$1,091,005ManagementAndGeneralAmt
Fundraising$109,372FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,292,906TotalAmt
Program Services$613,531ProgramServicesAmt
Management And General$661,845ManagementAndGeneralAmt
Fundraising$17,530FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$463,513TotalAmt
Program Services$219,954ProgramServicesAmt
Management And General$237,275ManagementAndGeneralAmt
Fundraising$6,284FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75,284TotalAmt
Management And General$75,284ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,079TotalAmt
Management And General$93,079ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$68,109TotalAmt
Management And General$68,109ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,660,785TotalAmt
Program Services$1,054,832ProgramServicesAmt
Management And General$598,709ManagementAndGeneralAmt
Fundraising$7,244FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$484,545TotalAmt
Program Services$202,199ProgramServicesAmt
Management And General$143,375ManagementAndGeneralAmt
Fundraising$138,971FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$234,861TotalAmt
Program Services$135,365ProgramServicesAmt
Management And General$99,040ManagementAndGeneralAmt
Fundraising$456FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$831,478TotalAmt
Program Services$517,450ProgramServicesAmt
Management And General$297,541ManagementAndGeneralAmt
Fundraising$16,487FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$133,980TotalAmt
Program Services$75,251ProgramServicesAmt
Management And General$58,174ManagementAndGeneralAmt
Fundraising$555FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$380,803TotalAmt
Management And General$380,803ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$138,271TotalAmt
Program Services$72,568ProgramServicesAmt
Management And General$64,720ManagementAndGeneralAmt
Fundraising$983FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACEUTICAL COSTS$29,445,412$29,445,412
CONTRACTUAL INSURANCE W$1,305,466$1,305,466
CLIENT SUPPORT SERVICES$1,124,181$1,112,857$11,324
REPAIRS AND MAINTENANCE$484,140$142,878$338,987$2,275

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$171,145TotalAmt
Program Services$25,068ProgramServicesAmt
Management And General$145,537ManagementAndGeneralAmt
Fundraising$540FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$44,752,485TotalAmt
Program Services$39,776,387ProgramServicesAmt
Management And General$4,675,401ManagementAndGeneralAmt
Fundraising$300,697FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,057,789BOYAmt
EOY$3,140,042EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,422,737BOYAmt
EOY$12,400,357EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$297,114BOYAmt
EOY$265,145EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,636,855BOYAmt
EOY$2,856,948EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$323,495BOYAmt
EOY$355,411EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$103,324BOYAmt
EOY$141,238EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,140,161LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,589,997LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,153,192BOYAmt
EOY$4,550,164EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,883,328EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,101,192BOYAmt
EOY$2,605,473EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,095,698BOYAmt
EOY$28,198,106EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,675,673BOYAmt
EOY$1,921,031EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$30,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,119,370BOYAmt
EOY$2,627,352EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,795,043BOYAmt
EOY$4,578,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,294,367BOYAmt
EOY$23,613,435EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,288BOYAmt
EOY$6,288EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,300,655BOYAmt
EOY$23,619,723EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,095,698BOYAmt
EOY$28,198,106EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,319,068ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,026,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,273,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,608,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,161,370CurrentTaxYearMinus1YearAmt
Current Tax Year$2,523,528CurrentTaxYearAmt
Total$13,593,957TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,026,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,273,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,608,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,161,370CurrentTaxYearMinus1YearAmt
Current Tax Year$2,523,528CurrentTaxYearAmt
Total$13,593,957TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$13,593,957PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,933CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$84,249CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$162,053CurrentTaxYearMinus1YearAmt
Current Tax Year$409,795CurrentTaxYearAmt
Total$716,190TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,360CurrentTaxYearMinus3YearsAmt
Total$102,742TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,321CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$211,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,212CurrentTaxYearMinus1YearAmt
Current Tax Year$203CurrentTaxYearAmt
Total$306,113TotalAmt
FieldValueIRS element (for citing)
Total Support$14,719,002TotalSupportAmt
Gross Receipts Rltd Activities$211,929,267GrossReceiptsRltdActivitiesAmt
Public Support CY1700.92360PublicSupportCY170Pct
Public Support PY1700.94310PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2019 AMOUNT: $ 2,321. 2020 AMOUNT: $ 2,137. 2021 AMOUNT: $ 211,240. 2022 AMOUNT: $ 90,212. 2023 AMOUNT: $ 203.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$68,109DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$68,109TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationHOLLAND & KNIGHT LLP PROVIDED GOVERNMENT ADVOCACY SERVICES FOR CEMPA DURING THIS TIME PERIOD. THESE SERVICES INCLUDE ADVISING CEMPA WITH RELATIONSHIP BUILDING AND ADVOCATING TO LOCAL AND STATE ELECTED OFFICIALS, LOCAL AND STATE GOVERNMENT AGENCY OFFICIALS AND LOCAL COMMUNITY OFFICIALS ON BEHALF OF CEMPA PROGRAMS AND INITIATIVES. HOLLAND & KNIGHT LLP ALSO REPRESENTED CEMPA'S ADVOCACY INTERESTS BEFORE THE TENNESSEE GENERAL ASSEMBLY AND MONITORED STATE AND LOCAL LEGISLATION PERTAINING TO CEMPA. HOLLAND & KNIGHT LLP HAS SENT NO MAILINGS, VIA THE UNITED STATES POSTAL SERVICE OR ANY OTHER COMMON CARRIER, ON BEHALF OF CEMPA COMMUNITY CARE ADVOCACY EFFORTS DURING THIS TIME PERIOD. HOLLAND & KNIGHT LLP HAS SENT ROUTINE ELECTRONIC CORRESPONDENCE, AND PARTICIPATED IN DIRECT COMMUNICATIONS, IN RELATION TO CEMPA ADVOCACY EFFORTS AND POLICY POSITIONS TO MEMBERS OF THE TENNESSEE GENERAL ASSEMBLY AND STAFF DURING THE TENNESSEE GENERAL ASSEMBLY LEGISLATIVE SESSION. HOLLAND & KNIGHT LLP HAS ALSO ENGAGED IN DIRECT COMMUNICATIONS WITH STAFF OF VARIOUS STATE DEPARTMENTS AND LOCAL GOVERNMENT OFFICIALS AND STAFF ON BEHALF OF CEMPA.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$138,800OtherCostOrOtherBasisAmt
Book Value$138,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,334,586OtherCostOrOtherBasisAmt
Depreciation$679,243DepreciationAmt
Book Value$2,655,343BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,015,045OtherCostOrOtherBasisAmt
Depreciation$63,641DepreciationAmt
Book Value$951,404BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,651,730OtherCostOrOtherBasisAmt
Depreciation$847,113DepreciationAmt
Book Value$804,617BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,550,164TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSIT - VARIOUS INSTITUTIONSDesc
Book Value$1,883,328BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,883,328TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT-OF-USE LEASE ASSETDesc
Book Value$2,605,473BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,605,473TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CURRENT PORTION OF RIGHT-OF-USE LEASE LIABILITY$538,857
LONG-TERM PORTION OF RIGHT-OF-USE LEASE LIABILITY$2,088,495
FieldValueIRS element (for citing)
Total Liability$2,627,352TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$20,320,675TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$20,320,675RevenueSubtotalAmt
Other Revenues Not Included$30,750,878OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$30,750,878RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$51,071,553TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,001,607TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,001,607ExpensesSubtotalAmt
Other Expenses Not Included$30,750,878OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$30,750,878ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$44,752,485TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH INCOME TAX ACCOUNTING GUIDANCE ASC TOPIC 740, INCOME TAXES. THE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE FOR RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE STATUTORY REQUIREMENTS FOR ITS INCOME TAX ACCOUNTING AND GENERALLY AVOIDS RISKS ASSOCIATED WITH POTENTIALLY PROBLEMATIC TAX POSITIONS THAT MAY BE CHALLENGED UPON EXAMINATION. MANAGEMENT BELIEVES ANY LIABILITY RESULTING FROM TAXING AUTHORITIES IMPOSING ADDITIONAL INCOME TAXES FROM ACTIVITIES DEEMED TO BE UNRELATED TO THE ORGANIZATION'S NON-TAXABLE STATUS WOULD NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRACTUAL INSURANCE WRITE-OFFS 1,305,466. PHARMACEUTICAL COSTS 29,445,412.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRACTUAL INSURANCE WRITE-OFFS 1,305,466. PHARMACEUTICAL COSTS 29,445,412.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINING OUT FOR LIFEEvent1Nm
Gross Receipts Event1$25,807GrossReceiptsEvent1Amt
Gross Revenue Event1$25,807GrossRevenueEvent1Amt
Other Direct Expenses Event1$4,876OtherDirectExpensesEvent1Amt
Gross Receipts Total$25,807GrossReceiptsTotalAmt
Gross Revenue Total Events$25,807GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$4,876OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,876DirectExpenseSummaryEventsAmt
Net Income Summary$20,931NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES SIZEMORE
CHIEF MEDICAL OFFICER$339,937$0$0$0$0$0$11,287$0$23,145$0$374,369$0$0$0
SHANNON BURGER
CHIEF EXECUTIVE OFFICER$277,227$0$0$0$0$0$6,400$0$8,993$0$292,620$0$0$0
MICHAEL DAVIS
MEDICAL DIRECTOR$193,938$0$0$0$0$0$11,572$0$0$0$205,510$0$0$0
PATRICK DURHAM
DIRECTOR OF PHARMACY$174,105$0$0$0$0$0$20,021$0$5,289$0$199,415$0$0$0
CHRISTOPHER SNYDER
ADVANCED PRACTICE PROVIDER$127,366$0$0$0$0$0$22,500$0$6,218$0$156,084$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION PROVIDES A COPY OF THE 990 TO EACH BOARD MEMBER FOR REVIEW. IF THE BOARD DOES NOT HAVE ANY CHANGES, THE 990 IS SUBSEQUENTLY FILED BY THE ORGANIZATION'S EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 12CA CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED TO BE COMPLETED AND SIGNED BY EACH BOARD MEMBER ANNUALLY, DISCLOSING ANY CONFLICTS AND ACKNOWLEDGEMENT OF ACCEPTANCE OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE PROCESS OF DETERMINING COMPENSATION INCLUDES A REVIEW FROM THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST
PART XII, LINE 2CTHERE WERE NO CHANGES FROM THE PRIOR YEAR.