OUTREACH COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OUTREACH COMMUNITY HEALTH CENTERS INC (EIN 39-1353282)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2023-06-21
- IRS object ID
- 202311729349300706
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-06-21T08:55:01-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 170 N RADNOR-CHESTER RD SUITE 200 | AddressLine1Txt |
| City | RADNOR | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391353282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUTREACH COMMUNITY HEALTH CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OUTR | BusinessNameControlTxt |
| Phone | 4143742400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 WEST CAPITOL DRIVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIA HARRIS-ROBINSON | PersonNm |
| Person Title | INTERIM CEO | PersonTitleTxt |
| Phone | 4143742400 | PhoneNum |
| Signature | 2023-06-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIA | PersonFirstNm |
| Person Last | HARRIS-ROBINSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SOLOMON MARDAKHAEV | PreparerPersonNm |
| PTIN | P01806552 | PTIN |
| Phone | 6105653930 | PhoneNum |
| Preparation | 2023-06-20 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | JULIA HARRIS-ROBINSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 WEST CAPITOL DRIVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,157,146 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ORCHC-MILW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT HEALTH CARE SERVICES FOR HOMELESS INDIVIDUALS IN THE MILWAUKEE AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 196 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $262,553 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,609,420 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,177,132 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,571,558 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,146,945 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,568 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,923 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,113,706 | PYOtherRevenueAmt |
| CY Other Revenue | $2,969,894 | CYOtherRevenueAmt |
| PY Total Revenue | $19,308,252 | PYTotalRevenueAmt |
| CY Total Revenue | $23,320,894 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $164,618 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $189,704 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,716,560 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,780,605 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,879,319 | PYOtherExpensesAmt |
| CY Other Expenses | $4,384,662 | CYOtherExpensesAmt |
| PY Total Expenses | $15,760,497 | PYTotalExpensesAmt |
| CY Total Expenses | $16,354,971 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,547,755 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,965,923 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,810,584 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,941,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,809,613 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,974,248 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,000,971 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,966,894 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO ENSURE THAT MEN, WOMEN, AND CHILDREN IN THE GREATER MILWAUKEE AREA RECEIVE THE QUALITY HEALTH CARE, BEHAVIORAL HEALTH, HOUSING, AND SUPPORTIVE SERVICES THEY NEED IN ORDER TO LIVE AT THE HIGHEST POSSIBLE LEVEL OF SELF-SUFFICIENCY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,273,422 | ExpenseAmt |
| Grant | $189,704 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | TO PROVIDE MEDICAL, MENTAL, AND DENTAL SERVICES TO THE UNINSURED, UNDERINSURED AND HOMELESS POPULATION IN MILWAUKEE COUNTY. 8,685 CLIENTS SERVED DURING 2021. SERVICES INCLUDE ADULT PRIMARY CARE TO MEN AND WOMEN, PRE-NATAL CARE AND CHILD CARE COORDINATION, MENTAL HEALTH AND SUBSTANCE ABUSE OUTPATIENT TREATMENT FOR ALL AGES, URGENT AND RESTORATIVE CARE THROUGH PARTNERSHIP AND ON-SITE PHARMACY FOR CURRENT CLIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,854,286 | RevenueAmt |
| Desc | CRISIS AND TRANSITIONAL HOUSING PROGRAMS PROVIDE TRANSITIONAL HOUSING FOR HOMELESS ADULTS AND THEIR CHILDREN. PARTICIPANTS CONTRIBUTE 30% OF THEIR INCOME TOWARD THEIR HOUSING EXPENSES. 86 FAMILIES (294 INDIVIDUALS) WERE SERVED BY THE CRISIS AND TRANSITIONAL HOUSING PROGRAM IN 2021. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | STREET OUTREACH AND CLIENT SERVICES ASSIST INDIVIDUALS IN FINDING SHELTER OR HOUSING, HELP CLIENTS TO OBTAIN IDENTIFICATION, RETRIEVE BIRTH CERTIFICATES, CLAIM SSI BENEFITS AND GAIN REFERRALS FOR MEDICAL SERVICES. CLOTHING, SLEEPING BAGS, HYGIENE KITS, AND FOOD ARE ALSO PROVIDED AS NEEDED. 594 CLIENTS RECEIVED STREET OUTREACH AND CLIENT SERVICES IN 2021. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $13,273,422 | 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 | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 130 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 196 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIA HARRIS-ROBINSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4143742400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 210 W CAPITAL DRIVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53027 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| THOMAS PIRE | |||||||
| DIRECTOR OF PHARMACY | 40.00 | Yes (X) | $159,190 | $0 | $5,067 | ||
| JULIA HARRIS-ROBISON | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $135,309 | $0 | $7,081 | Yes (X) | ||
| CONSTANCE PALMER | |||||||
| PRESIDENT/CEO | 40.00 | $134,518 | $0 | $4,509 | Yes (X) | ||
| ANGELA SANDERS | |||||||
| DIRECTOR-BEHAVIORAL HEALTH | 40.00 | Yes (X) | $120,323 | $0 | $2,327 | ||
| SUSAN GADACA | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $118,917 | $0 | $2,905 | Yes (X) | ||
| WARNER L JACKSON | |||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JAMES W HILL | |||||||
| VICE-CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CARLA CROSS | |||||||
| SECRETARY-TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ELIZABETH BEHRENS | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CAMELIA CLARKE | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DIAN FELLOW | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| LISABETH MARQUARDT | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SUE SCHULER | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DONNA SHEPARD | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JENNIFER VON HELMS | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| TAVARIS L WHITE SR | |||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $668,257 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $21,889 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JCP CONSTRUCTION LLC | |||||
| 1849 N MLK DRIVE SUITE 200 | MILWAUKEE | WI | 532123639 | CONSTRUCTION | $320,364 |
| SUNSHINE CLEANERS INC | |||||
| PO BOX 270021 | MILWAUKEE | WI | 532277201 | JANITORIAL SERVICES | $160,340 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 840292 | DALLAS | TX | 752840292 | TEMP SERVICES | $130,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,560,027 | GovernmentGrantsAmt |
| All Other Contributions | $617,105 | AllOtherContributionsAmt |
| Total Contributions | $9,177,132 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES REVENUE | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $11,146,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,146,945 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,146,945 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,923 | TotalRevenueColumnAmt |
| Exclusion | $26,923 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $262,553 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $262,553 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $262,553 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $262,553 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $7,543,593 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $4,836,252 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,707,341 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,707,341 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,320,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,854,286 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $262,553 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,923 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,704 | TotalAmt |
| Program Services | $189,704 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,240 | TotalAmt |
| Program Services | $377,881 | ProgramServicesAmt |
| Management And General | $25,359 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,275,550 | TotalAmt |
| Program Services | $8,034,420 | ProgramServicesAmt |
| Management And General | $1,241,130 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,302 | TotalAmt |
| Program Services | $140,485 | ProgramServicesAmt |
| Management And General | $8,817 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,206,557 | TotalAmt |
| Program Services | $1,135,412 | ProgramServicesAmt |
| Management And General | $71,145 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,956 | TotalAmt |
| Program Services | $701,903 | ProgramServicesAmt |
| Management And General | $44,053 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $6,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,473 | TotalAmt |
| Program Services | $31,473 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,725 | TotalAmt |
| Program Services | $469,146 | ProgramServicesAmt |
| Management And General | $461,579 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,764 | TotalAmt |
| Program Services | $26,801 | ProgramServicesAmt |
| Management And General | $121,963 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,053 | TotalAmt |
| Program Services | $42,634 | ProgramServicesAmt |
| Management And General | $43,419 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,401 | TotalAmt |
| Program Services | $291,557 | ProgramServicesAmt |
| Management And General | $666,844 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,103 | TotalAmt |
| Program Services | $156,537 | ProgramServicesAmt |
| Management And General | $15,566 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,917 | TotalAmt |
| Program Services | $208,676 | ProgramServicesAmt |
| Management And General | $22,241 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,592 | TotalAmt |
| Program Services | $2,758 | ProgramServicesAmt |
| Management And General | $95,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIRECT CLIENT ASSISTANC | $708,117 | $708,117 | |
| DENTAL SUBCONTRACTOR | $495,981 | $495,981 | |
| EQUIPMENT REPAIRS AND M | $282,951 | $107,388 | $175,563 |
| MEMBERSHIP DUES | $42,850 | $42,850 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,735 | TotalAmt |
| Program Services | $146,549 | ProgramServicesAmt |
| Management And General | $45,186 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,354,971 | TotalAmt |
| Program Services | $13,273,422 | ProgramServicesAmt |
| Management And General | $3,081,549 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,889,023 | BOYAmt |
| EOY | $426,153 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,269,134 | BOYAmt |
| EOY | $9,892,356 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,071 | BOYAmt |
| EOY | $1,346,352 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,595 | BOYAmt |
| EOY | $4,297,298 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,673 | BOYAmt |
| EOY | $93,575 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,125 | BOYAmt |
| EOY | $66,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,949,862 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,292,757 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,695,652 | BOYAmt |
| EOY | $5,657,105 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,311 | BOYAmt |
| EOY | $161,819 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,810,584 | BOYAmt |
| EOY | $21,941,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,360,625 | BOYAmt |
| EOY | $1,220,682 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,102,799 | BOYAmt |
| EOY | $196,472 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,165 | BOYAmt |
| EOY | $227,094 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,398,924 | BOYAmt |
| EOY | $3,330,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,747,100 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,809,613 | BOYAmt |
| EOY | $4,974,248 | 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 | $9,995,471 | BOYAmt |
| EOY | $16,776,658 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,500 | BOYAmt |
| EOY | $190,236 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,971 | BOYAmt |
| EOY | $16,966,894 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,810,584 | BOYAmt |
| EOY | $21,941,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,965,923 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,105,417 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,618,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,094,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,609,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,177,132 | CurrentTaxYearAmt |
| Total | $30,605,349 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,105,417 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,618,755 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,094,625 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,609,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,177,132 | CurrentTaxYearAmt |
| Total | $30,605,349 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $30,605,349 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $258,219 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $271,875 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $245,785 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $253,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $289,476 | CurrentTaxYearAmt |
| Total | $1,319,257 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,924,606 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $51,181,653 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95870 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96400 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $200,062 | BeginningBalanceAmt |
| Additions During Year | $1,999,957 | AdditionsDuringYearAmt |
| Distributions During Year | $1,972,925 | DistributionsDuringYearAmt |
| Ending Balance | $227,094 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $270,200 | OtherCostOrOtherBasisAmt |
| Book Value | $270,200 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,637,115 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,513,381 | DepreciationAmt |
| Book Value | $4,123,734 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $650,801 | OtherCostOrOtherBasisAmt |
| Depreciation | $424,644 | DepreciationAmt |
| Book Value | $226,157 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,391,746 | OtherCostOrOtherBasisAmt |
| Depreciation | $354,732 | DepreciationAmt |
| Book Value | $1,037,014 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,657,105 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $28,157,146 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $4,836,252 | OtherRevenueAmt |
| Revenue Not Reported | $4,836,252 | RevenueNotReportedAmt |
| Revenue Subtotal | $23,320,894 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,320,894 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,191,223 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $4,836,252 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $4,836,252 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,354,971 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,354,971 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HAS A FIDUCIARY RESONSIBILITY FOR THE CLIENTS' PERSONAL FUNDS ALTHOUGH THE BANK ACCOUNT IS IN THE NAME OF THE ORGANIZATION. THE CASH IS THE PROPERTY OF THE CLIENTS. |
| PART X, LINE 2: | THE ORGANIZATION IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION. ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN -NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| COLUMBIA ST MARY'S | ||||||||
| 4425 N PORT WASHINGTON ROAD | MILWAUKEE | WI | 53212 | 391534635 | 501(C)(3) | $61,359 | $0 | PRIMARY CARE, DENTAL CARE, AND CASE MANAGEMENT |
| AURORA HEALTH CARE | ||||||||
| PO BOX 343910 | MILWAUKEE | WI | 532343910 | 391442285 | 501(C)(3) | $24,997 | $0 | PRIMARY CARE, DENTAL CARE, AND CASE MANAGEMENT |
| SALVATION ARMY | ||||||||
| 6601 BROADWAY EXT | OKLAHOMA CITY | OK | 73116 | 730579266 | 501(C)(3) | $103,348 | $0 | PRIMARY CARE, DENTAL CARE, AND CASE MANAGEMENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE USE OF THE FUNDS FOR HEALTH CARE AND OTHER NECESSITIES IS MONITORED AGAINST THE REQUIREMENTS OF THE FEDERAL OR STATE GRANTS RECEIVED BY THE ORGANIZATION FOR SUCH PURPOSES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS PIRE | PersonNm |
| Title | DIRECTOR OF PHARMACY | TitleTxt |
| Base Compensation Filing Org | $159,190 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $5,067 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $164,257 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR. AN ELECTRONIC COPY IS PROVIDED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST DISCLOSURE STATEMENTS ANNUALLY. THE STATEMENTS ARE THEN REVIEWED FOR POTENTIAL CONFLICTS. SHOULD A CONFLICT ARISE, THE PERSON AFFECTED IS ASKED TO EXUSE THEMSELVES FROM VOTING. |
| FORM 990, PART VI, SECTION B, LINE 15 | A WAGE AND SALARY SURVEY IS PERFORMED EVERY OTHER YEAR. RESULTS ARE PRESENTED TO THE FINANCE AND PERSONNEL COMMITTEE. THIS COMMITTEE MAKES RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD AFTER REVIEW OF SALARIES OF COMPARABLE ENTITIES AND THE MARKET. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| AMENDED RETURN: | 2021 FORM 990 WAS AMENDED TO CORRECT: FORM 990, PART I, LINES 8, 9, 11, 12, 15, 17, 18, 19, 20, 21, AND 22. FORM 990, PART III, LINES 4A, 4B, AND 4E. FORM 990, PART IV, LINE 12A. FORM 990, PART VIII, LINES 1E, 1F, 2A, AND 10B. FORM 990, PART IX, LINES 5, 7, 8, 9, 10, 11G, 12, 13, 16, 19, 22, 23, 24A, 24B, 24C, 24D, 24E, 25A, 25B, AND 25C. FORM 990, PART X, LINES 1B, 3B, 4B, 9B, 10A, 10C, 17B, 19B, 21B, 23B, 27B, AND 28B. FORM 990, PART XII, LINES 1, 2, 3, 8, AND 10. FORM 990, SCHEDULE A, PART II, SECTION A, LINES 1E, 1F, 4E, AND 4F. FORM 990, SCHEDULE A, PART II, SECTION B, LINES 7E, 7F, 11, AND 12. FORM 990, SCHEDULE B, PART I. FORM 990, SCHEDULE D, PART IV, LINES 1D AND 1E. FORM 990, SCHEDULE D, PART VI, LINES 1D AND 1E. FORM 990, SCHEDULE D, PART XI, LINES 1, 2D, 2E, 3, AND 5. FORM 990, SCHEDULE D, PART XII, LINES 1, 2D, 2E, 3, AND 5. |