MY COMMUNITY HEALTH CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: MY COMMUNITY HEALTH CENTER (EIN 81-2171085)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-10-09
IRS object ID: 202312829349300926
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-10-09T12:15:34-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	312 WALNUT STREET SUITE 3000	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	812171085	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MY COMMUNITY HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KELLY LORENZ	InCareOfNm
Business Name Control	MYCO	BusinessNameControlTxt
Phone	3303636242	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 7TH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KELLY LORENZ	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3303636242	PhoneNum
Signature	2023-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Kelly	PersonFirstNm
Person Last	Lorenz	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Aaron Hershberger	PreparerPersonNm
PTIN	P00961884	PTIN
Phone	5136218300	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JUAN-PAULO AFABLE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 7TH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,310,078	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MYCOMHC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2016	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE COMPASSIONATE CARE TO ALL; HEALING AND LEARNING TOGETHER.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	101	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$3,355,795	PYContributionsGrantsAmt
CY Contributions Grants	$3,815,506	CYContributionsGrantsAmt
PY Program Service Revenue	$5,000,515	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,405,360	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$11,976	CYInvestmentIncomeAmt
PY Other Revenue	$103,053	PYOtherRevenueAmt
CY Other Revenue	$77,236	CYOtherRevenueAmt
PY Total Revenue	$8,459,363	PYTotalRevenueAmt
CY Total Revenue	$9,310,078	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	$4,398,189	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,434,060	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,014,433	PYOtherExpensesAmt
CY Other Expenses	$3,704,256	CYOtherExpensesAmt
PY Total Expenses	$7,412,622	PYTotalExpensesAmt
CY Total Expenses	$8,138,316	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,046,741	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,171,762	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,110,237	TotalAssetsBOYAmt
Total Assets EOY	$7,380,647	TotalAssetsEOYAmt
Total Liabilities BOY	$472,463	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,571,111	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,637,774	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,809,536	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	My Community Health Center (MCHC) is a grassroots, community-based 501(c)(3) Ohio nonprofit organization whose mission is to provide compassionate care to all, healing and learning together. MCHC's goal is to be responsive to the needs of the communities it serves, but with continued emphasis on the underserved and those without access to care, regardless of race, economic status, age, sex, sexual orientation, or disability.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$5,961,556	ExpenseAmt
Revenue	$5,405,360	RevenueAmt
Desc	My Community Health Center (MCHC) is a grassroots, community based 501(c)(3) Ohio nonprofit organization whose mission is to provide compassionate care to all, healing and learning together. MCHC's goal is to be responsive to the needs of the communities it serves, but with continued emphasis on the underserved and those without access to care, regardless of race, economic status, age, sex, sexual orientation, or disability. MCHC established itself as a community clinic site in August 2017 and has been active as a community health care provider since. The organization believes in training the next generation of health care providers. As such, MCHC has established a relationship with three residency programs for their residents to provide outpatient, continuity of care at MCHC: internal medicine, family medicine and obstetrics and gynecology. The internal medicine also provides a rich learning environment for pharmacy residents. In addition to providers, MCHC is a clinical site for nursing and medical assistant students. In September 2019, MCHC received full designation from the Federal Health Resources and Services Administration (HRSA) to be Federally Qualified Health Center. MCHC employs more than 70 employees, many from the local community. Staff are fluent in English, Spanish, and American sign language (contracted translation services for other languages) and effective at working with people at all levels of literacy. Services provided by MCHC include family practice, internal medicine, prenatal services, postpartum care, well child and pediatric care, screenings, chronic disease management, dental care (by referral), laboratory, behavioral health (including individuals/groups), family planning, outreach, health education (including nutrition), eligibility assistance, and case management. These outpatient primary health services are provided to the medically underserved populations in Stark County, Ohio and surrounding communities. Our obstetrical program is unique in the fact that we are the largest OB provider for Medicaid patients in Stark County. The organization received approval to open a second site in Magnolia, Ohio, a HRSA designated underserved area in September 2019. This fully functioning satellite office began operations in January 2020 and provides most of the same health center services as described above. In March of 2020 to meet the challenging issues of covid-19 with our patients, MCHC added telehealth services and in 2022 we have continued to provide this service. In 2022 we provided over 2,800 telehealth visits. In addition, MCHC provided care to approximately 10,100 patients with close to 36,000 medical visits and close to 1100 mental health visits in 2022. Community collaboration is important to MCHC. Below is a brief description of collaborations with community partners: OB department collaborates with stark county and canton city health departments on the thrive initiative to reduce infant mortality. The internal medicine division collaborates with access health to provide community health workers for high-risk diabetics in the practice. MCHC collaborates with beacon pharmacy to provide prescription medications at a reduced cost to patients. MCHC was able to resume participation in many community events in 2022 with COVID restrictions being lifted. MCHC's staff participated in the following community events: - In early May we gave away COVID test kits, screening tool guidelines and pens at a wellness event and had 4 employees volunteer. - In August for back-to-school, we went to Sandy Valley and Clarendon elementary schools and gave away string bags, water bottles, screening tool guidelines and had 15 employees volunteer. - In early September, MCHC went to another wellness event and gave away string bags, water bottles, covid tests and had 8 employees volunteer. - Finally, in December we participated in the community Christmas adopt a family and MCHC raised funds to provide gifts to 3 families and had 18 employees helping with the shopping and wrapping of the gifts. Two of the families were from the community and the other family was a patient at MCHC. In November of 2022, MCHC's Magnolia location received their accreditation from the national committee for quality assurance (NCQA) as a patient centered medical home (PCMH). The canton location sustained their accreditation in august of 2022. This designation demonstrates our commitment to improving the quality of health care for our patients. In 2022 we added 4 additional OB-GYN rooms and a bariatric exam room in our internal medicine department and began construction of our in-house pharmacy. We received our state board of pharmacy license for our pharmacy on September 8, 2022, but due to some unforeseeable technology delays with the pharmacy software, the in-house pharmacy opened early 2023. The 340b in-house pharmacy will enable my community health center to provide our underserved communities with access to medications at discounted costs. It will improve patient adherence, patient safety and at the same time provide additional income to support health center operations. Finally, collaboration with the City of Canton, Canton for All People, and Stark Fresh has resulted in a plan to open a combination health center and grocery store in an area of canton which is a food and health care desert. This project was originally scheduled for 2022 but got delayed between the Cleveland and Chicago offices of the U.S. department of housing and urban development (HUD) and the approved sale of the building to Canton for All People. The transfer of ownership is now complete and construction has started for this project and the opening of the new site is most likely going to be in fall 2023.	Desc
Total Program Service Expenses	$5,961,556	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	11	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	101	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	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	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KELLY LORENZ	PersonNm
Phone	3303631310	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 7TH STREET SW	AddressLine1Txt
City	CANTON	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	44710	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOHN SUTTON MD
CMO	40.0	0.0	Yes (X)	$234,184	$0	$19,850
TERRY REGULA
CEO-TERM END 11/2022	40.0	0.0	Yes (X)	$223,549	$0	$24,780
ROBIN KOLLMAN MD
PHYSICIAN	40.0	0.0		$186,142	$0	$19,559	Yes (X)
KELLY LORENZ
CFO	40.0	0.0	Yes (X)	$107,961	$0	$10,756
JUAN-PAULO AFABLE
CEO-TERM START 11/2022	40.0	0.0	Yes (X)	$36,798	$0	$1,110
MARIA HEEGE
PRESIDENT	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
CYRILIA PRATT
SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
SUSAN MERCER MD
TREASURER	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
JAMES ANDERSON
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
MAUREEN ATER
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
RENEE BACKIE
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
TOM CASEY
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
LINDA MUIR
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
SATYNNE PYLES
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
KEVIN SMITH
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
ELONDA WILLIAMS
DIRECTOR - TERM ENDED	1.0	0.0		$0	$0	$0		Yes (X)
JEFFREY ZELLERS
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$788,634	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$76,055	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLSCRIPTS HEALTHCARE LLC
24630 NETWORK PLACE	CHICAGO	IL	60673	EHR HOST, BILL SRV	$410,959
AULTMAN HEALTH FOUNDATION
2600 6TH STREET SW	CANTON	OH	44710	MASTER SVC AGREEMENT	$947,487
AULTMAN HOSPITAL
2600 6TH STREET SW	CANTON	OH	44710	PHY PRECEPTORS	$1,151,936
CANTOM MEDICAL EDUCATION FOUNDATION
2600 - 6TH STREET SW	CANTON	OH	44710	PHY PRECEPTORS	$115,503
GREINER INTERIORS LTD
868 SOUTH ARCH AVE	ALLIANCE	OH	44601	CONSTRUCTION	$303,915

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,747,387	GovernmentGrantsAmt
All Other Contributions	$2,068,119	AllOtherContributionsAmt
Total Contributions	$3,815,506	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$4,980,811	$4,980,811
PHARMACY REVENUE	621400	$241,941	$241,941
QUALITY INCENTIVE REVENUE	621400	$182,608	$182,608

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,405,360	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,976	TotalRevenueColumnAmt
Exclusion	$11,976	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Other Revenue	Desc
Business	900099	BusinessCd
Total Revenue Column	$77,236	TotalRevenueColumnAmt
Exclusion	$77,236	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$77,236	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,310,078	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,405,360	RelatedOrExemptFuncIncomeAmt
Exclusion	$89,212	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$658,988	TotalAmt
Program Services	$528,882	ProgramServicesAmt
Management And General	$130,106	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,984,236	TotalAmt
Program Services	$2,385,238	ProgramServicesAmt
Management And General	$598,998	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$72,426	TotalAmt
Program Services	$60,667	ProgramServicesAmt
Management And General	$11,759	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$445,262	TotalAmt
Program Services	$372,968	ProgramServicesAmt
Management And General	$72,294	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$273,148	TotalAmt
Program Services	$228,799	ProgramServicesAmt
Management And General	$44,349	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$12,000	TotalAmt
Management And General	$12,000	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$54,954	TotalAmt
Management And General	$54,954	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,071,058	TotalAmt
Program Services	$1,466,884	ProgramServicesAmt
Management And General	$604,174	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$166,282	TotalAmt
Program Services	$117,774	ProgramServicesAmt
Management And General	$48,508	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$117,642	TotalAmt
Management And General	$117,642	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$374,129	TotalAmt
Management And General	$374,129	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,757	TotalAmt
Management And General	$9,757	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$8,285	TotalAmt
Management And General	$8,285	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$71,280	TotalAmt
Program Services	$52,254	ProgramServicesAmt
Management And General	$19,026	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$75,008	TotalAmt
Program Services	$30,884	ProgramServicesAmt
Management And General	$44,124	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHARMACEUTICALS	$102,317	$102,317
MEDICAL SUPPLIES & EQUIPMENT	$550,175	$550,175
Other Expenses	$91,369	$64,714	$26,655

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,138,316	TotalAmt
Program Services	$5,961,556	ProgramServicesAmt
Management And General	$2,176,760	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,209,204	BOYAmt
EOY	$3,783,293	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$143,015	BOYAmt
EOY	$242,736	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$436,854	BOYAmt
EOY	$421,792	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$52,050	BOYAmt
EOY	$32,084	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$49,838	BOYAmt
EOY	$41,959	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$993,650	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$191,525	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$219,276	BOYAmt
EOY	$802,125	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,056,658	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,110,237	BOYAmt
EOY	$7,380,647	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$472,463	BOYAmt
EOY	$521,665	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,049,446	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$472,463	BOYAmt
EOY	$2,571,111	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	$3,524,849	BOYAmt
EOY	$4,674,446	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$112,925	BOYAmt
EOY	$135,090	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,637,774	BOYAmt
EOY	$4,809,536	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,110,237	BOYAmt
EOY	$7,380,647	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,171,762	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp
Land		LandGrp
Buildings		BuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$910,455	OtherCostOrOtherBasisAmt
Depreciation	$190,508	DepreciationAmt
Book Value	$719,947	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,195	OtherCostOrOtherBasisAmt
Depreciation	$1,017	DepreciationAmt
Book Value	$82,178	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$802,125	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	Right of Use Assets	Desc
Book Value	$2,056,658	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,056,658	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Lease Liabilities	Desc
Amt	$2,049,446	Amt

Field	Value	IRS element (for citing)
Total Liability	$2,049,446	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$9,310,078	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$9,310,078	RevenueSubtotalAmt
Total Revenue Per Form990	$9,310,078	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$8,138,316	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$8,138,316	ExpensesSubtotalAmt
Total Expenses Per Form990	$8,138,316	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
ROBIN KOLLMAN MD
PHYSICIAN	$186,042	$0	$100	$0	$0	$0	$5,700	$0	$13,859	$0	$205,701	$0
JOHN SUTTON MD
CMO	$230,294	$0	$3,200	$0	$690	$0	$7,025	$0	$12,825	$0	$254,034	$0
TERRY REGULA
CEO-TERM END 11/2022	$211,652	$0	$10,000	$0	$1,897	$0	$24,780	$0	$0	$0	$248,329	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	COMPENSATION OF CEO THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCES MANAGER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS TO REVIEW THE FORM 990 THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S CFO. THE CEO AND CFO CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN, RECONCILING THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARING THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. A COMPLETE COPY OF THE 990 WAS THEN SENT VIA EMAIL TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO CLINIC BOARD MEMBERS, EMPLOYEES, CONSULTANTS AND THOSE WHO FURNISH GOODS OR SERVICES TO THE ORGANIZATION. EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CERTIFICATION OF AGREEMENT WITH THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY KNOWN CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR REELECTION TO THE BOARD AND ANNUALLY THEREAFTER. WHENEVER THE CHIEF EXECUTIVE OFFICER, KEY MANAGEMENT PERSONNEL OR ANY BOARD MEMBER HAS A CONFLICT OF INTEREST OR A PERCEIVED CONFLICT OF INTEREST WITH MCHC, HE OR SHE IS REQUIRED TO NOTIFY THE FULL BOARD OF SUCH CONFLICT IN WRITING USING THE ANNUAL CERTIFICATION FORM. WHEN ANY CONFLICT OF INTEREST IS RELEVANT TO A MATTER THAT COMES UNDER CONSIDERATION OR REQUIRES ACTION BY THE BOARD, OR A BOARD COMMITTEE, THE INTERESTED PERSON IS REQUIRED TO CALL IT TO THE ATTENTION OF THE BOARD CHAIR AND MUST LEAVE THE MEETING DURING BOARD OR COMMITTEE DISCUSSION OR DECISION ON THE MATTER. HOWEVER, THAT PERSON IS ALLOWED TO PROVIDE THE BOARD OR APPLICABLE COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION ON THE PARTICULAR MATTER. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY MAY, DEPENDING ON THE SEVERITY OF THE VIOLATION, BE SUBJECT TO ORAL ADMONISHMENT OR REMOVAL FROM THEIR POSITION.
FORM 990, PART VI, SECTION B, LINE 15A	COMPENSATION REVIEW PROCESS FOR THE CEO THE ANNUAL REVIEW FOR THE CEO WAS DONE IN JUNE OF 2022. THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCE MANAGER.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS MY COMMUNITY HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICE TOTAL FEES:2071058