COMMUNITY HEALTHNET INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTHNET INC (EIN 35-2048141)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-13
- IRS object ID
- 202313179349306536
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-13T13:48:35-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351509921 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SWARTZ RETSON & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 E 86TH AVENUE | AddressLine1Txt |
| City | MERRILLVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46410 | 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 | 352048141 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTHNET INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2198801190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 WEST 5TH AVENUE | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET SEABROOK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2198801190 | PhoneNum |
| Signature | 2023-09-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JANET | PersonFirstNm |
| Person Last | SEABROOK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD A YOUNG | PreparerPersonNm |
| PTIN | P00367526 | PTIN |
| Phone | 2197693616 | PhoneNum |
| Preparation | 2023-09-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | JANET SEABROOK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 WEST 5TH AVENUE | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,168,208 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHN-INDIANA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CENTER SERVICES TO INDIGENT AND UNDERSERVED MEMBERS OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 133 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,530,856 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,438,569 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,699,971 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,714,928 | CYProgramServiceRevenueAmt |
| PY Investment Income | $481 | PYInvestmentIncomeAmt |
| CY Investment Income | $311 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,201 | PYOtherRevenueAmt |
| CY Other Revenue | $5,671 | CYOtherRevenueAmt |
| PY Total Revenue | $10,248,509 | PYTotalRevenueAmt |
| CY Total Revenue | $12,159,479 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,952 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,283,092 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,473,717 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,424 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,658,063 | PYOtherExpensesAmt |
| CY Other Expenses | $4,478,865 | CYOtherExpensesAmt |
| PY Total Expenses | $10,941,655 | PYTotalExpensesAmt |
| CY Total Expenses | $11,957,534 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$693,146 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $201,945 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,820,906 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,775,714 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,089,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,842,463 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,731,306 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,933,251 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTH CENTER SERVICES TO INDIGENT AND UNDERSERVED MEMBERS OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,836,178 | ExpenseAmt |
| Grant | $4,952 | GrantAmt |
| Revenue | $4,714,928 | RevenueAmt |
| Desc | MEDICAL SERVICES PROVIDED TO THE INDIGENT AND UNDERSERVED POPULATION IN THE COMMUNITY. | Desc |
| Total Program Service Expenses | $7,836,178 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | 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 | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 133 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | IN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANET SEABROOK | PersonNm |
| Phone | 2194842459 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 W 5TH AVENUE | AddressLine1Txt |
| City | GARY | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RISE ROSS-RATNEY | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DON BATES | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DELTA JONES-WALKER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARIUS ANDERSON | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAMON MORTON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NATALIE AMMONS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TANIA FARRAG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD HUG | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSALIND PARR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUSTIN HARRIS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANET SEABROOK | |||||||
| CEO/EXEC. DIR. | 40.00 | Yes (X) | $245,490 | $0 | $41,722 | ||
| MELVIN RICHARDSON | |||||||
| PHYSICIAN | 40.00 | $201,471 | $0 | $16,472 | Yes (X) | ||
| STEVE SIMPSON | |||||||
| PEDIATRICIAN | 40.00 | $215,010 | $0 | $16,470 | Yes (X) | ||
| SHAH A CHOWDHURY | |||||||
| PEDIATRICIAN | 40.00 | $199,186 | $0 | $6,900 | Yes (X) | ||
| BETTY NAKITENDE | |||||||
| NURSE PRACTITIONER | 40.00 | $154,627 | $0 | $4,247 | Yes (X) | ||
| CAMILLE A BORDERS | |||||||
| NURSE PRACTITIONER | 40.00 | $152,618 | $0 | $14,650 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,168,402 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $100,461 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMP | |||||
| 9900 BREN ROAD EAST MN008-T390 | MINNETONKA | MN | 55343 | INSURANCE SERVICES | $451,029 |
| SPENCE CONSULTING | |||||
| 6845 S EUCLID AVENUE | CHICAGO | IL | 60649 | CONSULTING | $233,095 |
| OCHIN | |||||
| 1881 SW NAITO PKWY | PORTLAND | OR | 97201 | HEALTH SERVICES | $214,517 |
| DAVIS DADE SECURITY LLC | |||||
| PO BOX 4179 | GARY | IN | 46406 | SECURITY SERVICES | $159,746 |
| NEVAEH HEALTHCARE REVENUE MANAGEMENT | |||||
| 8708 PROSPECT AVENUE SUITE D13 | CHESTNUT HILL | PA | 19118 | FINANCIAL MANAGEMENT CONSULTING | $139,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $21,641 | FundraisingAmt |
| Government Grants | $6,652,111 | GovernmentGrantsAmt |
| All Other Contributions | $764,817 | AllOtherContributionsAmt |
| Total Contributions | $7,438,569 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $4,714,928 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,714,928 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,714,928 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $311 | TotalRevenueColumnAmt |
| Exclusion | $311 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,400 | 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 | $14,400 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,400 | TotalRevenueColumnAmt |
| Exclusion | $14,400 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $21,641 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,729 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$8,729 | TotalRevenueColumnAmt |
| Exclusion | -$8,729 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,159,479 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,714,928 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,982 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,952 | TotalAmt |
| Program Services | $4,952 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,212 | TotalAmt |
| Program Services | $71,803 | ProgramServicesAmt |
| Management And General | $215,409 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,220,452 | TotalAmt |
| Program Services | $4,788,084 | ProgramServicesAmt |
| Management And General | $1,432,368 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,608 | TotalAmt |
| Program Services | $114,193 | ProgramServicesAmt |
| Management And General | $33,415 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,873 | TotalAmt |
| Program Services | $269,278 | ProgramServicesAmt |
| Management And General | $66,595 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,572 | TotalAmt |
| Program Services | $361,929 | ProgramServicesAmt |
| Management And General | $120,643 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,777 | TotalAmt |
| Program Services | $31,282 | ProgramServicesAmt |
| Management And General | $312,495 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,646 | TotalAmt |
| Program Services | $1,333 | ProgramServicesAmt |
| Management And General | $13,313 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,526 | TotalAmt |
| Program Services | $138,994 | ProgramServicesAmt |
| Management And General | $299,532 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,947 | TotalAmt |
| Program Services | $27,245 | ProgramServicesAmt |
| Management And General | $66,702 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,064 | TotalAmt |
| Program Services | $12,098 | ProgramServicesAmt |
| Management And General | $238,869 | ManagementAndGeneralAmt |
| Fundraising | $1,097 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,289 | TotalAmt |
| Program Services | $41,611 | ProgramServicesAmt |
| Management And General | $415,678 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,260 | TotalAmt |
| Program Services | $94,802 | ProgramServicesAmt |
| Management And General | $496,929 | ManagementAndGeneralAmt |
| Fundraising | $1,529 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,792 | TotalAmt |
| Program Services | $19,937 | ProgramServicesAmt |
| Management And General | $13,855 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,588 | TotalAmt |
| Program Services | $21,294 | ProgramServicesAmt |
| Management And General | $21,294 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,716 | TotalAmt |
| Program Services | $53,562 | ProgramServicesAmt |
| Management And General | $146,154 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,647 | TotalAmt |
| Program Services | $367,154 | ProgramServicesAmt |
| Management And General | $7,493 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,617 | TotalAmt |
| Program Services | $236 | ProgramServicesAmt |
| Management And General | $23,381 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $1,415,225 | $1,285,243 | $129,982 | |
| BAD DEBT | $95,228 | $95,228 | ||
| DUES, LICENSES & PERMIT | $79,781 | $15,158 | $63,825 | $798 |
| OUTREACH AND ENROLLMENT | $20,762 | $20,762 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,957,534 | TotalAmt |
| Program Services | $7,836,178 | ProgramServicesAmt |
| Management And General | $4,117,932 | ManagementAndGeneralAmt |
| Fundraising | $3,424 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,442 | BOYAmt |
| EOY | $108,255 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67 | BOYAmt |
| EOY | $11,665 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,190 | BOYAmt |
| EOY | $164,683 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,059,784 | BOYAmt |
| EOY | $3,343,661 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,184 | BOYAmt |
| EOY | $65,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,982,397 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,770,710 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,439,003 | BOYAmt |
| EOY | $5,211,687 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,236 | BOYAmt |
| EOY | $870,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,820,906 | BOYAmt |
| EOY | $9,775,714 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876,083 | BOYAmt |
| EOY | $1,038,426 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,205,592 | BOYAmt |
| EOY | $4,349,850 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,925 | BOYAmt |
| EOY | $454,187 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,089,600 | BOYAmt |
| EOY | $5,842,463 | 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 | $3,731,306 | BOYAmt |
| EOY | $3,933,251 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,731,306 | BOYAmt |
| EOY | $3,933,251 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,820,906 | BOYAmt |
| EOY | $9,775,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $201,945 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $3,145,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,853,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,305,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,530,856 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,438,569 | CurrentTaxYearAmt |
| Total | $25,274,657 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,145,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,853,892 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,305,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,530,856 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,438,569 | CurrentTaxYearAmt |
| Total | $25,274,657 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $274,543 | SubstantialContributorsTotAmt |
| Public Support Total170 | $25,000,114 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,454 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,807 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,931 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,711 | CurrentTaxYearAmt |
| Total | $217,189 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $258,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $466,611 | CurrentTaxYearMinus2YearsAmt |
| Total | $725,097 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $26,216,943 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $25,819,284 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95310 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,152 | OtherCostOrOtherBasisAmt |
| Book Value | $90,152 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,136,660 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,215,659 | DepreciationAmt |
| Book Value | $3,921,001 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $788,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,836 | DepreciationAmt |
| Book Value | $613,053 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,966,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,379,215 | DepreciationAmt |
| Book Value | $587,481 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,211,687 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $8,225 |
| SECURITY DEPOSIT | $9,496 |
| CONSTRUCTION IN PROCESS | $406,071 |
| RIGHT-OF-USE ASSETS - OPERATING | $446,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $870,054 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSIT | $7,925 |
| LEASE OBLIGATIONS - OPERATING | $446,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $454,187 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,168,208 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $8,729 | OtherRevenueAmt |
| Revenue Not Reported | $8,729 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,159,479 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,159,479 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,966,263 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $8,729 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $8,729 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,957,534 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,957,534 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | WHEN APPLICABLE, CHANGES IN BENEFITS ARISING FROM CURRENT AND PRIOR TAX POSITIONS TAKEN BY THE ORGANIZATION ARE RECOGNIZED IN THE PERIOD IN WHICH THE CHANGE OCCURS. CHANGES RESULTING FROM SETTLEMENTS WITH TAXING AUTHORITIES ARE RECOGNIZED IN THE PERIOD THE SETTLEMENT OCCURS. REDUCTIONS IN UNRECOGNIZED TAX BENEFITS AS A RESULT OF A LAPSE OF THE APPLICABLE STATUTE OF LIMITATIONS ARE RECOGNIZED IN THE PERIOD THE STATUTE LAPSES. PROJECTED PENALTIES AND INTEREST RECOGNIZED ON TAX POSITIONS WHERE IT IS REASONABLY POSSIBLE THAT THE ORGANIZATION'S TAX POSITION WILL NOT PREVAIL IN A REVIEW BY TAX AUTHORITIES IS RECOGNIZED AS PART OF CURRENT PERIOD INCOME TAX EXPENSE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 8,729. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 8,729. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BREAST CANCER WALK | Event1Nm |
| Gross Receipts Event1 | $21,641 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $21,641 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $8,729 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $21,641 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $21,641 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $8,729 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,729 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$8,729 | NetIncomeSummaryAmt |
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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANET SEABROOK | ||||||||||||||
| CEO/EXEC. DIR. | $245,490 | $0 | $0 | $0 | $0 | $0 | $6,975 | $0 | $34,747 | $0 | $287,212 | $0 | $0 | $0 |
| STEVE SIMPSON | ||||||||||||||
| PEDIATRICIAN | $215,010 | $0 | $0 | $0 | $0 | $0 | $6,450 | $0 | $10,020 | $0 | $231,480 | $0 | $0 | $0 |
| MELVIN RICHARDSON | ||||||||||||||
| PHYSICIAN | $201,471 | $0 | $0 | $0 | $0 | $0 | $5,747 | $0 | $10,725 | $0 | $217,943 | $0 | $0 | $0 |
| SHAH A CHOWDHURY | ||||||||||||||
| PEDIATRICIAN | $199,186 | $0 | $0 | $0 | $0 | $0 | $5,166 | $0 | $1,734 | $0 | $206,086 | $0 | $0 | $0 |
| CAMILLE A BORDERS | ||||||||||||||
| NURSE PRACTITIONER | $152,618 | $0 | $0 | $0 | $0 | $0 | $4,588 | $0 | $10,062 | $0 | $167,268 | $0 | $0 | $0 |
| BETTY NAKITENDE | ||||||||||||||
| NURSE PRACTITIONER | $154,627 | $0 | $0 | $0 | $0 | $0 | $4,136 | $0 | $111 | $0 | $158,874 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE BOARD OF DIRECTORS PERIODICALLY DETERMINES ALL EMPLOYEES' COMPENSATION BASED ON POLICIES AND PROCEDURES DEVELOPED, ADOPTED, AND PERIODICALLY UPDATED BY THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIENNE HURTT | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | INTERIM CHIEF FINANCIAL OFFICER IS AN OWNER OF NAVEAH HEALTHCARE REVENUE MA | RelationshipDescriptionTxt |
| Transaction | $139,018 | TransactionAmt |
| Transaction | COMMUNITY HEALTHNET, INC. CONTRACTS WITH NAVEAH HEALTHCARE REVENUE MANAGEMENT TO PROVIDE CFO SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | NEVEAH HEALTHCARE REVENUE MANAGEMENT, LLC SERVES AS THE CHIEF FINANCIAL OFFICER FOR COMMUNITY HEALTHNET, INC. MANAGEMENT AND SUPERVISION SERVICES ARE PROVIDED BY ADRIENNE HURTT FOR THE ORGANIZATION'S FISCAL OPERATIONS. COMPENSATION IN THE AMOUNT OF $227,902 WAS RECEIVED FOR THESE SERVICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE CFO, EXECUTIVE COMMITTEE OF BOARD, AND CEO PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, THE DIRECTORS AND MANAGEMENT STAFF COMPLETE A NEW CONFLICT OF INTEREST FORM AND SUBMIT IT TO THE EXECUTIVE DIRECTOR FOR REVIEW AND INCLUSION IN THEIR PERSONNEL FILES. THE DIRECTOR OF ACCOUNTING REVIEWS CONFLICT OF INTEREST FORMS RECEIVED WHICH INDICATE POTENTIAL CONFLICTS, ADVISES EMPLOYEES WITH POTENTIAL CONFLICTS, AND MONITORS THOSE ACTIVITIES WITH POTENTIAL CONFLICTS AS NECESSARY. CONFLICT OF INTEREST FORMS ARE ALSO REVIEWED ANNUALLY AT THE DECEMBER BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR, OFFICERS, MANAGERS AND KEY EMPLOYEES IS DETERMINED ANNUALLY BY THE BOARD EXECUTIVE COMMITTEE FROM STAFF SURVEYS, NACHC SALARY REPORT AND OTHER DATA. |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 990 IS MADE AVAILABLE FOR PUBLIC INSPECTION AT WWW.GUIDESTAR.ORG OR UPON REQUEST FROM THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT WWW.GUIDESTAR.ORG OR UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | NO CHANGES FROM PRIOR YEAR. |