BAY CLINIC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BAY CLINIC INC (EIN 99-0222784)
- Tax period
- 2021-07-01 to 2022-06-29
- Filed
- 2023-12-11
- IRS object ID
- 202323459349300437
- 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 | 2023-12-11T12:15:24-06:00 | ReturnTs |
| Tax Period End | 2022-06-29 | 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 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990222784 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAY CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ADAM BAUER | InCareOfNm |
| Business Name Control | BAYC | BusinessNameControlTxt |
| Phone | 8083333600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE Suite 105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM BAUER | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8083333600 | PhoneNum |
| Signature | 2023-11-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ADAM | PersonFirstNm |
| Person Last | BAUER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| 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) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | CHRISTIAN ALAMEDA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,602,517 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BAYCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY - DIRECTED HEALTHCARE ORGANIZATION THAT PROVIDES QUALITY PRIMARY AND PREVENTIVE CARE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 264 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $36,816 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $34,132 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,727,562 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,554,550 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,980,812 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,902,221 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,604 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,302 | CYInvestmentIncomeAmt |
| PY Other Revenue | $44,384 | PYOtherRevenueAmt |
| CY Other Revenue | $53,176 | CYOtherRevenueAmt |
| PY Total Revenue | $21,754,362 | PYTotalRevenueAmt |
| CY Total Revenue | $27,528,249 | 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 | $12,477,458 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,089,250 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $28,546 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,870,780 | PYOtherExpensesAmt |
| CY Other Expenses | $8,502,013 | CYOtherExpensesAmt |
| PY Total Expenses | $19,348,238 | PYTotalExpensesAmt |
| CY Total Expenses | $22,591,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,406,124 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,936,986 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,844,113 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,488,594 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,355,519 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | A COMMUNITY DIRECTED HEALTHCARE ORGANIZATION THAT PROVIDES QUALITY PRIMARY AND PREVENTIVE CARE SERVICES TO THE PEOPLE OF EAST HAWAII. WE ENSURE THAT PATIENT CENTERED, CULTURALLY RESPONSIVE, AND AFFORDABLE HEALTHCARE SERVICES ARE LOCALLY ACCESSIBLE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $17,832,663 | ExpenseAmt |
| Revenue | $18,902,221 | RevenueAmt |
| Desc | THE BAY CLINIC INC. IS A FEDERALLY QUALIFIED COMMUNITY HEALTH ENTERS SERVING 21,000 ETHNICALLY DIVERSE PATIENTS WITH 58,000 VISITS IN THE DISTRICTS OF HILO, PUNA AND KAU IN EAST AND SOUTH HAWAII ISLAND. IN THE FISCAL YEAR ENDING 2022, THE BAY CLINIC, INC. HAD APPROX 16K+ MEDICAL VISITS, 14K+ DENTAL VISITS, AND 3K+ BH VISITS BETWEEN FACE TO FACE AND VIRTUAL VISITS DURING COVID DECLARATION OF EMERGENCY. BAY CLINIC'S STATE OF THE ART MOBILE HEALTH UNIT CONTINUES ITS DUAL USE, PRIMARY MEDICAL AND DENTAL SERVICES, THE UNIT EXPANDS ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES TO THE MOST REMOTE AND RURAL EAST HAWAII COMMUNITIES. | Desc |
| Total Program Service Expenses | $17,832,663 | 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 | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | Yes (true) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 264 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | Yes (true) | 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 | ADAM BAUER | PersonNm |
| Phone | 8089614071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE STE 105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN ALAMEDA | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.0 | Yes (X) | $241,827 | $0 | $31,517 | |||
| BRIAN HIGA | |||||||||
| CHIEF DENTAL OFFICER | 40.0 | 0.0 | $215,227 | $0 | $16,871 | Yes (X) | |||
| MICHAEL TREECE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $182,165 | $0 | $14,228 | Yes (X) | |||
| ANGELA LIND | |||||||||
| PEDIATRICIAN | 40.0 | 0.0 | $179,688 | $0 | $6,428 | Yes (X) | |||
| KOA YAMASHITA | |||||||||
| DENTIST | 40.0 | 0.0 | $165,070 | $0 | $14,867 | Yes (X) | |||
| PATRICK YEAKEY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $170,469 | $0 | $8,216 | Yes (X) | |||
| JOHN ENGLE | |||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | $170,974 | $0 | $1,267 | Yes (X) | |||
| JOSEPH D'ANGELO | |||||||||
| PEDIATRICIAN | 40.0 | 0.0 | $158,374 | $0 | $8,131 | Yes (X) | |||
| DEBORAH JONES | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $131,963 | $0 | $8,095 | |||
| MARCIA SAQUING | |||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $128,734 | $0 | $6,843 | |||
| HAIDEE ABE | |||||||||
| CHAIR | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA KAY HENSLEY | |||||||||
| VICE CHAIR | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ADAM BAUER | |||||||||
| TREASURER | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MIKE MCGEE | |||||||||
| SECRETARY | 5.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BRITTA ZIMMER ND | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| BRANDEE MENINO | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| RONALD NW KIM | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MARY KENOI-OKAJIMA | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MARLO LYMAN-KEKAUALUA | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| MIKE SAYAMA | |||||||||
| DIRECTOR END 09/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| LISSANDRA C BALDAN-JENKINS | |||||||||
| DIRECTOR END 05/21 | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,744,491 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $116,463 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | 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 |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | LOCUM PROVIDERS | $217,720 |
| UNIVERSITY HEALTH PARTNERS OF HAWAI | |||||
| PO BOX 31000 | HONOLULU | HI | 96849 | LOCUM PROVIDERS | $202,844 |
| BARTON ASSOCIATES INC | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | LOCUM PROVIDERS | $146,886 |
| KELLY MALDONADO | |||||
| 391 S ARROYO AVE | FRESNO | CA | 93727 | BILLING CONSULTANT | $134,724 |
| GOWELL ASSOCIATES LLC | |||||
| 10353 PINION TRAIL | ESCONDIDO | CA | 92026 | FINANCE CONSULTANT | $134,444 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,992,916 | GovernmentGrantsAmt |
| All Other Contributions | $561,634 | AllOtherContributionsAmt |
| Total Contributions | $8,554,550 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 621110 | $14,789,956 | $14,789,956 |
| PHARMACY | 446110 | $4,100,557 | $4,100,557 |
| OTHER REVENUE | 621110 | $11,708 | $11,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,902,221 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,802 | TotalRevenueColumnAmt |
| Exclusion | $2,802 | 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 |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $127,444 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $74,268 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $53,176 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,176 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $36,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,360 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,500 | TotalRevenueColumnAmt |
| Exclusion | $15,500 | ExclusionAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,528,249 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,902,221 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $36,816 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,662 | 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 | $953,318 | TotalAmt |
| Program Services | $404,339 | ProgramServicesAmt |
| Management And General | $548,979 | 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 | $10,590,729 | TotalAmt |
| Program Services | $9,218,049 | ProgramServicesAmt |
| Management And General | $1,349,422 | ManagementAndGeneralAmt |
| Fundraising | $23,258 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,777 | TotalAmt |
| Program Services | $146,985 | ProgramServicesAmt |
| Management And General | $20,415 | ManagementAndGeneralAmt |
| Fundraising | $377 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,543,925 | TotalAmt |
| Program Services | $1,321,009 | ProgramServicesAmt |
| Management And General | $219,694 | ManagementAndGeneralAmt |
| Fundraising | $3,222 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,501 | TotalAmt |
| Program Services | $697,346 | ProgramServicesAmt |
| Management And General | $134,466 | ManagementAndGeneralAmt |
| Fundraising | $1,689 | FundraisingAmt |
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 | $93,835 | TotalAmt |
| Management And General | $93,835 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,185 | TotalAmt |
| Management And General | $250,185 | 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 | $2,168,374 | TotalAmt |
| Program Services | $1,648,862 | ProgramServicesAmt |
| Management And General | $519,512 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,754 | TotalAmt |
| Program Services | $138,944 | ProgramServicesAmt |
| Management And General | $95,810 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $647,221 | TotalAmt |
| Program Services | $383,069 | ProgramServicesAmt |
| Management And General | $264,152 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,396 | TotalAmt |
| Program Services | $277,821 | ProgramServicesAmt |
| Management And General | $191,575 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,226,366 | TotalAmt |
| Program Services | $695,538 | ProgramServicesAmt |
| Management And General | $530,828 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,443 | TotalAmt |
| Program Services | $42,285 | ProgramServicesAmt |
| Management And General | $29,158 | 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 | $112,174 | TotalAmt |
| Program Services | $66,393 | ProgramServicesAmt |
| Management And General | $45,781 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,539 | TotalAmt |
| Program Services | $17,483 | ProgramServicesAmt |
| Management And General | $12,056 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,711 | TotalAmt |
| Program Services | $363,237 | ProgramServicesAmt |
| Management And General | $250,474 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,881 | TotalAmt |
| Program Services | $79,240 | ProgramServicesAmt |
| Management And General | $54,641 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $2,159,388 | $2,159,388 | |
| EQUIPMENT LEASE EXPENSE | $180,560 | $106,868 | $73,692 |
| LICENSES, DUES, SUBSCRIPTIONS | $63,871 | $37,803 | $26,068 |
| RECRUITMENT & RETENTION | $47,315 | $28,004 | $19,311 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,591,263 | TotalAmt |
| Program Services | $17,832,663 | ProgramServicesAmt |
| Management And General | $4,730,054 | ManagementAndGeneralAmt |
| Fundraising | $28,546 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,559,194 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $861,789 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,739 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,562 | BOYAmt |
| EOY | $0 | 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 | $28,822 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,068 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,109,544 | BOYAmt |
| EOY | $0 | 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 | $73,395 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,844,113 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,043 | BOYAmt |
| EOY | $0 | 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 | $1,355,553 | 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 | $4,674,290 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,283,740 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,968 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,488,594 | BOYAmt |
| EOY | $0 | 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 | $10,354,850 | BOYAmt |
| EOY | $0 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $669 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,355,519 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,844,113 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,936,986 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$14,340 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$15,278,165 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,652,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,751,756 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,137,169 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,727,562 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,554,550 | CurrentTaxYearAmt |
| Total | $19,823,745 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,078,567 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,773,398 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,072,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,980,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,902,221 | CurrentTaxYearAmt |
| Total | $79,807,211 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,731,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,525,154 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,209,382 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,708,374 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,456,771 | CurrentTaxYearAmt |
| Total | $99,630,956 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $99,630,956 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,794 | CurrentTaxYearAmt |
| Total | $119,731 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $878 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,794 | CurrentTaxYearAmt |
| Total | $119,731 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,994 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $45,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,816 | CurrentTaxYearAmt |
| Total | $126,733 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,743,147 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,532,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,297,183 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,774,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,529,381 | CurrentTaxYearAmt |
| Total | $99,877,420 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99753 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99800 | PublicSupportPY509Pct |
| Investment Income CY | 0.00120 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00100 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTIAN ALAMEDA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $224,927 | $0 | $16,900 | $0 | $0 | $0 | $7,935 | $0 | $23,582 | $0 | $273,344 | $0 | $0 | $0 |
| BRIAN HIGA | ||||||||||||||
| CHIEF DENTAL OFFICER | $194,594 | $0 | $20,633 | $0 | $0 | $0 | $8,655 | $0 | $8,216 | $0 | $232,098 | $0 | $0 | $0 |
| JOHN ENGLE | ||||||||||||||
| CHIEF MEDICAL OFFICER | $164,229 | $0 | $6,745 | $0 | $0 | $0 | $0 | $0 | $1,267 | $0 | $172,241 | $0 | $0 | $0 |
| MICHAEL TREECE | ||||||||||||||
| PHYSICIAN | $175,720 | $0 | $6,445 | $0 | $0 | $0 | $6,012 | $0 | $8,216 | $0 | $196,393 | $0 | $0 | $0 |
| ANGELA LIND | ||||||||||||||
| PEDIATRICIAN | $174,099 | $0 | $5,589 | $0 | $0 | $0 | $5,338 | $0 | $1,090 | $0 | $186,116 | $0 | $0 | $0 |
| PATRICK YEAKEY | ||||||||||||||
| PHYSICIAN | $164,888 | $0 | $5,581 | $0 | $0 | $0 | $0 | $0 | $8,216 | $0 | $178,685 | $0 | $0 | $0 |
| JOSEPH D'ANGELO | ||||||||||||||
| PEDIATRICIAN | $152,874 | $0 | $5,500 | $0 | $0 | $0 | $0 | $0 | $8,131 | $0 | $166,505 | $0 | $0 | $0 |
| KOA YAMASHITA | ||||||||||||||
| DENTIST | $142,280 | $0 | $22,790 | $0 | $0 | $0 | $6,651 | $0 | $8,216 | $0 | $179,937 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | NON-FIXED PAYMENTS: THE BONUSES ARE DETERMINED BASED ON 3% OF GROSS PAY FOR ALL EMPLOYEES. | ExplanationTxt |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (7 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| CASH | 2022-07-21 | $9,007,522 | FMV | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| RECEIVABLES | 2022-07-21 | $1,432,288 | FMV | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| LAND, PROPERTY, & EQUIPMENT | 2022-07-21 | $14,089,735 | BOOK VALUE | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| INVENTORY | 2022-07-21 | $41,986 | REPLACEMENT COST | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| PREPAID EXPENSES | 2022-07-21 | $337,729 | FMV | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| DEPOSITS | 2022-07-21 | $394,123 | FMV | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| WEST HAWAII COMMUNITY HEALTH CENTER | |||||||||
| FEDERAL, STATE, & LOCAL GRANTS | 2022-07-21 | $1,330,991 | FMV | 200495394 | 75-5751 KUAKINI HWY | KAILUAKONA | HI | 96740 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N, PART I | FormAndLineReferenceDesc |
| Explanation | LIABILITIES ASSUMED: AS PART OF THE MERGER, WEST HAWAII COMMUNITY HEALTH CENTER, INC., ALSO ASSUMED LIABILITIES TOTALING $5,881,994. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE CEO AND THE BOARD REVIEWED THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: THE CLINIC ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH IS PRESENTED IN THE EMPLOYEE HANDBOOK. ALL EMPLOYEES ARE EXPECTED TO ADHERE TO THIS POLICY. THE ORGANIZATION REVIEWS THIS POLICY WITH NEW HIRES. MANAGEMENT MONITORS EMPLOYEES ON ANY ISSUE THAT MAY INVOLVE A CONFLICT OF INTEREST. AN ANNUAL DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AND MONITORED BY THE BOARD CHAIRPERSON. IF A CONFLICT ARISES, THE ASSOCIATED BOARD PERSON MUST RECUSE THEMSELVES FROM VOTING ON RELATED MATTERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW: COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: $ 15,278,165 TRANSFER TO WEST HAWAII COMMUNITY HEALTH CENTER INC |
| FORM 990, PART XII, LINE 3B | STEPS TAKEN TO UNDERGO REQUIRED AUDIT: THE ORGANIZATION FELL BEHIND ON ITS AUDIT COMPLIANCE WITH THEIR PRIOR MANAGEMENT. AS THE MERGER WAS COMPLETED ON JULY 1, 2022, THE CURRENT MANAGEMENT IS ACTIVELY LOOKING FOR AN INDEPENDENT ACCOUNTANT TO CONDUCT ITS FINAL AUDIT. |