MAZZONI CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MAZZONI CENTER (EIN 23-2176338)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-12-01
- IRS object ID
- 202333359349300343
- 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 | 2023-12-01T17:02:37-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 S WARNER ROAD SUITE 310 | AddressLine1Txt |
| City | KING OF PRUSSIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19406 | 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 | 232176338 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAZZONI CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MAZZ | BusinessNameControlTxt |
| Phone | 2155630652 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1348 BAINBRIDGE STREET | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19147 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RACHELLE TRITINGER | PersonNm |
| Person Title | EXECUTIVE FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2155630652 | PhoneNum |
| Signature | 2023-11-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RACHELLE | PersonFirstNm |
| Person Last | TRITINGER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM A LOUGHERY | PreparerPersonNm |
| PTIN | P01603932 | PTIN |
| Phone | 2156433900 | PhoneNum |
| Preparation | 2023-11-28 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RACHELLE TRITINGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1348 BAINBRIDGE STREET | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19147 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,892,895 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MAZZONICENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY COMPREHENSIVE HEALTH, WELLNESS AND LEGAL SERVICES IN AN LGBTQ-FOCUSED ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 170 | TotalEmployeeCnt |
| Total Volunteers | 61 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,821,815 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,550,023 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,487,812 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,135,741 | CYProgramServiceRevenueAmt |
| PY Investment Income | $133,298 | PYInvestmentIncomeAmt |
| CY Investment Income | $296,004 | CYInvestmentIncomeAmt |
| PY Other Revenue | $95,992 | PYOtherRevenueAmt |
| CY Other Revenue | $101,631 | CYOtherRevenueAmt |
| PY Total Revenue | $14,538,917 | PYTotalRevenueAmt |
| CY Total Revenue | $14,083,399 | 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 | $9,819,156 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,604,625 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $420,881 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,661,930 | PYOtherExpensesAmt |
| CY Other Expenses | $5,325,990 | CYOtherExpensesAmt |
| PY Total Expenses | $14,481,086 | PYTotalExpensesAmt |
| CY Total Expenses | $14,930,615 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $57,831 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$847,216 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,787,446 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,466,219 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,540,515 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,059,192 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,246,931 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,407,027 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MAZZONI CENTER IS TO "PROVIDE QUALITY COMPREHENSIVE HEALTH AND WELLNESS SERVICES IN AN LGBTQ-FOCUSED ENVIRONMENT, WHILE PRESERVING THE DIGNITY AND IMPROVING THE QUALITY OF LIFE OF THE INDIVIDUALS WE SERVE." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,425,683 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,091,943 | RevenueAmt |
| Desc | MEDICAL AND BEHAVIORAL CARE SERVICES:THE ORGANIZATION OPERATES THE LARGEST COMMUNITY-BASED HEALTH CENTER IN PHILADELPHIA SERVING LGBTQ COMMUNITIES IN THE REGION. THE CENTER PROVIDES PRIMARY CARE, PREVENTATIVE CARE, GYNECOLOGICAL SERVICES, FAMILY PLANNING, HIV SCREENING AND CARE, STD SCREENING AND TREATMENT, LAB SERVICES, VACCINE ADMINISTRATION, DERMATOLOGY PROCEDURES, AND LGBT-SPECIFIC HEALTH SERVICES. CONTINUED ON SCHEDULE O.THE ORGANIZATION ALSO PROVIDES OUTPATIENT MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE TREATMENT SPECIFICALLY SERVING LGBTQ COMMUNITIES IN PHILADELPHIA. SERVICES INCLUDE INDIVIDUAL, COUPLE, FAMILY, AND GROUP THERAPY. THE CONTINUUM OF BEHAVIORAL HEALTH SERVICES ALSO INCLUDES PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT AS WELL AS AN INTENSIVE OUTPATIENT PROGRAM (IOP) FOR SUBSTANCE ABUSE. IN FISCAL YEAR 2022, THE ORGANIZATION CONDUCTED 8,511 BEHAVIORAL HEALTH SESSIONS FOR 497 UNDUPLICATED INDIVIDUALS. IN ADDITION, THE INTENSIVE OUTPATIENT PROGRAM HAS CONDUCTED 527 IOP SESSIONS WITH 39 INDIVIDUALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,991,317 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $37,937 | RevenueAmt |
| Desc | SOCIAL CARE SERVICES:THE ORGANIZATION PROVIDES MEDICAL CASE MANAGEMENT FOR PEOPLE LIVING WITH HIV/AIDS AND AT-RISK LGBTQ YOUTH AND ADULTS. SERVICES INCLUDE BIOPSYCHOSOCIAL ASSESSMENT, COORDINATION OF MEDICAL CARE, AND ACCESS TO HEALTH INSURANCE AND OTHER BENEFITS. THE PROGRAM ALSO PROVIDES HOUSING SUBSIDIES AND FOOD BANK SERVICES FOR PEOPLE LIVING WITH HIV/AIDS AND THEIR FAMILIES. IN FISCAL YEAR 2022, OVER 1,213 INDIVIDUALS RECEIVED FOOD, CASE MANAGEMENT, GENDER AFFIRMING SERVICES, OR HOUSING SUBSIDY SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $947,958 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,861 | RevenueAmt |
| Desc | PREVENTION, EDUCATION AND LEGAL SERVICES:THE ORGANIZATION PROVIDES COMMUNITY OUTREACH (STREET, INTERNET, SOCIAL MEDIA, ETC.) AIMED AT LINKING AT-RISK INDIVIDUALS TO HIV TESTING, STD SCREENING, AND OTHER SERVICES. THE ORGANIZATION OPERATES THE LARGEST PRIVATE HIV TESTING AND STD SCREENING PROGRAM IN PHILADELPHIA. IN FISCAL YEAR 2022, THE ORGANIZATION PROVIDED 2,908 HIV TESTS AND OVER 129 TAKE-HOME HIV TESTS IN COMMUNITY-BASED SETTINGS. (DATA TAKEN FROM EVALUATIONWEB DATABASE AND PROVIDED BY THE PDPH, DIVISION OF STD CONTROL). CONTINUED ON SCHEDULE O.THE ORGANIZATION PROVIDES EDUCATION AND PROFESSIONAL DEVELOPMENT TRAININGS ON LGBTQ SPECIFIC ISSUES TO MEDICAL, BEHAVIORAL HEALTH, LEGAL, AND OTHER SERVICES PROVIDERS IN PENNSYLVANIA. IN FISCAL YEAR 2022, 4,308 INDIVIDUALS RECEIVED EDUCATION SERVICES. THE ORGANIZATION PROVIDES DIRECT LEGAL SERVICES TO LGBTQ INDIVIDUALS AND HOUSEHOLDS IN THE PHILADELPHIA REGION. IN FISCAL YEAR 2022, 421 INDIVIDUALS RECEIVED THESE SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,364,958 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 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 | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 126 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 170 | 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 |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SULTAN SHAKIR PRESIDENT AND EXECUTIVE OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2155630652 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1348 BAINBRIDGE STREET | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19147 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 |
|---|---|---|---|---|---|---|---|---|
| NANCY BRISBON | ||||||||
| EXECUTIVE MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $253,250 | $0 | $22,663 | ||
| ALECIA MANLEY | ||||||||
| EXECUTIVE OPERATING OFFICER | 40.00 | 0.00 | Yes (X) | $205,414 | $0 | $16,162 | ||
| MARK WATKINS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $185,000 | $0 | $18,500 | Yes (X) | ||
| HILARY ROSENSTEIN | ||||||||
| ASSISTANT MEDICAL DIRECTOR | 40.00 | 0.00 | $171,200 | $0 | $6,914 | Yes (X) | ||
| TRICIA DRESSEL | ||||||||
| DIRECTOR OF HR | 40.00 | 0.00 | $116,700 | $0 | $7,213 | Yes (X) | ||
| LARRY BENJAMIN | ||||||||
| COMMUNICATIONS DIRECTOR | 40.00 | 0.00 | $108,235 | $0 | $14,247 | Yes (X) | ||
| CHRISTINE CHACKO | ||||||||
| EXECUTIVE FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $102,560 | $0 | $17,784 | ||
| GEOFFREY BRUEN | ||||||||
| EXECUTIVE LEGAL OFFICER | 40.00 | 0.00 | Yes (X) | $94,808 | $0 | $10,750 | ||
| SULTAN SHAKIR | ||||||||
| PRES & EXEC OFFICER SINCE JAN '22 | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| NU'RODNEY T PRAD MS | ||||||||
| PRESIDENT/TREASURER | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHRISTINA PETERSON | ||||||||
| SECRETARY UNTIL SEPT '21 | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARIANNE PRICE | ||||||||
| GOV CHAIR, SECRETARY FROM SEPT '21 | 10.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ASHLEY ARCHER | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| BOBBI BITTKER | ||||||||
| BOARD MEMBER TO NOV 2021 | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ASHLEY BRANDT | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| TAYLOR COBB | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ELIAS GONZALEZ | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| AMY SUMMA | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ELTON TAYLOR | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL NGUYEN | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ANA HARTL | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTOPHER WILSON | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFFREY DOUCETTE | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KARL-ANTHONY JONES | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| RYAN RICHMOND | ||||||||
| BOARD MEMBER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,237,167 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $114,233 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,972,619 | GovernmentGrantsAmt |
| All Other Contributions | $577,404 | AllOtherContributionsAmt |
| Total Contributions | $7,550,023 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| THIRD PARTY BILLING | 621400 | $6,091,943 | $6,091,943 |
| PROFESSIONAL DEVELOPMENT/TRAINING | 611430 | $37,937 | $37,937 |
| BEHAVIORAL HEALTH PROGRAM | 621400 | $5,861 | $5,861 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,135,741 | TotalProgramServiceRevenueAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $203,335 | TotalRevenueColumnAmt |
| Exclusion | $203,335 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $89,452 | 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 | $89,452 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,452 | TotalRevenueColumnAmt |
| Exclusion | $89,452 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $902,165 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $809,496 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $92,669 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,669 | TotalRevenueColumnAmt |
| Exclusion | $92,669 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL INCENTIVES | 900099 | $12,146 | $12,146 |
| OTHER REVENUE | 900099 | $33 | $33 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,179 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,083,399 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,135,741 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $397,635 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,319 | TotalAmt |
| Program Services | $213,789 | ProgramServicesAmt |
| Management And General | $613,210 | ManagementAndGeneralAmt |
| Fundraising | $25,320 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,839,289 | TotalAmt |
| Program Services | $4,205,108 | ProgramServicesAmt |
| Management And General | $2,431,415 | ManagementAndGeneralAmt |
| Fundraising | $202,766 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,579 | TotalAmt |
| Program Services | $142,014 | ProgramServicesAmt |
| Management And General | $61,418 | ManagementAndGeneralAmt |
| Fundraising | $10,147 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,468 | TotalAmt |
| Program Services | $703,793 | ProgramServicesAmt |
| Management And General | $383,288 | ManagementAndGeneralAmt |
| Fundraising | $49,387 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,970 | TotalAmt |
| Program Services | $338,588 | ProgramServicesAmt |
| Management And General | $206,623 | ManagementAndGeneralAmt |
| Fundraising | $17,759 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,801 | TotalAmt |
| Program Services | $43,721 | ProgramServicesAmt |
| Management And General | $131,775 | ManagementAndGeneralAmt |
| Fundraising | $8,305 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,272 | TotalAmt |
| Management And General | $12,272 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,133 | TotalAmt |
| Program Services | $312,627 | ProgramServicesAmt |
| Management And General | $21,202 | ManagementAndGeneralAmt |
| Fundraising | $1,304 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,805 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
| Fundraising | $8,305 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,918 | TotalAmt |
| Program Services | $128,817 | ProgramServicesAmt |
| Management And General | $111,889 | ManagementAndGeneralAmt |
| Fundraising | $38,212 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,156 | TotalAmt |
| Program Services | $92,162 | ProgramServicesAmt |
| Management And General | $34,135 | ManagementAndGeneralAmt |
| Fundraising | $4,859 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,568 | TotalAmt |
| Program Services | $291,021 | ProgramServicesAmt |
| Management And General | $159,086 | ManagementAndGeneralAmt |
| Fundraising | $3,461 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039 | TotalAmt |
| Program Services | $932 | ProgramServicesAmt |
| Fundraising | $107 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,162 | TotalAmt |
| Program Services | $4,162 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,487 | TotalAmt |
| Management And General | $353,487 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,375 | TotalAmt |
| Program Services | $325,355 | ProgramServicesAmt |
| Management And General | $208,483 | ManagementAndGeneralAmt |
| Fundraising | $14,537 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $258,547 | TotalAmt |
| Program Services | $222,437 | ProgramServicesAmt |
| Management And General | $31,806 | ManagementAndGeneralAmt |
| Fundraising | $4,304 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM EXPENSES | $2,401,229 | $2,305,525 | $66,751 | $28,953 |
| BAD DEBT | $254,399 | $254,399 | ||
| PROFESSIONAL DEVELOPMEN | $57,879 | $27,839 | $30,040 | |
| RECRUITING | $32,353 | $32,353 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,867 | TotalAmt |
| Program Services | $4,568 | ProgramServicesAmt |
| Management And General | $144 | ManagementAndGeneralAmt |
| Fundraising | $3,155 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,930,615 | TotalAmt |
| Program Services | $9,364,958 | ProgramServicesAmt |
| Management And General | $5,144,776 | ManagementAndGeneralAmt |
| Fundraising | $420,881 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,634,753 | BOYAmt |
| EOY | $2,003,700 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,394,487 | BOYAmt |
| EOY | $3,023,085 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,184 | BOYAmt |
| EOY | $50,111 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $453,741 | BOYAmt |
| EOY | $219,575 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,483,751 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,960,175 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,996,176 | BOYAmt |
| EOY | $13,523,576 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,185,476 | BOYAmt |
| EOY | $2,509,320 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $75,361 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,059 | BOYAmt |
| EOY | $42,921 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,570 | BOYAmt |
| EOY | $18,570 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,787,446 | BOYAmt |
| EOY | $21,466,219 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,229 | BOYAmt |
| EOY | $1,316,891 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,138 | BOYAmt |
| EOY | $294,595 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,748,162 | BOYAmt |
| EOY | $9,447,706 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,986 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,540,515 | BOYAmt |
| EOY | $11,059,192 | 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 | $11,185,119 | BOYAmt |
| EOY | $10,325,215 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,812 | BOYAmt |
| EOY | $81,812 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,246,931 | BOYAmt |
| EOY | $10,407,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,787,446 | BOYAmt |
| EOY | $21,466,219 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$847,216 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$614,036 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $621,348 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $6,800,427 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,534,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,114,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,821,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,550,023 | CurrentTaxYearAmt |
| Total | $34,820,503 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,800,427 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,534,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,114,180 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,821,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,550,023 | CurrentTaxYearAmt |
| Total | $34,820,503 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $34,820,503 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $192,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $191,941 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $216,704 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $222,896 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $292,787 | CurrentTaxYearAmt |
| Total | $1,116,852 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $186,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $89,029 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,114 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,179 | CurrentTaxYearAmt |
| Total | $337,273 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,274,628 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $43,300,199 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96390 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | GROSS REVENUE FROM SPECIAL FUNDRAISING EVENTS - 2017 AMOUNT: $ 93,630. PROFESSIONAL DEVELOPMENT - 2017 AMOUNT: $ 34,266. MEDICAL INCENTIVES - 2017 AMOUNT: $ 11,974. 2018 AMOUNT: $ 12,328. 2019 AMOUNT: $ 62,129. 2020 AMOUNT: $ 3,113. 2021 AMOUNT: $ 12,146. LEGAL SETTLEMENTS-CLIENT CASES - 2017 AMOUNT: $ 11,216. 2018 AMOUNT: $ 6,363. MEDICAL RECORDS - 2017 AMOUNT: $ 4,416. 2018 AMOUNT: $ 4,358. REFUNDS - 2017 AMOUNT: $ 4,059. 2018 AMOUNT: $ 3,500. EXTERNAL AGENCIES - 2017 AMOUNT: $ 13,152. 2018 AMOUNT: $ 1,471. JURY DUTY - 2018 AMOUNT: $ 104. OTHER REVENUE - 2017 AMOUNT: $ 13,593. 2018 AMOUNT: $ 7,521. 2019 AMOUNT: $ 26,900. 2020 AMOUNT: $ 11,001. 2021 AMOUNT: $ 33. | ExplanationTxt |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,282,712 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,830,576 | DepreciationAmt |
| Book Value | $12,452,136 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,153,477 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,834 | DepreciationAmt |
| Book Value | $1,027,643 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,047,562 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,003,765 | DepreciationAmt |
| Book Value | $43,797 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,523,576 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,489,760 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$614,035 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $32,668 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$581,367 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,071,127 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $12,272 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $12,272 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $14,083,399 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,951,011 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $32,668 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $32,668 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,918,343 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $12,272 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $12,272 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,930,615 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NONPROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME TAXES. BECAUSE THE ORGANIZATION IS THE SOLE MEMBER OF THE LLC, THE LLC WILL BE TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES AND, THEREFORE, THEIR ACTIVITIES ARE COMBINED WITH THE ORGANIZATION AND REPORTED AS ONE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAD NO IMPACT ON ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NANCY BRISBON | ||||||||||||||
| EXECUTIVE MEDICAL OFFICER | $253,250 | $0 | $0 | $0 | $0 | $0 | $12,663 | $0 | $10,000 | $0 | $275,913 | $0 | $0 | $0 |
| ALECIA MANLEY | ||||||||||||||
| EXECUTIVE OPERATING OFFICER | $205,414 | $0 | $0 | $0 | $0 | $0 | $6,162 | $0 | $10,000 | $0 | $221,576 | $0 | $0 | $0 |
| MARK WATKINS | ||||||||||||||
| PHYSICIAN | $185,000 | $0 | $0 | $0 | $0 | $0 | $18,500 | $0 | $0 | $0 | $203,500 | $0 | $0 | $0 |
| HILARY ROSENSTEIN | ||||||||||||||
| ASSISTANT MEDICAL DIRECTOR | $171,200 | $0 | $0 | $0 | $0 | $0 | $6,914 | $0 | $0 | $0 | $178,114 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | THE ORGANIZATION PROVIDES A CONTINUUM OF PREVENTION AND CARE SERVICES, INCLUDING HIV COUNSELING AND TESTING, PRIMARY MEDICAL SERVICES, TRANSGENDER SPECIFIC MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, CASE MANAGEMENT, HOUSING, NUTRITION AND FOOD BANK SERVICES, EDUCATION SERVICES AND LEGAL SERVICES. THE ORGANIZATION PROVIDES SERVICES TO PATIENTS AND CLIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE ORGANIZATION DEFINES AND MEASURES ITS "INVESTMENT IN AND "PARTNERSHIP WITH" THE COMMUNITY THROUGH OFFERING OUR LOW-INCOME AND/OR UNINSURED PATIENTS AND CLIENTS SERVICES AT REDUCED COST OR FREE OF CHARGE, AS DEFINED UNDER ITS FINANCIAL ASSISTANCE DEPARTMENTAL POLICIES. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A PATIENT'S DEMONSTRATED INABILITY TO PAY BASED ON FAMILY SIZE AND HOUSEHOLD INCOME RELATED TO FEDERAL INCOME POVERTY GUIDELINES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ORGANIZATION HAS ESTIMATED ITS COSTS OF PROVIDING CHARITY CARE BY REDUCING THE AMOUNT COLLECTED FROM PATIENT ABILITY TO PAY TO THE ACTUAL COST OF DELIVERING THE SERVICE. USING THIS METHODOLOGY, THE ORGANIZATION HAS ESTIMATED THE COSTS FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AGGREGATED APPROXIMATELY $402,000 FOR THE YEAR ENDED JUNE 30, 2022. |
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD AND THE CEO AS A NON-VOTING OFFICER. THE IMMEDIATE PAST BOARD PRESIDENT SHALL SERVE ON THE EXECUTIVE COMMITTEE FOR ONE YEAR FOLLOWING THE END OF THEIR TERM AS PRESIDENT, PROVIDED THEY REMAIN AN ACTIVE DIRECTOR. THE EXECUTIVE COMMITTEE SHALL HAVE AUTHORITY TO ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD AND SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORDINARY BUSINESS AND AFFAIRS OF THE CORPORATION EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD IN REFERENCE TO: 1) AMENDING THE ARTICLES OF INCORPORATION 2) AMENDING, ALTERING OR REPEALING THE BYLAWS 3) FILLING VACANCIES IN OR REMOVING MEMBERS OF THE BOARD OR OF ANY COMMITTEE APPOINTED BY THE BOARD 4) ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION 5) AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION 6) AUTHORIZING THE VOLUNTARY DISSOLUTION OF MAZZONI CENTER OR REVOKING PROCEEDINGS THEREFORE 7) ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF MAZZONI CENTER 8) AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. THE DELEGATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILITY IMPOSED ON IT OR HIM/HER BY LAW. THE EXECUTIVE COMMITTEE SHALL REPORT ITS ACTIVITIES AT EACH BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND IS REVIEWED BY THE CFO AND DESIGNATED BOARD/COMMITTEE MEMBERS. PRIOR TO FILING, THE ENTIRE BOARD RECEIVES A COMPLETE COPY OF THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND OFFICERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. AN INTERESTED PERSON IS A PERSON WHO HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (1) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH MAZZONI CENTER HAS A TRANSACTION OR ARRANGEMENT, (2) A COMPENSATION ARRANGEMENT WITH MAZZONI CENTER, (3) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH MAZZONI CENTER IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. A FINANCIAL INTEREST IS NOT NECESSARILY A CONFLICT OF INTEREST. A CONFLICT OF INTEREST WILL EXIST ONLY IF THE BOARD OR EXECUTIVE COMMITTEE DECIDES THAT SUCH CONFLICT EXISTS. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST TO THE BOARD OR EXECUTIVE COMMITTEE. AFTER MAKING THE PRESENTATION REGARDING A TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION AND THE VOTE. ANY TRANSACTION EXCEEDING $5,000 AND INVOLVING A POSSIBLE CONFLICT OF INTEREST MUST BE PRESENTED BY STAFF TO THE BOARD OR EXECUTIVE COMMITTEE. THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MAZZONI CENTER'S BEST INTEREST, AND WHETHER IT IS FAIR AND REASONABLE. EACH DIRECTOR AND OFFICER SHALL ANNUALLY SIGN A COPY OF THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION HAS THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS READILY AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 621,348. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1334-48 BAINBRIDGE STREET LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1348 BAINBRIDGE STREET | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19147 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821911541 | EIN |
| Primary Activities | LEASING AND IMPROVING REAL PROPERTY | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Total Income | $89,452 | TotalIncomeAmt |
| End Of Year Assets | $14,076,972 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAZZONI CENTER | BusinessNameLine1Txt |