219 HEALTH NETWORK INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: 219 HEALTH NETWORK INC (EIN 82-2299994)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-14
IRS object ID: 202531349349308063
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-14T13:56:24+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	822299994	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	219 Health Network Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	219H	BusinessNameControlTxt
Phone	2197032582	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 WEST CHICAGO AVE STE F	AddressLine1Txt
City	EAST CHICAGO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46312	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LUIS MOLINA	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	2197032582	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	false	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jess Wagener	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum
Preparation	2025-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LUIS MOLINA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 WEST CHICAGO AVE STE F	AddressLine1Txt
City	EAST CHICAGO	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46312	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$38,407,686	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.219HEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2017	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	219 HEALTH NETWORK INC IS COMMITTED TO PROVIDING THE HIGHEST QUALITY CARE IN THE MOST COST-EFFICIENT MANNER, RESPECTING THE DIGNITY OF THE INDIVIDUAL.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$992,312	PYContributionsGrantsAmt
CY Contributions Grants	$305,563	CYContributionsGrantsAmt
PY Program Service Revenue	$15,208,792	PYProgramServiceRevenueAmt
CY Program Service Revenue	$24,430,478	CYProgramServiceRevenueAmt
PY Investment Income	$5,060	PYInvestmentIncomeAmt
CY Investment Income	$52,796	CYInvestmentIncomeAmt
PY Other Revenue	$3,612,154	PYOtherRevenueAmt
CY Other Revenue	$13,618,849	CYOtherRevenueAmt
PY Total Revenue	$19,818,318	PYTotalRevenueAmt
CY Total Revenue	$38,407,686	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	$630,651	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$901,285	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,141,177	PYOtherExpensesAmt
CY Other Expenses	$31,878,949	CYOtherExpensesAmt
PY Total Expenses	$16,771,828	PYTotalExpensesAmt
CY Total Expenses	$32,780,234	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,046,490	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,627,452	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,349,612	TotalAssetsBOYAmt
Total Assets EOY	$15,623,432	TotalAssetsEOYAmt
Total Liabilities BOY	$2,302,368	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,948,731	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,047,244	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$11,674,701	NetAssetsOrFundBalancesEOYAmt
Mission	IT IS OUR MISSION TO PROVIDE THE HIGHEST QUALITY OF CARE AT THE MOST AFFORDABLE COST FOR THE COMMUNITIES WE SERVE. WE STRIVE TO PROVIDE THE NECESSARY PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL, AND PREVENTATIVE CARE WITH RESPECT AND DIGNITY, REGARDLESS OF THE PATIENT'S SOCIO-ECONOMIC STATUS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$26,693,856	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$38,049,327	RevenueAmt
Desc	219 HEALTH NETWORK, INC. WAS CREATED IN JULY 2017 TO SERVICE EAST CHICAGO, INDIANA AND SURROUNDING COMMUNITIES. EAST CHICAGO, LOCATED IN NW INDIANA, IS AN URBAN COMMUNITY WITH A DIVERSE RACIAL AND ETHNIC POPULATION. MANY OF OUR RESIDENTS LIVE AT OR BELOW THE FEDERAL POVERTY LEVEL. OUR GOAL IS TO BECOME A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). WE WERE GRANTED LOOK-A-LIKE STATUS IN APRIL 2019. WE HAVE ALSO RECEIVED OVERWHELMING COMMUNITY SUPPORT AND COMMITMENT. OUR BOARD OF DIRECTORS IS COMPRISED OF PILLARS OF THE COMMUNITY. WE IDENTIFIED THROUGH CHNA'S OF LOCAL HOSPITALS THAT ACCESS TO CARE IS A MAJOR BARRIER TO CARE. IN FISCAL YEAR 2024 WE PROVIDED 132,820 VISITS TO THE COMMUNITY WE SERVE. WE ADDED 9 NEW LOCATIONS BRINGING OUR CURRENT TOTAL TO 24 LOCATIONS. WE ALSO OPERATE A MOBILE CLINIC TO ASSIST US IN OUR OUTREACH INTO THE COMMUNITIES WE SERVE. NW INDIANA RANKS AS ONE OF THE HIGHEST REGIONS IN THE STATE FOR INFANT MORTALITY, DIABETES AND ARTHRITIS. 219 HEALTH NETWORK, INC. CURRENTLY OFFERS A VARIETY OF SERVICES INCLUDING: FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, BEHAVIORAL HEALTH, PEDIATRICS, ENDOCRINOLOGY, RHEUMATOLOGY AND DENTISTRY BY WAY OF REFERRAL. OUR GOAL IS TO POSITIVELY IMPACT THE COMMUNITIES WE SERVE AND TO ACHIEVE SIGNIFICANT IMPROVEMENT IN THE AREAS IDENTIFIED ABOVE.	Desc
Total Program Service Expenses	$26,693,856	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	false	ScheduleORequiredInd
IRP Document	25	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WILLIAM CORTES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2197032582	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 WEST CHICAGO AVE	AddressLine1Txt
City	MUNSTER	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46321	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
LEO CORREA
CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Luis MOLINA
TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Sava Pavkovich
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLORIA VELA
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MARJOL RUSH-COLLET
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
Martha Gonzalez
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MILTON REED
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
RICHARD PADZIK
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SANDRA NOE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SARA JIMINEZ
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PATRICIA A JOHNSON
CEO - TERM 4/20/2024	40.0	0.0		Yes (X)	$165,124	$0	$26,609
William Cortes
Executive Director, effective 04/28/24	40.0	0.0		Yes (X)	$0	$0	$0
Lisa Richardson MD
Physician	40.0	0.0			$305,034	$0	$55,910	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$470,158	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$82,519	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Community Foundation of NWI
10010 Donald S Powers Drive	SUITE 201	MUNSTER	IN	46321	PROFESSIONAL SERVICES	$13,908,521
Genoa Telepsychiatry Inc
PO Box 84019		CHICAGO	IL	606894019	MEDICAL SERVICES	$423,800
Forvis LLP
PO Box 200870		DALLAS	TX	753200870	PROFESSIONAL SERVICES	$136,724
Barnes & Thornburg
11 South Meridian Street		INDIANAPOLIS	IN	462043535	PROFESSIONAL SERVICES	$127,680

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$272,987	GovernmentGrantsAmt
All Other Contributions	$32,576	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$305,563	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NET PATIENT SERVICE REVENUE	622110	$24,350,478	$24,350,478	$0	$0
LEASED EMPLOYEES	622110	$80,000	$80,000	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0
		$0	$0	$0	$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$24,430,478	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$52,796	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$52,796	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

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
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY	446110	$13,417,277	$13,417,277	$0	$0
Physician Subsidy Revenue	900099	$154,176	$154,176	$0	$0
QUALITY CARE INCENTIVE	621110	$32,714	$32,714	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,682	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,618,849	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,407,686	TotalRevenueColumnAmt
Related Or Exempt Func Income	$38,049,327	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$52,796	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$183,251	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$183,251	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$602,789	TotalAmt
Program Services	$517,714	ProgramServicesAmt
Management And General	$85,075	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$14,576	TotalAmt
Program Services	$9,236	ProgramServicesAmt
Management And General	$5,340	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$55,445	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$55,445	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$45,224	TotalAmt
Program Services	$26,432	ProgramServicesAmt
Management And General	$18,792	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,159,552	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$3,159,552	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$142,884	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$142,884	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$91,034	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$91,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,898,689	TotalAmt
Program Services	$18,104,935	ProgramServicesAmt
Management And General	$1,793,754	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$243,857	TotalAmt
Program Services	$17,428	ProgramServicesAmt
Management And General	$226,429	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$358,125	TotalAmt
Program Services	$304,606	ProgramServicesAmt
Management And General	$53,519	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$168,121	TotalAmt
Program Services	$134,497	ProgramServicesAmt
Management And General	$33,624	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,178,444	TotalAmt
Program Services	$1,163,409	ProgramServicesAmt
Management And General	$15,035	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$90,116	TotalAmt
Program Services	$56,456	ProgramServicesAmt
Management And General	$33,660	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$26,198	TotalAmt
Program Services	$22,671	ProgramServicesAmt
Management And General	$3,527	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$74,230	TotalAmt
Program Services	$19,436	ProgramServicesAmt
Management And General	$54,794	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$605,125	TotalAmt
Program Services	$563,222	ProgramServicesAmt
Management And General	$41,903	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$5,329,488	$5,322,644	$6,844	$0
BAD DEBT	$326,520	$326,520	$0	$0
LICENSES AND FEES	$97,620	$32,637	$64,983	$0
Repairs & Maintenance	$18,884	$18,884	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$70,062	TotalAmt
Program Services	$53,129	ProgramServicesAmt
Management And General	$16,933	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,780,234	TotalAmt
Program Services	$26,693,856	ProgramServicesAmt
Management And General	$6,086,378	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,765,249	BOYAmt
EOY	$6,130,515	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,240,527	BOYAmt
EOY	$3,334,697	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	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$43,865	BOYAmt
EOY	$173,251	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$717,101	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$117,268	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$192,883	BOYAmt
EOY	$599,833	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

Investments Program Related InvestmentsProgramRelatedGrp

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

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	$2,107,088	BOYAmt
EOY	$5,385,136	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,349,612	BOYAmt
EOY	$15,623,432	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,999,980	BOYAmt
EOY	$3,512,390	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$302,388	BOYAmt
EOY	$436,341	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,302,368	BOYAmt
EOY	$3,948,731	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	$6,043,137	BOYAmt
EOY	$11,601,144	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,107	BOYAmt
EOY	$73,557	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,047,244	BOYAmt
EOY	$11,674,701	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,349,612	BOYAmt
EOY	$15,623,432	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,627,452	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$0	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$5	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part I, Line 3 REASON FOR PUBLIC CHARITY STATUS	FormAndLineReferenceDesc
Explanation	ALTHOUGH THE ORGANIZATION IS EXEMPT AS A HOSPITAL UNDER SEC. 170(B)(1)(A)(III), IT DOES NOT OPERATE A HOSPITAL FACILITY AND THEREFORE IS NOT REQUIRED TO FILE A SCHEDULE H.	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	$33,616	OtherCostOrOtherBasisAmt
Depreciation	$20,518	DepreciationAmt
Book Value	$13,098	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$287,420	OtherCostOrOtherBasisAmt
Depreciation	$49,841	DepreciationAmt
Book Value	$237,579	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$202,305	OtherCostOrOtherBasisAmt
Depreciation	$46,909	DepreciationAmt
Book Value	$155,396	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,760	OtherCostOrOtherBasisAmt
Book Value	$193,760	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$599,833	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER AR - PHARMACY	$3,548,284
OPERATING LEASE - ROU ASSETS	$423,843
RENTAL RECEIVABLE	$3,084
MISC AR	$1,398,312
OA - 457 Trust Asset	$11,613
Other

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,385,136	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
OPERATING LEASE LIABILITY - NON-CURRENT	$308,275
OPERATING LEASE LIABILITY - CURRENT	$115,568
Other LT - 457 Trust Liab.	$12,498
Other

Field	Value	IRS element (for citing)
Total Liability	$436,341	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$38,083,267	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$0	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$38,083,267	RevenueSubtotalAmt
Other Revenues Not Included	$324,419	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$324,419	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$38,407,686	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$32,455,813	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,100	OtherExpensesIncludedAmt
Expenses Not Reported	$2,100	ExpensesNotReportedAmt
Expenses Subtotal	$32,453,713	ExpensesSubtotalAmt
Other Expenses Not Included	$326,521	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$326,521	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$32,780,234	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BAD DEBT EXPENSE - 326520 COMMERCE BANK DISCOUNT - -2100 ROUNDING - -1
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	COMMERCE BANK DISCOUNT - 2100
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	RECLASS BAD DEBT EXPENSE - 326520 ROUNDING - 1

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
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 (2 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
PATRICIA A JOHNSON
CEO - TERM 4/20/2024	$147,680	$0	$16,744	$0	$700	$0	$6,141	$0	$20,468	$0	$191,733	$0	$0	$0
Lisa Richardson MD
Physician	$218,110	$0	$85,790	$0	$1,134	$0	$9,200	$0	$46,710	$0	$360,944	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 7 Non-fixed payments	FormAndLineReferenceDesc
Explanation	DISCRETIONARY BONUS IS PAID BASED ON FINANCIAL PERFORMANCE AND QUALITY INDICATORS TO CERTAIN EXECUTIVES AND PHYSICIANS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b REVIEW OF FORM 990 BY GOVERNING BODY	THE 990 IS SUBMITTED TO THE EXECUTIVE DIRECTOR AND BOD TREASURER FOR REVIEW. THE 990 IS ALSO REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM BEFORE IT IS POSTED TO A SECURE WEBSITE TO ALLOW THE BOARD OF DIRECTORS TO REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	LEO CORREA - Business relationship, LUIS MOLINA - Business relationship
Form 990, Part VI, Line 12c Conflict of interest policy	AS PART OF THE ORGANIZATION'S ANNUAL MONITORING & ENFORCEMENT PROCEDURE RELATING TO ITS CONFLICT OF INTEREST POLICY, ALL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, AND THOSE OFFICERS, DIRECTORS, OR KEY EMPLOYEES WHO DO NOT RETURN OR FULLY COMPLETE THE QUESTIONNAIRE ARE CONTACTED TO RECONCILE THE OMISSION. RESTRICTIONS ON MEMBERS WITH A CONFLICT - MEMBERS WITH A CONFLICT ARE REQUIRED TO RECUSE THEMSELVES FROM ANY DELIBERATION AND MUST ABSTAIN FROM THE VOTE.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE 219 HEALTH NETWORK BOARD HAS ADOPTED EXECUTIVE AND BOARD OF DIRECTORS COMPENSATION PHILOSOPHY AND REASONABLENESS STANDARDS. THIS IS TO ASCERTAIN THAT THESE STANDARDS ARE ADHERED TO. THEIR PROCESS FOR COLLECTING AND ASSEMBLING MARKET DATA IS CONSISTENT WITH THEM REBUTTABLE PRESUMPTION CHECKLIST AND GUIDELINES ALONG WITH FAIR MARKET VALUE USED BY THE IRS IN CONDUCTING EXECUTIVE COMPENSATION REVIEWS AS WELL AS CONTEMPORARY COMPENSATION PRACTICES. ALL MARKET DATA IS ASSEMBLED FROM REPUTABLE COMMERCIALLY AVAILABLE SOURCES AND UPDATED ANNUALLY.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All other - Total Revenue: 14682, Related or Exempt Function Revenue: 14682, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Medical Services - Total Expense: 16855757, Program Service Expense: 15784023, Management and General Expenses: 1071734, Fundraising Expenses: 0; Billing & Collecting - Total Expense: 1390038, Program Service Expense: 1165564, Management and General Expenses: 224474, Fundraising Expenses: 0; Non Consulting Svcs - Total Expense: 761201, Program Service Expense: 648744, Management and General Expenses: 112457, Fundraising Expenses: 0; Phys Serv Agmt PSA - Total Expense: 377033, Program Service Expense: 377033, Management and General Expenses: 0, Fundraising Expenses: 0; Other Contract Labor - Total Expense: 187517, Program Service Expense: 55623, Management and General Expenses: 131894, Fundraising Expenses: 0; Consulting Fee - Total Expense: 117315, Program Service Expense: 1263, Management and General Expenses: 116052, Fundraising Expenses: 0; Transportation Services - Total Expense: 103485, Program Service Expense: 0, Management and General Expenses: 103485, Fundraising Expenses: 0; Recruiting - Total Expense: 47426, Program Service Expense: 30000, Management and General Expenses: 17426, Fundraising Expenses: 0; Survey Design & Appr - Total Expense: 22893, Program Service Expense: 21318, Management and General Expenses: 1575, Fundraising Expenses: 0; Storage Services - Total Expense: 10501, Program Service Expense: 5167, Management and General Expenses: 5334, Fundraising Expenses: 0; Collections Fees - Total Expense: 9471, Program Service Expense: 673, Management and General Expenses: 8798, Fundraising Expenses: 0; Non-Med Equip Spprt - Total Expense: 7590, Program Service Expense: 7590, Management and General Expenses: 0, Fundraising Expenses: 0; Stipends - Total Expense: 6800, Program Service Expense: 6800, Management and General Expenses: 0, Fundraising Expenses: 0; Laundry - Total Expense: 1137, Program Service Expense: 1137, Management and General Expenses: 0, Fundraising Expenses: 0; Caterers- Food - Total Expense: 525, Program Service Expense: 0, Management and General Expenses: 525, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	OTHER CHANGE IN NET ASSETS OR FUND BALANCES - 5;