COMMUNITY CLINIC INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY CLINIC INC (EIN 52-0988386)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-04-25
- IRS object ID
- 202541159349301024
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-04-25T10:53:42+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis 200 PO Box 1190 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 520988386 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3013407525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8665 Georgia Avenue | AddressLine1Txt |
| City | Silver Spring | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20910 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR SONYA BRUTON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2025-04-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2025-04-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CCI Health Services | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DR SONYA BRUTON | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8665 Georgia Avenue | AddressLine1Txt |
| City | Silver Spring | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20910 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $55,068,766 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CCIWEB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | CCI HEALTH & WELLNESS SERVICES, A GROUP PRACTICE, EMPOWERS PATIENTS TO PARTNER WITH STAFF FOR AN UNPARALLELED HEALTHCARE EXPERIENCE. THROUGH INTEGRATED TEAMS IN A LEARNING ENVIRONMENT, WE DELIVER HIGH QUALITY, AFFORDABLE CARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 384 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $60,549 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $59,549 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,465,225 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,767,961 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,965,812 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,510,119 | CYProgramServiceRevenueAmt |
| PY Investment Income | $81,918 | PYInvestmentIncomeAmt |
| CY Investment Income | $411,361 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,979,428 | PYOtherRevenueAmt |
| CY Other Revenue | $2,025,365 | CYOtherRevenueAmt |
| PY Total Revenue | $46,492,383 | PYTotalRevenueAmt |
| CY Total Revenue | $48,714,806 | 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 | $26,406,260 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,963,038 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $70,995 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,610,412 | PYOtherExpensesAmt |
| CY Other Expenses | $17,905,148 | CYOtherExpensesAmt |
| PY Total Expenses | $42,016,672 | PYTotalExpensesAmt |
| CY Total Expenses | $47,868,186 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,475,711 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $846,620 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,129,187 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,132,302 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,476,504 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,824,650 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,652,683 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,307,652 | NetAssetsOrFundBalancesEOYAmt |
| Mission | EMPOWER PATIENTS TO PARTNER WITH STAFF FOR AN UNPARALLELED HEALTHCARE EXPERIENCE THROUGH INTEGRATED PRIMARY CARE SERVICES TEAMS IN A LEARNING ENVIRONMENT. WE DELIVER HIGH QUALITY, AFFORDABLE CARE TO EVERY PATIENT DURING ALL STAGES OF LIFE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $26,785,928 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $23,030,084 | RevenueAmt |
| Desc | HEALTH CENTERS: PROVIDED COMPREHENSIVE PRIMARY CARE SERVICES TO 95,810 INDIVIDUAL ENCOUNTERS MANY OF WHICH AREN'T COVERED BY HEALTH INSURANCE. CCI PROVIDES DIRECT CARE FOR PRENATAL SERVICES AS WELL AS ADOLESCENT SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,391,808 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,776,002 | RevenueAmt |
| Desc | WOMEN, INFANTS AND CHILDREN (WIC): NUTRITION COUNSELING TO 37,996 INCOME-ELIGIBLE INFANTS AND CHILDREN AS WELL AS PREGNANT AND BREASTFEEDING WOMEN. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,145,018 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,704,033 | RevenueAmt |
| Desc | COMPREHENSIVE DENTAL SERVICE PROGRAM: PROVIDING 12,106 DENTAL ENCOUNTERS TO ALL PATIENTS IRRESPECTIVE OF THEIR ABILITY TO PAY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $34,322,754 | 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 384 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kenneth E Helt | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3013407525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8665 Georgia Avenue | AddressLine1Txt |
| City | Silver Spring | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20910 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Beth Durham | |||||||||
| VICE CHAIRPERSON - UNTIL 10/2023; BOARD MEMBER - START 10/2023 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Bibhash Mukhopadhyay | |||||||||
| BOARD MEMBER - START 11/2023; TREASURER - START 01/2024 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Della Cox | |||||||||
| Secretary | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Marguerite Lucea | |||||||||
| Chairperson | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Robert Wise | |||||||||
| TREASURER - UNTIL 01/2024; BOARD MEMBER - START 01/2024 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Sonya Bruton | |||||||||
| CEO & President | 40.0 | 0.0 | Yes (X) | Yes (X) | $488,106 | $0 | $48,083 | ||
| Susan Leggett-Johnson | |||||||||
| Vice Chairperson - START 10/2023 | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Emmett Jordan | |||||||||
| Board Member - START 11/2023 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Eric Stroud | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Monica Hawkins | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Rachel Pagan | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Sharon Thames | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Brian Harris | |||||||||
| Chief Financial Officer | 40.0 | 0.0 | Yes (X) | $287,997 | $0 | $39,580 | |||
| Dolores Glenn | |||||||||
| Chief Operating Officer | 40.0 | 0.0 | $194,165 | $0 | $23,836 | Yes (X) | |||
| Parastoo Golestani | |||||||||
| Chief Dental Officer | 40.0 | 0.0 | $254,719 | $0 | $49,486 | Yes (X) | |||
| Bethlehem Kassaye | |||||||||
| Health Center Medical Director | 40.0 | 0.0 | $231,228 | $0 | $39,846 | Yes (X) | |||
| Ceceila Hall-Carrington | |||||||||
| Health Center Medical Director | 40.0 | 0.0 | $263,225 | $0 | $57,039 | Yes (X) | |||
| Ekwueme Onyemaechi | |||||||||
| Chief Information Officer | 40.0 | 0.0 | $262,271 | $0 | $37,938 | Yes (X) | |||
| Parvej Malik | |||||||||
| Physician | 40.0 | 0.0 | $240,229 | $0 | $53,903 | Yes (X) | |||
| Ravi Ajmera | |||||||||
| Health Center Medical Director | 40.0 | 0.0 | $243,184 | $0 | $30,142 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,465,124 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $379,853 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 59 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| The Korth Companies Inc | ||||||
| 9101 Gaither Road | Gaithersburg | MD | 20877 | General Contractor, Construction | $945,982 | |
| Locumtenenscom | ||||||
| 2655 Northwinds Parkway | Alpharetta | GA | 30009 | Temporary staff | $730,303 | |
| Laboratory Corporation of America | ||||||
| PO Box 12140 | Burlington | NC | 27116 | Laboratory Services | $690,162 | |
| Health Center Network of New York dbaHealth Efficient | ||||||
| 911 Central Avenue | ALBANY | NY | 12206 | IT Consulting | $433,985 | 330 |
| Sign Language USA | ||||||
| PO Box 1246 | McLean | VA | 22101 | Translation Services | $396,559 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $7,600 | FundraisingAmt |
| Government Grants | $16,305,344 | GovernmentGrantsAmt |
| All Other Contributions | $455,017 | AllOtherContributionsAmt |
| Total Contributions | $16,767,961 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $25,087,096 | $25,087,096 |
| PHARMACY REVENUE | 456110 | $4,404,356 | $4,404,356 |
| OTHER REVENUE | 621400 | $18,667 | $18,667 |
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 | $29,510,119 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $266,412 | TotalRevenueColumnAmt |
| Exclusion | $266,412 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $170,668 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,594 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $99,074 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,074 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $60,549 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,525 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,419,925 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,274,976 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $144,949 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,949 | TotalRevenueColumnAmt |
| Exclusion | $144,949 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $1,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $7,600 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,390 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,390 | TotalRevenueColumnAmt |
| Exclusion | -$6,390 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GAIN ON INVESTMENT IN EQUITY INVESTEE | 900099 | $1,868,203 | $1,868,203 |
| GAIN ON LEASE TERMINATION | 900099 | $64,478 | $64,478 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| 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) |
|---|---|---|
| Other Revenue Total | $1,932,681 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,714,806 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,510,119 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $60,549 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,376,177 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,385,972 | TotalAmt |
| Program Services | $304,205 | ProgramServicesAmt |
| Management And General | $1,081,767 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,148,496 | TotalAmt |
| Program Services | $19,092,073 | ProgramServicesAmt |
| Management And General | $5,056,423 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,929 | TotalAmt |
| Program Services | $784,056 | ProgramServicesAmt |
| Management And General | $82,873 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,760,881 | TotalAmt |
| Program Services | $1,516,483 | ProgramServicesAmt |
| Management And General | $244,398 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,800,760 | TotalAmt |
| Program Services | $1,517,441 | ProgramServicesAmt |
| Management And General | $283,319 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,936 | TotalAmt |
| Management And General | $186,936 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,380 | TotalAmt |
| Management And General | $73,380 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,581 | TotalAmt |
| Management And General | $46,581 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,314,635 | TotalAmt |
| Program Services | $2,492,836 | ProgramServicesAmt |
| Management And General | $1,808,658 | ManagementAndGeneralAmt |
| Fundraising | $13,141 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,057 | TotalAmt |
| Management And General | $84,057 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,205,050 | TotalAmt |
| Program Services | $476,126 | ProgramServicesAmt |
| Management And General | $723,391 | ManagementAndGeneralAmt |
| Fundraising | $5,533 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,715,595 | TotalAmt |
| Program Services | $750,341 | ProgramServicesAmt |
| Management And General | $958,291 | ManagementAndGeneralAmt |
| Fundraising | $6,963 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,801,364 | TotalAmt |
| Program Services | $1,230,949 | ProgramServicesAmt |
| Management And General | $1,558,993 | ManagementAndGeneralAmt |
| Fundraising | $11,422 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,466 | TotalAmt |
| Program Services | $149,688 | ProgramServicesAmt |
| Management And General | $172,524 | ManagementAndGeneralAmt |
| Fundraising | $1,254 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,481 | TotalAmt |
| Program Services | $68,439 | ProgramServicesAmt |
| Management And General | $87,407 | ManagementAndGeneralAmt |
| Fundraising | $635 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,449 | TotalAmt |
| Program Services | $115,473 | ProgramServicesAmt |
| Management And General | $144,527 | ManagementAndGeneralAmt |
| Fundraising | $2,449 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,467,930 | TotalAmt |
| Program Services | $1,140,092 | ProgramServicesAmt |
| Management And General | $302,443 | ManagementAndGeneralAmt |
| Fundraising | $25,395 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,094 | TotalAmt |
| Program Services | $165,366 | ProgramServicesAmt |
| Management And General | $211,194 | ManagementAndGeneralAmt |
| Fundraising | $1,534 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND DRUGS | $4,231,611 | $4,231,611 | ||
| LICENSES, DUES, SUBSCRIPTIONS | $352,103 | $153,997 | $196,677 | $1,429 |
| RECRUITMENT AND RETENTION | $70,851 | $30,987 | $39,576 | $288 |
| REPAIR & MAINTENANCE | $52,813 | $23,099 | $29,500 | $214 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,752 | TotalAmt |
| Program Services | $79,492 | ProgramServicesAmt |
| Management And General | $101,522 | ManagementAndGeneralAmt |
| Fundraising | $738 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,868,186 | TotalAmt |
| Program Services | $34,322,754 | ProgramServicesAmt |
| Management And General | $13,474,437 | ManagementAndGeneralAmt |
| Fundraising | $70,995 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,034,186 | BOYAmt |
| EOY | $6,633,736 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $212,432 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,154,934 | BOYAmt |
| EOY | $4,748,915 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,935,968 | BOYAmt |
| EOY | $1,815,033 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,644 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,649 | BOYAmt |
| EOY | $143,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,906,389 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,887,731 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,742,434 | BOYAmt |
| EOY | $25,018,658 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,040,807 | BOYAmt |
| EOY | $6,436,517 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $400,818 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,561,465 | BOYAmt |
| EOY | $10,722,941 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,129,187 | BOYAmt |
| EOY | $56,132,302 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,861,704 | BOYAmt |
| EOY | $5,050,578 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,000 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,812,599 | BOYAmt |
| EOY | $10,935,927 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,712,201 | BOYAmt |
| EOY | $11,788,145 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,476,504 | BOYAmt |
| EOY | $27,824,650 | 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 | $26,636,067 | BOYAmt |
| EOY | $28,293,220 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,616 | BOYAmt |
| EOY | $14,432 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,652,683 | BOYAmt |
| EOY | $28,307,652 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,129,187 | BOYAmt |
| EOY | $56,132,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $846,620 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $131,069 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $677,280 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,636,414 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,085,164 | DepreciationAmt |
| Book Value | $12,551,250 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,150,942 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,726,476 | DepreciationAmt |
| Book Value | $4,424,466 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,331,325 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,076,091 | DepreciationAmt |
| Book Value | $1,255,234 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,787,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $6,787,708 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,018,658 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ROU ASSETS | $10,407,533 |
| DEPOSITS | $129,262 |
| OTHER RECEIVABLES | $186,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,722,941 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $11,788,145 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,788,145 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $48,815,984 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $131,069 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,987 | OtherRevenueAmt |
| Revenue Not Reported | $134,056 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,681,928 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $46,581 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$13,703 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $32,878 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $48,714,806 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $47,836,111 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $14,506 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $14,506 | ExpensesNotReportedAmt |
| Expenses Subtotal | $47,821,605 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $46,581 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $46,581 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,868,186 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 ASC 740 FOOTNOTE | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITION TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | NET ASSETS RELEASED FROM RESTRICTION - 2987 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | GAIN ON LEASE TERMINATION - 64478 TEMPORARILY RESTRICTED CONTRIBUTIONS - 803 FUNDRAISING EVENT EXPENSES RECLASSED - -7390 RENTAL EXPENSES RECLASSED - -71594 |
| Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 | GAIN ON LEASE TERMINATION - -64478 FUNDRAISING EVENT EXPENSES RECLASSED - 7390 RENTAL EXPENSES RECLASSED - 71594 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sonya Bruton | ||||||||||||||
| CEO & President | $488,106 | $0 | $0 | $0 | $0 | $0 | $36,585 | $0 | $11,498 | $0 | $536,189 | $0 | $0 | $0 |
| Brian Harris | ||||||||||||||
| Chief Financial Officer | $287,997 | $0 | $0 | $0 | $0 | $0 | $25,118 | $0 | $14,462 | $0 | $327,577 | $0 | $0 | $0 |
| Parastoo Golestani | ||||||||||||||
| Chief Dental Officer | $254,719 | $0 | $0 | $0 | $0 | $0 | $36,184 | $0 | $13,302 | $0 | $304,205 | $0 | $0 | $0 |
| Dolores Glenn | ||||||||||||||
| Chief Operating Officer | $194,165 | $0 | $0 | $0 | $0 | $0 | $8,570 | $0 | $15,266 | $0 | $218,001 | $0 | $0 | $0 |
| Parvej Malik | ||||||||||||||
| Physician | $240,229 | $0 | $0 | $0 | $0 | $0 | $32,833 | $0 | $21,070 | $0 | $294,132 | $0 | $0 | $0 |
| Ravi Ajmera | ||||||||||||||
| Health Center Medical Director | $243,184 | $0 | $0 | $0 | $0 | $0 | $22,415 | $0 | $7,727 | $0 | $273,326 | $0 | $0 | $0 |
| Bethlehem Kassaye | ||||||||||||||
| Health Center Medical Director | $231,228 | $0 | $0 | $0 | $0 | $0 | $29,085 | $0 | $10,761 | $0 | $271,074 | $0 | $0 | $0 |
| Ekwueme Onyemaechi | ||||||||||||||
| Chief Information Officer | $262,271 | $0 | $0 | $0 | $0 | $0 | $16,874 | $0 | $21,064 | $0 | $300,209 | $0 | $0 | $0 |
| Ceceila Hall-Carrington | ||||||||||||||
| Health Center Medical Director | $263,225 | $0 | $0 | $0 | $0 | $0 | $30,892 | $0 | $26,147 | $0 | $320,264 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE FORM 990 IS REVIEWED BY THE CEO AND CFO. BOARD MEMBERS THEN RECEIVE AN ELECTRONIC COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ACTIVITIES OF THE CORPORATION SHALL BE CONDUCTED SO THAT NO PART OF ITS INCOME PROPERTY OR EARNINGS SHALL INURE TO THE BENEFIT OF ANY DIRECTOR, OFFICER, EMPLOYEE OR OTHER INDIVIDUAL, CORPORATION, INSTITUTION OR ASSOCIATION. ANY DIRECTOR HAVING AN OUTSIDE INTEREST IN A MATTER BEFORE THE BOARD SHALL DISCLOSE THE POTENTIAL CONFLICT TO THE BOARD BEFORE IT DELIBERATES AND ACTS ON THE MATTER AND IF THE BOARD DETERMINES A CONFLICT EXISTS, THE MEMBER SHALL ABSTAIN FROM ANY DELIBERATIONS OR VOTE ON THE MATTER. EACH DIRECTOR SHALL SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE BOARD AND SHALL SIGN AN UPDATED STATEMENT ANNUALLY THEREAFTER. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE ORGANIZATION'S CEO OCCURS WHEN THE BOARD EVALUATES THE CEO'S PERFORMANCE AND MAKES THEIR RECOMMENDATION FOR THE SALARY INCREASE. THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE CEO AND KEY EMPLOYEES INCLUDES A REVIEW OF LOCAL & NATIONAL COMPARABLES FOR PROFESSIONALS WITH REQUIRED SKILLS AND BACKGROUND, AS WELL AS A REVIEW OF ORGANIZATION FINANCIALS TO DETERMINE WHAT MAKES SENSE GIVING EXISTING BUDGET CONSTRAINTS. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE ORGANIZATION'S C-SUITE OFFICERS OCCURS WHEN THE CEO EVALUATES THE PERFORMANCE OF EACH OFFICER AND MAKES THEIR RECOMMENDATION FOR THE SALARY INCREASE TO THE HUMAN RESOURCES AND FINANCE DEPARTMENT OFFICERS FOR REVIEW OF MARKET ALIGNMENT AND BUDGETARY COMPLIANCE. THE DETERMINATION OF COMPENSATION AMOUNTS FOR THE KEY EMPLOYEES INCLUDES A REVIEW OF LOCAL & NATIONAL COMPARABLES FOR PROFESSIONALS WITH REQUIRED SKILLS AND BACKGROUND, AS WELL AS A REVIEW OF ORGANIZATION FINANCIALS TO DETERMINE WHAT MAKES SENSE GIVING EXISTING BUDGET CONSTRAINTS. |
| Form 990, Part VI, Line 19 Required documents available to the public | CCI MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSAIC PROPERTY GROUP II LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7615 ORA GLEN DRIVE | AddressLine1Txt |
| City | Greenbelt | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20770 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 884310554 | EIN |
| Primary Activities | SUPPORT COMMUNITY CLINIC, INC. (DBA CCI HEALTH SERVICES) | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $6,589,944 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CLINIC INC | BusinessNameLine1Txt |