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ESPERANZA HEALTH CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ESPERANZA HEALTH CENTER INC (EIN 23-2480701)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-12
IRS object ID
202201329349301300
Schema version
2020v4.2
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

FieldValueIRS element (for citing)
Return2022-05-12T06:49:17-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11570 FRUITVILLE PIKE SUITE 400AddressLine1Txt
CityLANCASTERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232480701EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ESPERANZA HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlESPEBusinessNameControlTxt
Phone2158078613PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14417 N 6TH STAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19140ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROSALIND WILLIFORDPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2158078613PhoneNum
Signature2022-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROSALINDPersonFirstNm
Person LastWILLIFORDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKERRI N BOGDA CPAPreparerPersonNm
PTINP00760402PTIN
Phone7177404863PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN POSTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14417 N 6TH STAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19140ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$26,854,357GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ESPERANZAHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionESPERANZA HEALTH CENTER OPERATES THREE HEALTHCARE SITES IN NORTH PHILADELPHIA, PA.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee238TotalEmployeeCnt
Total Volunteers140TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,360,544PYContributionsGrantsAmt
CY Contributions Grants$8,964,045CYContributionsGrantsAmt
PY Program Service Revenue$10,850,102PYProgramServiceRevenueAmt
CY Program Service Revenue$12,285,327CYProgramServiceRevenueAmt
PY Investment Income$266,992PYInvestmentIncomeAmt
CY Investment Income$197,272CYInvestmentIncomeAmt
PY Other Revenue$3,235,070PYOtherRevenueAmt
CY Other Revenue$1,974,764CYOtherRevenueAmt
PY Total Revenue$19,712,708PYTotalRevenueAmt
CY Total Revenue$23,421,408CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,187,235PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,641,040CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$59,208CYTotalFundraisingExpenseAmt
PY Other Expenses$4,448,486PYOtherExpensesAmt
CY Other Expenses$4,066,287CYOtherExpensesAmt
PY Total Expenses$17,635,721PYTotalExpensesAmt
CY Total Expenses$18,707,327CYTotalExpensesAmt
PY Revenues Less Expenses$2,076,987PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,714,081CYRevenuesLessExpensesAmt
Total Assets BOY$31,371,112TotalAssetsBOYAmt
Total Assets EOY$34,350,817TotalAssetsEOYAmt
Total Liabilities BOY$3,756,931TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,023,509TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$27,614,181NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,327,308NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMPELLED BY THE LOVE OF GOD IN CHRIST JESUS, IN COOPERATION WITH THE CHURCH AND OTHERS, ESPERANZA HEALTH CENTER IS A MULTI-CULTURAL MINISTRY PROVIDING HOLISTIC HEALTHCARE TO THE LATINO AND UNDERSERVED COMMUNITIES OF PHILADELPHIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,720,075ExpenseAmt
Grant$0GrantAmt
Revenue$14,204,418RevenueAmt
DescSINCE OUR FOUNDING IN 1989, ESPERANZA HAS BEEN COMMITTED TO PROVIDING ACCESS TO AFFORDABLE, HIGH-QUALITY BILINGUAL HEALTH CARE AND WELLNESS SERVICES AS WE PURSUE HEALTH WITH OUR PATIENTS AND OUR COMMUNITY. OUR THREE HEALTH CENTER SITES IN NORTH PHILADELPHIA (FIFTH STREET, HUNTING PARK, AND KENSINGTON) ARE CONVENIENTLY LOCATED FOR EASY ACCESS. SERVICES INCLUDE PRIMARY MEDICAL CARE FOR ADULTS AND CHILDREN, DENTAL CARE, PRENATAL CARE, BEHAVIORAL HEALTH SERVICES, ON-SITE MEDICATION DISPENSARIES, SOCIAL SERVICES ASSISTANCE, AND OTHER SERVICES. COMMUNITY HEALTH AND WELLNESS PROGRAMS ARE OPEN TO ALL RESIDENTS. ESPERANZA HEALTH CENTER IS RECOGNIZED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION, BUREAU OF PRIMARY HEALTH CARE. DURING THE CALENDAR YEAR 2020, EHC DELIVERED PRIMARY CARE SERVICES TO MORE THAN 15,000 PATIENTS. THESE PATIENTS ACCOUNTED FOR 50,816 MEDICAL VISITS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, AND ORTHOPEDICS. IN ADDITION, THERE WERE 10,216 BEHAVIORAL HEALTH VISITS, 6,979 DENTAL VISITS, AND 1,032 ENABLING SERVICES VISITS. APPROXIMATELY 55% OF PATIENT SERVICES REVENUE WAS REIMBURSED THROUGH MEDICAID INSURANCE COVERAGE, 9% BY MEDICARE, 5% BY PRIVATE/COMMERCIAL INSURANCE AND SELF-PAY FROM PATIENTS WHO HAVE NEITHER PUBLIC NOR PRIVATE INSURANCE COVERAGE, AND 30% FROM 340B MEDICATION DISPENSARY. ALL OF EHC'S PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A DISCOUNT FOR THE PATIENT'S SHARE OF FINANCIAL RESPONSIBILITY, AS DEFINED BY EHC'S SLIDING FEE DISCOUNT SCALE. THIS SCALE, WHICH IS BASED ON THE PATIENT'S FAMILY SIZE/DEMONSTRATED HOUSEHOLD INCOME, IS ADJUSTED ANNUALLY TO REFLECT THE MOST CURRENT FEDERAL POVERTY GUIDELINES.Desc
Total Program Service Expenses$15,720,075TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee238EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROSALIND WILLIFORD CHIEF FINANCIALPersonNm
Phone2153023600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14417 N 6TH STAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19140ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KEVIN FOY
TRUSTEE1.00Yes (X)$0$0$0
ALAN POPOLI
TREASURER1.00Yes (X)$0$0$0Yes (X)
CARMEN SANTIAGO
TRUSTEE1.00Yes (X)$0$0$0
TOLULOPE OLABINTAN MD
TRUSTEE1.00Yes (X)$0$0$0
REV TAEHOO LEE
TRUSTEE1.00Yes (X)$0$0$0
DAVID CROSSCOMBE
TRUSTEE2.00Yes (X)$0$0$01.00
ANEESH KHUSHMAN MD
TRUSTEE1.00Yes (X)$0$0$0
STEPHANIE STANFORD
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ROBERTO VARGAS
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
SHANA KLINE
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
LARA LAHR RN
TRUSTEE1.00Yes (X)$0$0$0
JANCITO GOMEZ
TRUSTEE1.00Yes (X)$0$0$0
BRYAN HOLLINGER
MEDICAL DIRECTOR40.00$153,318$0$23,652Yes (X)
SUSAN M POST
EXECUTIVE DIRECTOR40.00$137,057$0$16,198Yes (X)
ERIK V DAVIS
FIN. DIR/PT. CONSULT (UNTIL 2/21)28.00$103,459$0$21,818Yes (X)12.00
JUAN PEREZ
OPERATIONS DIRECTOR39.00$102,251$0$16,037Yes (X)1.00
ROSALIND WILLIFORD
CFO (AS OF 5/21)0.00$0$0$0Yes (X)
FAITH PULLINGER
CLINICIAN32.00$123,741$0$25,652Yes (X)
TIMOTHY LEAMAN
CLINICIAN32.00$108,674$0$25,792Yes (X)
TIMOTHY JOHNSTON
CLINICIAN32.00$110,965$0$21,997Yes (X)
DOMINIC DERENGE
CLINICIAN32.00$109,190$0$17,946Yes (X)
CHRISTOPHER LEANDER
CLINICIAN32.00$100,599$0$28,316Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,049,254TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$197,408TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COORDINATED CARE NETWORK
300 PENN CENTER BOULEVARD SUITE 50PITTSBURGHPA15235CONTRACTED PHARMACY SERVICES$839,085
NORR DESIGN INC
1617 JOHN F KENNEDY BLVD SUITE 160PHILADELPHIAPA19103ENGINEERING & DESIGN SERVICES$223,773
VIRENCE HEALTH TECHNOLOGIES
PO BOX 840952DALLASTX752840952IT SERVICES$219,715
QUEST DIAGNOSTICS
500 PLAZA DRIVESEACAUCUSNJ07094CLINICAL LABORATORY$147,152
GOODLANDS CONTSTRUCTION LLC
4412 NORTH 8TH STREETPHILADELPHIAPA19140CONSTRUCTION$117,902
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$7,898,219GovernmentGrantsAmt
All Other Contributions$1,065,826AllOtherContributionsAmt
Noncash Contributions$567,380NoncashContributionsAmt
Total Contributions$8,964,045TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIMARY CARE621400$10,385,552$10,385,552
BEHAVIORAL HEALTH621400$1,200,997$1,200,997
DENTAL SERVICES621400$698,778$698,778
FieldValueIRS element (for citing)
Total Program Service Revenue$12,285,327TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$197,272TotalRevenueColumnAmt
Exclusion$197,272ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$17,584RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$17,584RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,584TotalRevenueColumnAmt
Exclusion$17,584ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$5,352,040GrossSalesOfInventoryAmt
Cost Of Goods Sold$3,432,949CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,919,091TotalRevenueColumnAmt
Related Or Exempt Func Income$1,919,091RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEDICAL RECORDS900099$17,649$17,649
CREDIT CARD REWARDS900099$10,465$10,465
REFUNDS900099$6,208$6,208

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,767TotalRevenueColumnAmt
Exclusion$3,767ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$38,089OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,421,408TotalRevenueColumnAmt
Related Or Exempt Func Income$14,204,418RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$252,945ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$639,661TotalAmt
Program Services$187,275ProgramServicesAmt
Management And General$452,386ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,199,959TotalAmt
Program Services$10,840,280ProgramServicesAmt
Management And General$333,370ManagementAndGeneralAmt
Fundraising$26,309FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$461,262TotalAmt
Program Services$452,326ProgramServicesAmt
Management And General$7,831ManagementAndGeneralAmt
Fundraising$1,105FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,430,803TotalAmt
Program Services$1,374,997ProgramServicesAmt
Management And General$52,473ManagementAndGeneralAmt
Fundraising$3,333FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$909,355TotalAmt
Program Services$851,290ProgramServicesAmt
Management And General$56,029ManagementAndGeneralAmt
Fundraising$2,036FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,485TotalAmt
Program Services$3,815ProgramServicesAmt
Management And General$2,670ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$125,502TotalAmt
Program Services$1,880ProgramServicesAmt
Management And General$123,622ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$419,999TotalAmt
Program Services$198,817ProgramServicesAmt
Management And General$221,182ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,752TotalAmt
Fundraising$14,752FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$496,478TotalAmt
Program Services$159,714ProgramServicesAmt
Management And General$327,940ManagementAndGeneralAmt
Fundraising$8,824FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$607,385TotalAmt
Management And General$607,385ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$523,278TotalAmt
Management And General$523,278ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,543TotalAmt
Program Services$17,833ProgramServicesAmt
Management And General$2,710ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,359TotalAmt
Program Services$18,510ProgramServicesAmt
Fundraising$2,849FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$20,683TotalAmt
Program Services$20,683ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$352,087TotalAmt
Program Services$288,711ProgramServicesAmt
Management And General$63,376ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$78,360TotalAmt
Management And General$78,360ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,205,226$1,205,226
PROFESSIONAL DEVELOP.$67,283$67,283
DISCRETIONARY SPENDING$32,409$32,409
DUES & SUBSCRIPTIONS$21,764$21,764

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,694TotalAmt
Program Services$31,435ProgramServicesAmt
Management And General$21,259ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,707,327TotalAmt
Program Services$15,720,075ProgramServicesAmt
Management And General$2,928,044ManagementAndGeneralAmt
Fundraising$59,208FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,367,194BOYAmt
EOY$1,094,563EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,882,422BOYAmt
EOY$3,430,457EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$430,710BOYAmt
EOY$574,767EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,584,335BOYAmt
EOY$1,626,327EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$12,391,873BOYAmt
EOY$20,796,700EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$73,249BOYAmt
EOY$58,017EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$234,406BOYAmt
EOY$282,975EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,711,804LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,625,620LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,751,566BOYAmt
EOY$6,086,184EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,500,141BOYAmt
EOY$307,887EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$155,216BOYAmt
EOY$92,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,371,112BOYAmt
EOY$34,350,817EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,531,797BOYAmt
EOY$1,746,590EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,200,912BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,222BOYAmt
EOY$276,919EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,756,931BOYAmt
EOY$2,023,509EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,361,442BOYAmt
EOY$32,226,689EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$252,739BOYAmt
EOY$100,619EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,614,181BOYAmt
EOY$32,327,308EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,371,112BOYAmt
EOY$34,350,817EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,714,081ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$954NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,404,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,829,168CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,230,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,360,544CurrentTaxYearMinus1YearAmt
Current Tax Year$8,964,045CurrentTaxYearAmt
Total$28,788,714TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,404,283CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,829,168CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,230,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,360,544CurrentTaxYearMinus1YearAmt
Current Tax Year$8,964,045CurrentTaxYearAmt
Total$28,788,714TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$28,788,714PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$141,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$254,767CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266,992CurrentTaxYearMinus1YearAmt
Current Tax Year$214,856CurrentTaxYearAmt
Total$908,299TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,536CurrentTaxYearMinus3YearsAmt
Total$5,536TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$185,853CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$114,878CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$84,345CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,637CurrentTaxYearMinus1YearAmt
Current Tax Year$38,089CurrentTaxYearAmt
Total$478,802TotalAmt
FieldValueIRS element (for citing)
Total Support$30,181,351TotalSupportAmt
Gross Receipts Rltd Activities$84,858,818GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95390PublicSupportCY170Pct
Public Support PY1700.94840PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2016 AMOUNT: $ 54,422. 2017 AMOUNT: $ 62,218. 2018 AMOUNT: $ 4,388. 2019 AMOUNT: $ 4,348. 2020 AMOUNT: $ 3,767. ADMINSTRATION - 2016 AMOUNT: $ 30,311. 2017 AMOUNT: $ 21,386. 2018 AMOUNT: $ 20,497. 2019 AMOUNT: $ 20,071. FITNESS INCOME - 2016 AMOUNT: $ 4,434. 2017 AMOUNT: $ 1,661. 2018 AMOUNT: $ 1,499. 2019 AMOUNT: $ 2,033. CAFE INCOME - 2016 AMOUNT: $ 64,711. 2017 AMOUNT: $ 26,913. 2018 AMOUNT: $ 32,646. 2019 AMOUNT: $ 636. REIMBURSEMENTS - 2016 AMOUNT: $ 6,500. 2017 AMOUNT: $ 2,700. 2018 AMOUNT: $ 25,315. 2019 AMOUNT: $ 12,393. BAD DEBT RECOVERY - 2016 AMOUNT: $ 25,475. 2019 AMOUNT: $ 185. MEDICAL CLAIMS - 2019 AMOUNT: $ 15,971. MEDICAL RECORDS - 2020 AMOUNT: $ 17,649. REFUNDS - 2020 AMOUNT: $ 6,208. CREDIT CARD REWARDS - 2020 AMOUNT: $ 10,465.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$553,833OtherCostOrOtherBasisAmt
Book Value$553,833BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,266,190OtherCostOrOtherBasisAmt
Depreciation$2,757,646DepreciationAmt
Book Value$4,508,544BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,162,185OtherCostOrOtherBasisAmt
Depreciation$842,112DepreciationAmt
Book Value$320,073BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,500,263OtherCostOrOtherBasisAmt
Depreciation$1,025,862DepreciationAmt
Book Value$474,401BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$229,333OtherCostOrOtherBasisAmt
Book Value$229,333BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,086,184TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENT LIABILITYDesc
Amt$276,919Amt
FieldValueIRS element (for citing)
Total Liability$276,919TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$26,857,229TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$954NetUnrealizedGainsInvstAmt
Revenue Not Reported-$954RevenueNotReportedAmt
Revenue Subtotal$26,858,183RevenueSubtotalAmt
Other Revenues Not Included-$3,436,775OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$3,436,775RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,421,408TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,144,102TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$3,436,775OtherExpensesIncludedAmt
Expenses Not Reported$3,436,775ExpensesNotReportedAmt
Expenses Subtotal$18,707,327ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,707,327TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:COST OF GOODS SOLD -3,432,949. CAFE EXPENSES -3,826.
PART XII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD 3,432,949. CAFE EXPENSES 3,826.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRYAN HOLLINGER
MEDICAL DIRECTOR$153,068$0$250$0$0$0$4,840$0$18,812$0$176,970$0$0$0
SUSAN M POST
EXECUTIVE DIRECTOR$136,807$0$250$0$0$0$9,630$0$6,568$0$153,255$0$0$0

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVACCINESDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$567,380NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE NUMBER OF CONTRIBUTORS IS REPORTED FOR THE NON-CASH CONTRIBUTION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED UNDER THE DIRECT SUPERVISION OF THE HEALTH CENTER'S CHIEF FINANCIAL OFFICER. THIS OFFICIAL REVIEWED IT WITH THE CENTER'S FINANCE COMMITTEE, WHOSE MEMBERS INCLUDED THE BOARD TREASURER, TOP MANAGEMENT OFFICIAL, AND CHIEF ADMINISTRATIVE OFFICER, CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. FOLLOWING THIS REVIEW, THE PREPARED FORM 990 WAS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ANNUALLY. THE HEALTH CENTER'S BOARD OF DIRECTORS CONSIDERS POSSIBLE CONFLICTS OF INTEREST OF EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IN EACH MEETING DEPENDING UPON THE SUBJECT AT HAND. WHEN DEEMED NECESSARY, BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSIONS AND/OR ABSTAIN FROM VOTING REGARDING ANY MATTER INVOLVING POSSIBLE CONFLICTS OF INTEREST. FAMILY AND BUSINESS RELATIONSHIPS AS SOURCES OF POTENTIAL CONFLICTS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR THE HEATH CENTER'S TOP MANAGEMENT OFFICIAL, OTHER OFFICERS, AND KEY EMPLOYEES WAS LED BY THE HEALTH CENTER'S BOARD OF DIRECTORS OVER A YEAR-LONG PROCESS IN 2019. THIS PROCESS INCLUDED SEVERAL REVIEWS BY THE FULL BOARD, COMPARABILITY DATA, AND DETAILED, POSITION-BY-POSITION REVIEW. THE PROCESS RESULTED IN AN ORGANIZATION WIDE SALARY GUIDE FOR FISCAL YEAR 2019-2020 WHICH HAS BEEN IMPLEMENTED GOING FORWARD. THIS GUIDE INCLUDES A SALARY RANGE BY POSITION WHICH ACCOUNTS FOR EXPERIENCE AND QUALIFICATIONS. THESE DISCUSSIONS ARE DOCUMENTED IN MEETING MINUTES. SUBSEQUENT CHANGES IN SALARY HAVE BEEN BASED ON ORGANIZATION-WIDE ADJUSTMENTS.
FORM 990, PART VI, SECTION C, LINE 19THE HEATH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ESPERANZA HEALTH SUPPORT CORPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14417 N 6TH STAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19140ZIPCd
FieldValueIRS element (for citing)
EIN825433613EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ESPERANZA HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ESPERANZA HEALTH CENTER SUPPORT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$198,000InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt