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OAK ORCHARD COMMUNITY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
OAK ORCHARD COMMUNITY INC (EIN 16-1020913)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-06-28
IRS object ID
202201799349301500
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-06-28T14:45:47-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161020913EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OAK ORCHARD COMMUNITY HEALTH CENTERINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOAKOBusinessNameControlTxt
Phone5856375319PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WEST AVENUEAddressLine1Txt
CityBROCKPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14420ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY ANN PETTIBONPersonNm
Person TitleCEOPersonTitleTxt
Phone5856373905PhoneNum
Signature2022-06-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARYPersonFirstNm
Person LastANN PETTIBONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN HIGNETTPreparerPersonNm
PTINP01366951PTIN
Phone5853811000PhoneNum
Preparation2022-06-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARY ANN PETTIBONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WEST AVENUEAddressLine1Txt
CityBROCKPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14420ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,606,467GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OAKORCHARDHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO MEET THE HEALTH CARE AND WELLNESS NEEDS OF ALL CHILDREN AND ADULTS BY PROVIDING QUALITY MEDICAL, DENTAL, OPTOMETRY, BEHAVIORAL HEALTH, AND OUTREACH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee405TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,759,483PYContributionsGrantsAmt
CY Contributions Grants$13,188,553CYContributionsGrantsAmt
PY Program Service Revenue$14,978,961PYProgramServiceRevenueAmt
CY Program Service Revenue$14,340,781CYProgramServiceRevenueAmt
PY Investment Income$33,028PYInvestmentIncomeAmt
CY Investment Income$15,281CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$61,852CYOtherRevenueAmt
PY Total Revenue$25,771,472PYTotalRevenueAmt
CY Total Revenue$27,606,467CYTotalRevenueAmt
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$14,686,228PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,872,990CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,682,609PYOtherExpensesAmt
CY Other Expenses$10,201,653CYOtherExpensesAmt
PY Total Expenses$22,368,837PYTotalExpensesAmt
CY Total Expenses$28,074,643CYTotalExpensesAmt
PY Revenues Less Expenses$3,402,635PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$468,176CYRevenuesLessExpensesAmt
Total Assets BOY$22,931,764TotalAssetsBOYAmt
Total Assets EOY$20,165,727TotalAssetsEOYAmt
Total Liabilities BOY$7,630,414TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,332,553TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,301,350NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,833,174NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO MEET THE HEALTH CARE AND WELLNESS NEEDS OF ALL CHILDREN AND ADULTS BY PROVIDING QUALITY MEDICAL, DENTAL, OPTOMETRY, BEHAVIORAL HEALTH, AND OUTREACH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,420,194ExpenseAmt
Revenue$10,455,885RevenueAmt
DescREGIONAL MEDICAL SERVICES OFFERED TO MIGRANT FARM WORKERS AND THE GENERAL PUBLIC. APPROXIMATELY 25,500 INDIVIDUALS SERVED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,850,787ExpenseAmt
Revenue$2,025,279RevenueAmt
DescREGIONAL DENTAL SERVICES OFFERED TO MIGRANT FARM WORKERS AND THE GENERAL PUBLIC. APPROXIMATELY 7,500 INDIVIDUALS SERVED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$581,993ExpenseAmt
Revenue$349,546RevenueAmt
DescREGIONAL OPTOMETRY SERVICES OFFERED TO MIGRANT FARM WORKERS AND THE GENERAL PUBLIC. APPROXIMATELY 1,500 INDIVIDUALS SERVED.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$4,198,610ExpenseAmt
Revenue$1,571,923RevenueAmt
DescOTHER SERVICES OFFERED TO MIGRANT FARM WORKERS AND THE GENERAL PUBLIC, SPECIFIC BEHAVIORAL HEALTH SERVICES WITH APPROXIMATELY 1,200 SERVED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,198,610TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,571,923TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$21,051,584TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee405EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY ANN PETTIBONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5856373905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WEST AVENUEAddressLine1Txt
CityBROCKPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14420ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
NYLA GAYLORD
BOARD MEMBER2.00Yes (X)$0$0$0
DAVID JEWELL PHD
VICE CHAIR3.00Yes (X)$0$0$0Yes (X)
RENEE BIEDLINGMAIER
BOARD MEMBER1.00Yes (X)$0$0$0
RITA WAGNER
TREASURER2.00Yes (X)$0$0$0Yes (X)
LORIENDA SMITH
SECRETARY1.00Yes (X)$0$0$0Yes (X)
GEORGE SOKOLSKY
BOARD MEMBER1.00Yes (X)$0$0$0
RENE CIBRIAN
BOARD MEMBER1.00Yes (X)$0$0$0
RANDY DUMAS
BOARD MEMBER7.00Yes (X)$0$0$0
KAREN WATT
CHAIR8.00Yes (X)$0$0$0Yes (X)
KATHY WILLIAMS
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN MEYER
BOARD MEMBER1.00Yes (X)$0$0$0
GARY SKOOG
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL SAYERS
BOARD MEMBER1.00Yes (X)$0$0$0
DONALD GORDON
BOARD MEMBER1.00Yes (X)$0$0$0
MARY ANN PETTIBON
CEO40.00$246,825$0$20,595Yes (X)
URSULA STANEFF
CFO40.00$120,897$0$26,009Yes (X)
DANIELLE RENODIN-MEAD
CHIEF MEDICAL OFFICER40.00$211,073$0$5,380Yes (X)
MARY O'BEAR
CHIEF CLINCIAL OFFICER40.00$209,897$0$6,498Yes (X)
NANCY CIAVARRI MD
PHYSICIAN40.00$205,158$0$21,847Yes (X)
MATTHEW FERNAAYS
PHYSICIAN40.00$191,353$0$23,131Yes (X)
STEVE BERKOWITZ
DENTIST35.00$164,810$0$17,551Yes (X)
YUQI MAO
PHYSICIAN40.00$183,930$0$18,698Yes (X)
RACHEL NOZZI
DENTIST/CDO40.00$189,081$0$13,396Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,723,024TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$153,105TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K27IndivRcvdGreaterThan100KCnt
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
MEDCOR GROUP
725 TOWN AND COUNTRY ROAD SUITE 30ORANGECA92868BILLING$666,819
ECLINICAL WORKS LLC
2 TECHNOLOGY DRIVEWESTBOROUGHMA01581EHR SOFTWARE$343,978
7100 ROUTE 70A LLC
130 LINDEN OAKS DRIVE SUITE AROCHESTERNY14625RENT$236,449
CRANE DENTAL LAB
3515 BUFFALO ROAD 30ROCHESTERNY14624DENTAL LABS$194,454
LABELLA ASSOCIATES DPC
300 STATE ST 201ROCHESTERNY14614ENGINEERING/ARCHITECTURE$147,052
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$11,609,628GovernmentGrantsAmt
All Other Contributions$1,578,925AllOtherContributionsAmt
Total Contributions$13,188,553TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PMTS621400$7,226,455$7,226,455
OTHER THIRD PARTY PAYORS621400$3,811,728$3,811,728
340B PHARMACY INCOME900099$2,962,253$2,962,253
SELF-PAY621400$340,345$340,345
FieldValueIRS element (for citing)
Total Program Service Revenue$14,340,781TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,281TotalRevenueColumnAmt
Exclusion$15,281ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$61,852TotalRevenueColumnAmt
Related Or Exempt Func Income$61,852RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$61,852OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,606,467TotalRevenueColumnAmt
Related Or Exempt Func Income$14,402,633RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,281ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$625,878TotalAmt
Program Services$108,226ProgramServicesAmt
Management And General$517,652ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,277,578TotalAmt
Program Services$12,025,854ProgramServicesAmt
Management And General$2,251,724ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$266,558TotalAmt
Program Services$228,585ProgramServicesAmt
Management And General$37,973ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,636,801TotalAmt
Program Services$1,382,117ProgramServicesAmt
Management And General$254,684ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,066,175TotalAmt
Program Services$867,994ProgramServicesAmt
Management And General$198,181ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$121,375TotalAmt
Program Services$24,084ProgramServicesAmt
Management And General$97,291ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,430TotalAmt
Program Services$18,539ProgramServicesAmt
Management And General$74,891ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,462,800TotalAmt
Program Services$290,253ProgramServicesAmt
Management And General$1,172,547ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,331TotalAmt
Program Services$44,401ProgramServicesAmt
Management And General$145,930ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,133,638TotalAmt
Program Services$958,366ProgramServicesAmt
Management And General$175,272ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,465,721TotalAmt
Program Services$1,219,419ProgramServicesAmt
Management And General$246,302ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,664TotalAmt
Program Services$34,073ProgramServicesAmt
Management And General$54,591ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$102,042TotalAmt
Management And General$102,042ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$972,010TotalAmt
Program Services$793,488ProgramServicesAmt
Management And General$178,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,952TotalAmt
Program Services$18,438ProgramServicesAmt
Management And General$28,514ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$1,577,870$472,830$1,105,040
PATIENT CARE SUPPLIES$1,286,031$1,286,031
BAD DEBT EXPENSE$1,224,217$1,224,217
OTHER EXPENSES$436,572$54,669$381,903

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,074,643TotalAmt
Program Services$21,051,584ProgramServicesAmt
Management And General$7,023,059ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,165,357BOYAmt
EOY$7,107,942EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,484BOYAmt
EOY$20,490EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$685,082BOYAmt
EOY$401,377EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,680,221BOYAmt
EOY$2,762,808EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,371,476LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,901,331LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,931,926BOYAmt
EOY$9,470,145EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$451,694BOYAmt
EOY$402,965EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,931,764BOYAmt
EOY$20,165,727EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,360,788BOYAmt
EOY$1,659,869EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,419,396BOYAmt
EOY$1,021,019EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,840,883BOYAmt
EOY$2,632,356EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$9,347BOYAmt
EOY$19,309EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,630,414BOYAmt
EOY$5,332,553EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,301,350BOYAmt
EOY$14,833,174EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,301,350BOYAmt
EOY$14,833,174EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,931,764BOYAmt
EOY$20,165,727EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$468,176ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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$6,760,356CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,098,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,585,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,759,483CurrentTaxYearMinus1YearAmt
Current Tax Year$13,188,553CurrentTaxYearAmt
Total$45,392,740TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,760,356CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,098,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,585,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,759,483CurrentTaxYearMinus1YearAmt
Current Tax Year$13,188,553CurrentTaxYearAmt
Total$45,392,740TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$45,392,740PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,853CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,028CurrentTaxYearMinus1YearAmt
Current Tax Year$15,281CurrentTaxYearAmt
Total$97,706TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$61,852CurrentTaxYearAmt
Total$61,852TotalAmt
FieldValueIRS element (for citing)
Total Support$45,552,298TotalSupportAmt
Gross Receipts Rltd Activities$63,464,574GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99650PublicSupportCY170Pct
Public Support PY1700.99680PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$658,213OtherCostOrOtherBasisAmt
Book Value$658,213BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,312,454OtherCostOrOtherBasisAmt
Depreciation$4,761,681DepreciationAmt
Book Value$6,550,773BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$257,459OtherCostOrOtherBasisAmt
Depreciation$242,130DepreciationAmt
Book Value$15,329BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,143,350OtherCostOrOtherBasisAmt
Depreciation$2,897,520DepreciationAmt
Book Value$2,245,830BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,470,145TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$27,606,467TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$27,606,467RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$27,606,467TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,074,643TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$28,074,643ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,074,643TotalExpensesPerForm990Amt

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 (8 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
MARY ANN PETTIBON
CEO$246,825$0$0$0$0$0$7,652$0$12,943$0$267,420$0$0$0
NANCY CIAVARRI MD
PHYSICIAN$205,158$0$0$0$0$0$6,289$0$15,558$0$227,005$0$0$0
DANIELLE RENODIN-MEAD
CHIEF MEDICAL OFFICER$211,073$0$0$0$0$0$5,380$0$0$0$216,453$0$0$0
MARY O'BEAR
CHIEF CLINCIAL OFFICER$209,897$0$0$0$0$0$6,303$0$195$0$216,395$0$0$0
MATTHEW FERNAAYS
PHYSICIAN$191,353$0$0$0$0$0$5,832$0$17,299$0$214,484$0$0$0
YUQI MAO
PHYSICIAN$183,930$0$0$0$0$0$5,755$0$12,943$0$202,628$0$0$0
RACHEL NOZZI
DENTIST/CDO$189,081$0$0$0$0$0$5,740$0$7,656$0$202,477$0$0$0
STEVE BERKOWITZ
DENTIST$164,810$0$0$0$0$0$5,011$0$12,540$0$182,361$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS FOR THEIR REVIEW AT A BOARD MEETING, PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE ORGANIZATION REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO COMPLETE IN WRITING A CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S SALARY IS REVIEWED BY BOARD MEMBERS BASED ON MARKET TRENDS AND COMPENSATION SURVEYS. ALL OTHER OFFICERS AND KEY EMPLOYEES ARE PROVIDED ANNUAL EVALUATIONS AND SALARIES ARE REVIEWED AND APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION COMPLIES WITH ALL APPLICABLE FEDERAL AND STATE REGULATIONS.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR