STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

RAPHAEL HEALTH CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
RAPHAEL HEALTH CENTER INC (EIN 35-1948768)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-09
IRS object ID
202202829349300010
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)
Return2022-10-09T21:39:33-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351948768EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAPHAEL HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRAPHBusinessNameControlTxt
Phone3178603961PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 E 34TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46205ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHERRY GRAYPersonNm
Person TitleCEOPersonTitleTxt
Phone3178603961PhoneNum
Signature2022-10-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHERRYPersonFirstNm
Person LastGRAYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNATHAN A RODGERS CPAPreparerPersonNm
PTINP01568275PTIN
Phone3176334705PhoneNum
Preparation2022-09-30PreparationDt

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 OfficerSHERRY GRAYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 E 34TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46205ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,340,105GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RAPHAELHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMMUNITY-BASED, FULL-SERVICE HEALTHCARE OF THE HIGHEST QUALITY WITH RESPECT AND DIGNITY FOR ALL PEOPLE INCLUDING THE UNDERSERVED AND UNINSURED WITHIN A SETTING THAT SHARES THE LOVE AND HEALING OF JESUS CHRIST.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee77TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,200,338PYContributionsGrantsAmt
CY Contributions Grants$4,318,314CYContributionsGrantsAmt
PY Program Service Revenue$3,309,152PYProgramServiceRevenueAmt
CY Program Service Revenue$3,954,841CYProgramServiceRevenueAmt
PY Investment Income$14,427PYInvestmentIncomeAmt
CY Investment Income$14,071CYInvestmentIncomeAmt
PY Other Revenue$18,466PYOtherRevenueAmt
CY Other Revenue$52,879CYOtherRevenueAmt
PY Total Revenue$6,542,383PYTotalRevenueAmt
CY Total Revenue$8,340,105CYTotalRevenueAmt
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$3,915,302PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,303,016CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$132,542CYTotalFundraisingExpenseAmt
PY Other Expenses$1,773,817PYOtherExpensesAmt
CY Other Expenses$2,310,415CYOtherExpensesAmt
PY Total Expenses$5,689,119PYTotalExpensesAmt
CY Total Expenses$6,613,431CYTotalExpensesAmt
PY Revenues Less Expenses$853,264PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,726,674CYRevenuesLessExpensesAmt
Total Assets BOY$6,759,004TotalAssetsBOYAmt
Total Assets EOY$7,229,259TotalAssetsEOYAmt
Total Liabilities BOY$1,685,021TotalLiabilitiesBOYAmt
Total Liabilities EOY$441,863TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,073,983NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,787,396NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMMUNITY-BASED, FULL-SERVICE HEALTHCARE OF THE HIGHEST QUALITY WITH RESPECT AND DIGNITY FOR ALL PEOPLE INCLUDING THE UNDERSERVED AND UNINSURED WITHIN A SETTING THAT SHARES THE LOVE AND HEALING OF JESUS CHRIST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,156,100ExpenseAmt
Revenue$4,007,720RevenueAmt
DescPROVIDING MEDICAL, DENTAL, VISION AND MENTAL HEALTH SERVICES TO INDIGENT INDIVIDUALS.Desc
Total Program Service Expenses$5,156,100TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee77EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 FldINStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPAUL UTTERBACK CFOPersonNm
Phone3179261507PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 E 34TH STAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46205ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SANFORD GARNER
PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
SARAH NOEL
VICE PRESIDENT2.002.00Yes (X)Yes (X)$0$0$0
PAT CASANOVA
SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
STEPHANIE CARAWAY
TREASURER2.002.00Yes (X)Yes (X)$0$0$0
JULIE FIDLER
DIRECTOR1.001.00Yes (X)$0$0$0
ERIN GREEN
DIRECTOR1.000.00Yes (X)$0$0$0
JACQUIE GREEN
DIRECTOR1.000.00Yes (X)$0$0$0
RHONDA GARRISON
DIRECTOR1.000.00Yes (X)$0$0$0
JANICE HICKS-SLAUGHTER
DIRECTOR1.000.00Yes (X)$0$0$0
SHELLY LLOYD-HANKINSON
DIRECTOR1.000.00Yes (X)$0$0$0
DEMETRIA MCGREW
DIRECTOR1.000.00Yes (X)$0$0$0
AARON ROBERTS
DIRECTOR1.000.00Yes (X)$0$0$0
DANIELLE STILES-POLK
DIRECTOR1.000.00Yes (X)$0$0$0
DR BOB WHITMORE
DIRECTOR1.000.00Yes (X)$0$0$0
SHERRY GRAY
CEO40.002.00Yes (X)$151,799$0$14,393
PAUL UTTERBACK
CFO40.002.00Yes (X)$106,508$0$21,881
NATHAN V ROTH
PHYSICIAN40.000.00$244,428$0$34,462Yes (X)
RACHEL ZIEGLER
BEHAVIORAL HEALTH SUPERVISOR40.000.00$127,337$0$21,312Yes (X)
DINO DIEUDONNE
DENTIST40.000.00$146,694$0$15,257Yes (X)
JESSICA BROWN
NURSE PRACTITIONER32.000.00$103,069$0$29,044Yes (X)
TELYCIA JOHNSON
PHYSICIAN40.000.00$102,760$0$10,480Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$982,595TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$146,829TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAXIM HEALTHCARE STAFFING SERVICES INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line16612 E 75TH STREET SUITE 400AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46250ZIPCd
FieldValueIRS element (for citing)
ServicesTEMPORARY STAFFServicesDesc
Compensation$120,933CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$4,205,958GovernmentGrantsAmt
All Other Contributions$112,356AllOtherContributionsAmt
Noncash Contributions$207,036NoncashContributionsAmt
Total Contributions$4,318,314TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621300$3,804,786$3,804,786
340B REVENUE621300$150,055$150,055
FieldValueIRS element (for citing)
Total Program Service Revenue$3,954,841TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,071TotalRevenueColumnAmt
Exclusion$14,071ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,879TotalRevenueColumnAmt
Related Or Exempt Func Income$52,879RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$52,879OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,340,105TotalRevenueColumnAmt
Related Or Exempt Func Income$4,007,720RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,071ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$294,583TotalAmt
Program Services$220,937ProgramServicesAmt
Management And General$67,754ManagementAndGeneralAmt
Fundraising$5,892FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,130,218TotalAmt
Program Services$2,347,663ProgramServicesAmt
Management And General$719,950ManagementAndGeneralAmt
Fundraising$62,605FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$60,216TotalAmt
Program Services$45,162ProgramServicesAmt
Management And General$13,850ManagementAndGeneralAmt
Fundraising$1,204FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$569,916TotalAmt
Program Services$427,440ProgramServicesAmt
Management And General$131,080ManagementAndGeneralAmt
Fundraising$11,396FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$248,083TotalAmt
Program Services$186,062ProgramServicesAmt
Management And General$57,059ManagementAndGeneralAmt
Fundraising$4,962FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$629,823TotalAmt
Program Services$503,858ProgramServicesAmt
Management And General$125,965ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,849TotalAmt
Program Services$6,460ProgramServicesAmt
Management And General$1,593ManagementAndGeneralAmt
Fundraising$796FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$211,489TotalAmt
Program Services$158,615ProgramServicesAmt
Management And General$38,069ManagementAndGeneralAmt
Fundraising$14,805FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$228,970TotalAmt
Program Services$183,176ProgramServicesAmt
Management And General$41,215ManagementAndGeneralAmt
Fundraising$4,579FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$407,473TotalAmt
Program Services$325,981ProgramServicesAmt
Management And General$73,344ManagementAndGeneralAmt
Fundraising$8,148FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,548TotalAmt
Program Services$8,430ProgramServicesAmt
Management And General$2,079ManagementAndGeneralAmt
Fundraising$1,039FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$100,907TotalAmt
Program Services$80,726ProgramServicesAmt
Management And General$18,163ManagementAndGeneralAmt
Fundraising$2,018FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$31,916TotalAmt
Program Services$25,533ProgramServicesAmt
Management And General$5,745ManagementAndGeneralAmt
Fundraising$638FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER MEDICAL EXPENSES$472,474$472,474
DUES & SUB.$101,960$74,431$18,353$9,176
STAFF DEVELOPMENT$58,717$42,863$10,570$5,284
LAB/X-RAYS$46,189$46,189

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Program Services$100ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,613,431TotalAmt
Program Services$5,156,100ProgramServicesAmt
Management And General$1,324,789ManagementAndGeneralAmt
Fundraising$132,542FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,262,989BOYAmt
EOY$3,042,754EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$451,583BOYAmt
EOY$298,322EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,129BOYAmt
EOY$76,931EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$367,448BOYAmt
EOY$258,984EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$29,972BOYAmt
EOY$45,614EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,667BOYAmt
EOY$54,404EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,944,691LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,718,180LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$309,378BOYAmt
EOY$226,511EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,266,838BOYAmt
EOY$3,225,739EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,759,004BOYAmt
EOY$7,229,259EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$359,321BOYAmt
EOY$376,403EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$825,700BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$500,000BOYAmt
EOY$65,460EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,685,021BOYAmt
EOY$441,863EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,073,983BOYAmt
EOY$6,787,396EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,073,983BOYAmt
EOY$6,787,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,759,004BOYAmt
EOY$7,229,259EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,726,674ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$13,261NetUnrlzdGainsLossesInvstAmt
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)
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$2,526,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,559,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,875,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,200,338CurrentTaxYearMinus1YearAmt
Current Tax Year$4,316,004CurrentTaxYearAmt
Total$16,478,646TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,526,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,559,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,875,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,200,338CurrentTaxYearMinus1YearAmt
Current Tax Year$4,316,004CurrentTaxYearAmt
Total$16,478,646TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$16,478,646PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,327CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,145CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,427CurrentTaxYearMinus1YearAmt
Current Tax Year$14,071CurrentTaxYearAmt
Total$108,007TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$14,777CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,466CurrentTaxYearMinus1YearAmt
Current Tax Year$52,879CurrentTaxYearAmt
Total$86,122TotalAmt
FieldValueIRS element (for citing)
Total Support$16,672,775TotalSupportAmt
Gross Receipts Rltd Activities$10,248,277GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98840PublicSupportCY170Pct
Public Support PY1700.98930PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,944,691OtherCostOrOtherBasisAmt
Depreciation$1,718,180DepreciationAmt
Book Value$226,511BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$226,511TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN RAPHAEL REALTY$3,190,335
ESTIMATED THIRD PARTY SETTLEMENTS$35,404
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,225,739TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY SETTLEMENTSDesc
Amt$65,460Amt
FieldValueIRS element (for citing)
Total Liability$65,460TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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
NATHAN V ROTH
PHYSICIAN$244,428$0$0$0$0$0$9,777$0$24,685$0$278,890$0$0$0
SHERRY GRAY
CEO$151,799$0$0$0$0$0$6,072$0$8,321$0$166,192$0$0$0
DINO DIEUDONNE
DENTIST$146,694$0$0$0$0$0$5,868$0$9,389$0$161,951$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution15ContributionCnt
Noncash Contributions Rpt F990$204,726NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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 AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BRAPHAEL HEALTH CENTER, INC.'S FORM 990 IS REVIEWED BY THE FINANCE COMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CRAPHAEL HEALTH CENTER PASSES OUT A QUESTIONNAIRE ABOUT CONFLICT OF INTEREST TO BE FILLED OUT AND RETURNED BY EACH DIRECTOR, OFFICER AND STAFF MEMBER. THE POLICY INCLUDES STATEMENTS ABOUT OTHER EMPLOYMENT AND BEING RELATED TO ANYONE ON THE BOARD OF DIRECTORS AND OTHER ITEMS THAT MAY BE AN ISSUE. POTENTIAL ISSUES ARE IDENTIFIED, EVALUATED AND DISCUSSED WITH THE APPROPRIATE LEVEL OF MANAGEMENT OR MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15RAPHAEL HEALTH CENTER, INC.'S BOARD OF DIRECTORS' HR COMMITTEE ESTABLISH ALL STAFFING COMPENSATION PLANS AFTER A THOROUGH REVIEW OF ALL RELATED ISSUES, CONSULTATION WITH INDEPENDENT PERSONS, REVIEW OF COMPARABLE DATA AND DELIBERATION. IT ALSO CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE OTHER OFFICERS AND KEY EMPLOYEES IN CONSIDERING THEIR COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19RAPHAEL HEALTH CENTER, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, AS APPLICABLE, AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST MADE TO THE ATTENTION OF OUR CHIEF EXECUTIVE OFFICER (CEO) AND RECEIVED AT OUR CORPORATE OFFICE ADDRESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RAPHAEL REALTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 EAST 34TH STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46205ZIPCd
FieldValueIRS element (for citing)
EIN743093941EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501(C)(2)ExemptCodeSectionTxt
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 Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RAPHAEL REALTY INC
K$239,400BOOK
RAPHAEL REALTY INC
R$385,403CASH