TANDEM HEALTH SC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TANDEM HEALTH SC (EIN 57-1095992)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-02-14
- IRS object ID
- 202220459349301412
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-02-14T09:26:29-06:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 580914992 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DRAFFIN & TUCKER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 71309 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 317081309 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 571095992 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TANDEM HEALTH SC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TAND | BusinessNameControlTxt |
| Phone | 8037744500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1278 NORTH LAFAYETTE DR | AddressLine1Txt |
| City | SUMTER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29150 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNIE BROWN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8037744500 | PhoneNum |
| Signature | 2022-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANNIE | PersonFirstNm |
| Person Last | BROWN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE G ATKINS | PreparerPersonNm |
| PTIN | P00861721 | PTIN |
| Phone | 2298837878 | PhoneNum |
| Preparation | 2022-02-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANNIE BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 S PIKE WEST | AddressLine1Txt |
| City | SUMTER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29150 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,646,777 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS:/TANDEMHEALTHSC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | SC | LegalDomicileStateCd |
| Activity Or Mission | TANDEM HEALTH SC IS A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF EACH PERSON SERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 271 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,101,489 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,086,637 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,729,253 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,376,770 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,497 | PYInvestmentIncomeAmt |
| CY Investment Income | -$11,538 | CYInvestmentIncomeAmt |
| CY Other Revenue | $1,179,750 | CYOtherRevenueAmt |
| PY Total Revenue | $21,832,239 | PYTotalRevenueAmt |
| CY Total Revenue | $26,631,619 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $5,488 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,900,833 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,826,284 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,204,057 | PYOtherExpensesAmt |
| CY Other Expenses | $8,672,649 | CYOtherExpensesAmt |
| PY Total Expenses | $20,104,890 | PYTotalExpensesAmt |
| CY Total Expenses | $23,504,421 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,727,349 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,127,198 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,722,846 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,130,749 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,334,433 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,847,745 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,388,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,283,004 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TANDEM HEALTH SC IS A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF EACH PERSON SERVED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,040,541 | ExpenseAmt |
| Grant | $5,488 | GrantAmt |
| Revenue | $19,556,520 | RevenueAmt |
| Desc | TANDEM HEALTH SC (THS) IS A 501(C)(3) NOT-FOR-PROFIT COMMUNITY HEALTH CENTER LOCATED IN SUMTER, SOUTH CAROLINA. OUR ORGANIZATIONAL MISSION AND VISION IS FOCUSED ON THE CONTINUOUS PURSUIT OF ADDRESSING, NOT ONLY THE SHORTAGE OF HEALTHCARE SERVICES WITHIN SUMTER COUNTY, BUT ALSO THE SOCIAL DETERMINANTS THAT OFTEN PREVENT PATIENTS FROM ACCESSING AND/OR FULLY UTILIZING THE HEALTH RESOURCES MADE AVAILABLE TO THEM. TODAY, THS EMPLOYS, IN ADDITION TO ITS 40 PLUS MEDICAL PROVIDERS, A VARIETY OF HEALTHCARE PROFESSIONALS TO ASSIST PATIENTS WITH SUCH THINGS AS MEDICAL CASE MANAGEMENT, NUTRITION, BEHAVIORAL HEALTH, TRANSPORTATION, AND SUBSTANCE ABUSE DISORDERS. THS, WITH ITS MODEST ORIGINS AS A SMALL MEDICAL PRACTICE ADMINISTERING ONLY PRIMARY CARE AND WOMEN'S HEALTH SERVICES, SET OUT ON A JOURNEY TO PROVIDE HIGH-QUALITY HEALTHCARE TO THE LOCAL COMMUNITY ALL THE WHILE EVALUATING ADDITIONAL SERVICE LINES THAT BENEFITED BOTH THE PATIENTS AND THEIR FAMILIES. DURING FY 2021, THS HAD A TOTAL OF 62,552 PRIMARY HEALTH AND 726 HIV ENCOUNTERS. | Desc |
| Total Program Service Expenses | $19,040,541 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 271 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PERRY MORRIS | PersonNm |
| Phone | 8037744522 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 548 S PIKE WEST | AddressLine1Txt |
| City | SUMTER | CityNm |
| State Abbreviation | SC | StateAbbreviationCd |
| ZIP | 29150 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| GISELLE CHANDLER MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $278,215 | $0 | $16,203 | |||
| JOEL SNIPE MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $275,960 | $0 | $17,667 | |||
| DAVID JUSTICE MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $279,917 | $0 | $11,876 | |||
| RUSSELL VICTOR BRANT MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $237,889 | $0 | $26,446 | |||
| DAVID C TURELL MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $231,163 | $0 | $28,341 | |||
| ANNIE BROWN | ||||||||
| CEO | 40.00 | $177,520 | $0 | $12,832 | Yes (X) | |||
| PAULA STOVER | ||||||||
| VP CLINICAL | 40.00 | $163,227 | $0 | $16,625 | Yes (X) | |||
| PERRY MORRIS | ||||||||
| CONTROLLER/C | 40.00 | $85,090 | $0 | $16,534 | Yes (X) | |||
| KARENA S WHITE | ||||||||
| CFO LEFT 10/ | 40.00 | $83,137 | $0 | $10 | Yes (X) | |||
| HEIDI ADLER | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| JACK BARNES | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| CHERYL BEAUFORT | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| AMANDA BLEVINS | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| ALTAVIA BOYD | ||||||||
| SECRETARY | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| CAROLINA CRUZ | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| JANESHA EDWARDS | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| JONATHAN FLINCHUM | ||||||||
| VICE CHAIRMA | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| PAGE HILTON | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| NIKCOLE JENKINS | ||||||||
| DIRECTOR-LEF | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| MURIEL JOHNSON | ||||||||
| TREASURER | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ROBERTA POUND | ||||||||
| CHAIR | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JEAN RICHBURG | ||||||||
| DIRECTOR-LEF | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| SELENA SMITH | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| MONTOIYA TEVIS | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| TAMMY TOLBERT | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| SHAVON WHITE | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| LYDIA WOODS-JOHNSON | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| CONTESSA WRIGHT | ||||||||
| DIRECTOR | 0.50 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,812,118 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $146,534 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROSS COUNTRY LOCUM TENENS | |||||
| P O BOX 277185 | ATLANTA | GA | 303877185 | LOCUM TENENS | $588,903 |
| STAFF CARE INC | |||||
| P O BOX 281923 | ATLANTA | GA | 303841923 | STAFFING | $131,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,474,496 | GovernmentGrantsAmt |
| All Other Contributions | $612,141 | AllOtherContributionsAmt |
| Noncash Contributions | $106 | NoncashContributionsAmt |
| Total Contributions | $7,086,637 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $16,726,117 | $16,726,117 |
| PHARMACEUTICAL CONTRACTS | 621110 | $1,650,653 | $1,650,653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,376,770 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,620 | TotalRevenueColumnAmt |
| Exclusion | $3,620 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $15,158 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$15,158 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,158 | TotalRevenueColumnAmt |
| Exclusion | -$15,158 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCENTIVE REVENUE | 621110 | $503,855 | $503,855 |
| MISCELLANEOUS | 621110 | $475,930 | $475,930 |
| RESIDENCY COLLABORATIVE | 621110 | $199,965 | $199,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,179,750 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,631,619 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,556,520 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$11,538 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,950 | TotalAmt |
| Program Services | $1,950 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,538 | TotalAmt |
| Program Services | $3,538 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,989 | TotalAmt |
| Management And General | $781,989 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,987,753 | TotalAmt |
| Program Services | $10,342,838 | ProgramServicesAmt |
| Management And General | $1,644,915 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,053 | TotalAmt |
| Program Services | $158,890 | ProgramServicesAmt |
| Management And General | $36,163 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $979,630 | TotalAmt |
| Program Services | $798,007 | ProgramServicesAmt |
| Management And General | $181,623 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,859 | TotalAmt |
| Program Services | $718,362 | ProgramServicesAmt |
| Management And General | $163,497 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,602 | TotalAmt |
| Management And General | $38,602 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,925 | TotalAmt |
| Management And General | $35,925 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,963,034 | TotalAmt |
| Program Services | $1,740,160 | ProgramServicesAmt |
| Management And General | $222,874 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,140 | TotalAmt |
| Program Services | $9,384 | ProgramServicesAmt |
| Management And General | $59,756 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,300 | TotalAmt |
| Program Services | $476,471 | ProgramServicesAmt |
| Management And General | $203,829 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,317,277 | TotalAmt |
| Program Services | $472,274 | ProgramServicesAmt |
| Management And General | $845,003 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,030,313 | TotalAmt |
| Program Services | $871,439 | ProgramServicesAmt |
| Management And General | $158,874 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,734 | TotalAmt |
| Program Services | $9,652 | ProgramServicesAmt |
| Management And General | $6,082 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,977 | TotalAmt |
| Program Services | $23,430 | ProgramServicesAmt |
| Management And General | $11,547 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,397 | TotalAmt |
| Management And General | $16,397 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,432 | TotalAmt |
| Program Services | $546,746 | ProgramServicesAmt |
| Management And General | $29,686 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,472 | TotalAmt |
| Management And General | $14,472 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $2,386,374 | $2,386,374 | |
| MISCELLANEOUS | $332,346 | $321,996 | $10,350 |
| DUES & SUBSCRIPTIONS | $92,419 | $92,419 | |
| LICENSES & TAXES | $60,672 | $60,672 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,235 | TotalAmt |
| Program Services | $5,939 | ProgramServicesAmt |
| Management And General | $2,296 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,504,421 | TotalAmt |
| Program Services | $19,040,541 | ProgramServicesAmt |
| Management And General | $4,463,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,376 | BOYAmt |
| EOY | $2,790,008 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,228,767 | BOYAmt |
| EOY | $2,038,907 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,463,381 | BOYAmt |
| EOY | $271,271 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $804,825 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,984 | BOYAmt |
| EOY | $208,781 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,815 | BOYAmt |
| EOY | $90,965 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,324,871 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,565,891 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,446,395 | BOYAmt |
| EOY | $8,758,980 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,128 | BOYAmt |
| EOY | $1,167,012 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,722,846 | BOYAmt |
| EOY | $16,130,749 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,088,524 | BOYAmt |
| EOY | $1,369,603 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,538 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,548,243 | BOYAmt |
| EOY | $5,584,271 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $412,128 | BOYAmt |
| EOY | $893,871 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,334,433 | BOYAmt |
| EOY | $7,847,745 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,361,685 | BOYAmt |
| EOY | $8,256,276 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,728 | BOYAmt |
| EOY | $26,728 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,388,413 | BOYAmt |
| EOY | $8,283,004 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,722,846 | BOYAmt |
| EOY | $16,130,749 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,127,198 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$380,443 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $147,836 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,371,048 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,945,376 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,855,657 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,101,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,086,637 | CurrentTaxYearAmt |
| Total | $20,360,207 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,371,048 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,945,376 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,855,657 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,101,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,086,637 | CurrentTaxYearAmt |
| Total | $20,360,207 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,360,207 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $781 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,497 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,620 | CurrentTaxYearAmt |
| Total | $11,416 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $20,371,623 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $79,576,560 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99940 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99880 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,728 | BeginningYearBalanceAmt |
| End Year Balance | $26,728 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $26,728 | ContributionsAmt |
| End Year Balance | $26,728 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.28910 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.71090 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,645,692 | OtherCostOrOtherBasisAmt |
| Depreciation | $623,773 | DepreciationAmt |
| Book Value | $7,021,919 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,325,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $769,428 | DepreciationAmt |
| Book Value | $555,730 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,354,021 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,172,690 | DepreciationAmt |
| Book Value | $1,181,331 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,758,980 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEFERRED COMPENSATION PLAN | $522,078 |
| OTHER RECEIVABLES | $488,934 |
| THIRD PARTY SETTLEMENTS | $156,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,167,012 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $522,078 |
| INTEREST RATE SWAP | $233,173 |
| REFUNDABLE ADVANCES | $138,620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $893,871 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,837,546 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $43,499 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $162,428 | OtherRevenueAmt |
| Revenue Not Reported | $205,927 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,631,619 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $26,631,619 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,562,530 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $43,499 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | -$548 | PriorYearAdjustmentsAmt |
| Losses Reported | $15,158 | LossesReportedAmt |
| Expenses Not Reported | $58,109 | ExpensesNotReportedAmt |
| Expenses Subtotal | $23,504,421 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $23,504,421 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | FUNDS ARE RESTRICTED FOR THE SUPPORT OF PATIENTS IN NEED OR OTHER HEALTHCARE NEEDS OF THE COMMUNITY WHILE THE TEMPORARILY RESTRICTED FUNDS CONSIST OF FUNDS DONATED FOR A VEHICLE PURCHASE. |
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | LOSS ON SALE OF EQUIPMENT 15,158 SWAP VALUATION 147,270 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | false | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| GISELLE CHANDLER MD | ||||||
| PHYSICIAN | $276,950 | $1,000 | $265 | $8,377 | $7,826 | $294,418 |
| JOEL SNIPE MD | ||||||
| PHYSICIAN | $274,900 | $1,000 | $60 | $8,286 | $9,381 | $293,627 |
| DAVID JUSTICE MD | ||||||
| PHYSICIAN | $278,255 | $1,000 | $662 | $4,050 | $7,826 | $291,793 |
| RUSSELL VICTOR BRANT MD | ||||||
| PHYSICIAN | $236,624 | $1,000 | $265 | $7,346 | $19,100 | $264,335 |
| DAVID C TURELL MD | ||||||
| PHYSICIAN | $229,973 | $1,000 | $190 | $7,011 | $21,330 | $259,504 |
| ANNIE BROWN | ||||||
| CEO | $151,858 | $25,000 | $662 | $4,541 | $8,291 | $190,352 |
| PAULA STOVER | ||||||
| VP CLINICAL | $161,565 | $1,000 | $662 | $4,973 | $11,652 | $179,852 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | ANY AMOUNTS PAID AS A HOUSING ALLOWANCE ARE INCLUDED IN THE INDIVIDUAL'S TAXABLE INCOME. |
| SCHEDULE J, PART III | BONUS/INCENTIVE PAY EMPLOYEES AND OFFICERS PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN UNDER WHICH ANNUAL YEAR-END BONUSES ARE PAID BASED ON INDIVIDUAL AND CORPORATE- WIDE ACHIEVEMENT OF SPECIFIC GOALS AND OBJECTIVES. ONE SUCH GOAL RELATES TO THE ORGANIZATION'S NET INCOME. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | TANDEM HEALTH SC (THS) IS A 501(C)(3) NOT-FOR-PROFIT COMMUNITY HEALTH CENTER LOCATED IN SUMTER, SOUTH CAROLINA. OUR ORGANIZATIONAL MISSION AND VISION IS FOCUSED ON THE CONTINUOUS PURSUIT OF ADDRESSING, NOT ONLY THE SHORTAGE OF HEALTHCARE SERVICES WITHIN SUMTER COUNTY, BUT ALSO THE SOCIAL DETERMINANTS THAT OFTEN PREVENT PATIENTS FROM ACCESSING AND/OR FULLY UTILIZING THE HEALTH RESOURCES MADE AVAILABLE TO THEM. TODAY, THS EMPLOYS, IN ADDITION TO ITS 40 PLUS MEDICAL PROVIDERS, A VARIETY OF HEALTHCARE PROFESSIONALS TO ASSIST PATIENTS WITH SUCH THINGS AS MEDICAL CASE MANAGEMENT, NUTRITION, BEHAVIORAL HEALTH, TRANSPORTATION, AND SUBSTANCE ABUSE DISORDERS. THS, WITH ITS MODEST ORIGINS AS A SMALL MEDICAL PRACTICE ADMINISTERING ONLY PRIMARY CARE AND WOMEN'S HEALTH SERVICES, SET OUT ON A JOURNEY TO PROVIDE HIGH-QUALITY HEALTHCARE TO THE LOCAL COMMUNITY ALL THE WHILE EVALUATING ADDITIONAL SERVICE LINES THAT BENEFITED BOTH THE PATIENTS AND THEIR FAMILIES. DURING FY 2021, THS HAD A TOTAL OF 62,552 PRIMARY HEALTH AND 726 HIV ENCOUNTERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS AND BOARD MEMBERS ARE PROHIBITED FROM ANY REAL OR APPARENT CONFLICTS OF INTEREST ASSOCIATED WITH FEDERAL FUND EXPENDITURES. EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST ANNUAL DISCLOSURE QUESTIONNAIRE ANNUALLY. TANDEM HEALTH SC SEEKS OUT COMPETITIVE BIDS REJECTING ANY BIDS OR OFFERS WHEN IT IS IN TANDEM HEALTH SC'S BEST INTEREST TO DO SO. ANY POTENTIAL CONFLICTS ARE ADDRESSED BY THE CORPORATE COMPLIANCE OFFICER, IN CONSULTATION WITH THE CEO, AS APPROPRIATE. OUTSIDE EMPLOYMENT THAT POSES A CONFLICT OF INTEREST IS NOT APPROVED. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO VERBAL OR WRITTEN WARNING, OR IN SEVERE CASES, REMOVAL FROM THE BOARD OF DIRECTORS. AT A MINIMUM, BOARD MEMBERS MUST RECUSE THEMSELVES FROM DISCUSSION OR VOTE ON THE ISSUE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | TANDEM HEALTH SC HAS ESTABLISHED SALARY RANGES APPROVED BY ITS BOARD OF DIRECTORS FOR ALL POSITIONS IN THE ORGANIZATION, INCLUDING THE CEO POSITION. WHEN REVIEWING THE CEO'S SALARY FOR POSSIBLE INCREASE, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS FQHC STATE SALARY DATA FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION'S BIENNIAL COMPENSATION SURVEY, AS WELL AS STATE, REGIONAL AND NATIONAL SALARY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' ANNUAL COMPENSATION SURVEY. THE CEO'S SALARY IS TYPICALLY REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD FOLLOWING COMPLETION AND REVIEW OF HER ANNUAL PERFORMANCE APPRAISAL. THE BOARD MUST APPROVE ANY SALARY ADJUSTMENTS FOR THE CEO. BOARD ACTION REGARDING CEO SALARY IS RECORDED IN MEETING MINUTES, AND A HUMAN RESOURCES STATUS FORM IS SIGNED BY THE BOARD CHAIRPERSON AND KEPT IN THE CEO'S EMPLOYEE FILE IN HUMAN RESOURCES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE SAME SALARY SURVEYS LISTED ABOVE ARE USED BY THE CEO WHEN DETERMINING AND APPROVING SALARIES FOR MEMBERS OF EXECUTIVE LEADERSHIP, AS WELL AS PROVIDER POSITIONS. ANY HIRES OR SALARY ADJUSTMENTS MUST BE APPROVED BY THE CEO ON A HUMAN RESOURCES STATUS FORM AND ARE KEPT IN EACH EMPLOYEE'S FILE IN HUMAN RESOURCES. PERIODICALLY, TANDEM HEALTH'S COMPENSATION PLAN AND SALARY RANGES ARE EVALUATED BY AN INDEPENDENT COMPENSATION ANALYST. THE COMPENSATION PLAN AND SALARY RANGES ARE APPROVED BY THE BOARD OF DIRECTORS AND RECORDED IN MEETING MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9 | SWAP ADJUSTMENT 147,836 THE CHANGE IN NET ASSETS IS DUE TO NONCASH TRANSACTIONS DETAILED ABOVE. |