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THE WALLACE MEDICAL CONCERN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
THE WALLACE MEDICAL CONCERN (EIN 93-0853709)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202221369349312037
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-16T15:57:19-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930853709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WALLACE MEDICAL CONCERNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWALLBusinessNameControlTxt
Phone5034891760PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118633 SE STARK STREET NO 401AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97233ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA CLINEPersonNm
Person TitleCEOPersonTitleTxt
Phone5034891760PhoneNum
Signature2022-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISAPersonFirstNm
Person LastCLINEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2022-05-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA CLINEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line118633 SE STARK STREET NO 401AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97233ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,815,264GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYWALLACE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH SERVICES TO THOSE IN NEED IN THE PORTLAND AND GRESHAM METROPOLITAN AREA.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee96TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,899,925PYContributionsGrantsAmt
CY Contributions Grants$5,632,191CYContributionsGrantsAmt
PY Program Service Revenue$4,343,725PYProgramServiceRevenueAmt
CY Program Service Revenue$4,848,581CYProgramServiceRevenueAmt
PY Investment Income$11,892PYInvestmentIncomeAmt
CY Investment Income$4,542CYInvestmentIncomeAmt
PY Other Revenue$183,446PYOtherRevenueAmt
CY Other Revenue$328,585CYOtherRevenueAmt
PY Total Revenue$7,438,988PYTotalRevenueAmt
CY Total Revenue$10,813,899CYTotalRevenueAmt
PY Grants And Similar Paid$59,622PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$41,673CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,102,613PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,353,047CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$13,271PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$9,007CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$184,508CYTotalFundraisingExpenseAmt
PY Other Expenses$2,176,559PYOtherExpensesAmt
CY Other Expenses$2,981,639CYOtherExpensesAmt
PY Total Expenses$7,352,065PYTotalExpensesAmt
CY Total Expenses$8,385,366CYTotalExpensesAmt
PY Revenues Less Expenses$86,923PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,428,533CYRevenuesLessExpensesAmt
Total Assets BOY$4,100,357TotalAssetsBOYAmt
Total Assets EOY$7,288,322TotalAssetsEOYAmt
Total Liabilities BOY$1,174,874TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,934,306TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,925,483NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,354,016NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE WALLACE MEDICAL CONCERN ("WMC") PROVIDES AN OPEN DOOR TO EXCEP- TIONAL HEALTH SERVICES THAT SUPPORT INDIVIDUALS AND THEIR FAMILIES IN HEALTHY LIVING. WMC SERVES INDIVIDUALS AND FAMILIES WHO FACE BARRIERS TO CARE THROUGHOUT THE PORTLAND AND GRESHAM METROPOLITAN AREA.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,188,600ExpenseAmt
Grant$41,673GrantAmt
Revenue$4,848,581RevenueAmt
DescTHE WALLACE MEDICAL CONCERN (WALLACE) PROVIDES AN OPEN DOOR TO EXCEPTIONAL HEALTH SERVICES AND CONNECTIONS THAT SUPPORT INDIVIDUALS AND THEIR FAMILIES IN HEALTHY LIVING. WALLACE HAS A 38-YEAR RECORD OF PROVIDING MEDICAL SERVICES AND HAS DISTINGUISHED ITSELF AS A PATIENT-CENTERED, INNOVATIVE HEALTH CARE ORGANIZATION. WALLACE BECAME A FEDERALLY QUALIFIED HEALTH CENTER IN JUNE OF 2012, ALLOWING FOR EXPANDED SERVICES AND IMPLEMENTATION OF PRIMARY CARE THAT OFFERS A COMPREHENSIVE MEDICAL HOME AND CONTINUITY OF CARE FOR PATIENTS AND THEIR FAMILIES. WE OFFER INTEGRATED MEDICAL, DENTAL, AND BEHAVIORAL/ MENTAL HEALTH SERVICES. MEDICAL SERVICES INCLUDE PEDIATRIC CARE, WOMEN'S HEALTH, AND CHRONIC DISEASE MANAGEMENT. OUR CARE TEAMS ADDRESS SOCIAL DETERMINANTS OF HEALTH SUCH AS FOOD SECURITY AND HOUSING. WALLACE'S INCREASING CAPACITY TO PROVIDE HIGH-QUALITY HEALTH SERVICES IS DUE TO ITS SUCCESS IN ATTRACTING SKILLS AND COMMITTED MEDICAL PROFESSIONALS, ITS INNOVATIVE PARTNERSHIPS, AND ITS MULTI-CULTURAL, MULTI-LINGUAL STAFF.Desc
Total Program Service Expenses$6,188,600TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 IndividualsYes (1)GrantsToIndividualsInd
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 Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee96EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY BRISSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6515384869PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line118633 SE STARK STREET NO 401AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97233ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
STUART CURRIE MD
CMO40.00Yes (X)$299,968$0$21,619
KYLE GEELAN DMD
DENTAL DIRECTOR40.00$170,751$0$20,305Yes (X)
LISA CLINE
CEO40.00Yes (X)$167,040$0$14,174
BRITTA MARTINEZ
DENTIST40.00$150,131$0$7,953Yes (X)
APRIL URQUIDEZ PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER40.00$149,647$0$7,953Yes (X)
LORI-ANN LIMA
FAMILY NURSE PRACTITIONER40.00$131,704$0$8,605Yes (X)
BETHANY STAIRS
ASSISTANT MEDICAL DIRECTOR40.00$124,750$0$12,755Yes (X)
CARRIE HARRIS
CFO (THROUGH NOVEMBER 2020)40.00Yes (X)$126,538$0$7,385
MARY CAITLYN WELLS
FAMILY NURSE PRACTITIONER40.00$124,337$0$13,308Yes (X)
LYNN KETCH
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
EDITH ARRIAGA-FLORES
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JOHN ENGLE DDS
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ANDREW BROWN
TREASURER1.00Yes (X)$0$0$0Yes (X)
EMMANUEL BARRERA
DIRECTOR1.00$0$0$0Yes (X)
VANESSA CHAMBERS
DIRECTOR1.00$0$0$0Yes (X)
RHONDA COMBS
DIRECTOR1.00$0$0$0Yes (X)
BARBARA HILTS
DIRECTOR1.00$0$0$0Yes (X)
THERESA MASSONG
DIRECTOR1.00$0$0$0Yes (X)
MOLLY ROBERTS
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,444,866TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$114,057TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OCHIN
1881 SW NAITO PARKWAYPORTLANDOR97201IT SERVICES$233,008
LIFEWORKS NW
14600 NW CORNELL ROADPORTLANDOR97229MENTAL HEALTH SERVICES$199,462
FLUENT DESIGN
4075 N WILLIAMS SUITE 210PORTLANDOR97227CONSTRUCTION/DESIGN$165,890
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$5,313,261GovernmentGrantsAmt
All Other Contributions$318,930AllOtherContributionsAmt
Total Contributions$5,632,191TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT BILLING621110$4,310,012$4,310,012
CCO INCENTIVE621110$538,569$538,569
FieldValueIRS element (for citing)
Total Program Service Revenue$4,848,581TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,799TotalRevenueColumnAmt
Exclusion$5,799ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,801RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,801RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,801TotalRevenueColumnAmt
Exclusion$6,801ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$108SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,365OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$108SecuritiesAmt
Other-$1,365OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,257TotalRevenueColumnAmt
Exclusion-$1,257ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME900099$270,784$270,784
MEANINGFUL USE REVENUE900099$51,000$51,000
FieldValueIRS element (for citing)
Other Revenue Total$321,784OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,813,899TotalRevenueColumnAmt
Related Or Exempt Func Income$4,848,581RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$333,127ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$41,673TotalAmt
Program Services$41,673ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$807,173TotalAmt
Program Services$173,826ProgramServicesAmt
Management And General$633,347ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,752,128TotalAmt
Program Services$3,134,652ProgramServicesAmt
Management And General$486,240ManagementAndGeneralAmt
Fundraising$131,236FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$104,667TotalAmt
Program Services$99,046ProgramServicesAmt
Management And General$435ManagementAndGeneralAmt
Fundraising$5,186FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$370,986TotalAmt
Program Services$317,657ProgramServicesAmt
Management And General$38,258ManagementAndGeneralAmt
Fundraising$15,071FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$318,093TotalAmt
Program Services$238,529ProgramServicesAmt
Management And General$70,241ManagementAndGeneralAmt
Fundraising$9,323FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,363TotalAmt
Management And General$11,363ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,325TotalAmt
Management And General$33,325ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$9,007TotalAmt
Fundraising$9,007FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$855,972TotalAmt
Program Services$535,768ProgramServicesAmt
Management And General$315,023ManagementAndGeneralAmt
Fundraising$5,181FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,584TotalAmt
Program Services$6,280ProgramServicesAmt
Management And General$6,304ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$211,543TotalAmt
Program Services$168,484ProgramServicesAmt
Management And General$43,059ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$514,668TotalAmt
Program Services$306,269ProgramServicesAmt
Management And General$208,399ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$370TotalAmt
Program Services$176ProgramServicesAmt
Management And General$194ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$78,165TotalAmt
Program Services$38,483ProgramServicesAmt
Management And General$39,682ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$176,058TotalAmt
Program Services$132,327ProgramServicesAmt
Management And General$43,274ManagementAndGeneralAmt
Fundraising$457FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$44,715TotalAmt
Program Services$30,503ProgramServicesAmt
Management And General$13,141ManagementAndGeneralAmt
Fundraising$1,071FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CLINICAL SUPPLIES$504,729$504,689$40
BAD DEBT EXPENSE$267,888$267,888
OTHER EXPENSES$161,066$108,861$7,936$44,269
SMALL EQUIPMENT$109,193$83,489$25,704

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,385,366TotalAmt
Program Services$6,188,600ProgramServicesAmt
Management And General$2,012,258ManagementAndGeneralAmt
Fundraising$184,508FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,481,451BOYAmt
EOY$718,830EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,570,547BOYAmt
EOY$1,871,624EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$103,424BOYAmt
EOY$1,326,431EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$319,820BOYAmt
EOY$428,033EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,228BOYAmt
EOY$183,706EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,589,996LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$830,298LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$548,887BOYAmt
EOY$2,759,698EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,100,357BOYAmt
EOY$7,288,322EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$249,818BOYAmt
EOY$177,507EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$925,056BOYAmt
EOY$493,194EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,263,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,174,874BOYAmt
EOY$1,934,306EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,653,895BOYAmt
EOY$4,915,173EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$271,588BOYAmt
EOY$438,843EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,925,483BOYAmt
EOY$5,354,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,100,357BOYAmt
EOY$7,288,322EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,428,533ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
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$2,755,689CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,931,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,669,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,899,925CurrentTaxYearMinus1YearAmt
Current Tax Year$5,632,191CurrentTaxYearAmt
Total$16,889,091TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,755,689CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,931,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,669,341CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,899,925CurrentTaxYearMinus1YearAmt
Current Tax Year$5,632,191CurrentTaxYearAmt
Total$16,889,091TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$16,889,091PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,476CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$605CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,861CurrentTaxYearMinus1YearAmt
Current Tax Year$12,600CurrentTaxYearAmt
Total$33,078TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$125,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$222,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$183,446CurrentTaxYearMinus1YearAmt
Current Tax Year$321,782CurrentTaxYearAmt
Total$974,813TotalAmt
FieldValueIRS element (for citing)
Total Support$17,896,982TotalSupportAmt
Gross Receipts Rltd Activities$20,103,199GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94370PublicSupportCY170Pct
Public Support PY1700.94740PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME MEANINGFUL USE INSURANCE REIMBURSEMENTSExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,772,070OtherCostOrOtherBasisAmt
Depreciation$347,263DepreciationAmt
Book Value$2,424,807BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$817,926OtherCostOrOtherBasisAmt
Depreciation$483,035DepreciationAmt
Book Value$334,891BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,759,698TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,479,388TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,479,388RevenueSubtotalAmt
Other Revenues Not Included$334,511OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$334,511RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,813,899TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,385,366TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,385,366ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,385,366TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:WMC IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND COMPARABLE STATE LAW. IN ADDITION, WMC HAS BEEN RECOGNIZED AS A PUBLIC CHARITY UNDER SECTIONS 170(B)(1)(A)(VI) AND 509(A)(1) OF THE IRC. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED WMC'S TAX POSITIONS AND CONCLUDED THAT WMC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS WITH DONOR RESTRICTIONS 334,511.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
PATIENT NON-MEDICAL FINANCIAL ASSISTANCE294$14,520
PATIENT HOUSING ASSISTANCE17$27,153

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFINANCIAL ASSISTANCE IS RECOMMENDED AND REQUESTED BY A WALLACE MEDICAL CONCERN EMPLOYEE ON BEHALF OF A PATIENT WHEN THE EMPLOYEE SEES A NEED. PAYMENTS ARE MADE DIRECTLY TO THIRD PARTIES TO ASSIST PATIENTS, ENSURING THAT ALL FUNDS ARE USED FOR THE INTENDED PURPOSE.ExplanationTxt

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 (5 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
STUART CURRIE MD
CMO$280,782$0$18,803$0$383$0$0$0$21,619$0$321,587$0$0$0
KYLE GEELAN DMD
DENTAL DIRECTOR$164,926$0$5,452$0$373$0$0$0$20,305$0$191,056$0$0$0
LISA CLINE
CEO$161,598$0$5,052$0$390$0$0$0$14,174$0$181,214$0$0$0
BRITTA MARTINEZ
DENTIST$142,287$0$7,436$0$408$0$0$0$7,953$0$158,084$0$0$0
APRIL URQUIDEZ PSYCHIATRIC
MENTAL HEALTH NURSE PRACTITIONER$141,816$0$7,411$0$420$0$0$0$7,953$0$157,600$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2THE ORGANIZATION OPENED A SECOND LOCATION FOR DENTAL SERVICES IN APRIL 2021.
FORM 990, PART VI, SECTION A, LINE 1THE OFFICERS OF THE BOARD OF DIRECTORS AND ONE ADDITIONAL DIRECTOR SERVE AS THE MEMBERS OF THE EXECUTIVE COMMITTEE. THE CEO SITS ON THE EXECUTIVE COMMITTEE AS AN ADVISOR, BUT DOES NOT HAVE A VOTE. THE EXECUTIVE COMMITTEE HAS ALL OF THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS WHEN ACTING IN A REASONABLE MANNER DURING AN EMERGENCY AS DELEGATED BY THE BOARD, IF IT IS IMPRACTICAL TO CONVENE A MEETING OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE. A COPY OF THE FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS IS REQUIRED TO SIGN AND SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR CONSIDERATION BY THE BOARD OF DIRECTORS OR COMMITTEE WITH BOARD-DELEGATED POWERS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE INTERESTED PERSON IS REQUIRED TO LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POTENTIAL CONFLICT. IN ADDITION, A PERIODIC REVIEW IS PERFORMED BY THE GOVERNING BOARD AND, AT A MINIMUM, INCLUDES WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE BASED ON COMPETENT SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH BARGAINING.
FORM 990, PART VI, SECTION B, LINE 15ATHE SALARY OF THE CHIEF EXECUTIVE OFFICER IS DETERMINED BY THE BOARD OF DIRECTORS AFTER A REVIEW OF THE NON-PROFIT AND HEALTH CENTER SALARY SURVEY FOR THE REGION. THIS PROCESS WAS LAST COMPLETED IN 2021. THE SALARY OF THE CHIEF FINANCIAL OFFICER IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER AFTER A REVIEW OF THE NON-PROFIT AND HEALTH CENTER SALARY SURVEY FOR THE REGION. THE PROCESS WAS LAST COMPLETED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER SERVICES: PROGRAM SERVICE EXPENSES 535,768. MANAGEMENT AND GENERAL EXPENSES 315,023. FUNDRAISING EXPENSES 5,181. TOTAL EXPENSES 855,972.