KANSAS CITY CARE CLINIC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- KANSAS CITY CARE CLINIC (EIN 43-0967292)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2022-10-31
- IRS object ID
- 202213049349301331
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-31T11:48:37-05:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 641062246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430967292 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KANSAS CITY CARE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GEORGE A BARRETO | InCareOfNm |
| Business Name Control | KANS | BusinessNameControlTxt |
| Phone | 8167535144 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3515 BROADWAY | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WIL FRANKLIN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8167535144 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WIL | PersonFirstNm |
| Person Last | FRANKLIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Michael J Engle | PreparerPersonNm |
| PTIN | P00482834 | PTIN |
| Phone | 8162216300 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WIL FRANKLIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3515 BROADWAY | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,561,642 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KCCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE HEALTH AND WELLNESS BY PROVIDING QUALITY CARE, ACCESS, RESEARCH AND EDUCATION TO THE UNDERSERVED AND ALL PEOPLE IN OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 302 | TotalEmployeeCnt |
| Total Volunteers | 703 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,092,025 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,599,268 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,212,188 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,681,868 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,506 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,087 | CYInvestmentIncomeAmt |
| PY Other Revenue | $100,860 | PYOtherRevenueAmt |
| CY Other Revenue | $203,885 | CYOtherRevenueAmt |
| PY Total Revenue | $30,412,579 | PYTotalRevenueAmt |
| CY Total Revenue | $35,507,108 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,088 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,397 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,050,445 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,986,208 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $871,773 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,836,477 | PYOtherExpensesAmt |
| CY Other Expenses | $14,228,857 | CYOtherExpensesAmt |
| PY Total Expenses | $25,898,010 | PYTotalExpensesAmt |
| CY Total Expenses | $30,226,462 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,514,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,280,646 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,248,878 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,238,604 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,868,481 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,590,363 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,380,397 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,648,241 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF KC CARE HEALTH CENTER IS TO PROMOTE HEALTH AND WELLNESS BY PROVIDING QUALITY CARE, ACCESS, RESEARCH AND EDUCATION TO THE UNDERSERVED AND ALL PEOPLE IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,413,788 | ExpenseAmt |
| Grant | $11,397 | GrantAmt |
| Revenue | $20,681,868 | RevenueAmt |
| Desc | KC CARE provides affordable healthcare to thousands of low-income, uninsured, and under-insured individuals in the Kansas City, Missouri, area. In the last fiscal year, KC CARE served 13,979 patients in primary care, 1,702 in behavioral health, and 3,000 in dental care. The pharmacy dispensed 39,189 prescriptions. KC CARE served 23,310 patients through 90,648 total encounters across all programs, including case management, education, and outreach. More than 600 volunteers provided 15,000+ hours of service to KC CARE, including 30 teaching and medical students that gained 4,000+ hours of practical experience. | Desc |
| Total Program Service Expenses | $22,413,788 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | 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 | Yes (true) | 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 | 207 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 302 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE A BARRETO | PersonNm |
| Phone | 8167772766 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3515 BROADWAY | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| WIL FRANKLIN | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.0 | Yes (X) | $249,254 | $0 | $36,003 | ||
| CRAIG DIETZ | ||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | Yes (X) | $233,380 | $0 | $23,348 | ||
| BLAIR THEDINGER | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.0 | 0.0 | $209,452 | $0 | $23,097 | Yes (X) | ||
| DENNIS DUNMEYER | ||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $177,011 | $0 | $39,171 | ||
| GEORGE BARRETO | ||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $180,295 | $0 | $28,635 | ||
| MEGAN BURI | ||||||||
| FAMILY MEDICINE PHYSICIAN | 40.0 | 0.0 | $185,191 | $0 | $14,961 | Yes (X) | ||
| KAMILE JOHNSON | ||||||||
| VP, PHARMACY SERVICES | 40.0 | 0.0 | $155,487 | $0 | $14,252 | Yes (X) | ||
| TERESA MATHIS | ||||||||
| CHIEF COMPLIANCE OFFICER | 40.0 | 0.0 | $143,175 | $0 | $4,313 | Yes (X) | ||
| MARGARET BOEHM | ||||||||
| DIRECTOR OF ORAL HEALTH | 40.0 | 0.0 | $113,029 | $0 | $21,233 | Yes (X) | ||
| BERT MALONE | ||||||||
| DIRECTOR/CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHADWICK BROOKS | ||||||||
| DIRECTOR/SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TOM NAGEL | ||||||||
| DIRECTOR/TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANDAND RAJARA | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| CAROL THRANE | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTOPHER CARTER | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| KIRAN CHANDRA | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| LAURA FOLEY | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| MARIETTA PARKER | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| NIKKI BEARD | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| W DRUE THOMAS JR | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| SANDRA GARCIA | ||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,646,274 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $205,013 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CORNERSTONES OF CARE | |||||
| 300 E 36TH ST | KANSAS CITY | MO | 64111 | PRACTITIONER SERVICE | $546,983 |
| ECLINICALWORKS LLC | |||||
| 2 TECHNOLOGY DR | WESTBOROUGH | MA | 01581 | EHR | $275,064 |
| INTEGRATED PSYCHIATRIC CONSULTANTS | |||||
| 15316 PERRY ST | OVERLAND PARK | KS | 66221 | PRACTITIONER SERVICE | $141,900 |
| IDEOLITY | |||||
| 5800 FOXRIDGE DR STE 102 | MISSION | KS | 66202 | IT SUPPORT | $109,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,974,833 | GovernmentGrantsAmt |
| All Other Contributions | $2,624,435 | AllOtherContributionsAmt |
| Total Contributions | $14,599,268 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Program Service Fee | 621400 | $19,618,768 | $19,618,768 |
| Clinical Trials | 900099 | $1,046,141 | $1,046,141 |
| Medical Records Fees | 900099 | $16,959 | $16,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,681,868 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,882 | TotalRevenueColumnAmt |
| Exclusion | $3,882 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $72,739 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $54,534 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,205 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,205 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,205 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Rebate Income | 900099 | $3,713 | $3,713 |
| All Other Misc Revenue | 900099 | $200,172 | $200,172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $203,885 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,507,108 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,681,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $225,972 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,397 | TotalAmt |
| Program Services | $11,397 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $948,359 | TotalAmt |
| Program Services | $154,757 | ProgramServicesAmt |
| Management And General | $793,602 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,046,715 | TotalAmt |
| Program Services | $9,016,614 | ProgramServicesAmt |
| Management And General | $2,493,835 | ManagementAndGeneralAmt |
| Fundraising | $536,266 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,327 | TotalAmt |
| Program Services | $168,999 | ProgramServicesAmt |
| Management And General | $17,277 | ManagementAndGeneralAmt |
| Fundraising | $10,051 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,842,283 | TotalAmt |
| Program Services | $301,507 | ProgramServicesAmt |
| Management And General | $1,515,993 | ManagementAndGeneralAmt |
| Fundraising | $24,783 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,524 | TotalAmt |
| Program Services | $712,936 | ProgramServicesAmt |
| Management And General | $197,186 | ManagementAndGeneralAmt |
| Fundraising | $42,402 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,984 | TotalAmt |
| Management And General | $153,984 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,748 | TotalAmt |
| Management And General | $98,748 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,227 | TotalAmt |
| Management And General | $1,227 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,168,354 | TotalAmt |
| Program Services | $1,036,492 | ProgramServicesAmt |
| Management And General | $36,804 | ManagementAndGeneralAmt |
| Fundraising | $95,058 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,194 | TotalAmt |
| Program Services | $40,035 | ProgramServicesAmt |
| Management And General | $17,825 | ManagementAndGeneralAmt |
| Fundraising | $78,334 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,780,360 | TotalAmt |
| Program Services | $7,870,926 | ProgramServicesAmt |
| Management And General | $883,020 | ManagementAndGeneralAmt |
| Fundraising | $26,414 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $898,134 | TotalAmt |
| Program Services | $898,134 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,144 | TotalAmt |
| Program Services | $3,733 | ProgramServicesAmt |
| Management And General | $448,780 | ManagementAndGeneralAmt |
| Fundraising | $45,631 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,088 | TotalAmt |
| Program Services | $27,290 | ProgramServicesAmt |
| Management And General | $4,665 | ManagementAndGeneralAmt |
| Fundraising | $133 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,983 | TotalAmt |
| Program Services | $10,441 | ProgramServicesAmt |
| Management And General | $28,542 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162 | TotalAmt |
| Program Services | $162 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,446 | TotalAmt |
| Program Services | $141,113 | ProgramServicesAmt |
| Management And General | $45,966 | ManagementAndGeneralAmt |
| Fundraising | $5,367 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,634 | TotalAmt |
| Program Services | $90,656 | ProgramServicesAmt |
| Management And General | $29,530 | ManagementAndGeneralAmt |
| Fundraising | $3,448 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $1,613,986 | $1,613,986 | ||
| Payments to Subrecipients | $287,298 | $287,298 | ||
| Equipment Rental & Maint | $66,113 | $66,113 | ||
| All other expenses | $139,002 | $27,312 | $107,804 | $3,886 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,226,462 | TotalAmt |
| Program Services | $22,413,788 | ProgramServicesAmt |
| Management And General | $6,940,901 | ManagementAndGeneralAmt |
| Fundraising | $871,773 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500 | BOYAmt |
| EOY | $1,700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,327,209 | BOYAmt |
| EOY | $8,844,098 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,896,307 | BOYAmt |
| EOY | $2,229,731 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,665,072 | BOYAmt |
| EOY | $3,110,158 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,578 | BOYAmt |
| EOY | $147,770 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,930 | BOYAmt |
| EOY | $291,499 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,049,264 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,172,390 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,365,962 | BOYAmt |
| EOY | $2,876,874 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,913 | BOYAmt |
| EOY | $240,156 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $402,407 | BOYAmt |
| EOY | $496,618 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,248,878 | BOYAmt |
| EOY | $18,238,604 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,808,823 | BOYAmt |
| EOY | $3,259,092 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,063,858 | BOYAmt |
| EOY | $331,271 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,995,800 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,868,481 | BOYAmt |
| EOY | $3,590,363 | 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 | $6,355,862 | BOYAmt |
| EOY | $10,495,692 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,024,535 | BOYAmt |
| EOY | $4,152,549 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,380,397 | BOYAmt |
| EOY | $14,648,241 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,248,878 | BOYAmt |
| EOY | $18,238,604 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,280,646 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$12,802 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $9,731,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,681,622 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,364,785 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,092,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,599,268 | CurrentTaxYearAmt |
| Total | $57,468,721 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,731,021 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,681,622 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,364,785 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,092,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,599,268 | CurrentTaxYearAmt |
| Total | $57,468,721 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,992,174 | SubstantialContributorsTotAmt |
| Public Support Total170 | $55,476,547 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,522 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,462 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,882 | CurrentTaxYearAmt |
| Total | $22,856 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,601 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $445,319 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,878 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $203,885 | CurrentTaxYearAmt |
| Total | $899,628 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $58,391,205 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $58,411,529 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95008 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93989 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $245,217 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,446 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,203 | AdministrativeExpensesAmt |
| End Year Balance | $252,460 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $172,803 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $73,420 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,006 | AdministrativeExpensesAmt |
| End Year Balance | $245,217 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $189,445 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$15,722 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $920 | AdministrativeExpensesAmt |
| End Year Balance | $172,803 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $183,145 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,164 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $864 | AdministrativeExpensesAmt |
| End Year Balance | $189,445 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $167,422 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,548 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $825 | AdministrativeExpensesAmt |
| End Year Balance | $183,145 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.62300 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.37700 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,984,942 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,624,467 | DepreciationAmt |
| Book Value | $1,360,475 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,051,693 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,547,923 | DepreciationAmt |
| Book Value | $503,770 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,012,629 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $1,012,629 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,876,874 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $36,159,823 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$12,802 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $666,744 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $653,942 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,505,881 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,227 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $1,227 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,507,108 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,891,979 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $666,744 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $666,744 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,225,235 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,227 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $1,227 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,226,462 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE POLSKY ENDOWMENT WAS ESTABLISHED IN 2010 WITH AN INITIAL GIFT OF $50,000 FROM THE NORMAN AND ELAINE POLSKY FAMILY SUPPORTING FOUNDATION AND A MATCHING CONTRIBUTION FROM THE CLINIC OF $50,000, BOTH OF WHICH ARE TO BE HELD IN PERPETUITY, AS REQUIRED BY THE ENDOWMENT AGREEMENT (THE AGREEMENT). THE AGREEMENT SPECIFIES INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. THE CLINIC EXPECTS ITS ENDOWMENT FUNDS TO PROVIDE AN AGGREGATE RATE OF RETURN THAT IS CONSISTENT WITH AVERAGE U.S. EQUITY SECURITY RETURNS. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, THE CLINIC RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). THE CLINIC TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON USA DIVERSIFIED EQUITY BASED MUTUAL FUNDS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. THE AGREEMENT REQUIRES ALL EARNINGS ON ENDOWMENT ASSETS TO BE ACCUMULATED IN THE FUND FOR AN INITIAL FIVE YEAR PERIOD AND THEN MAY BE APPROPRIATED FOR EXPENDITURE FOR SPECIFIC PROJECTS OR PROGRAMS AS SPECIFIED IN THE ENDOWMENT AGREEMENT. |
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | ASSISTANCE TO INDIVIDUALS | GrantTypeTxt |
| Recipient | 1328 | RecipientCnt |
| Cash Grant | $11,397 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASSISTANCE TO INDIVIDUALS IS PRIMARILY FOR CITY TRANSPORTATION PROVIDED TO PATIENTS WHO COME TO THE CLINIC. MANY OF THE PATIENTS WHOM THE CLINIC SERVES DO NOT HAVE TRANSPORTATION TO COME AND RECEIVE HEALTH CARE. THE CLINIC WILL PROVIDE TRANSPORTATION VOUCHERS TO ANY INDIVIDUAL IF THEY MEET THE FEDERAL POVERTY GUIDELINES OR THE CLINICS OWN POVERTY THRESHOLD REQUIREMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRAIG DIETZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $221,419 | $0 | $4,026 | $0 | $7,935 | $0 | $14,094 | $0 | $9,254 | $0 | $256,728 | $0 | $0 | $0 |
| WIL FRANKLIN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $198,098 | $0 | $43,272 | $0 | $7,884 | $0 | $7,884 | $0 | $28,119 | $0 | $285,257 | $0 | $0 | $0 |
| DENNIS DUNMEYER | ||||||||||||||
| CHIEF OPERATING OFFICER | $168,396 | $0 | $3,089 | $0 | $5,526 | $0 | $11,052 | $0 | $28,119 | $0 | $216,182 | $0 | $0 | $0 |
| GEORGE BARRETO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $171,681 | $0 | $3,089 | $0 | $5,525 | $0 | $11,050 | $0 | $17,585 | $0 | $208,930 | $0 | $0 | $0 |
| BLAIR THEDINGER | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $205,876 | $0 | $3,576 | $0 | $0 | $0 | $6,401 | $0 | $16,696 | $0 | $232,549 | $0 | $0 | $0 |
| MEGAN BURI | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $182,100 | $0 | $3,091 | $0 | $0 | $0 | $5,657 | $0 | $9,304 | $0 | $200,152 | $0 | $0 | $0 |
| KAMILE JOHNSON | ||||||||||||||
| VP, PHARMACY SERVICES | $152,721 | $0 | $2,766 | $0 | $0 | $0 | $4,948 | $0 | $9,304 | $0 | $169,739 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | AN INDEPENDENT ACCOUNTING FIRM PREPARES THE 990 AFTER THE COMPLETION OF THE FINANCIAL AUDIT. THE 990 WORKPAPERS ARE COMPLETED BY THE CHIEF FINANCIAL OFFICER. THE 990 DRAFT IS REVIEWED BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND THE FINANCE AND OPERATIONS COMMITTEE. ANY CHANGES REQUESTED ARE MADE BY THE ACCOUNTING FIRM. THE 990 DRAFT IS THEN PROVIDED TO ALL GOVERNING BOARD MEMBERS (EITHER AT THE NEXT SCHEDULED BOARD MEETING OR INCLUDED IN THE BOARD PACKET MAILING) WITH A RESPONSE TIME FOR QUESTIONS AND/OR COMMENTS. DISCUSSION TAKES PLACE AT THE ACTUAL BOARD MEETING, ISSUES ARE TAKEN TO THE ACCOUNTING FIRM FOR RESOLUTION. THE FINAL 990 IS PROVIDED TO THE BOARD PRIOR TO ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CLINIC'S CONFLICT OF INTEREST POLICY STATES THAT EMPLOYEES, BOARD MEMBERS AND VOLUNTEERS SHOULD AVOID ANY ACTIVITY, INVESTMENT, OR INTEREST THAT MAY REFLECT UNFAVORABLY ON THE REPUTATION OF THE CLINIC. EMPLOYEES, BOARD MEMBERS AND VOLUNTEERS ARE EXPECTED TO SEEK CLARIFICATION OF, AND DISCUSS, ANY QUESTIONS ABOUT POTENTIAL CONFLICTS OF INTEREST WITH THEIR SUPERVISOR, OR ANOTHER CLINIC MANAGER OR DIRECTOR. THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE EMPLOYEE, BOARD MEMBER AND VOLUNTEER HANDBOOKS. ANNUAL SURVEYS ARE COMPLETED BY THE CLINIC OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO UPDATE ANY CONFLICTS OF INTEREST. IF A CONFLICT ARISES, THE OFFICER, DIRECTOR, OR KEY EMPLOYEE ABSTAINS FROM THE VOTE ON THE CONFLICTED POSITION TO MAKE SURE ALL CONTRACTS AND AGREEMENTS ARE KEPT RELATIONSHIP-FREE REGARDING NEGOTIATIONS AND COMMUNICATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO RECEIVES JOB PERFORMANCE REVIEW AND COMPENSATION ASSESSMENT ANNUALLY BY THE EXECUTIVE BOARD WHICH RECOMMENDS TO THE BOARD OF DIRECTORS FOR OFFICIAL VOTE. IN ADDITION, THE CEO IS RESPONSIBLE FOR THE ANNUAL PERFORMANCE REVIEW OF ALL THE OTHER CHIEF OFFICERS OF THE ORGANIZATION. IN THE PERFORMANCE REVIEW, MERIT INCREASE IS COMPUTED BASED ON PERFORMANCE OF THE REVIEW. THE CHIEF OFFICERS AND MANAGERS WILL ALSO PROVIDE ANNUAL PERFORMANCE REVIEWS OF ALL STAFF WITH MERIT INCREASE COMPUTED BASED ON PERFORMANCE OF THE REVIEW. IN ADDITION, THE CHIEF HUMAN RESOURCES OFFICER WILL PERFORM A COMPREHENSIVE REVIEW OF ALL POSITIONS, JOB DESCRIPTIONS AND DUTIES, AND DO A COMPARATIVE RATE STUDY TO THE JOB MARKET. BASED ON THAT STUDY, THE CEO AND PRESIDENT COULD/MIGHT MAKE PROPER MARKET ADJUSTMENTS. IN 2021, THE REVIEW WAS CONDUCTED BY THE BOARD PRESIDENT/CHAIRMAN. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |