THE WELLNESS PLAN: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- THE WELLNESS PLAN (EIN 38-2008890)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349321754
- 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 | 2022-11-15T15:30:39-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2601 CAMBRIDGE CT STE 300 | AddressLine1Txt |
| City | AUBURN HILLS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382008890 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WELLNESS PLAN MEDICAL CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WELL | BusinessNameControlTxt |
| Phone | 3132028785 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 SECOND AVENUE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANTHONY KING | PersonNm |
| Person Title | CEO & EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3132028785 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANTHONY | PersonFirstNm |
| Person Last | KING | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SAMANTHA BECKER | PreparerPersonNm |
| PTIN | P01344887 | PTIN |
| Phone | 2483757100 | PhoneNum |
| Preparation | 2022-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | ANTHONY KING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 SECOND AVENUE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,308,644 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WELLPLAN.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PRIMARY HEALTH CARE SERVICES TO THE INDIGENT POPULATION. IN 2021, OUR ORGANIZATION SAW 23,569 PATIENTS AND HAD 44,466 VISITS. 85% OF THESE PATIENTS WERE BELOW 200% OF INCOME AS A PERCENT OF POVERTY LEVEL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 244 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,009,878 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,726,490 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,157,375 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,979,468 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$48,577 | PYInvestmentIncomeAmt |
| CY Investment Income | $42,688 | CYInvestmentIncomeAmt |
| PY Other Revenue | $464,608 | PYOtherRevenueAmt |
| CY Other Revenue | $559,998 | CYOtherRevenueAmt |
| PY Total Revenue | $15,583,284 | PYTotalRevenueAmt |
| CY Total Revenue | $22,308,644 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,218,863 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,077,238 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,211,384 | PYOtherExpensesAmt |
| CY Other Expenses | $6,421,898 | CYOtherExpensesAmt |
| PY Total Expenses | $15,434,847 | PYTotalExpensesAmt |
| CY Total Expenses | $17,502,136 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $148,437 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,806,508 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,722,764 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,565,679 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,332,184 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,321,352 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,390,580 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,244,327 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WELLNESS PLAN MEDICAL CENTERS DELIVER AFFORDABLE AND ACCESSIBLE QUALITY MEDICAL SERVICES TO OUR COMMUNITY. WE DO THIS BY:-DELIVERING UNBIASED AND CULTURALLY COMPETENT SERVICES TO ALL PATIENTS; -OFFERING COMPASSIONATE, INNOVATIVE, AND USER-FRIENDLY MEDICAL SOLUTIONS; -FORMING COLLABORATIONS AND PARTNERSHIPS WITH OTHER HEALTHCARE PROVIDERS AND STAKEHOLDERS; -PROVIDING OPTIMAL CUSTOMER SERVICE AT ALL TIMES; -ENDEAVORING TO TREAT ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF ABILITY TO PAY | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,606,928 | ExpenseAmt |
| Grant | $3,000 | GrantAmt |
| Revenue | $13,422,004 | RevenueAmt |
| Desc | TO PROVIDE PRIMARY HEALTH CARE SERVICES TO THE INDIGENT POPULATION. IN 2021, OUR ORGANIZATION SAW 23,569 PATIENTS AND HAD 44,466 VISITS. 85% OF THESE PATIENTS WERE BELOW 200% OF INCOME AS A PERCENT OF POVERTY LEVEL. | Desc |
| Total Program Service Expenses | $10,606,928 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 244 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES BERRY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3132026850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 SECOND AVENUE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LARRY WARREN | ||||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARYN W JOHNSON | ||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARNOLD REED | ||||||||
| SECRETARY - PART YEAR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANIELL JONES | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TERRY JACKSON | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANITA JONES | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIAN LEWIS | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARGARET LOUISE BETTS MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANITA MONCREASE MD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MALIKAH MUHAMMAD | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MAHASIN PIERCE | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANN POLK | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| INGRID THOMPSON | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VAREE TOWNERS-GRANDBERRY | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CASSANDRA WILLIS-ABNER | ||||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY V KING | ||||||||
| CEO & EXECUTIVE DIRECTOR | 40.00 | 1.00 | Yes (X) | $281,792 | $0 | $93,140 | ||
| TIFFANY SANFORD MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $246,418 | $0 | $22,240 | ||
| ANDREA ROBERSON | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 1.00 | Yes (X) | $151,050 | $0 | $22,240 | ||
| CHARLES BERRY | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 1.00 | Yes (X) | $153,960 | $0 | $0 | ||
| LAMEITRE LOCKHART-WALKER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $270,000 | $0 | $18,135 | Yes (X) | ||
| SHARON MILLER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $270,000 | $0 | $18,135 | Yes (X) | ||
| EBONI MARTIN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $200,000 | $0 | $18,676 | Yes (X) | ||
| AURIELLE FANNING | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $190,000 | $0 | $22,240 | Yes (X) | ||
| RHONA FINGAL | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $190,000 | $0 | $22,013 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,953,220 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $236,819 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ST JOSEPH MERCY OAKLAND | |||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | PHYSICIAN SVCS | $650,000 |
| CAMPBELL INC | |||||
| 2875 CRANE WAY | NORTHWOOD | OH | 43619 | HVAC REPAIR & MAINTENANCE | $331,582 |
| ECLINICAL WORKS | |||||
| 2 TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | EMR SYSTEM | $241,042 |
| SECURITAS SECURITY SERVICES USA INC | |||||
| PO BOX 403412 | ATLANTA | GA | 38304 | SECURITY SERVICES | $161,315 |
| MIDWEST PAVEMENT CONTRACTING INC | |||||
| 2530 E BRUNO ROAD | MILFORD | MI | 48381 | COMMERCIAL PAVING | $157,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,685,671 | GovernmentGrantsAmt |
| All Other Contributions | $1,040,819 | AllOtherContributionsAmt |
| Total Contributions | $8,726,490 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEE FOR SERVICE | 621400 | $8,492,642 | $8,492,642 |
| PHARMACY REVENUE | 621400 | $4,222,757 | $4,222,757 |
| CAPITATION REVENUE | 621400 | $264,069 | $264,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,979,468 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,688 | TotalRevenueColumnAmt |
| Exclusion | $42,688 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| INCENTIVES | 624100 | $420,000 | $420,000 | |
| INSURANCE RECOVERY | 624100 | $113,084 | $113,084 | |
| MEDICAL RECORDS | 624100 | $22,536 | $22,536 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,378 | TotalRevenueColumnAmt |
| Exclusion | $4,378 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $559,998 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,308,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,422,004 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $160,150 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,000 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $970,839 | TotalAmt |
| Program Services | $576,536 | ProgramServicesAmt |
| Management And General | $394,303 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,331,772 | TotalAmt |
| Program Services | $5,316,384 | ProgramServicesAmt |
| Management And General | $3,015,388 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,011,836 | TotalAmt |
| Program Services | $645,638 | ProgramServicesAmt |
| Management And General | $366,198 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,791 | TotalAmt |
| Program Services | $486,726 | ProgramServicesAmt |
| Management And General | $276,065 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,696 | TotalAmt |
| Management And General | $117,696 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,200 | TotalAmt |
| Management And General | $128,200 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468,680 | TotalAmt |
| Program Services | $888,895 | ProgramServicesAmt |
| Management And General | $579,785 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,013 | TotalAmt |
| Management And General | $19,013 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,021 | TotalAmt |
| Program Services | $229,427 | ProgramServicesAmt |
| Management And General | $195,594 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,145 | TotalAmt |
| Program Services | $84,005 | ProgramServicesAmt |
| Management And General | $500,140 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $894,222 | TotalAmt |
| Program Services | $596,739 | ProgramServicesAmt |
| Management And General | $297,483 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,232 | TotalAmt |
| Program Services | $9,602 | ProgramServicesAmt |
| Management And General | $46,630 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,770 | TotalAmt |
| Program Services | $4,941 | ProgramServicesAmt |
| Management And General | $19,829 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,958 | TotalAmt |
| Management And General | $14,958 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,927 | TotalAmt |
| Program Services | $199,079 | ProgramServicesAmt |
| Management And General | $86,848 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,730 | TotalAmt |
| Management And General | $151,730 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,194,810 | $1,187,753 | $7,057 |
| REPAIRS & MAINTENANCE | $482,108 | $336,891 | $145,217 |
| BAD DEBT EXPENSE | $293,395 | $0 | $293,395 |
| DUES AND SUBSCRIPTIONS | $101,553 | $17,657 | $83,896 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,438 | TotalAmt |
| Program Services | $23,655 | ProgramServicesAmt |
| Management And General | $155,783 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,502,136 | TotalAmt |
| Program Services | $10,606,928 | ProgramServicesAmt |
| Management And General | $6,895,208 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,748 | BOYAmt |
| EOY | $468,342 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,306 | BOYAmt |
| EOY | $4,148 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,074,290 | BOYAmt |
| EOY | $14,203,353 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,528 | BOYAmt |
| EOY | $145,829 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,223 | BOYAmt |
| EOY | $149,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,948,515 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,065,182 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,313,224 | BOYAmt |
| EOY | $2,883,333 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,638,413 | BOYAmt |
| EOY | $2,709,885 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32 | BOYAmt |
| EOY | $1,325 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,722,764 | BOYAmt |
| EOY | $20,565,679 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,387,184 | BOYAmt |
| EOY | $2,721,352 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,534,200 | BOYAmt |
| EOY | $500,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,310,800 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,332,184 | BOYAmt |
| EOY | $3,321,352 | 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 | $10,077,356 | BOYAmt |
| EOY | $14,931,103 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,313,224 | BOYAmt |
| EOY | $2,313,224 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,390,580 | BOYAmt |
| EOY | $17,244,327 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,722,764 | BOYAmt |
| EOY | $20,565,679 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,806,508 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $47,239 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,746,486 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,709,935 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,410,099 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,009,878 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,726,490 | CurrentTaxYearAmt |
| Total | $20,602,888 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,038,148 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,236,098 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,153,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,605,802 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,422,004 | CurrentTaxYearAmt |
| Total | $67,456,013 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,784,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,946,033 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,564,060 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,615,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,148,494 | CurrentTaxYearAmt |
| Total | $88,058,901 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $88,058,901 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $194,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,802 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151,173 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $42,688 | CurrentTaxYearAmt |
| Total | $521,245 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $194,582 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $132,802 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151,173 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $42,688 | CurrentTaxYearAmt |
| Total | $521,245 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $11,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,181 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,462 | CurrentTaxYearAmt |
| Total | $144,920 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,979,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,078,835 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,726,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,631,861 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,308,644 | CurrentTaxYearAmt |
| Total | $88,725,066 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99250 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99080 | PublicSupportPY509Pct |
| Investment Income CY | 0.00590 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00880 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,348 | OtherCostOrOtherBasisAmt |
| Depreciation | $111 | DepreciationAmt |
| Book Value | $4,237 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $962,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,994 | DepreciationAmt |
| Book Value | $887,932 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,279,163 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,990,077 | DepreciationAmt |
| Book Value | $1,289,086 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $702,078 | OtherCostOrOtherBasisAmt |
| Book Value | $702,078 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,883,333 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANTHONY V KING | ||||||||||||||
| CEO & EXECUTIVE DIRECTOR | $281,792 | $0 | $0 | $0 | $0 | $0 | $70,000 | $0 | $23,140 | $0 | $374,932 | $0 | $0 | $0 |
| LAMEITRE LOCKHART-WALKER | ||||||||||||||
| PHYSICIAN | $270,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,135 | $0 | $288,135 | $0 | $0 | $0 |
| SHARON MILLER | ||||||||||||||
| PHYSICIAN | $270,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,135 | $0 | $288,135 | $0 | $0 | $0 |
| TIFFANY SANFORD MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $246,418 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,240 | $0 | $268,658 | $0 | $0 | $0 |
| EBONI MARTIN | ||||||||||||||
| PHYSICIAN | $200,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,676 | $0 | $218,676 | $0 | $0 | $0 |
| AURIELLE FANNING | ||||||||||||||
| PHYSICIAN | $190,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,240 | $0 | $212,240 | $0 | $0 | $0 |
| RHONA FINGAL | ||||||||||||||
| PHYSICIAN | $190,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,013 | $0 | $212,013 | $0 | $0 | $0 |
| ANDREA ROBERSON | ||||||||||||||
| CHIEF OPERATING OFFICER | $151,050 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,240 | $0 | $173,290 | $0 | $0 | $0 |
| CHARLES BERRY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $153,960 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,960 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED FIRST TO THE FINANCE COMMITTEE FOR REVIEW AND THEN TO THE ENTIRE BOARD AFTER IT HAS BEEN SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE HUMAN RESOURCES DEPARTMENT MANAGES AND REVIEWS THE CONFLICT OF INTEREST POLICY. THE POLICY IS REVIEWED WITH EMPLOYEES DURING THE ORIENTATION PROCESS AND AT LEAST ANNUALLY DURING THE COMPLIANCE TRAINING SESSION. ALL OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THEY ARE REVIEWED AND ANY PERSON IDENTIFIED AS HAVING A POTENTIAL CONFLICT IS GIVEN DIRECTION AS TO WHAT STEPS SHOULD BE TAKEN TO MITIGATE THE CONCERN. WHEN A BOARD MEMBER, OFFICER OR EMPLOYEE HAS A QUESTION CONCERNING A POSSIBLE CONFLICT OF INTEREST, IT IS EXPECTED THAT HE/SHE WILL REQUEST ADVICE FROM MANAGEMENT, HUMAN RESOURCES OR THE COMPLIANCE OFFICER. IF, AFTER AN INVESTIGATION, IT IS DETERMINED THAT A BOARD MEMBER HAS VIOLATED THE CONFLICT OF INTEREST POLICY, THE BOARD MEMBER SHALL BE ENTITLED TO A HEARING BEFORE THE FULL BOARD. IN THE EVENT THAT THE FULL BOARD DETERMINES BY A MAJORITY VOTE THAT THE ACCUSED BOARD MEMBER HAS IN FACT VIOLATED THE POLICY, THEN THE BOARD MEMBER WILL BE IMMEDIATELY REMOVED AS A MEMBER OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING COMPENSATION IS AS FOLLOWS: INDEPENDENT MEMBERS OF THE GOVERNING BODY ARE UTILIZED TO INCREASE STRUCTURE SURROUNDING COMPENSATION DECISIONS. JOB REQUIREMENTS AND PERFORMANCE EXPECTATIONS ARE DOCUMENTED AND A TOTAL COMPENSATION STRATEGY IS ARTICULATED. INDEPENDENT SURVEYS AND RESEARCH IS PERFORMED TO IDENTIFY COMPARABLE MARKET DATA. AN INDEPENDENT ADVISOR ALONG WITH THE EXECUTIVE COMMITTEE IS UTILIZED TO REVIEW THE PROCESS. ALL COMPENSATION CHANGES AND RELATED DECISIONS ARE DOCUMENTED AND VOTED UPON BY THE GOVERNING BODY. COMPENSATION IS REVIEWED ON AN ANNUAL BASIS. THIS PROCESS LAST OCCURRED IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 3B: | THE REQUIRED SINGLE AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT AND OMBCIRCULAR A-133 HAS NOT YET BEEN COMPLETED. THE 2021 SINGLE AUDIT IS CURRENTLY IN PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLNESS PLAN MEDICAL CENTERS FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7700 SECOND AVENUE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273971570 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |