COVENANT COMMUNITY CARE INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT COMMUNITY CARE INC (EIN 38-3533998)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-25
- IRS object ID
- 202112989349301351
- Schema version
- 2020v4.1
- 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 | 2021-10-25T11:52:33-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363990892 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capin Crouse LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Massachusetts Avenue Suite 300 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383533998 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Community Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 3135540485 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Anna Chavez | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 3135540485 | PhoneNum |
| Signature | 2021-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Anna | PersonFirstNm |
| Person Last | Chavez | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sara Tibbott | PreparerPersonNm |
| PTIN | P01486965 | PTIN |
| Phone | 5055022746 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joslyn Pettway | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,565,286 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.covenantcommunitycare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 226 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,717,532 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,256,606 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,938,844 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,289,395 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,149 | PYInvestmentIncomeAmt |
| CY Investment Income | -$345,667 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,803 | PYOtherRevenueAmt |
| CY Other Revenue | $3,989 | CYOtherRevenueAmt |
| PY Total Revenue | $13,703,722 | PYTotalRevenueAmt |
| CY Total Revenue | $15,204,323 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $65,278 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $32,681 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,824,564 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,862,537 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $156,159 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,514,613 | PYOtherExpensesAmt |
| CY Other Expenses | $4,499,899 | CYOtherExpensesAmt |
| PY Total Expenses | $14,404,455 | PYTotalExpensesAmt |
| CY Total Expenses | $14,395,117 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$700,733 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $809,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,151,985 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,173,381 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $750,769 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $987,959 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,401,216 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,185,422 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $7,864,591 | ExpenseAmt |
| Revenue | $5,882,743 | RevenueAmt |
| Desc | In 2020, Covenant served 15,315 patients through 38,930 visits across our six sites. Covenant's mission states care and concern for "those who need it most" in our communities. This includes the poor, the uninsured, and the marginalized. It also includes our neighbors and people in our region who are seeking compassionate healthcare providers. Many patients schedule appointments because of a word-of-mouth referral from a friend or family member. Our patient population can present challenges that make medical compliance and follow-up, attainment of health goals, and accessing services difficult. Social determinants of health play a major role in the lives of our patients including job situations, home environments, food access, and other factors. We continue to (1) look for ways to sustain and build new partnerships with mental health agencies and other social service organizations, and (2) sustain and develop programs, such as our Homeless Outreach Team, to help us improve how we carry out out our mission. In 2020, Covenant's Centering Pregnancy (CP) Team helped 120 mothers deliver healthy babies and provide them with the tools they need to continue to be great parents. The CP model replaces traditional one-on-one prenatal visits with group visits and brings 12-18 women who are due at the same time together for care and support. Following prenatal check-ups, Covenant's team leads group sessions with topics such as signs and symptoms of pregnancy, back pain, relaxation & self-care, post-partum depression, domestic violence, labor, birth control, breast feeding, pediatric care, and diet. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,350,878 | ExpenseAmt |
| Revenue | $1,305,344 | RevenueAmt |
| Desc | Covenant Community Care offers oral health services at two clinical sites and through a mobile, school-based dental team. In 2020, we served 4,284 dental patients through 9,960 visits. According to Covenant's Chief Dental Officer Dr. Lynn Quinn, Covenant clinics provide the same level of quality as private practice dentist offices. This approach to quality remains the same regardless of a patient's ability to pay for services. For example, Dr. Quinn estimates that Covenant clinics are some of the only clinics in Detroit that are focused on preserving teeth despite the cost. Oftentimes, low-income Detroiters who do not have access to a community health center are not given options to save their teeth due to cost and must simply accept extractions indicated by the fact that over 25% of the Covenant's target population is dealing with six or more extractions. Covenant Michigan and Covenant Moross offer a full array of oral health services with state-of-the-art equipment including dental exams, x-rays, cleanings, fillings, sealants, root canals, extractions, crowns, fluoride treatments, scaling and root planning, dentures & partial dentures, and some orthodontics work. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $915,512 | ExpenseAmt |
| Revenue | $66,969 | RevenueAmt |
| Desc | Covenant Community Care's behavioral health counselors provided care to 1,583 patients through 5,372 visits, including substance abuse services, in 2020. Our primary medical and behavioral health care services are provided through an integrated delivery model. All medical providers receive training to ensure that they can effectively identify and successfully refer patients who need behavioral health consultations. The integration of behavioral health screenings into every patient encounter at Covenant improves service delivery and outcomes in several ways. By proactively screening our patients, we identify behavioral health needs earlier in their progression, allowing for early intervention by our Behavioral Health Counselor. We also believe that by making behavioral health screening a routine practice, it helps to remove the stigma often associated with receiving behavioral health services. Covenant opened the doors of its recovery center in 2017. The recovery center, an outpatient substance use treatment clinic cared for 166 patients in 2020 and is housed inside our Michigan Ave. Health Center. It offers a safe and loving space for outpatient substance use services including addiction medicine, medication assisted treatment, individual counseling, weekly therapy groups, support groups and case management. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $439,197 | ExpenseAmt |
| Grant | $32,681 | GrantAmt |
| Revenue | $34,339 | RevenueAmt |
| Desc | Our Homeless Outreach team provides care to about 50 people per week where they are located (under highway overpasses, in broken down trailers, in abandoned buildings, and in hidden urban encampments). The goal is to meet and treat people on the street, build relationships, eventually get them into our clinics to see Covenant providers in order to establish a primary care relationship, and simultaneously work with partners including a podiatrist, wound-care specialist to address more acute needs.Covenant has a partnership with ride-sharing company Lyft to provide transportation assistance for patients to and from our clinics. Patients are informed of this service while scheduling their appointments and, if needed, arrangements are made at that time. All services are provided on a bilingual basis, in English and Spanish. Covenant has bilingual staff members at each of our sites and also provides translation services to support patient/provider/staff interactions. All forms, patient satisfaction surveys, educational materials, signage, waiting room reading material, and other administrative materials are produced in Spanish and English. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $439,197 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $32,681 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $34,339 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,570,178 | 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 | Yes (1) | 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 | Yes (1) | 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 | 0 | 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 | 19 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 226 | 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 | Yes (1) | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 1 | Form8282FiledCnt |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | 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 | Anna Chavez | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3135540485 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Dorlester Sharp | |||||||
| Chairman of the Board | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Julia Smith | |||||||
| Vice Chairman | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Mark Lubienski | |||||||
| Treasurer | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Turkessa Baldridge | |||||||
| Secretary | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Graciela Villalobos | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mitzi Cardona | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Jane Lubinski | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Samuel Spruill | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Semmeal Thomas | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr William Krieg | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Prince Williams | |||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Ester Gallegos | |||||||
| Director (part year) | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Joslyn Pettway | |||||||
| Chief Executive Officer | 40.00 | Yes (X) | $142,537 | $0 | $5,618 | ||
| Anna Chavez | |||||||
| Chief Financial Officer | 40.00 | Yes (X) | $97,527 | $0 | $24,426 | ||
| Dr Marisa Abbo | |||||||
| Medical Director | 40.00 | $180,170 | $0 | $14,786 | Yes (X) | ||
| Dr Scott Stryd | |||||||
| Chief Medical Officer | 40.00 | $172,050 | $0 | $24,550 | Yes (X) | ||
| Dr Kai Palm | |||||||
| Medical Director | 40.00 | $164,858 | $0 | $16,901 | Yes (X) | ||
| Dr Jeffrey Ghioto | |||||||
| Medical Director | 40.00 | $161,651 | $0 | $16,790 | Yes (X) | ||
| Dr Lynn Quinn | |||||||
| Chief Dental Officer | 40.00 | $167,169 | $0 | $3,050 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,085,962 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $106,121 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Athenahealth Inc | |||||
| 311 Arsenal St | Watertown | MA | 02472 | EMR Services | $287,204 |
| BPI Information Systems | |||||
| 23399 Commerce Dr | Farmington Hills | MI | 48335 | Contracted IT Support | $169,314 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,571,066 | GovernmentGrantsAmt |
| All Other Contributions | $685,540 | AllOtherContributionsAmt |
| Total Contributions | $8,256,606 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patients Fees | 621400 | $7,230,056 | $7,230,056 |
| Consulting Fees | 621400 | $59,339 | $59,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,289,395 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,296 | TotalRevenueColumnAmt |
| Exclusion | $15,296 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,989 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,989 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,989 | TotalRevenueColumnAmt |
| Exclusion | $3,989 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $360,963 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$360,963 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$360,963 | TotalRevenueColumnAmt |
| Exclusion | -$360,963 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,204,323 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,289,395 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$341,678 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,681 | TotalAmt |
| Program Services | $32,681 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,694 | TotalAmt |
| Management And General | $270,694 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,310 | TotalAmt |
| Management And General | $3,310 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,985,958 | TotalAmt |
| Program Services | $6,553,666 | ProgramServicesAmt |
| Management And General | $1,316,151 | ManagementAndGeneralAmt |
| Fundraising | $116,141 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,740 | TotalAmt |
| Program Services | $40,736 | ProgramServicesAmt |
| Management And General | $14,006 | ManagementAndGeneralAmt |
| Fundraising | $998 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $966,805 | TotalAmt |
| Program Services | $728,949 | ProgramServicesAmt |
| Management And General | $220,006 | ManagementAndGeneralAmt |
| Fundraising | $17,850 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,030 | TotalAmt |
| Program Services | $423,899 | ProgramServicesAmt |
| Management And General | $145,751 | ManagementAndGeneralAmt |
| Fundraising | $10,380 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,391 | TotalAmt |
| Program Services | $32,922 | ProgramServicesAmt |
| Management And General | $469 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,406 | TotalAmt |
| Management And General | $41,406 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,437 | TotalAmt |
| Program Services | $59,459 | ProgramServicesAmt |
| Management And General | $32,271 | ManagementAndGeneralAmt |
| Fundraising | $2,707 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,100 | TotalAmt |
| Program Services | $192,622 | ProgramServicesAmt |
| Management And General | $115,714 | ManagementAndGeneralAmt |
| Fundraising | $2,764 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,105 | TotalAmt |
| Program Services | $365,990 | ProgramServicesAmt |
| Management And General | $219,862 | ManagementAndGeneralAmt |
| Fundraising | $5,253 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,677 | TotalAmt |
| Program Services | $839,796 | ProgramServicesAmt |
| Management And General | $205,881 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,759 | TotalAmt |
| Program Services | $404,141 | ProgramServicesAmt |
| Management And General | $16,618 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,475 | TotalAmt |
| Program Services | $10,460 | ProgramServicesAmt |
| Management And General | $63,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Patient Treatment | $1,499,648 | $1,497,822 | $1,826 | |
| Bad Debt Expense | $387,035 | $387,035 | ||
| Other events | $1,866 | $1,800 | $66 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,395,117 | TotalAmt |
| Program Services | $11,570,178 | ProgramServicesAmt |
| Management And General | $2,668,780 | ManagementAndGeneralAmt |
| Fundraising | $156,159 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,118 | BOYAmt |
| EOY | $204,235 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,005,475 | BOYAmt |
| EOY | $4,058,052 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,249 | BOYAmt |
| EOY | $858,309 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,829,371 | BOYAmt |
| EOY | $875,972 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,309 | BOYAmt |
| EOY | $18,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,525,232 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,366,578 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,895,463 | BOYAmt |
| EOY | $1,158,654 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,151,985 | BOYAmt |
| EOY | $7,173,381 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,829 | BOYAmt |
| EOY | $816,010 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,940 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $171,949 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,769 | BOYAmt |
| EOY | $987,959 | 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 | $2,905,897 | BOYAmt |
| EOY | $4,343,388 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,495,319 | BOYAmt |
| EOY | $1,842,034 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,401,216 | BOYAmt |
| EOY | $6,185,422 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,151,985 | BOYAmt |
| EOY | $7,173,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $809,206 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$25,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $4,146,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,492,608 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,089,173 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,717,532 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,256,606 | CurrentTaxYearAmt |
| Total | $29,702,713 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,796,257 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,820,302 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,359,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,938,844 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,289,395 | CurrentTaxYearAmt |
| Total | $40,204,700 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,943,051 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,312,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,449,075 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,656,376 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,546,001 | CurrentTaxYearAmt |
| Total | $69,907,413 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,425 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,504 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $869 | CurrentTaxYearAmt |
| Total | $27,585 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,425 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,504 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $869 | CurrentTaxYearAmt |
| Total | $27,585 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $69,879,828 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,035 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,285 | CurrentTaxYearAmt |
| Total | $132,560 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,035 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,285 | CurrentTaxYearAmt |
| Total | $132,560 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,927 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,180 | CurrentTaxYearMinus2YearsAmt |
| Total | $84,107 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,039,013 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,343,157 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,486,217 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,690,407 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,565,286 | CurrentTaxYearAmt |
| Total | $70,124,080 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99650 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99570 | PublicSupportPY509Pct |
| Investment Income CY | 0.00190 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00210 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III: | FormAndLineReferenceDesc |
| Explanation | The organization is a public charity under section 509(a)(2) and completes Schedule A (Form 990), Part III. The organization has analyzed Schedule A (Form 990), Part II and established that it meets the 33 1/3% public support requirements under sections 509(a)(1) and 170(b)(1)(A)(vi), thus it qualifies to use the first listed special rule for Schedule B (Form 990) reporting. | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,000 | OtherCostOrOtherBasisAmt |
| Book Value | $276,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $440,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $191,069 | DepreciationAmt |
| Book Value | $249,071 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,559,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,384,915 | DepreciationAmt |
| Book Value | $174,593 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $821,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $673,721 | DepreciationAmt |
| Book Value | $147,962 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $427,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $116,873 | DepreciationAmt |
| Book Value | $311,028 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,158,654 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $15,179,323 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,179,323 | RevenueSubtotalAmt |
| Other Revenues Not Included | $25,000 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $25,000 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,204,323 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,395,117 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,395,117 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,395,117 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part XI, Line 4b - Other Adjustments: | FormAndLineReferenceDesc |
| Explanation | Returned contribution 25,000. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| Transportation | 443 | $21,746 | |||
| Medical Testing | 5 | $6,375 | |||
| Interpretation Services | 41 | $1,740 | |||
| Supplies | 100 | $2,820 | Cost | Supplies |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Covenant provides on-demand transportation assistance to Covenant patients while remaining financially responsible. Covenant has a policy in place to ensure that patients utilize Lyft or other modes of transport within the covered zip codes and within the limitations of the service. Covenant also provides medical testing assistance to any uninsured patient who is referred by a Covenant medical provider and interpreting services by patient request. Supplies are stored at our administrative office and then distributed to clients experiencing homelessness who are served by Covenant's Outreach Team. The items are essential to basic health and are distributed based on individual need, which is assessed through conversations with the client. Supplies are distributed on the street and at local community organizations. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Dr Scott Stryd | ||||||||||||||
| Chief Medical Officer | $171,350 | $0 | $700 | $0 | $0 | $0 | $1,695 | $0 | $24,091 | $0 | $197,836 | $0 | $0 | $0 |
| Dr Marisa Abbo | ||||||||||||||
| Medical Director | $173,410 | $0 | $5,300 | $0 | $1,460 | $0 | $1,492 | $0 | $14,529 | $0 | $196,191 | $0 | $0 | $0 |
| Dr Kai Palm | ||||||||||||||
| Medical Director | $163,996 | $0 | $700 | $0 | $162 | $0 | $1,615 | $0 | $16,344 | $0 | $182,817 | $0 | $0 | $0 |
| Dr Jeffrey Ghioto | ||||||||||||||
| Medical Director | $161,212 | $0 | $300 | $0 | $139 | $0 | $1,504 | $0 | $16,366 | $0 | $179,521 | $0 | $0 | $0 |
| Dr Lynn Quinn | ||||||||||||||
| Chief Dental Officer | $159,222 | $0 | $7,947 | $0 | $0 | $0 | $1,478 | $0 | $2,807 | $0 | $171,454 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | The organization made nonfixed payments in the form of discretionary bonuses. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | During 2020, the organization closed their Optometry clinic. |
| Form 990, Part VI, Section A, line 1 | The Executive Committee is composed of the Chairman of the Board, Vice-Chairman, Secretary, Treasurer and up to two other members of the Board who shall be appointed by the Board of Directors from time to time. The committee is authorized to review and give preliminary consideration for the purpose of making recommendations to the Board. In addition, the Executive Committee is empowered to take any action the Board of Directors authorizes or directs it to take on behalf of the Corporation. |
| Form 990, Part VI, Section B, line 11b | Form 990 is prepared by an independent CPA firm and reviewed in detail by the Chief Financial Officer. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | The organization requires all officers and board members to sign annual conflict of interest statements. The Compliance Officer is responsible for reviewing the signed statements and ensuring that interested persons are in compliance with the conflict of interest policy. If an issue were to arise during the course of the board meeting, the board member with a conflict would excuse himself or herself from the decision making process and the board would vote on whether or not the transaction is in the best interest of the organization. |
| Form 990, Part VI, Section B, line 15 | Line 15a - Compensation of the Chief Executive Officer is reviewed and approved by the Treasurer and Board Chair. The organization uses the MPCA salary survey for comparability data every year. This process is documented by memo. Line 15b - The Chief Executive Officer determines compensation rates for all other officers. The MPCA salary survey is used for comparability data. The approved compensation is documented by memo and retained with the organization's payroll and HR files. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy and financial statements are available upon request. |
| Form 990, Part XI, line 9: | Returned contribution -25,000. |