TURNER HOUSE CLINIC INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- TURNER HOUSE CLINIC INC (EIN 48-1151382)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349309706
- 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 | 2021-11-15T11:33:14-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 623 SW 10th Ave Suite 300 | AddressLine1Txt |
| City | Topeka | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66612 | 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 | 481151382 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Turner House Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TURN | BusinessNameControlTxt |
| Phone | 9133432552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 North 12th Street No 300 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Patrick Sallee | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9133432552 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Patrick | PersonFirstNm |
| Person Last | Sallee | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2021-11-12 | 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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vibrant Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Patrick Sallee | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 North 12th Street No 300 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,940,398 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vibranthealthkc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | To provide quality healthcare to uninsured and underserved families of Kansas City metropolitan area. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 87 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,286,069 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,046,419 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,806,742 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,702,832 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,334 | PYInvestmentIncomeAmt |
| CY Investment Income | $683 | CYInvestmentIncomeAmt |
| PY Other Revenue | $137,032 | PYOtherRevenueAmt |
| CY Other Revenue | $177,914 | CYOtherRevenueAmt |
| PY Total Revenue | $7,235,177 | PYTotalRevenueAmt |
| CY Total Revenue | $7,927,848 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,767,789 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,601,914 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $273,324 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,688,420 | PYOtherExpensesAmt |
| CY Other Expenses | $2,925,042 | CYOtherExpensesAmt |
| PY Total Expenses | $6,456,209 | PYTotalExpensesAmt |
| CY Total Expenses | $7,533,456 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $778,968 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $394,392 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,040,817 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,141,028 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $664,729 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,370,548 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,376,088 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,770,480 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide quality healthcare to uninsured and underserved families of Kansas City metropolitan area. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,110,658 | ExpenseAmt |
| Grant | $6,500 | GrantAmt |
| Revenue | $2,550,754 | RevenueAmt |
| Desc | Volunteers founded Turner House Clinic, Inc. in 1990. During the next three decades, the organization evolved from a volunteer pediatric clinic to a paid-provider practice and achieved national recognition as a Patient-Centered Medical Home, providing integrated primary medical, behavioral health and dental services for all. Effective September 1, 2019, Vibrant Health received designation as a Federally Qualified Health Center (FQHC) after operating as a FQHC Look-Alike organization since January 1, 2018. Our mission is to provide access to respectful, empowering, culturally sensitive and appropriate high quality health care for the community, regardless of socioeconomic obstacles. The target population consists of underserved and uninsured children and adults living at or below 200% of the Federal Poverty Level. In 2020, 62% of patients lived at or below 200% of the Federal Poverty Level and approximately 70% of visits were provided to patients living at or below 200% of the Federal Poverty Level. To better meet the needs of patient families, we expanded weekday clinic hours to include more start times before 8 am and more clinic hours after 5 pm, in addition to Saturday clinic sessions. Among total patients, 41% were uninsured, 37% were Medicaid insured, 21% were commercially insured, and 1% were Medicare insured. Almost 75% of patients identified as Hispanic/Latino; 70% of patients were best served in a language other than English; 1% of patients identified as more than one race. During the 2020 COVID-19 Pandemic onset, Vibrant Health responded to rapid changes in guidelines and orders, as well as to health and safety needs of patients and employees, and actively participated in the Wyandotte County Health Equity Task Force, supporting COVID-related activities. Clinics were re-purposed for "sick care or "well care" services, administering clinic based COVID-19 testing at clinics and education in a variety of languages on hand hygiene, cough etiquette, and transmission, to prevent, contain, or mitigate COVID-19, in addition to essential health services. Vibrant Health promoted and staffed drive up/walk up COVID-19 testing events at various community locations, expanded tele-health services and enhanced website and social media platforms to facilitate patient access. Vibrant Health and the University of Kansas Health System were awarded the Non Profit Connect "Excellence in Collaboration" award for working together to create a strong and sustainable FQHC headquartered in Wyandotte County. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $381,427 | ExpenseAmt |
| Revenue | $340,132 | RevenueAmt |
| Desc | Dental caries (cavities) are rampant in Turner House patients, many of them have received no preventative oral hygiene care. As a result, Turner House provides a portable dental hygiene program to area schools and in-clinic. This program includes dental screenings, teeth cleaning and scaling, and the application of fluoride varnishes and dental sealants. In 2020, Vibrant Health began planning the construction of its dental clinic in an effort to expand from three operatories to ten. The expansion was needed to help increase access to dental care services and to improve the health outcomes of underserved adults and children living in Wyandotte County, Kansas. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,492,085 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 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 | Yes (1) | 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 | 62 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 87 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Patrick Sallee | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9133422552 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 North 12th Street Suite 300 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|
| Mike Heckman | |||||||
| President | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tracy Lockton | |||||||
| Vice President | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Cynthia Finter | |||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Deryl Wynn | |||||||
| Secretary | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sally Maliski | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dr Steven Stites | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Randall Johnson | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Joyce Butler | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Theresa Cummings | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Je T'aime Taylor | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Claudia Vazquez-Puebla | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Amanda McGannon | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| John Rios | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Pha Tao | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Edgar Palacios | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jason Wartman | |||||||
| Director | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Patrick Sallee | |||||||
| Chief Executive Officer | 50.00 | Yes (X) | $173,238 | $0 | $11,152 | ||
| Rasmita Patro | |||||||
| Director of Finance and Admin. | 50.00 | Yes (X) | $78,159 | $0 | $7,467 | ||
| Charles Smith II | |||||||
| CFO (beginning September 2020) | 40.00 | Yes (X) | $42,651 | $0 | $1,435 | ||
| Dr William A Pankey | |||||||
| Medical Director | 40.00 | $222,954 | $0 | $12,549 | Yes (X) | ||
| Dr Katherine Speer | |||||||
| Physician | 40.00 | $127,284 | $0 | $9,180 | Yes (X) | ||
| Dr Anthony Jimenez | |||||||
| Dentist | 40.00 | $144,863 | $0 | $10,187 | Yes (X) | ||
| Dr Leslie Falcon | |||||||
| Pediatrician | 40.00 | $161,559 | $0 | $9,962 | Yes (X) | ||
| Sofia Navarro | |||||||
| Women's Health Nurse Practicioner | 40.00 | $100,628 | $0 | $8,871 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,051,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $70,803 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kansas University Physicians | |||||
| Rainbow Blvd MS 4017 | Kansas City | KS | 66160 | Medical Consulting | $164,549 |
| eClinicalWorks LLC | |||||
| PO Box 847950 | Boston | MA | 022847950 | EMR software hosting services | $151,789 |
| University of Kansas School of Nursing | |||||
| 3901 Rainbow Blvd | Kansas City | KS | 66160 | Contracted APRN Services | $138,404 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $4,760 | FundraisingAmt |
| Government Grants | $2,826,670 | GovernmentGrantsAmt |
| All Other Contributions | $2,214,989 | AllOtherContributionsAmt |
| Noncash Contributions | $504,514 | NoncashContributionsAmt |
| Total Contributions | $5,046,419 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient service revenu | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $2,702,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,702,832 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,702,832 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $449 | TotalRevenueColumnAmt |
| Exclusion | $449 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $234 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $234 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $234 | TotalRevenueColumnAmt |
| Exclusion | $234 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,410 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,760 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,550 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,140 | TotalRevenueColumnAmt |
| Exclusion | -$10,140 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Insurance incentive pa | 621110 | $108,327 | $108,327 |
| Other revenues | 900099 | $79,727 | $79,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $188,054 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,927,848 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,890,886 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$9,457 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,500 | TotalAmt |
| Program Services | $6,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,331 | TotalAmt |
| Management And General | $318,331 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,571,351 | TotalAmt |
| Program Services | $2,819,069 | ProgramServicesAmt |
| Management And General | $533,226 | ManagementAndGeneralAmt |
| Fundraising | $219,056 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,409 | TotalAmt |
| Program Services | $68,698 | ProgramServicesAmt |
| Management And General | $26,230 | ManagementAndGeneralAmt |
| Fundraising | $6,481 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,253 | TotalAmt |
| Program Services | $223,269 | ProgramServicesAmt |
| Management And General | $74,638 | ManagementAndGeneralAmt |
| Fundraising | $17,346 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,570 | TotalAmt |
| Program Services | $218,850 | ProgramServicesAmt |
| Management And General | $59,584 | ManagementAndGeneralAmt |
| Fundraising | $17,136 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,314 | TotalAmt |
| Management And General | $29,314 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,474 | TotalAmt |
| Management And General | $50,474 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,415 | TotalAmt |
| Program Services | $500,000 | ProgramServicesAmt |
| Management And General | $41,743 | ManagementAndGeneralAmt |
| Fundraising | $672 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,560 | TotalAmt |
| Program Services | $11,449 | ProgramServicesAmt |
| Management And General | $30,375 | ManagementAndGeneralAmt |
| Fundraising | $736 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,831 | TotalAmt |
| Program Services | $48,656 | ProgramServicesAmt |
| Management And General | $101,780 | ManagementAndGeneralAmt |
| Fundraising | $6,395 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,032 | TotalAmt |
| Program Services | $194,459 | ProgramServicesAmt |
| Management And General | $49,573 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,187 | TotalAmt |
| Program Services | $40,488 | ProgramServicesAmt |
| Management And General | $334,699 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,360 | TotalAmt |
| Program Services | $3,146 | ProgramServicesAmt |
| Management And General | $214 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,654 | TotalAmt |
| Program Services | $6,926 | ProgramServicesAmt |
| Management And General | $5,858 | ManagementAndGeneralAmt |
| Fundraising | $1,870 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,081 | TotalAmt |
| Management And General | $3,081 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,826 | TotalAmt |
| Program Services | $58,420 | ProgramServicesAmt |
| Management And General | $24,406 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,134 | TotalAmt |
| Program Services | $29,298 | ProgramServicesAmt |
| Management And General | $4,836 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Vaccines for children | $599,693 | $599,693 |
| Medical supplies | $390,234 | $390,234 |
| Laboratory expense | $125,210 | $125,210 |
| Pharmacy expense | $68,802 | $68,802 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,235 | TotalAmt |
| Program Services | $78,918 | ProgramServicesAmt |
| Management And General | $79,685 | ManagementAndGeneralAmt |
| Fundraising | $3,632 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,533,456 | TotalAmt |
| Program Services | $5,492,085 | ProgramServicesAmt |
| Management And General | $1,768,047 | ManagementAndGeneralAmt |
| Fundraising | $273,324 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,002 | BOYAmt |
| EOY | $1,550,499 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,916 | BOYAmt |
| EOY | $369,658 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,513,045 | BOYAmt |
| EOY | $1,558,222 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,299 | BOYAmt |
| EOY | $145,288 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,431 | BOYAmt |
| EOY | $96,592 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,274 | BOYAmt |
| EOY | $20,699 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,224,989 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $824,919 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,850 | BOYAmt |
| EOY | $400,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,040,817 | BOYAmt |
| EOY | $4,141,028 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,184 | BOYAmt |
| EOY | $394,472 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,545 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $976,076 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,729 | BOYAmt |
| EOY | $1,370,548 | 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 | $325,494 | BOYAmt |
| EOY | $1,136,542 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,050,594 | BOYAmt |
| EOY | $1,633,938 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,376,088 | BOYAmt |
| EOY | $2,770,480 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,040,817 | BOYAmt |
| EOY | $4,141,028 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $394,392 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,705,823 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,270,191 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,661,659 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,286,069 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,046,419 | CurrentTaxYearAmt |
| Total | $16,970,161 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $9,600 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,800 | CurrentTaxYearMinus1YearAmt |
| Total | $14,400 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,705,823 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,270,191 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,671,259 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,290,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,046,419 | CurrentTaxYearAmt |
| Total | $16,984,561 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $9,852,711 | SubstantialContributorsTotAmt |
| Public Support Total170 | $7,131,850 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $412 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $5,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $449 | CurrentTaxYearAmt |
| Total | $6,195 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,562 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,273 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,737 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,893 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,727 | CurrentTaxYearAmt |
| Total | $141,192 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,131,948 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,294,031 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.41630 | PublicSupportCY170Pct |
| Public Support PY170 | 0.40990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 | FormAndLineReferenceDesc |
| Explanation | 2016 - incidental income and UHC incentive payments of $2,445; 2017 - insurance incentive payments and other miscellaneous income; 2018 - other miscellaneous income; 2019 - 340(b) retail pharmacy revenue and miscellaneous income; 2020 - other patient revenues incident to care, 340(b) retail pharmacy revenue and miscellaneous income | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $640,979 | OtherCostOrOtherBasisAmt |
| Depreciation | $407,956 | DepreciationAmt |
| Book Value | $233,023 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $479,590 | OtherCostOrOtherBasisAmt |
| Depreciation | $362,363 | DepreciationAmt |
| Book Value | $117,227 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $54,600 | DepreciationAmt |
| Book Value | $49,820 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $400,070 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Advances | Desc |
| Amt | $976,076 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $976,076 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $7,927,848 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,927,848 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,927,848 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,533,456 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,533,456 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,533,456 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management is not aware of any uncertainties in income tax positions. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (4 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 William A Pankey | ||||||||||||||
| Medical Director | $220,000 | $0 | $2,954 | $0 | $0 | $0 | $6,719 | $0 | $5,830 | $0 | $235,503 | $0 | $0 | $0 |
| Patrick Sallee | ||||||||||||||
| Chief Executive Officer | $163,533 | $0 | $9,705 | $0 | $0 | $0 | $4,993 | $0 | $6,159 | $0 | $184,390 | $0 | $0 | $0 |
| Dr Leslie Falcon | ||||||||||||||
| Pediatrician | $159,660 | $0 | $1,899 | $0 | $0 | $0 | $4,112 | $0 | $5,850 | $0 | $171,521 | $0 | $0 | $0 |
| Dr Anthony Jimenez | ||||||||||||||
| Dentist | $144,464 | $0 | $399 | $0 | $0 | $0 | $4,337 | $0 | $5,850 | $0 | $155,050 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $19,967 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair market value | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $484,547 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The bylaws were revised in January 2020 to state that 50% of the Board of Directors shall constitute a quorum for the transaction of business. |
| Form 990, Part VI, Section B, line 11b | The 990 was reviewed by the CFO and finance committee prior to filing. A copy will be sent to the full board of directors for review. |
| Form 990, Part VI, Section B, line 15a | The executive committee annually reviews the CEO's compensation using Kansas City not-for-profit salary survey and FQHC salary surveys. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |