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MILWAUKEE HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MILWAUKEE HEALTH SERVICES INC (EIN 39-1664109)
Tax period
2020-02-01 to 2021-01-31
Filed
2021-12-15
IRS object ID
202123499349301447
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

FieldValueIRS element (for citing)
Return2021-12-15T17:22:52-06:00ReturnTs
Tax Period End2021-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532264837ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391664109EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MILWAUKEE HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMILWBusinessNameControlTxt
Phone4143728080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12555 N MARTIN LUTHER KING DRIVEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTITO IZARD MDPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone4143728080PhoneNum
Signature2021-12-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTITOPersonFirstNm
Person LastIZARD MDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHLOE CHIUMINATTOPreparerPersonNm
PTINP01924323PTIN
Phone4144319300PhoneNum
Preparation2021-12-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTITO IZARD MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12555 N MARTIN LUTHER KING DRIVEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,287,329GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MHSI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL AND DENTAL PRIMARY CARE SERVICES TO A MEDICALLY UNDERSERVED POPULATION.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee241TotalEmployeeCnt
Total Volunteers99TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,260,288PYContributionsGrantsAmt
CY Contributions Grants$7,068,099CYContributionsGrantsAmt
PY Program Service Revenue$15,619,154PYProgramServiceRevenueAmt
CY Program Service Revenue$21,422,735CYProgramServiceRevenueAmt
PY Investment Income$3,148PYInvestmentIncomeAmt
CY Investment Income$8,963CYInvestmentIncomeAmt
PY Other Revenue$431,121PYOtherRevenueAmt
CY Other Revenue$787,532CYOtherRevenueAmt
PY Total Revenue$20,313,711PYTotalRevenueAmt
CY Total Revenue$29,287,329CYTotalRevenueAmt
PY Grants And Similar Paid$11,939PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,067CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,373,439PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,074,479CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,736,047PYOtherExpensesAmt
CY Other Expenses$15,137,671CYOtherExpensesAmt
PY Total Expenses$21,121,425PYTotalExpensesAmt
CY Total Expenses$28,218,217CYTotalExpensesAmt
PY Revenues Less Expenses-$807,714PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,069,112CYRevenuesLessExpensesAmt
Total Assets BOY$13,576,595TotalAssetsBOYAmt
Total Assets EOY$14,350,055TotalAssetsEOYAmt
Total Liabilities BOY$6,477,126TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,181,474TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,099,469NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,168,581NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ACCESSIBLE, QUALITY PRIMARY AND RELATED HEALTH CARE SERVICES TO MILWAUKEE RESIDENTS, WITH OUR CONTINUING EMPHASIS ON MEDICALLY-UNDERSERVED FAMILIES AND INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$23,734,440ExpenseAmt
Grant$6,067GrantAmt
Revenue$21,422,735RevenueAmt
DescMHSI IS A PRIVATE, NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), SERVING THE COMMUNITY OF MILWAUKEE SINCE 1989. MHSI PROVIDES A COMPREHENSIVE RANGE OF PRIMARY MEDICAL, DENTAL, PODIATRY, AND BEHAVIORAL HEALTHCARE, IN ADDITION TO A LIMITED NUMBER OF SPECIALTY SERVICES. MHSI IS COMMITTED TO REMOVING BARRIERS AND IMPROVING HEALTH OUTCOMES TO PROMOTE QUALITY OF LIFE AND REDUCE DISPARITIES AMONG RACIAL AND ETHNIC COMMUNITIES. 16,699 UNIQUE PATIENTS WERE SERVED DURING 2020.Desc
Total Program Service Expenses$23,734,440TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G2IRPDocumentW2GCnt
Employee241EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAURIE YAKEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4143728080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12555 N MARTIN LUTHER KING DRIVEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR TITO IZARD
PRESIDENT & CEO40.00Yes (X)$318,406$0$12,764
DR ARONICA WILLIAMS
CHEIF MEDICAL OFFICER40.00$217,499$0$6,869Yes (X)
KATHERINE D VAN FOSSEN
PHYSICIAN40.00$201,298$0$3,500Yes (X)
KINBERLIE WARD-COOPER
PHYSICIAN40.00$190,488$0$7,100Yes (X)
DR ARTHUR MINES
PHYSICIAN40.00$159,625$0$6,115Yes (X)
ANGELA SMITH
PHARMACY MANAGER40.00$138,424$0$8,591Yes (X)
LAURIE YAKE
CHIEF FINANCE OFFICER40.00Yes (X)$122,883$0$7,010
WALTER LANIER
CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
GINA GREEN-HARRIS
VICE-CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
JADDIA ARNOLD
SECRETARY1.00Yes (X)$0$0$0Yes (X)
AUDREY SELLERS
TREASURER1.00Yes (X)$0$0$0Yes (X)
KAREN BAKER
DIRECTOR1.00$0$0$0Yes (X)
SIRR GRICE
DIRECTOR1.00$0$0$0Yes (X)
LORRAINE HALINKA MALCOE
DIRECTOR1.00$0$0$0Yes (X)
CURTISS HARRIS
DIRECTOR (THRU NOVEMBER)1.00$0$0$0Yes (X)
BABETTE HONORE
DIRECTOR1.00$0$0$0Yes (X)
DR PAULA LUCEY
DIRECTOR1.00$0$0$0Yes (X)
CURTISS MARSHALL
DIRECTOR1.00$0$0$0Yes (X)
BRIDGETT MOSS
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,348,623TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$51,949TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MERINO COMPUTER CONCEPTS INC
1822 W KETTLEMAN LANE SUITE 4LODICA95242IT SERVICES$534,507
MAXIM HEALTHCARE SERVICES INC
12558 COLLECTIONS CENTER DRIVECHICAGOIL60693STAFFING SERVICES$410,779
CROSS COUNTRY STAFFING DBA MEDICAL STAF
6551 PARK OF COMMERCE BLVDBOCA RATONFL33487STAFFING SERVICES$385,038
MICHAEL J BOHN
5263 WHARVARD DRIVEFRANKLINWI53132PHYCHIATRIST$264,010
DR BASIL JACKSON
W142 N7967 THORNDELL DRIVEMENOMONEE FALLSWI53051MEDICAL PROVIDER$168,300
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$6,917,284GovernmentGrantsAmt
All Other Contributions$150,815AllOtherContributionsAmt
Total Contributions$7,068,099TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$21,422,735TotalRevenueColumnAmt
Related Or Exempt Func Income$21,422,735RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,422,735TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,963TotalRevenueColumnAmt
Exclusion$8,963ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OUTREACH ENROLLMENT REVENUE624100$163,123$163,123
INDEPENDENT PHYSICIANS NETWORK624100$76,872$76,872

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$547,537TotalRevenueColumnAmt
Exclusion$547,537ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$787,532OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,287,329TotalRevenueColumnAmt
Related Or Exempt Func Income$21,422,735RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$796,495ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,067TotalAmt
Program Services$6,067ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$443,144TotalAmt
Program Services$359,156ProgramServicesAmt
Management And General$83,988ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,465,016TotalAmt
Program Services$7,700,545ProgramServicesAmt
Management And General$1,764,471ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$215,242TotalAmt
Program Services$166,995ProgramServicesAmt
Management And General$48,247ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,231,722TotalAmt
Program Services$1,731,488ProgramServicesAmt
Management And General$500,234ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$719,355TotalAmt
Program Services$558,114ProgramServicesAmt
Management And General$161,241ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,677TotalAmt
Management And General$47,677ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,069TotalAmt
Management And General$87,069ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,960,055TotalAmt
Program Services$1,528,285ProgramServicesAmt
Management And General$431,770ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$89,285TotalAmt
Management And General$89,285ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$602,801TotalAmt
Program Services$468,112ProgramServicesAmt
Management And General$134,689ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$478,773TotalAmt
Program Services$308,872ProgramServicesAmt
Management And General$169,901ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,161,408TotalAmt
Program Services$905,029ProgramServicesAmt
Management And General$256,379ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,853TotalAmt
Management And General$8,853ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$89,894TotalAmt
Program Services$89,894ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$293,237TotalAmt
Management And General$293,237ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$839,875TotalAmt
Program Services$582,315ProgramServicesAmt
Management And General$257,560ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,067TotalAmt
Management And General$22,067ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$5,830,853$5,830,853
PHARMACEUTICALS$3,346,316$3,346,316
HEALTH PROMOTIONS$78,304$78,304
DUES AND SUBSCRIPTIONS$45,089$8,875$36,214

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$156,115TotalAmt
Program Services$65,220ProgramServicesAmt
Management And General$90,895ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,218,217TotalAmt
Program Services$23,734,440ProgramServicesAmt
Management And General$4,483,777ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,528,948BOYAmt
EOY$3,128,721EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$607,372BOYAmt
EOY$690,300EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,972,780BOYAmt
EOY$2,657,588EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$116,414BOYAmt
EOY$111,310EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$90,256BOYAmt
EOY$144,827EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,650,635LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,033,326LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,260,825BOYAmt
EOY$7,617,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,576,595BOYAmt
EOY$14,350,055EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,848,848BOYAmt
EOY$1,713,802EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,599BOYAmt
EOY$137,518EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,498,417BOYAmt
EOY$4,304,911EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$126,262BOYAmt
EOY$25,243EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,477,126BOYAmt
EOY$6,181,474EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,908,849BOYAmt
EOY$8,042,321EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$190,620BOYAmt
EOY$126,260EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,099,469BOYAmt
EOY$8,168,581EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,576,595BOYAmt
EOY$14,350,055EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,069,112ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$746,728OtherCostOrOtherBasisAmt
Book Value$746,728BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,483,927OtherCostOrOtherBasisAmt
Depreciation$7,328,058DepreciationAmt
Book Value$6,155,869BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$416,893OtherCostOrOtherBasisAmt
Depreciation$416,893DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,003,087OtherCostOrOtherBasisAmt
Depreciation$4,288,375DepreciationAmt
Book Value$714,712BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,617,309TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONSDesc
Amt$25,243Amt
FieldValueIRS element (for citing)
Total Liability$25,243TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,456,476TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$23,456,476RevenueSubtotalAmt
Other Revenues Not Included$5,830,853OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,830,853RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,287,329TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,387,364TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$22,387,364ExpensesSubtotalAmt
Other Expenses Not Included$5,830,853OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,830,853ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,218,217TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION RECOGNIZES THE BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING WHETHER IT IS MORE LIKELY THAN NOT THAT THE TAXING AUTHORITY WOULD SUSTAIN THE TAX POSITION UPON EXAMINATION OF THE TECHNICAL MERITS OF THE TAX POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. THE ORGANIZATION HAS RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT 5,830,853.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT 5,830,853.

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT ASSISTANCEGrantTypeTxt
Recipient15RecipientCnt
Cash Grant$6,067CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION DOCUMENTS ALL RELEVANT INFORMATION PERTAINING TO MEDICAL ASSISTANCE GIVEN TO THE PATIENT, IN THE PATIENT RECORDS. ASSISTANCE WITH TRANSPORTATION IS PROVIDED THROUGH BUS VOUCHERS. THE PATIENT SIGNS FOR THE RECEIPT OF THE BUS VOUCHER AND A RECORD IS MAINTAINED IN THE EIP DEPARTMENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR TITO IZARD
PRESIDENT & CEO$318,252$0$154$0$0$0$3,500$0$9,264$0$331,170$0$0$0
DR ARONICA WILLIAMS
CHEIF MEDICAL OFFICER$217,347$0$152$0$0$0$3,500$0$3,369$0$224,368$0$0$0
KATHERINE D VAN FOSSEN
PHYSICIAN$201,146$0$152$0$0$0$3,500$0$0$0$204,798$0$0$0
KINBERLIE WARD-COOPER
PHYSICIAN$190,336$0$152$0$0$0$0$0$7,100$0$197,588$0$0$0
DR ARTHUR MINES
PHYSICIAN$159,473$0$152$0$0$0$3,500$0$2,615$0$165,740$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CONTROLLER, CHIEF FINANCIAL OFFICER, AND PRESIDENT/CEO OF THE ORGANIZATION. AFTER SATISFACTORY REVIEW, IT IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. BEFORE FILING WITH THE INTERNAL REVENUE SERVICE, THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES THAT ALL EMPLOYEES AND BOARD MEMBERS DISCLOSE IN WRITING AND UPDATE AT LEAST ANNUALLY, ALL BUSINESS AND IMMEDIATE FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. IN ADDITION, EMPLOYEES WITH NON-COMPETE CONTRACTS MUST DISCLOSE TO THE PRESIDENT/CEO, AND PRESIDENT/CEO MUST DISCLOSE TO THE BOARD CHAIRPERSON, IN WRITING THE SPECIFICS OF ANY PLAN TO ACCEPT OUTSIDE EMPLOYMENT SO THAT OUTSIDE EMPLOYMENT MAY BE DETERMINED IF POTENTIAL CONFLICT EXISTS. NO BOARD MEMBER MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS. PROVIDED THAT THE BOARD MEMBER HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE/SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING THE EXECUTIVE COMPENSATIONS IS BASED ON PERFORMANCE EVALUATION, ANALYZING COMPENSATION SURVEYS/STUDIES, REVIEW OF 990S OF OTHER ORGANIZATIONS AND APPROVAL OF THE REVISED EMPLOYMENT AGREEMENT BY THE BOARD CHAIR.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.