HEALTH PARTNERS OF WESTERN OHIO: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH PARTNERS OF WESTERN OHIO (EIN 56-2330309)
- Tax period
- 2018-12-01 to 2019-11-30
- Filed
- 2020-04-13
- IRS object ID
- 202001049349300230
- Schema version
- 2018v3.0
- 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 | 2020-04-13T14:36:26-07:00 | ReturnTs |
| Tax Period End | 2019-11-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562330309 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH PARTNERS OF WESTERN OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 4192213072 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 329 N WEST STREET | AddressLine1Txt |
| City | LIMA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Loretta Mankin | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4192213072 | PhoneNum |
| Signature | 2020-04-15 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 147.0.212.50 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Loretta Mankin | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 329 N West Street | AddressLine1Txt |
| City | Lima | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,617,436 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | hpwohio.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | To eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventative and primary health care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 380 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,992,981 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,900,125 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,460,437 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,863,760 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,777 | PYInvestmentIncomeAmt |
| CY Investment Income | $41,113 | CYInvestmentIncomeAmt |
| PY Other Revenue | $431,721 | PYOtherRevenueAmt |
| CY Other Revenue | $812,438 | CYOtherRevenueAmt |
| PY Total Revenue | $28,910,916 | PYTotalRevenueAmt |
| CY Total Revenue | $34,617,436 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,637,395 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,303,930 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,400,727 | PYOtherExpensesAmt |
| CY Other Expenses | $8,667,865 | CYOtherExpensesAmt |
| PY Total Expenses | $27,038,122 | PYTotalExpensesAmt |
| CY Total Expenses | $30,971,795 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,872,794 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,645,641 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,361,029 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,783,143 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,243,093 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,817,757 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,117,936 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,965,386 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventative and primary health care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,579,763 | ExpenseAmt |
| Grant | $3,641,016 | GrantAmt |
| Revenue | $10,053,740 | RevenueAmt |
| Desc | To provide medical care for low income, under-insured and uninsured population. Providers had a total of 84,149 encounters. The health center has been publicized through TV, newspaper articles, community groups, churches and neighborhood groups. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,408,343 | ExpenseAmt |
| Grant | $2,546,440 | GrantAmt |
| Revenue | $4,310,555 | RevenueAmt |
| Desc | To provide dental care for low income, under-insured and uninsured population. A total of 33,569 visits were made to the providers. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,987,628 | ExpenseAmt |
| Grant | $150,000 | GrantAmt |
| Revenue | $8,202,067 | RevenueAmt |
| Desc | To provide pharmacy services to low income, under-insured and uninsured population in the surrounding area of all Health Partners of Western Ohio sites. Clinical pharmacy services are also offered to this population. A total of 6,311 clinical pharmacy visits were made to the providers. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $873,481 | ExpenseAmt |
| Grant | $1,450,478 | GrantAmt |
| Revenue | $12,051,074 | RevenueAmt |
| Desc | To provide chiropractic, behavioral health care services to low income, under-insured and uninsured population in the locations surrounding Health Partners of Western Ohio sites. Providers had a total of 31,781 encounters, this population also received opportunities for care for drug related issues and alternatives to incarceration. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $873,481 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,450,478 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $12,051,074 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $25,849,215 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 380 | 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 |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH PARTNERS OF WESTERN OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4192213072 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 329 N WEST STREET | AddressLine1Txt |
| City | LIMA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Arlisa M Hall | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Myrtle A Johnson | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Anthony J Lester | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Marie E Niese | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Rebecca A Dershem | ||||||
| Board Treasurer | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| John Stanovich | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Lorna Simpson | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Ramona Hucks | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Eugene M Reaman | ||||||
| Board Secretary | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Mary J Williamson | ||||||
| Board Vice President | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| William R Stolly | ||||||
| Board President | 2 | 0 | Yes (X) | $0 | $0 | $0 |
| Rev John Holly | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Joseph Dake | ||||||
| Board Member | 1 | 0 | Yes (X) | $0 | $0 | $0 |
| Janis Sunderhaus | ||||||
| CEO | 40 | 0 | Yes (X) | $234,023 | $0 | $0 |
| Loretta Mankin | ||||||
| CFO | 40 | 0 | Yes (X) | $149,835 | $0 | $0 |
| Elizabeth West | ||||||
| COO | 40 | 0 | Yes (X) | $134,176 | $0 | $0 |
| Kimberly Taflinger | ||||||
| CAO | 40 | 0 | Yes (X) | $113,106 | $0 | $0 |
| Warren Morris | ||||||
| Physician | 40 | 0 | Yes (X) | $234,324 | $0 | $0 |
| Jennifer Clark | ||||||
| Chief Population Health Officer | 40 | 0 | Yes (X) | $152,018 | $0 | $0 |
| Gregory Parranto | ||||||
| Physician | 40 | 0 | Yes (X) | $250,112 | $0 | $0 |
| Soraya Gomez-Greer | ||||||
| Dentist | 40 | 0 | Yes (X) | $168,967 | $0 | $0 |
| Satinder K Pandher | ||||||
| Dentist | 40 | 0 | Yes (X) | $193,582 | $0 | $0 |
| Lauren J Stoffel | ||||||
| Physician | 40 | 0 | Yes (X) | $176,213 | $0 | $0 |
| Anvita Rastogi | ||||||
| Dentist | 40 | 0 | Yes (X) | $183,520 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,989,876 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medical Mutual of Ohio | |||||
| PO Box 951922 | Cleveland | OH | 441930021 | Health Insurance | $2,346,607 |
| Cardinal Health | |||||
| 7000 Cardinal Place | Dublin | OH | 43017 | Medical Products and Supplies | $2,025,479 |
| CSI Construction Services | |||||
| 13860 Twp Road 42 | Carey | OH | 43316 | construction | $1,476,535 |
| Greenway Health | |||||
| PO Box 203658 | Dallas | TX | 753203658 | Medical Information Technology | $714,091 |
| McKesson Medical-Surgical | |||||
| PO Box 933027 | Atlanta | GA | 311933027 | Medical Products and Supplies | $628,890 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $6,931,873 | GovernmentGrantsAmt |
| All Other Contributions | $968,252 | AllOtherContributionsAmt |
| Noncash Contributions | $110,991 | NoncashContributionsAmt |
| Total Contributions | $7,900,125 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Pharmacy | 621498 | $8,186,928 | $8,186,928 | $0 | $0 |
| Insurance | 621498 | $2,725,966 | $2,725,966 | $0 | $0 |
| Patient Fees | 621498 | $723,667 | $723,667 | $0 | $0 |
| Other Third Party | 621498 | $166,970 | $166,970 | $0 | $0 |
| Medicaid/Medicare/Managed Care | 621498 | $14,060,229 | $14,060,229 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,863,760 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,113 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Medical Records Income | 621498 | $22,323 | $22,323 | $0 | $0 |
| Physician Incentive Income | 621498 | $101,844 | $101,844 | $0 | $0 |
| CPC & Misc Income | 621498 | $688,271 | $688,271 | $0 | $0 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $812,438 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,617,436 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,717,311 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,017,483 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,017,483 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,312,647 | TotalAmt |
| Program Services | $15,661,710 | ProgramServicesAmt |
| Management And General | $1,650,937 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,006 | TotalAmt |
| Program Services | $303,474 | ProgramServicesAmt |
| Management And General | $66,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,224,436 | TotalAmt |
| Program Services | $1,787,832 | ProgramServicesAmt |
| Management And General | $436,604 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,379,358 | TotalAmt |
| Program Services | $1,203,702 | ProgramServicesAmt |
| Management And General | $175,656 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,025 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
| Management And General | $8,525 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,765 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $43,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,863 | TotalAmt |
| Program Services | $37,512 | ProgramServicesAmt |
| Management And General | $1,351 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,590,566 | TotalAmt |
| Program Services | $2,103,974 | ProgramServicesAmt |
| Management And General | $486,592 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,914 | TotalAmt |
| Program Services | $75,456 | ProgramServicesAmt |
| Management And General | $945,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,885 | TotalAmt |
| Program Services | $719,427 | ProgramServicesAmt |
| Management And General | $54,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,896 | TotalAmt |
| Program Services | $154,543 | ProgramServicesAmt |
| Management And General | $55,353 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,949 | TotalAmt |
| Program Services | $131,158 | ProgramServicesAmt |
| Management And General | $16,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,741 | TotalAmt |
| Program Services | $144,634 | ProgramServicesAmt |
| Management And General | $2,107 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,042 | TotalAmt |
| Program Services | $732,931 | ProgramServicesAmt |
| Management And General | $136,111 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,872 | TotalAmt |
| Program Services | $71,015 | ProgramServicesAmt |
| Management And General | $24,857 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Care | Desc |
| Total | $2,719,347 | TotalAmt |
| Program Services | $2,719,347 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,971,795 | TotalAmt |
| Program Services | $25,849,215 | ProgramServicesAmt |
| Management And General | $5,122,580 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,839,278 | BOYAmt |
| EOY | $1,507,423 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,947,770 | BOYAmt |
| EOY | $2,417,127 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,361,653 | BOYAmt |
| EOY | $5,653,664 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,513 | BOYAmt |
| EOY | $177,971 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,228 | BOYAmt |
| EOY | $64,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,960,261 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,997,595 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,999,587 | BOYAmt |
| EOY | $13,962,666 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,361,029 | BOYAmt |
| EOY | $23,783,143 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,970,142 | BOYAmt |
| EOY | $2,215,232 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,541 | BOYAmt |
| EOY | $44,182 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,142,410 | BOYAmt |
| EOY | $3,558,343 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,243,093 | BOYAmt |
| EOY | $5,817,757 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,117,936 | BOYAmt |
| EOY | $17,965,386 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,117,936 | BOYAmt |
| EOY | $17,965,386 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,361,029 | BOYAmt |
| EOY | $23,783,143 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,645,641 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $201,809 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,115,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,439,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,340,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,726,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,931,874 | CurrentTaxYearAmt |
| Total | $32,554,466 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,115,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,439,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,340,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,726,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,931,874 | CurrentTaxYearAmt |
| Total | $32,554,466 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $32,554,466 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,256 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,113 | CurrentTaxYearAmt |
| Total | $82,146 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $32,636,612 | TotalSupportAmt |
| Public Support CY170 | 0.99748 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9996 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,115,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,439,568 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,340,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,726,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,931,874 | CurrentTaxYearAmt |
| Total | $32,554,466 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,131,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,065,539 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,094,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,158,458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,863,760 | CurrentTaxYearAmt |
| Total | $100,314,094 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,247,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,505,107 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,435,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,885,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,795,634 | CurrentTaxYearAmt |
| Total | $132,868,560 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $132,868,560 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,256 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,113 | CurrentTaxYearAmt |
| Total | $82,146 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,256 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,777 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,113 | CurrentTaxYearAmt |
| Total | $82,146 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,247,734 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,509,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,445,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,910,916 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,836,747 | CurrentTaxYearAmt |
| Total | $132,950,706 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99938 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99964 | PublicSupportPY509Pct |
| Investment Income CY | 0.00062 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00036 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $13,482 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $13,482 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $13,402,201 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,837,796 | DepreciationAmt |
| Book Value | $11,564,405 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,147,678 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,037,656 | DepreciationAmt |
| Book Value | $2,110,022 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $396,900 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $122,143 | DepreciationAmt |
| Book Value | $274,757 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,962,666 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Janis Sunderhaus | ||||||||||||||
| CEO | $233,023 | $0 | $1,000 | $0 | $0 | $0 | $19,992 | $0 | $0 | $0 | $254,015 | $0 | $0 | $0 |
| Loretta Mankin | ||||||||||||||
| CFO | $148,835 | $0 | $1,000 | $0 | $0 | $0 | $6,530 | $0 | $0 | $0 | $156,365 | $0 | $0 | $0 |
| Elizabeth West | ||||||||||||||
| COO | $114,715 | $0 | $1,000 | $0 | $0 | $0 | $4,094 | $0 | $0 | $0 | $119,809 | $0 | $0 | $0 |
| Kimberly Taflinger | ||||||||||||||
| CAO | $112,106 | $0 | $1,000 | $0 | $0 | $0 | $3,393 | $0 | $0 | $0 | $116,499 | $0 | $0 | $0 |
| Jennifer Clark | ||||||||||||||
| Chief Population Health Officer | $151,018 | $0 | $1,000 | $0 | $0 | $0 | $9,121 | $0 | $0 | $0 | $161,139 | $0 | $0 | $0 |
| Warren Morris | ||||||||||||||
| Physician | $233,324 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $234,324 | $0 | $0 | $0 |
| Soraya Gomez-Greer | ||||||||||||||
| Dentist | $161,708 | $0 | $7,259 | $0 | $0 | $0 | $17,840 | $0 | $0 | $0 | $186,807 | $0 | $0 | $0 |
| Satinder K Pandher | ||||||||||||||
| Dentist | $187,919 | $0 | $4,664 | $0 | $0 | $0 | $5,777 | $0 | $0 | $0 | $198,360 | $0 | $0 | $0 |
| Anvita Rastogi | ||||||||||||||
| Dentist | $179,909 | $0 | $3,611 | $0 | $0 | $0 | $14,660 | $0 | $0 | $0 | $198,180 | $0 | $0 | $0 |
| Gregory Parranto | ||||||||||||||
| Physician | $249,112 | $0 | $1,000 | $0 | $0 | $0 | $7,503 | $0 | $0 | $0 | $257,615 | $0 | $0 | $0 |
| Lauren J Stoffel | ||||||||||||||
| Physician | $175,213 | $0 | $1,000 | $0 | $0 | $0 | $8,811 | $0 | $0 | $0 | $185,024 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule J, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The Board of Directors perform an annual review and approval of the employment of key employees in the organization/corporation; this review is completed through the budgeting process and the budget is Board approved. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Donald J Riepenhoff | |||
| Family member of Janis Sunderhaus | $113,318 | Employee | 0 |
| Cathy Corcella | |||
| Family member of Janis Sunderhaus | $5,750 | contract prep for grant writing | 0 |
Schedule M IRS990ScheduleM
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 2 | Myrtle A. Johnson and Mary J. Williamson are sisters and serve on the Board of Directors. |
| Form 990, Part VI, Section B, Line 11b | The completed 990 is furnished to the Finance Committee to review and to the Board of Directors to review and approve. |
| Form 990, Part VI, Section B, Line 12c | The organization/corporation reviews the compliance policies annually as well as conducts audits on these policies. |
| Form 990, Part VI, Section B, Line 15 | The Board of Directors perform an annual review and approval of the employment of key employees in the organization/corporation; this review is completed through the budgeting process and the budget is Board approved. |
| Form 990, Part VI, Section C, Line 19 | These documents are available to view in the organization/corporation. The documents are also available online through the charitable organization/corporation. |