MYCARE HEALTH CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MYCARE HEALTH CENTER (EIN 37-1593312)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-21
- IRS object ID
- 202002959349300135
- Schema version
- 2019v5.0
- 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 | 2020-10-21T10:47:39-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3275 | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371593312 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYCARE HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MYCA | BusinessNameControlTxt |
| Phone | 5866199986 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 EAST 10 MILE ROAD | AddressLine1Txt |
| City | CENTER LINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN WOOD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5866499986 | PhoneNum |
| Signature | 2020-10-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 9897939830 | PhoneNum |
| Preparation | 2020-10-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.34.166.252 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-21 | IPDt |
| IP Tm | 10:47:39 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 245D922C6A4665223C9AA81ED02B51BB16EA3832 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8671651BE8EF7FFDEF062089206F12EC2768330A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN WOOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 EAST 10 MILE ROAD | AddressLine1Txt |
| City | CENTER LINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,573,438 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYCAREHEALTHCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY DELIVERY QUALITY CARE TO ALL PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 62 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,927,981 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,260,010 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,081,183 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,308,436 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,212 | PYInvestmentIncomeAmt |
| CY Investment Income | $632 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,500 | PYOtherRevenueAmt |
| CY Other Revenue | $4,360 | CYOtherRevenueAmt |
| PY Total Revenue | $5,031,876 | PYTotalRevenueAmt |
| CY Total Revenue | $5,573,438 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,787,951 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,551,251 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,514,443 | PYOtherExpensesAmt |
| CY Other Expenses | $2,198,727 | CYOtherExpensesAmt |
| PY Total Expenses | $5,302,394 | PYTotalExpensesAmt |
| CY Total Expenses | $5,749,978 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$270,518 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$176,540 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,364,784 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,097,061 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $882,779 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $791,596 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,482,005 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,305,465 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND WELLNESS OF OUR COMMUNITY BY DELIVERY QUALITY CARE TO ALL PEOPLE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,349,218 | ExpenseAmt |
| Revenue | $3,308,436 | RevenueAmt |
| Desc | PRIMARY HEALTH CARE SERVICES | Desc |
| Total Program Service Expenses | $4,349,218 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 62 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMIE WETHERELL CFO | PersonNm |
| Phone | 5866199986 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 EAST 10 MILE ROAD | AddressLine1Txt |
| City | CENTER LINE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| ANN GILLETT-ELRINGTON | |||||||
| CMO | 40.00 | Yes (X) | $251,534 | $0 | $5,699 | ||
| JANELLE COOPER | |||||||
| CHIEF DENTAL | 40.00 | Yes (X) | $141,466 | $0 | $1,298 | ||
| MAHESHKUMAR PATEL | |||||||
| PHYSICIAN | 40.00 | $125,167 | $0 | $2,282 | Yes (X) | ||
| VASUDEVA MANDAVA | |||||||
| PHYSICIAN | 40.00 | $123,061 | $0 | $2,280 | Yes (X) | ||
| KAREN WOOD | |||||||
| CEO | 40.00 | Yes (X) | $113,500 | $0 | $4,968 | ||
| JAMIE WETHERELL | |||||||
| CFO | 40.00 | Yes (X) | $117,000 | $0 | $1,220 | ||
| SUSAN ZIELONKA | |||||||
| PHYSICIAN | 40.00 | $111,284 | $0 | $1,099 | Yes (X) | ||
| HEATHER SCIFORD | |||||||
| COO | 40.00 | Yes (X) | $78,606 | $0 | $2,462 | ||
| LORETTA BROWNLEE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DAVID CLAYTON | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SUSAN DOHERTY | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| SHARRON GALLOP | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PHILESHA GOUGH | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| ALYIA HAKIM | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TIM JOHNSON | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MIMI SULLIVAN PHILLIPS | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TERESA THIENEL | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| RYAN ZEMKE | |||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,061,618 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $21,308 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADP LLC | |||||
| 400 W COVINA BLVD | SAN DIMAS | CA | 91773 | PAYROLL SERVICE | $548,022 |
| BLUE CROSS BLUE SHIELD | |||||
| 225 NORTH MICHIGAN AVE | CHICAGO | IL | 60601 | HEALTH INS. | $311,233 |
| SACRED HEART REHABILITATION | |||||
| 400 STODDARD ROAD | RICHMOND | MI | 48062 | REHABILITATION | $122,550 |
| CENTER FOR COMPUTER RESOURCES | |||||
| 36333 MOUNT RD C | STERLING HEIGHTS | MI | 48310 | IT SERVICES | $102,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,260,010 | GovernmentGrantsAmt |
| Total Contributions | $2,260,010 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 624100 | $3,241,085 | $3,241,085 |
| MCHN REVENUE | 624100 | $42,195 | $42,195 |
| 340B PHARMACY REVENUE | $25,156 | $25,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,308,436 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $632 | TotalRevenueColumnAmt |
| Exclusion | $632 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,360 | TotalRevenueColumnAmt |
| Exclusion | $4,360 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,360 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,573,438 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,308,436 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,992 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,753 | TotalAmt |
| Program Services | $323,358 | ProgramServicesAmt |
| Management And General | $394,395 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,235,963 | TotalAmt |
| Program Services | $1,751,799 | ProgramServicesAmt |
| Management And General | $484,164 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,575 | TotalAmt |
| Program Services | $9,132 | ProgramServicesAmt |
| Management And General | $443 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,269 | TotalAmt |
| Program Services | $262,624 | ProgramServicesAmt |
| Management And General | $69,645 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,691 | TotalAmt |
| Program Services | $180,546 | ProgramServicesAmt |
| Management And General | $75,145 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,199 | TotalAmt |
| Program Services | $2,160 | ProgramServicesAmt |
| Management And General | $45,039 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,160 | TotalAmt |
| Management And General | $31,160 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,085 | TotalAmt |
| Program Services | $268,272 | ProgramServicesAmt |
| Management And General | $34,813 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,703 | TotalAmt |
| Program Services | $12,703 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,471 | TotalAmt |
| Program Services | $115,431 | ProgramServicesAmt |
| Management And General | $15,040 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,454 | TotalAmt |
| Program Services | $194,412 | ProgramServicesAmt |
| Management And General | $55,042 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,954 | TotalAmt |
| Program Services | $191,673 | ProgramServicesAmt |
| Management And General | $52,281 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,498 | TotalAmt |
| Program Services | $3,184 | ProgramServicesAmt |
| Management And General | $11,314 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,122 | TotalAmt |
| Program Services | $6,479 | ProgramServicesAmt |
| Management And General | $11,643 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,119 | TotalAmt |
| Management And General | $8,119 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,386 | TotalAmt |
| Program Services | $124,102 | ProgramServicesAmt |
| Management And General | $38,284 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,710 | TotalAmt |
| Program Services | $64,958 | ProgramServicesAmt |
| Management And General | $19,752 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PHARMACY | $463,000 | $463,000 |
| BAD DEBT | $211,264 | $211,264 |
| MEDICAL SUPPLIES | $59,300 | $59,300 |
| LAB EXPENSE | $41,511 | $41,511 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,791 | TotalAmt |
| Program Services | $63,310 | ProgramServicesAmt |
| Management And General | $54,481 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,749,978 | TotalAmt |
| Program Services | $4,349,218 | ProgramServicesAmt |
| Management And General | $1,400,760 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,997 | BOYAmt |
| EOY | $415,395 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,762 | BOYAmt |
| EOY | $257,395 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,296 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,097 | BOYAmt |
| EOY | $1,482,445 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,859 | BOYAmt |
| EOY | $84,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,594,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $742,096 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $899,188 | BOYAmt |
| EOY | $852,622 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,585 | BOYAmt |
| EOY | $4,585 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,364,784 | BOYAmt |
| EOY | $3,097,061 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,280 | BOYAmt |
| EOY | $420,377 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,946 | BOYAmt |
| EOY | $40,283 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,553 | BOYAmt |
| EOY | $330,936 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,779 | BOYAmt |
| EOY | $791,596 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,482,005 | BOYAmt |
| EOY | $2,305,465 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,482,005 | BOYAmt |
| EOY | $2,305,465 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,364,784 | BOYAmt |
| EOY | $3,097,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$176,540 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $1,123,598 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,254,097 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,703,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,927,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,260,010 | CurrentTaxYearAmt |
| Total | $9,269,417 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,123,598 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,254,097 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,703,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,927,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,260,010 | CurrentTaxYearAmt |
| Total | $9,269,417 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,269,417 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,205 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,776 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,018 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $632 | CurrentTaxYearAmt |
| Total | $6,071 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $1,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,360 | CurrentTaxYearAmt |
| Total | $45,568 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,321,056 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,612,733 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95770 | 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 | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | MEDICAL DIRECTOR INCOME 0 340B PHARMACY 24,261 OTHER INCOME 16,947 | 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 | $984,776 | OtherCostOrOtherBasisAmt |
| Depreciation | $358,846 | DepreciationAmt |
| Book Value | $625,930 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $553,755 | OtherCostOrOtherBasisAmt |
| Depreciation | $372,346 | DepreciationAmt |
| Book Value | $181,409 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,187 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,904 | DepreciationAmt |
| Book Value | $45,283 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $852,622 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY COST SETTLEMENTS | Desc |
| Amt | $330,936 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $330,936 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,585,338 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $11,900 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $11,900 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,573,438 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $5,573,438 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,761,878 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $11,900 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $11,900 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,749,978 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,749,978 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN GILLETT-ELRINGTON | PersonNm |
| Title | CMO | TitleTxt |
| Base Compensation Filing Org | $251,534 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $1,619 | DeferredCompensationFlngOrgAmt |
| Nontaxable Benefits Filing Org | $4,080 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $257,233 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CEO, CFO, AND FINANCE COMMITTEE REVIEW AND APPROVE THE 990 PRIOR TO FILING AND A COPY IS PRESENTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CEO COMPENSATION IS COMPETITIVE BASED ON INDUSTRY STANDARDS WITHIN OUR GEOGRAPHIC AREA AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | OTHER OFFICERS OR KEY EMPLOYEE COMPENSATION IS COMPETITIVE BASED ON INDUSTRY STANDARDS WITHIN OUR GEOGRAPHIC AREA AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS MADE AVAILABLE UPON REQUEST. |