HEALTH PARTNERS OF WESTERN OHIO: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH PARTNERS OF WESTERN OHIO (EIN 56-2330309)
- Tax period
- 2017-12-01 to 2018-11-30
- Filed
- 2019-04-09
- IRS object ID
- 201900999349300715
- Schema version
- 2017v2.0
- 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 | 2019-04-09T10:05:39-07:00 | ReturnTs |
| Tax Period End | 2018-11-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-12-01 | 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 | 2019-03-28 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.155.147.6 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 St | AddressLine1Txt |
| City | Lima | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,910,916 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 380 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,355,159 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,992,981 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,449,534 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $21,460,437 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,755 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,777 | CYInvestmentIncomeAmt |
| PY Other Revenue | $631,059 | PYOtherRevenueAmt |
| CY Other Revenue | $431,721 | CYOtherRevenueAmt |
| PY Total Revenue | $27,446,507 | PYTotalRevenueAmt |
| CY Total Revenue | $28,910,916 | 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 | $17,849,362 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,637,395 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,583,520 | PYOtherExpensesAmt |
| CY Other Expenses | $7,400,727 | CYOtherExpensesAmt |
| PY Total Expenses | $24,432,882 | PYTotalExpensesAmt |
| CY Total Expenses | $27,038,122 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,013,625 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,872,794 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,548,454 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,361,029 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,565,062 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,243,093 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,983,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,117,936 | 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 | $12,331,934 | ExpenseAmt |
| Grant | $2,817,625 | GrantAmt |
| Revenue | $9,838,994 | 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 | $4,368,530 | ExpenseAmt |
| Grant | $2,137,956 | GrantAmt |
| Revenue | $2,602,414 | 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 | $4,173,923 | ExpenseAmt |
| Grant | $150,000 | GrantAmt |
| Revenue | $7,083,305 | 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 | $2,222,697 | ExpenseAmt |
| Grant | $1,621,100 | GrantAmt |
| Revenue | $2,659,522 | 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 | $2,222,697 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,621,100 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,659,522 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,097,084 | 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 | 79 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 |
| 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 (26 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 | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| 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 | |||
| Amy Campbell | |||||||||
| 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 | $207,862 | $0 | $0 | Yes (X) | |||
| Loretta Mankin | |||||||||
| CFO | 40 | 0 | $129,461 | $0 | $0 | Yes (X) | |||
| Elizabeth West | |||||||||
| COO | 40 | 0 | $129,889 | $0 | $0 | Yes (X) | |||
| Kimberly Taflinger | |||||||||
| CAO | 40 | 0 | $102,945 | $0 | $0 | Yes (X) | |||
| Warren Morris | |||||||||
| Physician | 40 | 0 | $233,492 | $0 | $0 | Yes (X) | |||
| Jennifer Clark | |||||||||
| Chief Population Health Officer | 40 | 0 | $140,809 | $0 | $0 | Yes (X) | |||
| Lisa Jordan | |||||||||
| Family Nurse Practioner | 40 | 0 | $178,175 | $0 | $0 | Yes (X) | |||
| Gregory Parranto | |||||||||
| Physician | 40 | 0 | $245,954 | $0 | $0 | Yes (X) | |||
| Soraya Gomez-Greer | |||||||||
| Dentist | 40 | 0 | $175,643 | $0 | $0 | Yes (X) | |||
| Satinder K Pandher | |||||||||
| Dentist | 40 | 0 | $200,110 | $0 | $0 | Yes (X) | |||
| Lauren J Stoffel | |||||||||
| Physician | 40 | 0 | $175,553 | $0 | $0 | Yes (X) | |||
| Zaynab Al-Quraishi | |||||||||
| Dentist | 40 | 0 | $118,908 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,038,801 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 38 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 | $2,134,510 |
| Cardinal Health | |||||
| 7000 Cardinal Place | Dublin | OH | 43017 | Medical Products and Supplies | $1,899,467 |
| Schimmoeller Construction Inc | |||||
| PO Box 403 | Kalida | OH | 45853 | construction | $907,072 |
| McKesson Medical-Surgical | |||||
| PO Box 933027 | Atlanta | GA | 311933027 | Medical Products and Supplies | $611,245 |
| Greenway Health | |||||
| PO Box 203658 | Dallas | TX | 753203658 | Medical Information Technology | $304,812 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $5,362,881 | GovernmentGrantsAmt |
| All Other Contributions | $1,630,100 | AllOtherContributionsAmt |
| Noncash Contributions | $266,000 | NoncashContributionsAmt |
| Total Contributions | $6,992,981 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Pharmacy | 621498 | $7,127,149 | $7,127,149 | $0 | $0 |
| Insurance | 621498 | $1,511,790 | $1,511,790 | $0 | $0 |
| Patient Fees | 621498 | $796,075 | $796,075 | $0 | $0 |
| Other Third Party | 621498 | $98,121 | $98,121 | $0 | $0 |
| Medicaid/Medicare/Managed Care | 621498 | $11,927,302 | $11,927,302 | $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 | $21,460,437 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,777 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,777 | 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 | $10,774 | 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 | $10,774 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,774 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,774 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Medical Records | 621498 | $18,658 | $18,658 | $0 | $0 |
| Physician Income | 621498 | $14,005 | $14,005 | $0 | $0 |
| CPC & Misc Income | 621498 | $388,284 | $388,284 | $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 | $420,947 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,910,916 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,917,935 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $944,458 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $944,458 | 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 | $15,055,291 | TotalAmt |
| Program Services | $13,849,975 | ProgramServicesAmt |
| Management And General | $1,205,316 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,367 | TotalAmt |
| Program Services | $358,647 | ProgramServicesAmt |
| Management And General | $65,720 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,965,461 | TotalAmt |
| Program Services | $1,594,576 | ProgramServicesAmt |
| Management And General | $370,885 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,818 | TotalAmt |
| Program Services | $1,077,833 | ProgramServicesAmt |
| Management And General | $169,985 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,926 | TotalAmt |
| Program Services | $8,750 | ProgramServicesAmt |
| Management And General | $1,176 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,935 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $35,935 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,125 | TotalAmt |
| Program Services | $22,682 | ProgramServicesAmt |
| Management And General | $10,443 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,373,123 | TotalAmt |
| Program Services | $1,952,972 | ProgramServicesAmt |
| Management And General | $420,151 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,642 | TotalAmt |
| Program Services | $47,345 | ProgramServicesAmt |
| Management And General | $461,297 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $718,098 | TotalAmt |
| Program Services | $668,493 | ProgramServicesAmt |
| Management And General | $49,605 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,453 | TotalAmt |
| Program Services | $161,396 | ProgramServicesAmt |
| Management And General | $41,057 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,578 | TotalAmt |
| Program Services | $132,494 | ProgramServicesAmt |
| Management And General | $15,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,184 | TotalAmt |
| Program Services | $151,572 | ProgramServicesAmt |
| Management And General | $12,612 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $767,124 | TotalAmt |
| Program Services | $654,110 | ProgramServicesAmt |
| Management And General | $113,014 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,593 | TotalAmt |
| Program Services | $41,293 | ProgramServicesAmt |
| Management And General | $24,300 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Care | Desc |
| Total | $2,374,946 | TotalAmt |
| Program Services | $2,374,946 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,038,122 | TotalAmt |
| Program Services | $23,097,084 | ProgramServicesAmt |
| Management And General | $3,941,038 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,874 | BOYAmt |
| EOY | $1,839,278 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,109,644 | BOYAmt |
| EOY | $2,947,770 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,114 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,992,124 | BOYAmt |
| EOY | $3,361,653 | 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 | $88,034 | BOYAmt |
| EOY | $150,513 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,690 | BOYAmt |
| EOY | $62,228 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,128,139 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,128,552 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,572,974 | BOYAmt |
| EOY | $11,999,587 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,548,454 | BOYAmt |
| EOY | $20,361,029 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,565,062 | BOYAmt |
| EOY | $1,970,142 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $130,541 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,142,410 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,565,062 | BOYAmt |
| EOY | $6,243,093 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,983,392 | BOYAmt |
| EOY | $14,117,936 | 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 | $12,983,392 | BOYAmt |
| EOY | $14,117,936 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,548,454 | BOYAmt |
| EOY | $20,361,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,872,794 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | -$738,250 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,962,961 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,115,644 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,439,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,340,699 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,726,681 | CurrentTaxYearAmt |
| Total | $30,585,553 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,698,255 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,131,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,065,539 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,094,492 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,158,458 | CurrentTaxYearAmt |
| Total | $84,148,589 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,661,216 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,247,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,505,107 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,435,191 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,885,139 | CurrentTaxYearAmt |
| Total | $114,734,142 | 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 | $114,734,142 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $245 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,256 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,755 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,777 | CurrentTaxYearAmt |
| Total | $41,084 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $245 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,256 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,755 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,777 | CurrentTaxYearAmt |
| Total | $41,084 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,661,267 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,247,734 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,509,363 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,445,946 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,910,916 | CurrentTaxYearAmt |
| Total | $114,775,226 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99964 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99985 | PublicSupportPY509Pct |
| Investment Income CY | 0.00036 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00015 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
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 | $11,794,187 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,478,118 | DepreciationAmt |
| Book Value | $10,316,069 | 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 | $5,117,713 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,597,217 | DepreciationAmt |
| Book Value | $1,520,496 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $202,757 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,217 | DepreciationAmt |
| Book Value | $149,540 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,999,587 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (12 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 | $206,862 | $0 | $1,000 | $0 | $0 | $0 | $6,145 | $0 | $0 | $0 | $214,007 | $0 | $0 | $0 |
| Loretta Mankin | ||||||||||||||
| CFO | $128,461 | $0 | $1,000 | $0 | $0 | $0 | $3,884 | $0 | $0 | $0 | $133,345 | $0 | $0 | $0 |
| Elizabeth West | ||||||||||||||
| COO | $113,889 | $0 | $1,000 | $0 | $20,000 | $0 | $3,345 | $0 | $0 | $0 | $138,234 | $0 | $0 | $0 |
| Kimberly Taflinger | ||||||||||||||
| CAO | $101,945 | $0 | $1,000 | $0 | $0 | $0 | $3,058 | $0 | $0 | $0 | $106,003 | $0 | $0 | $0 |
| Lisa Jordan | ||||||||||||||
| Family Nurse Practioner | $154,769 | $0 | $23,406 | $0 | $0 | $0 | $5,269 | $0 | $0 | $0 | $183,444 | $0 | $0 | $0 |
| Warren Morris | ||||||||||||||
| Physician | $232,492 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $233,492 | $0 | $0 | $0 |
| Gregory Parranto | ||||||||||||||
| Physician | $244,914 | $0 | $1,040 | $0 | $0 | $0 | $7,298 | $0 | $0 | $0 | $253,252 | $0 | $0 | $0 |
| Soraya Gomez-Greer | ||||||||||||||
| Dentist | $168,384 | $0 | $7,259 | $0 | $0 | $0 | $4,801 | $0 | $0 | $0 | $180,444 | $0 | $0 | $0 |
| Jennifer Clark | ||||||||||||||
| Chief Population Health Officer | $139,809 | $0 | $1,000 | $0 | $0 | $0 | $4,198 | $0 | $0 | $0 | $145,007 | $0 | $0 | $0 |
| Satinder K Pandher | ||||||||||||||
| Dentist | $199,110 | $0 | $1,000 | $0 | $0 | $0 | $5,880 | $0 | $0 | $0 | $205,990 | $0 | $0 | $0 |
| Lauren J Stoffel | ||||||||||||||
| Physician | $174,553 | $0 | $1,000 | $0 | $0 | $0 | $5,169 | $0 | $0 | $0 | $180,722 | $0 | $0 | $0 |
| Zaynab Al-Quraishi | ||||||||||||||
| Dentist | $117,908 | $0 | $1,000 | $0 | $0 | $0 | $3,520 | $0 | $0 | $0 | $122,428 | $0 | $0 | $0 |
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 | $114,920 | Employee | 0 |
| Cathy Corcella | |||
| Family member of Janis Sunderhaus | $27,688 | Contract prep for grant writing | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $266,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Opinion of Experts | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 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. |
| Form 990, Part XII, Line 3b | The A-133 for this 2017-2018 Reporting (December 1, 2017 - November 30, 2018) will occur May 2019. |