STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OPEN DOOR HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
OPEN DOOR HEALTH SERVICES INC (EIN 35-2018494)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-06
IRS object ID
201911269349300011
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-06T08:24:28-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN311119890PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BARNES DENNIG & CO LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15750 CASTLE CREEK PKWY STE 245AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46250ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352018494EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOPENBusinessNameControlTxt
Phone7652897000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 SOUTH MADISON STREETAddressLine1Txt
CityMUNCIECityNm
State AbbreviationINStateAbbreviationCd
ZIP47305ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTECHIA BREWERPersonNm
Person TitleCFOPersonTitleTxt
Phone7652897000PhoneNum
Signature2019-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICKEY ROYSDON CPAPreparerPersonNm
PTINP00645916PTIN
Phone3175721130PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.196.129.6IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-04-27IPDt
IP Tm13:11:57IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdBD3FCA808F8253724476345B767559374E8C55AFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRYAN AYARSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 SOUTH MADISON STREETAddressLine1Txt
CityMUNCIECityNm
State AbbreviationINStateAbbreviationCd
ZIP47305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,618,839GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
All Affiliates IncludedYes (1)AllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OPENDOORHS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee201TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,844,496PYContributionsGrantsAmt
CY Contributions Grants$6,193,090CYContributionsGrantsAmt
PY Program Service Revenue$7,455,098PYProgramServiceRevenueAmt
CY Program Service Revenue$7,411,002CYProgramServiceRevenueAmt
PY Investment Income$3,603PYInvestmentIncomeAmt
CY Investment Income$14,747CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,303,197PYTotalRevenueAmt
CY Total Revenue$13,618,839CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,391,731PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,429,728CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,161,695PYOtherExpensesAmt
CY Other Expenses$4,154,788CYOtherExpensesAmt
PY Total Expenses$12,553,426PYTotalExpensesAmt
CY Total Expenses$12,584,516CYTotalExpensesAmt
PY Revenues Less Expenses$1,749,771PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,034,323CYRevenuesLessExpensesAmt
Total Assets BOY$15,516,810TotalAssetsBOYAmt
Total Assets EOY$16,650,873TotalAssetsEOYAmt
Total Liabilities BOY$948,506TotalLiabilitiesBOYAmt
Total Liabilities EOY$785,474TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,568,304NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,865,399NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE QUALITY OF LIFE OF OUR PATIENTS BY PROVIDING AFFORDABLE HEALTH CARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,338,603ExpenseAmt
Revenue$7,411,002RevenueAmt
DescPROVIDE HEALTH, DENTAL, FAMILY DEVELOPMENT, AND EDUCATION SERVICES TO CITIZENS OF DELAWARE COUNTY AND SELECTED NEIGHBORING COUNTIES IN INDIANA.Desc
Total Program Service Expenses$10,338,603TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee201EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TECHIA BREWERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7652814256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 SOUTH MADISON STREETAddressLine1Txt
CityMUNCIECityNm
State AbbreviationINStateAbbreviationCd
ZIP47305ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KATHY VERMEULEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
PAT KENNEDY
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
JEFFREY HUFF
TREASURER2.00Yes (X)Yes (X)$0$0$0
ERIC S SNYDER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
TIPTON RUSSELL
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE R ALTOBELLA
DIRECTOR1.00Yes (X)$0$0$0
GLENN STONE
DIRECTOR1.00Yes (X)$0$0$0
KATE ELLIOTT
DIRECTOR1.00Yes (X)$0$0$0
RANDY ROBINSON
DIRECTOR1.00Yes (X)$0$0$0
ALLEN JOHNSTONE
DIRECTOR1.00Yes (X)$0$0$0
KEN HUDSON
DIRECTOR1.00Yes (X)$0$0$0
BRYAN AYARS
CEO40.00Yes (X)$119,437$0$20,632
TECHIA BREWER
CFO & COO40.00Yes (X)$100,132$0$19,403
KIMBERLY A KOCH
CHIEF DENT OFFICER32.00$201,714$0$24,645Yes (X)
JASON C SIMS
DENTIST32.00$180,602$0$19,838Yes (X)
RANDY BROWN
PHYSICIAN40.00$123,332$0$10,467Yes (X)
WILLIAM MA
PHYSICIAN40.00$119,423$0$20,032Yes (X)
WILLIAM GOSNELL
NURSE PRACTITIONER40.00$119,482$0$13,425Yes (X)
ANITA KERRIGAN
NURSE PRACTITIONER40.00$109,048$0$11,537Yes (X)
STEPHANIE HENRY
NURSE PRACTITIONER40.00$108,816$0$19,703Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,181,986TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$159,682TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ATHENA HEALTH INC
PO BOX 415615BOSTONMA022415615HEALTHCARE$441,049
MAX RUDICEL
6839 W ISANOGEL RD-50 NMUNCIEIN47304PHYSICAN$219,961
EKEEPER SYSTEMS INC
PO BOX 3294MUNCIEIN47307TECHNOLOGY$218,197
IU HEALTH BMH PHYSICIANS
2401 W UNIVERSITY AVEMUNCIEIN47303PHYSICANS$190,337
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$54,690FederatedCampaignsAmt
Government Grants$6,134,280GovernmentGrantsAmt
All Other Contributions$4,120AllOtherContributionsAmt
Total Contributions$6,193,090TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHEALTH SERVICESDesc
Business621110BusinessCd
Total Revenue Column$7,411,002TotalRevenueColumnAmt
Related Or Exempt Func Income$7,411,002RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$7,411,002TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,747TotalRevenueColumnAmt
Exclusion$14,747ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,618,839TotalRevenueColumnAmt
Related Or Exempt Func Income$7,411,002RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$14,747ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,341,668TotalAmt
Program Services$1,100,168ProgramServicesAmt
Management And General$241,500ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,466,213TotalAmt
Program Services$4,482,294ProgramServicesAmt
Management And General$983,919ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$172,573TotalAmt
Program Services$167,396ProgramServicesAmt
Management And General$5,177ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$934,290TotalAmt
Program Services$906,262ProgramServicesAmt
Management And General$28,028ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$514,984TotalAmt
Program Services$499,535ProgramServicesAmt
Management And General$15,449ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,018TotalAmt
Program Services$541ProgramServicesAmt
Management And General$8,477ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,868TotalAmt
Program Services$2,212ProgramServicesAmt
Management And General$34,656ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$95,514TotalAmt
Program Services$60,174ProgramServicesAmt
Management And General$35,340ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$158,188TotalAmt
Program Services$153,442ProgramServicesAmt
Management And General$4,746ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$66,051TotalAmt
Program Services$62,088ProgramServicesAmt
Management And General$3,963ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$455,568TotalAmt
Program Services$373,566ProgramServicesAmt
Management And General$82,002ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,587TotalAmt
Program Services$18,344ProgramServicesAmt
Management And General$37,243ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$879,165$843,998$35,167
PURCHASED SERVICES$631,181$624,869$6,312
CONTRACTED MEDICAL$607,597$607,597
PROFESSIONAL / CONSULTI$222,189$13,331$208,858

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$937,862TotalAmt
Program Services$422,786ProgramServicesAmt
Management And General$515,076ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,584,516TotalAmt
Program Services$10,338,603ProgramServicesAmt
Management And General$2,245,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,087,141BOYAmt
EOY$3,762,808EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$675,747BOYAmt
EOY$1,303,195EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,408,040BOYAmt
EOY$1,758,255EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$208,015BOYAmt
EOY$354,733EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$47,782BOYAmt
EOY$71,007EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,018,169LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,617,294LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,090,085BOYAmt
EOY$9,400,875EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,516,810BOYAmt
EOY$16,650,873EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$390,108BOYAmt
EOY$240,509EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$558,398BOYAmt
EOY$544,965EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$948,506BOYAmt
EOY$785,474EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,568,304BOYAmt
EOY$15,865,399EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,568,304BOYAmt
EOY$15,865,399EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,516,810BOYAmt
EOY$16,650,873EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,034,323ReconcilationRevenueExpnssAmt
Prior Period Adjustments$262,772PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,193,090CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,229,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,107,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,844,496CurrentTaxYearMinus1YearAmt
Current Tax Year$6,193,090CurrentTaxYearAmt
Total$30,567,657TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,193,090CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,229,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,107,868CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,844,496CurrentTaxYearMinus1YearAmt
Current Tax Year$6,193,090CurrentTaxYearAmt
Total$30,567,657TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$30,567,657PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$116CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$370CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,603CurrentTaxYearMinus1YearAmt
Current Tax Year$14,747CurrentTaxYearAmt
Total$18,885TotalAmt
FieldValueIRS element (for citing)
Total Support$30,586,542TotalSupportAmt
Gross Receipts Rltd Activities$31,274,827GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99940PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,648OtherCostOrOtherBasisAmt
Book Value$63,648BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,858,049OtherCostOrOtherBasisAmt
Depreciation$2,012,160DepreciationAmt
Book Value$7,845,889BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$289,736OtherCostOrOtherBasisAmt
Depreciation$100,564DepreciationAmt
Book Value$189,172BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,944,290OtherCostOrOtherBasisAmt
Depreciation$2,240,392DepreciationAmt
Book Value$703,898BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$862,446OtherCostOrOtherBasisAmt
Depreciation$264,178DepreciationAmt
Book Value$598,268BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,400,875TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED PAYROLL$292,776
PAYROLL WITHHOLDING$252,189
FieldValueIRS element (for citing)
Total Liability$544,965TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,618,839TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,618,839RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,618,839TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,584,516TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,584,516ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,584,516TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationOPEN DOOR HEALTH SERVICES, INC. IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF INDIANA LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CHC PROPERTIES, LLC IS A SINGLE MEMBER LIMITED LIABILITY COMPANY AND ITS ACTIVITIES ARE REPORTED ON OPEN DOOR HEALTH SERVICES, INC. TAX FILINGS. THE ORGANIZATION'S IRS FORM 990 IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THEREFORE, DOES NOT HAVE ANY UNCERTAIN INCOME TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KIMBERLY A KOCH
CHIEF DENT OFFICER$201,714$0$0$0$0$0$0$0$24,645$0$226,359$0$0$0
JASON C SIMS
DENTIST$180,602$0$0$0$0$0$0$0$19,838$0$200,440$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1TO IMPROVE THE QUALITY OF LIFE OF OUR PATIENTS BY PROVIDING AFFORDABLE HEALTH CARE SERVICES.
FORM 990, PART VI, SECTION B, LINE 11BLINE 11A EXPLANATION - A COPY OF THE FORM 990 AND REQUIRED SCHEDULES WERE PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING FOR THEIR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE KNOWN CONFLICTS OF INTEREST STATEMENTS WHICH ARE REVIEWED ANNUALLY FOR POSSIBLE CONFLICTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS REVIEW THE CEO'S SALARY ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHC PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1676AddressLine1Txt
CityMUNCIECityNm
State AbbreviationINStateAbbreviationCd
ZIP47308ZIPCd
FieldValueIRS element (for citing)
EIN270439883EIN
Primary ActivitiesREAL ESTATE HOLDINGPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$9,859,407EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR HEALTH SERVICES INCBusinessNameLine1Txt