IMMERGRUN INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- IMMERGRUN INC (EIN 46-0488488)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-12
- IRS object ID
- 201933169349302528
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-12T13:28:37-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270430400 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Knapp & Associates LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2727 N Holland-Sylvania Ste J | AddressLine1Txt |
| City | Toledo | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43615 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460488488 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IMMERGRUN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | IMME | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7318 INTERNATIONAL DR | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43528 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CINDY SIEDLER | PersonNm |
| Person Title | CONTROLLER | PersonTitleTxt |
| Phone | 8003333561 | PhoneNum |
| Signature | 2019-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Darlene Knapp | PreparerPersonNm |
| PTIN | P00365618 | PTIN |
| Phone | 4197256124 | PhoneNum |
| Preparation | 2019-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 184.171.140.17 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-12 | IPDt |
| IP Tm | 13:29:25 | IPTm |
| Federal Original Submission Id | 3469062019316req0p1g | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-12 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 7C8948B3446DF9320A2BA78E6462E0B39700AF46 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7C8948B3446DF9320A2BA78E6462E0B39700AF46 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,924,500 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | MEDICAL SERVICES FOR AMISH AND OLD ORDER MENNONITES BY NEGOTIATING CONTRACTS WITH PROVIDERS AT DISCOUNTED FEES, COMPARABLE TO INSURANCE COMPANIES RATES. RELIGIOUS BELIEFS PREVENT INDIVIDUALS FROM BEING COVERED BY INSURANCE POLICY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 4 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,592,578 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,919,274 | CYProgramServiceRevenueAmt |
| PY Investment Income | $953 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,717 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,794 | PYOtherRevenueAmt |
| CY Other Revenue | $2,509 | CYOtherRevenueAmt |
| PY Total Revenue | $7,598,325 | PYTotalRevenueAmt |
| CY Total Revenue | $7,924,500 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $179,208 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $186,960 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,356,443 | PYOtherExpensesAmt |
| CY Other Expenses | $7,309,770 | CYOtherExpensesAmt |
| PY Total Expenses | $7,535,651 | PYTotalExpensesAmt |
| CY Total Expenses | $7,496,730 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $62,674 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $427,770 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,835,094 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,284,257 | TotalAssetsEOYAmt |
| Total Liabilities BOY | -$14,735 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,658 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,849,829 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,277,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MEDICAL SERVICES FOR AMISH AND OLD ORDER MENNONITES BY NEGOTIATING CONTRACTS WITH PROVIDERS AT DISCOUNTED FEES, COMPARABLE TO INSURANCE COMPANIES RATES. RELIGIOUS BELIEFS PREVENT INDIVIDUALS FROM BEING COVERED BY INSURANCE POLICY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,496,730 | ExpenseAmt |
| Desc | MEDICAL SERVICES WERE ACQUIRED FOR INDIVIDUALS THROUGHOUT THE MIDWEST AT REDUCED FEES NOT ONLY FOR PROVIDING A MEDICAL SERVICE BUT SECURING MEDICAL TREATMENTS THAT OTHERWISE WOULD HAVE BEEN UNTREATED. | Desc |
| Total Program Service Expenses | $7,496,730 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 | false | 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 | false | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 192 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 4 | 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 | Yes (true) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (true) | NondeductibleContriDisclInd |
| 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | 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 | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CYNTHIA SIEDLER | PersonNm |
| Phone | 8003333561 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7318 INTERNATIONAL DR | AddressLine1Txt |
| City | HOLLAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43528 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 |
|---|---|---|---|---|---|---|
| STEVE NEWSWANGER | ||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| LAMAR BORKHOLDER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| HARVEY BURKHOLDER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| WOLF DRESCHER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| IAN ELLIOT | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| TOM GALLAGHER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| EMERY KAUFMAN | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| MARCUS GINGERICH | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| ELI KNEPP | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| DEAN MARTIN | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| ISAAC MARTIN | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| LEROY MILLER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| EDWIN NIRDLINGER | ||||||
| CHAIRMAN EMERITUS MEDICAL DI | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| JONATHAN WRIGHT | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| DAVID ZEISET | ||||||
| CHAIRMAN OF THE BOARD | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| AMOS MARTIN | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| DWAYNE HERSCHBERGER | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| PAUL ZIMMERMAN | ||||||
| DIRECTOR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL TRANSPORTATION | 621300 | ||
| RADIOLOGY | 621300 | $370 | $370 |
| CLAIMSCAPE FEES | 621300 | $7,918,904 | $7,918,904 |
| PHYSICIAN | 621300 | ||
| LABORATORY | 621300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,919,274 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,717 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,717 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ID CARD FEE INCOME | 621300 | $2,110 | $2,110 |
| FACILITY FEES | 621300 | $61 | $61 |
| BOST FEES AND MEMBERSHI | 621300 | $338 | $338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,509 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,924,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,924,500 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,037 | TotalAmt |
| Program Services | $170,037 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,887 | TotalAmt |
| Program Services | $3,887 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,036 | TotalAmt |
| Program Services | $13,036 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,905 | TotalAmt |
| Program Services | $4,905 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,295 | TotalAmt |
| Program Services | $1,295 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,000 | TotalAmt |
| Program Services | $27,000 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188 | TotalAmt |
| Program Services | $188 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,979 | TotalAmt |
| Program Services | $23,979 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,009 | TotalAmt |
| Program Services | $3,009 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,242 | TotalAmt |
| Program Services | $4,242 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,553 | TotalAmt |
| Program Services | $1,553 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,764 | TotalAmt |
| Program Services | $8,764 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| CLAIMSCAPE | $7,137,339 | $7,137,339 |
| COMMUNITY HEALTH PARTNERS | $10,756 | $10,756 |
| FACILITY FEES | $779 | $779 |
| PHYSICIAN FEES | $2,988 | $2,988 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,973 | TotalAmt |
| Program Services | $82,973 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,496,730 | TotalAmt |
| Program Services | $7,496,730 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,192 | BOYAmt |
| EOY | $727,466 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,985 | BOYAmt |
| EOY | $530 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $927,813 | BOYAmt |
| EOY | $1,538,921 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $183,930 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $166,590 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,104 | BOYAmt |
| EOY | $17,340 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,094 | BOYAmt |
| EOY | $2,284,257 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,560 | BOYAmt |
| EOY | $15,911 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,175 | BOYAmt |
| EOY | -$9,253 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$14,735 | BOYAmt |
| EOY | $6,658 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,849,829 | BOYAmt |
| EOY | $2,277,599 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,849,829 | BOYAmt |
| EOY | $2,277,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,835,094 | BOYAmt |
| EOY | $2,284,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $427,770 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $174 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $226 | CurrentTaxYearMinus3YearsAmt |
| Total | $400 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,767,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,101,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,277,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,597,372 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,921,783 | CurrentTaxYearAmt |
| Total | $38,665,469 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,767,462 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,101,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,277,561 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,597,372 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,921,783 | CurrentTaxYearAmt |
| Total | $38,665,869 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $38,665,869 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,916 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,717 | CurrentTaxYearAmt |
| Total | $11,253 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,265 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,916 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,717 | CurrentTaxYearAmt |
| Total | $11,253 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,769,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,104,093 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,280,477 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,598,325 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,924,500 | CurrentTaxYearAmt |
| Total | $38,677,122 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99970 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99970 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,229 | DepreciationAmt |
| Book Value | $7,340 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,361 | OtherCostOrOtherBasisAmt |
| Depreciation | $136,361 | DepreciationAmt |
| Book Value | $10,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,340 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYROLL LIABILITIES | $2,121 |
| CUSTOMER PREPAYMENTS | -$11,374 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | -$9,253 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | REVIEWED AT ANNUAL BOARD MEETING |
| CEO executive director top management comp Part VI line 15a | REVIEWED AT ANNUAL BOARD MEETING |
| Other officer or key employee compensation Part VI line 15b | REVIEWED AT ANNUAL BOARD MEETING |
| Governing documents etc available to public Part VI line 19 | UPON REQUEST |