HEALTHCORE CLINIC INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHCORE CLINIC INC (EIN 48-1180078)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-14
- IRS object ID
- 202533189349314588
- Schema version
- 2024v5.1
- 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 | 2025-11-14T17:22:43+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis 200 PO Box 1190 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481180078 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthcore Clinic Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 3166910249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 E 21st Street | AddressLine1Txt |
| City | Wichita | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67214 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESA LOVELADY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3166910249 | PhoneNum |
| Signature | 2025-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2025-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERESA LOVELADY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 E 21st Street | AddressLine1Txt |
| City | Wichita | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,189,129 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHCORECLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | HEALTHCORE CLINIC, (HCC) IS A FEDERALLY QUALIFIED HEALTH CENTER IN WICHITA KS. HCC PROVIDES MEDICAL, DENTAL, BEHAVIOR HEALTH SERVICES IN NORTHEAST WICHITA AND SURROUNDING AREAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 122 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,059,821 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,890,806 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,649,885 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,655,450 | CYProgramServiceRevenueAmt |
| PY Investment Income | $82,882 | PYInvestmentIncomeAmt |
| CY Investment Income | $57,933 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$6,262,953 | PYOtherRevenueAmt |
| CY Other Revenue | -$2,043,144 | CYOtherRevenueAmt |
| PY Total Revenue | $6,529,635 | PYTotalRevenueAmt |
| CY Total Revenue | $11,561,045 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $12,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,966,649 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,180,681 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,021,307 | PYOtherExpensesAmt |
| CY Other Expenses | $5,881,782 | CYOtherExpensesAmt |
| PY Total Expenses | $10,987,956 | PYTotalExpensesAmt |
| CY Total Expenses | $12,074,963 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,458,321 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$513,918 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,796,298 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,819,356 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $729,133 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,009,912 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,067,165 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,809,444 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF HEALTHCORE CLINIC, INC IS TO PROVIDE QUALITY FAMILY HEALTHCARE THROUGH IMPROVED ACCESS AND A HEIGHTENED AND UNRELENTING FOCUS ON EDUCATION AND PREVENTION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,260,754 | ExpenseAmt |
| Grant | $12,500 | GrantAmt |
| Revenue | $8,080,557 | RevenueAmt |
| Desc | HEALTHCORE CLINIC PROVIDES ACCESS TO COMPREHENSIVE FAMILY MEDICAL SERVICES WITH A FOCUS ON EDUCATION, PREVENTION, AND EARLY INTERVENTION. THE INTEGRATED MODEL OF CARE INCORPORATES DENTAL, BEHAVIORAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH SCREENINGS AND BRIEF INTERVENTIONS THAT ARE COORDINATED DURING THE MEDICAL EXAM PROCESS. THIS INTEGRATED MODEL REDUCES STIGMA, IMPROVES ACCESS TO BEHAVIORAL HEALTH AND DENTAL SERVICES, AND PROMOTES TEAM-BASED PATIENT-CENTERED HEALTH OUTCOMES. SPECIFIC SERVICES INCLUDE: WOMEN'S HEALTH AND WELLNESS (OB/GYN CARE, FAMILY PLANNING, EARLY (EDW) SERVICES THAT PROVIDE FREE BREAST AND CERVICAL CANCER SCREENINGS, ETC.); CHILDREN'S HEALTH AND WELLNESS EXAMS, SICK AND WELL CHILD VISITS, IMMUNIZATIONS, SCHOOL AND SPORTS PHYSICALS, ETC.); AND CHRONIC DISEASE MANAGEMENT (ASTHMA, DIABETES, HYPERTENSION, HEART DISEASE, HEP C MANAGEMENT, MEDICATION MANAGEMENT, ETC.) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,324,645 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,569,917 | RevenueAmt |
| Desc | THE DENTAL CLINIC HAS SEVEN (7) CHAIRS AND DIAGNOSTIC EQUIPMENT TO PROVIDE COMPREHENSIVE DENTAL SERVICES INCLUDING EXAMS, CLEANINGS, SEALANTS, ORAL CANCER SCREENINGS, TEETH WHITENING, ROOT CANALS, DENTURES, EXTRACTIONS, CROWNS, AND WALK-IN EMERGENCY SERVICES. MOST MEDICAL PATIENTS ARE SCREENED AND PROVIDED ORAL HEALTH EDUCATION DURING ROUTINE MEDICAL APPOINTMENTS. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $809,295 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,976 | RevenueAmt |
| Desc | HEALTHCORE CLINIC PROVIDES CULTURALLY APPROPRIATE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES DESIGNED TO REDUCE STIGMA ASSOCIATED WITH SEEKING BEHAVIORAL HEALTH SUPPORT. MOST PATIENTS ARE SCREENED FOR BEHAVIORAL HEALTH CONCERNS DURING THE MEDICAL APPOINTMENT. WORKING COLLABORATIVELY WITH THE MEDICAL AND DENTAL TEAM, BEHAVIORAL HEALTH CONSULTANTS PROVIDE COORDINATED AND INTEGRATED CARE TO PATIENTS AND FAMILIES WITH CONCERNS RANGING FROM STRESS MANAGEMENT, ANXIETY, DEPRESSION, TRAUMA, AND BEHAVIORAL SUPPORT FOR OTHER MENTAL HEALTH AND MEDICAL DIAGNOSES. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,394,694 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 122 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| 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 | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID STOWELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3166910249 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 E 21ST ST N | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67214 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRIS PRATER | |||||||||
| BOARD TREASURER | 0.5 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GWEN SHARPE | |||||||||
| BOARD VICE CHAIRWOMAN | 0.5 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TIM ROGERS | |||||||||
| BOARD CHAIRMAN | 0.5 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALIYAH ABDUL-HAMEED | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BUD GATES | |||||||||
| EMERITUS DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DANIELLE JOHNSON | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GLENN GREENFIELD | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LEDETRA JONES | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MAGDNA BURCIAGA | |||||||||
| BOARD MEMBER BEG 12/24 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SARAH LOPEZ | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SCHRONDA CALIP-WILLIAMS | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SHIRLEY BENTON-KELLY | |||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TERRY TURNER | |||||||||
| BOARD MEMBER END 02/24 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TERESA LOVELADY | |||||||||
| PRESIDENT / CEO | 40.0 | 0.5 | Yes (X) | $342,195 | $0 | $27,822 | |||
| PENNY JEFFERY | |||||||||
| CHIEF CLINICAL OFFICER | 40.0 | 0.0 | $196,089 | $0 | $26,065 | Yes (X) | |||
| ANTHONY TURNER | |||||||||
| DENTAL DIRECTOR / DENTIST | 32.0 | 0.0 | $176,521 | $0 | $21,295 | Yes (X) | |||
| CLAIRE THOMAS | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $196,432 | $0 | $22,341 | Yes (X) | |||
| DAVID STOWELL | |||||||||
| CHIEF OPERATIONS OFFICER | 40.0 | 0.0 | $164,311 | $0 | $11,399 | Yes (X) | |||
| DAVNA GOULD | |||||||||
| CHIEF COMMUNICATIONS OFFICER | 40.0 | 0.0 | $105,239 | $0 | $6,647 | Yes (X) | |||
| MAYA NUNLEY | |||||||||
| ASSISTANT DENTAL DIRECTOR | 40.0 | 0.0 | $103,485 | $0 | $13,891 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,284,272 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $129,460 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| FORVIS MAZARS LLP | ||||||
| 910 E ST LOUIS 200 | PO BOX 1190 | SPRINGFIELD | MO | 658062523 | FINANCIAL CONSULTATION | $442,337 |
| ECLINICALWORKS LLC | ||||||
| PO BOX 847950 | BOSTON | MA | 022847950 | ELECTRONIC MEDICAL RECORDS SOFTWARE VENDOR | $215,778 | |
| Polly S Charleston | ||||||
| 4205 EAGLE LAKE DRIVE | WICHITA | KS | 67220 | ULTRASOUND SERVICES | $125,447 | |
| NETSYSTEMS LLC | ||||||
| 2709 BOULEVARD PLAZA | WICHITA | KS | 672113813 | INFORMATION TECHNOLOGY SERVICES | $122,008 | |
| Venus Lee and Associates | ||||||
| 2250 N Rock Rd Ste 1 | Wichita | KS | 67226 | Professional Exec Consulting & OSV Support | $111,366 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,680,194 | GovernmentGrantsAmt |
| All Other Contributions | $210,612 | AllOtherContributionsAmt |
| Total Contributions | $3,890,806 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $9,645,549 | $9,645,549 |
| OTHER REVENUE | 621400 | $9,901 | $9,901 |
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 | $9,655,450 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,660 | TotalRevenueColumnAmt |
| Exclusion | $167,660 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,050 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,050 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,050 | TotalRevenueColumnAmt |
| Exclusion | $11,050 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,518,357 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,628,084 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$109,727 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$109,727 | TotalRevenueColumnAmt |
| Exclusion | -$109,727 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LOSS ON EXTINGUISHMENT OF DEBT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | -$2,054,194 | TotalRevenueColumnAmt |
| Exclusion | -$2,054,194 | ExclusionAmt |
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 | -$2,054,194 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,561,045 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,655,450 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,985,211 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,500 | TotalAmt |
| Program Services | $12,500 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,171 | TotalAmt |
| Program Services | $222,154 | ProgramServicesAmt |
| Management And General | $370,017 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,657,750 | TotalAmt |
| Program Services | $3,387,624 | ProgramServicesAmt |
| Management And General | $1,270,126 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,104 | TotalAmt |
| Program Services | $96,198 | ProgramServicesAmt |
| Management And General | $42,906 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $410,260 | TotalAmt |
| Program Services | $197,785 | ProgramServicesAmt |
| Management And General | $212,475 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,396 | TotalAmt |
| Program Services | $239,040 | ProgramServicesAmt |
| Management And General | $142,356 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,364 | TotalAmt |
| Management And General | $9,364 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,109 | TotalAmt |
| Management And General | $406,109 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,530 | TotalAmt |
| Management And General | $25,530 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028,842 | TotalAmt |
| Program Services | $613,783 | ProgramServicesAmt |
| Management And General | $415,059 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,449 | TotalAmt |
| Program Services | $80,963 | ProgramServicesAmt |
| Management And General | $52,486 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,622 | TotalAmt |
| Program Services | $134,629 | ProgramServicesAmt |
| Management And General | $262,993 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,964 | TotalAmt |
| Program Services | $224,487 | ProgramServicesAmt |
| Management And General | $123,477 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,870 | TotalAmt |
| Program Services | $95,340 | ProgramServicesAmt |
| Management And General | $68,530 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,395 | TotalAmt |
| Program Services | $16,151 | ProgramServicesAmt |
| Management And General | $41,244 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,157 | TotalAmt |
| Program Services | $10,401 | ProgramServicesAmt |
| Management And General | $57,756 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,165 | TotalAmt |
| Management And General | $2,165 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,693 | TotalAmt |
| Program Services | $41,273 | ProgramServicesAmt |
| Management And General | $32,420 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,595 | TotalAmt |
| Management And General | $62,595 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $2,945,033 | $2,945,033 | |
| REPAIRS & MAINTENANCE | $92,561 | $74,924 | $17,637 |
| LICENSES, DUES, & SUBSCRIPTIONS | $62,842 | $2,409 | $60,433 |
| RECRUITING & RETENTION | $4,591 | $4,591 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,074,963 | TotalAmt |
| Program Services | $8,394,694 | ProgramServicesAmt |
| Management And General | $3,680,269 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,639,608 | BOYAmt |
| EOY | $2,147,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,085 | BOYAmt |
| EOY | $1,531,825 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $524,501 | BOYAmt |
| EOY | $384,455 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,506 | BOYAmt |
| EOY | $830,237 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,012 | BOYAmt |
| EOY | $20,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,712,034 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $627,610 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $899,952 | BOYAmt |
| EOY | $1,084,424 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,613,572 | BOYAmt |
| EOY | $1,725,834 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,062 | BOYAmt |
| EOY | $94,547 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,796,298 | BOYAmt |
| EOY | $7,819,356 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,133 | BOYAmt |
| EOY | $929,123 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $80,789 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $729,133 | BOYAmt |
| EOY | $1,009,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,930,878 | BOYAmt |
| EOY | $6,654,497 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,287 | BOYAmt |
| EOY | $154,947 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,067,165 | BOYAmt |
| EOY | $6,809,444 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,796,298 | BOYAmt |
| EOY | $7,819,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$513,918 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $156,197 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $100,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,908,313 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,215,209 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,688,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,059,821 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,890,806 | CurrentTaxYearAmt |
| Total | $24,762,692 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,908,313 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,215,209 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,688,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,059,821 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,890,806 | CurrentTaxYearAmt |
| Total | $24,762,692 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $24,762,692 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $247,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $285,626 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $317,214 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $213,028 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $178,710 | CurrentTaxYearAmt |
| Total | $1,241,681 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| 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) |
|---|---|---|
| Total Support | $26,004,373 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $40,053,116 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95225 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94913 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $565,230 | OtherCostOrOtherBasisAmt |
| Book Value | $565,230 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,780 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,979 | DepreciationAmt |
| Book Value | $118,801 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $724,691 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,657 | DepreciationAmt |
| Book Value | $238,034 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $267,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,974 | DepreciationAmt |
| Book Value | $162,359 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,084,424 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| DUE TO RELATED PARTY | $16,706 |
| RIGHT OF USE LIABILITY | $64,083 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $80,789 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,773,052 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $156,197 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $236,287 | OtherRevenueAmt |
| Revenue Not Reported | $392,484 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,380,568 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $25,530 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $154,947 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $180,477 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,561,045 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,049,433 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,049,433 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $25,530 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $25,530 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,074,963 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | NET ASSETS RELEASED FROM RESTRICTION - 236287 |
| Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements | CONTRIBUTIONS WITH DONOR RESTRICTIONS - 154947 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL PLAINS HEALTH CARE PARTNERSHIP INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1102 SOUTH HILLSIDE ST | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 481200868 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $12,500 | CashGrantAmt |
| Purpose Of Grant | PROJECT ACCESS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MADE CONTRIBUTIONS TO DOMESTIC ORGANIZATIONS IN ACCORDANCE WITH BOARD-APPROVED GUIDELINES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERESA LOVELADY | ||||||||||||||
| PRESIDENT / CEO | $290,659 | $0 | $51,536 | $0 | $0 | $0 | $17,339 | $0 | $10,483 | $0 | $370,017 | $0 | $0 | $0 |
| PENNY JEFFERY | ||||||||||||||
| CHIEF CLINICAL OFFICER | $194,134 | $0 | $1,955 | $0 | $0 | $0 | $12,143 | $0 | $13,922 | $0 | $222,154 | $0 | $0 | $0 |
| CLAIRE THOMAS | ||||||||||||||
| PHYSICIAN | $184,477 | $0 | $11,955 | $0 | $0 | $0 | $11,895 | $0 | $10,446 | $0 | $218,773 | $0 | $0 | $0 |
| ANTHONY TURNER | ||||||||||||||
| DENTAL DIRECTOR / DENTIST | $170,556 | $0 | $5,965 | $0 | $0 | $0 | $10,867 | $0 | $10,428 | $0 | $197,816 | $0 | $0 | $0 |
| DAVID STOWELL | ||||||||||||||
| CHIEF OPERATIONS OFFICER | $162,254 | $0 | $2,057 | $0 | $0 | $0 | $10,039 | $0 | $1,360 | $0 | $175,710 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4b PROGRAM SERVICE DESCRIPTION CONTINUED | PRENATAL, DIABETIC, AND PEDIATRIC PATIENTS RECEIVE ROUTINE DENTAL SCREENINGS AND REFERRAL TO THE DENTAL CLINIC AS NEEDED DURING MEDICAL APPOINTMENTS. THIS PROCESS HAS SUPPORTED IMPROVING ACCESS TO DENTAL SERVICES FOR TARGETED HIGH RISK POPULATIONS. FLUORIDE TREATMENTS ARE PROVIDED ALONG WITH ORAL HEALTH EDUCATION, REFERRAL FOR SERVICES AND THE DISTRIBUTION OF TOOTHBRUSHES, TOOTHPASTE AND FLOSS TO PATIENTS DURING AN INTEGRATED MEDICAL/DENTAL/BEHAVIORAL HEALTH VISIT. PATIENTS ARE ASSESSED FOR DENTAL RISK LEVEL AND EDUCATED ACCORDING TO MEDICAL DIAGNOSIS. FOR INSTANCE, DIABETIC PATIENTS RECEIVE ORAL HEALTH INFORMATION SPECIFIC TO DIABETES AND THEIR DENTAL INFORMATION IS INCLUDED WITHIN THE PATIENT'S INTEGRATED PLAN THAT IS REVIEWED BY ALL PROVIDERS ON THE CARE TEAM. ALSO, THE DENTAL CLINIC PROVIDES OUTREACH ACTIVITIES AT LOCAL SCHOOLS AND OTHER COMMUNITY SITES. |
| Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTION CONTINUED | MENTAL HEALTH SERVICES INCLUDE: CLINICAL ASSESSMENTS; BRIEF INTERVENTIONS; PSYCHOSOCIAL SCREENINGS AND THERAPY; MEDICATION MANAGEMENT; PSYCHIATRIC EVALUATIONS; INDIVIDUAL, FAMILY, AND GROUP COUNSELING; AND REFERRAL AND COORDINATION OF SPECIALTY SERVICES WITH OTHER AGENCIES. SUBSTANCE ABUSE SERVICES INCLUDE: INITIAL CONSULTATIONS AND SCREENINGS; DRUG AND ALCOHOL EVALUATIONS; OUTPATIENT GROUP & INDIVIDUAL SESSIONS; AFTER TREATMENT CARE; CASE MANAGEMENT; ALCOHOL AND DRUG EDUCATION PROGRAM (ADEP); MEDICATION ASSISTED TREATMENT (MAT); RECOVERY/SUPPORT GROUPS (AA, NAMI, ETC.); AND OTHER EVIDENCE-BASED INTERVENTION GROUPS SUCH AS ANGER MANAGEMENT AND STRENGTHENING FAMILIES PROGRAM (SFP). |
| Form 990, Part VI, Line 4 Significant changes to organizational documents | COMPOSITION OF OFFICER POSITIONS THE ROLE OF SECRETARY HAS BEEN REMOVED FROM THE LIST OF REQUIRED OFFICER POSITIONS. THE CURRENT OFFICER STRUCTURE SHALL CONSIST OF A CHAIRPERSON, VICE CHAIRPERSON, AND TREASURER. TERM THERE IS NO LONGER A LIMIT ON THE NUMBER OF CONSECUTIVE TERMS AN INDIVIDUAL MAY SERVE, PROVIDED THEY ARE REELECTED IN ACCORDANCE WITH THE BYLAWS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS REVIEWED BY MANAGEMENT. ONCE THEY HAVE APPROVED THE DRAFT, A FINAL DRAFT IS PRESENTED TO ALL MEMBERS OF THE BOARD UPON COMPLETION. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. POTENTIAL CONFLICTS ARE BROUGHT TO THE FULL BOARD FOR A DETERMINATION OF WHETHER A CONFLICT EXISTS. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | THE CEO'S SALARY IS APPROVED BY THE BOARD OF DIRECTORS. COMPARABLE KANSAS NOT-FOR PROFIT CEO SALARY RANGES ARE USED AS A GUIDE. ANNUAL PERFORMANCE REVIEWS, RELATED TO THE CEO, ARE PERFORMED BY THE CHAIRMAN OF THE BOARD. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | OTHER OFFICERS OR KEY EMPLOYEE SALARIES ARE SET BY REFERRING TO THE COMMUNITY CARE OF KANSAS NETWORK'S ANNUAL STUDY OF KEY POSITION SALARIES COMMONLY FILLED BY A FQHC IN THE STATE OF KANSAS AND NATIONALLY. LOW, AVERAGE AND HIGH RANGES ARE REPORTED. HCC STRIVES TO HIRE AT OR NEAR THE KANSAS AVERAGE RANGE. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCORE QALICB INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2707 E 21ST ST N | AddressLine1Txt |
| City | WICHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 812554036 | EIN |
| Primary Activities | HEALTH CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHCORE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |