LAKELAND IMMEDIATE CARE CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND IMMEDIATE CARE CENTER (EIN 38-3082107)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201613199349301046
- Schema version
- 2015v2.1
- 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 | 2016-11-14T08:16:10-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 Renaissance Dr Ste 120 | AddressLine1Txt |
| City | St Joseph | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49085 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383082107 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKELAND IMMEDIATE CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 2694453874 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | mary middleton | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 2696840259 | PhoneNum |
| Signature | 2016-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KENLEY G PENNER CPA | PreparerPersonNm |
| PTIN | P00740260 | PTIN |
| Phone | 2699828000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | cassopolis family clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mary Middleton | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,015,304 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://CASSFAMILYCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE NECESSARY, COMPASSIONATE HEALTHCARE TO PEOPLE IN OUR COMMUNITIES | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 98 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,912,803 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,170,461 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,146,795 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,981,959 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$7,770 | PYInvestmentIncomeAmt |
| CY Investment Income | -$155,046 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,947 | PYOtherRevenueAmt |
| CY Other Revenue | $464,538 | CYOtherRevenueAmt |
| PY Total Revenue | $11,061,775 | PYTotalRevenueAmt |
| CY Total Revenue | $9,461,912 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,946,223 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,257,110 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $13,766 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $1,458 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $140,244 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,330,798 | PYOtherExpensesAmt |
| CY Other Expenses | $3,063,679 | CYOtherExpensesAmt |
| PY Total Expenses | $6,290,787 | PYTotalExpensesAmt |
| CY Total Expenses | $8,322,247 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,770,988 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,139,665 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,505,352 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,231,192 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,711,700 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,335,778 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,793,652 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,895,414 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission is to provide necessary, compassionate healthcare to people in our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,635,540 | ExpenseAmt |
| Revenue | $7,428,147 | RevenueAmt |
| Desc | CASSOPOLIS FAMILY CLINIC PROVIDES PRIMARY MEDICAL SERVICES TO LOW INCOME PATIENTS FROM CASS AND SOUTHEAST BERRIEN COUNTIES. WE PROVIDE PREVENTIVE AND PRIMARY CARE, INCLUDING OBSTETRICS. | Desc |
| Total Program Service Expenses | $6,635,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 98 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEREDITH NEARY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2692624267 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Robert Feldman | ||||||||
| PRESIDENT | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| George Brossman | ||||||||
| VICE PRESIDENT | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARSHA ELLIS | ||||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Karen Current | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leon Gilliam | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Adrienne Glover | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Tracy Hertsel | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MCCAUSLIN | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DOLORES MCNEARY | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DWAINE WARREN | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RAY CRUSE | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Laurie Fleming | ||||||||
| BOARD MEMBER - PART YEAR | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY MIDDLETON | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $144,689 | $0 | $8,142 | ||
| MEREDITH NEARY | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $83,387 | $0 | $6,485 | ||
| DR NEIL SEE | ||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $234,865 | $0 | $15,776 | Yes (X) | ||
| DR ANN TRAYNOR | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $160,790 | $0 | $16,626 | Yes (X) | ||
| DR M TROY SAILERS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $160,240 | $0 | $16,623 | Yes (X) | ||
| DR ELIZABETH WETZEL | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $172,770 | $0 | $8,766 | Yes (X) | ||
| DR TIA JEFFERS | ||||||||
| DENTAL DIRECTOR | 40.00 | 0.00 | $147,530 | $0 | $8,249 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,104,271 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $80,667 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LAKELAND MEDICAL PRACTICES | |||||
| 1234 NAPIER AVE | ST JOSEPH | MI | 49085 | MEDICAL PROVIDER SERVICES | $644,547 |
| MCKESSON CORPORATION | |||||
| 30881 SCHOOLCRAFT | LIVONIA | MI | 48150 | MEDICAL SUPPLIES | $497,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $10,851 | FundraisingAmt |
| Government Grants | $1,810,002 | GovernmentGrantsAmt |
| All Other Contributions | $349,608 | AllOtherContributionsAmt |
| Noncash Contributions | $95,901 | NoncashContributionsAmt |
| Total Contributions | $2,170,461 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE (75% medi | 621110 | $6,150,385 | $6,150,385 |
| 340B Rebate | 900099 | $611,561 | $611,561 |
| HEDIS PROGRAM | 621110 | $185,013 | $185,013 |
| CASS COUNTY MCF | 621300 | $35,000 | $35,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,981,959 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,554 | TotalRevenueColumnAmt |
| Exclusion | $35,554 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,585 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,585 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,585 | TotalRevenueColumnAmt |
| Exclusion | $6,585 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $190,600 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$190,600 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$190,600 | TotalRevenueColumnAmt |
| Exclusion | -$190,600 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $10,851 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $808,980 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $362,792 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $446,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $446,188 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,765 | TotalRevenueColumnAmt |
| Exclusion | $11,765 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,765 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,461,912 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,428,147 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$136,696 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,703 | TotalAmt |
| Program Services | $195,568 | ProgramServicesAmt |
| Management And General | $43,216 | ManagementAndGeneralAmt |
| Fundraising | $3,919 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,125,051 | TotalAmt |
| Program Services | $3,323,932 | ProgramServicesAmt |
| Management And General | $734,509 | ManagementAndGeneralAmt |
| Fundraising | $66,610 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,232 | TotalAmt |
| Program Services | $65,456 | ProgramServicesAmt |
| Management And General | $14,464 | ManagementAndGeneralAmt |
| Fundraising | $1,312 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,390 | TotalAmt |
| Program Services | $406,433 | ProgramServicesAmt |
| Management And General | $89,812 | ManagementAndGeneralAmt |
| Fundraising | $8,145 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,734 | TotalAmt |
| Program Services | $244,746 | ProgramServicesAmt |
| Management And General | $54,083 | ManagementAndGeneralAmt |
| Fundraising | $4,905 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,237 | TotalAmt |
| Management And General | $20,237 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,445 | TotalAmt |
| Management And General | $41,445 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,458 | TotalAmt |
| Fundraising | $1,458 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,361 | TotalAmt |
| Program Services | $644,043 | ProgramServicesAmt |
| Management And General | $142,318 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,645 | TotalAmt |
| Management And General | $73,645 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,566 | TotalAmt |
| Program Services | $192,985 | ProgramServicesAmt |
| Management And General | $22,581 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,405 | TotalAmt |
| Program Services | $166,592 | ProgramServicesAmt |
| Management And General | $36,813 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,513 | TotalAmt |
| Program Services | $184,699 | ProgramServicesAmt |
| Management And General | $40,814 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,079 | TotalAmt |
| Program Services | $27,092 | ProgramServicesAmt |
| Management And General | $5,987 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,082 | TotalAmt |
| Management And General | $7,082 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,859 | TotalAmt |
| Management And General | $37,859 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,085 | TotalAmt |
| Program Services | $348,971 | ProgramServicesAmt |
| Management And General | $77,114 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,617 | TotalAmt |
| Program Services | $29,990 | ProgramServicesAmt |
| Management And General | $6,627 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| MISCELLANEOUS | $414,244 | $360,349 | $53,895 | |
| DUES & SUBSCRIPTIONS | $225,329 | $184,548 | $40,781 | |
| MEDICAL SUPPLIES | $190,435 | $190,435 | ||
| RECRUITING EXPENSES | $58,018 | $58,018 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,759 | TotalAmt |
| Program Services | $11,683 | ProgramServicesAmt |
| Management And General | $57,076 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,322,247 | TotalAmt |
| Program Services | $6,635,540 | ProgramServicesAmt |
| Management And General | $1,546,463 | ManagementAndGeneralAmt |
| Fundraising | $140,244 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,542 | BOYAmt |
| EOY | $1,252,972 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,181,586 | BOYAmt |
| EOY | $1,188,543 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,695 | BOYAmt |
| EOY | $79,835 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,197 | BOYAmt |
| EOY | $846,046 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $116,180 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,464 | BOYAmt |
| EOY | $139,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,134,841 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $869,853 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,775,851 | BOYAmt |
| EOY | $7,264,988 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,238,017 | BOYAmt |
| EOY | $1,343,591 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,505,352 | BOYAmt |
| EOY | $12,231,192 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,764 | BOYAmt |
| EOY | $504,668 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599 | BOYAmt |
| EOY | $599 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,337 | BOYAmt |
| EOY | $830,511 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,711,700 | BOYAmt |
| EOY | $1,335,778 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,466,459 | BOYAmt |
| EOY | $10,805,697 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,193 | BOYAmt |
| EOY | $89,717 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,793,652 | BOYAmt |
| EOY | $10,895,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,505,352 | BOYAmt |
| EOY | $12,231,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,139,665 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$37,903 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $879,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,054,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,418,566 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,912,803 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,170,461 | CurrentTaxYearAmt |
| Total | $12,436,234 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,929,163 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,713,017 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,697,688 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,146,795 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,790,939 | CurrentTaxYearAmt |
| Total | $25,277,602 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $28,613 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,765 | CurrentTaxYearAmt |
| Total | $56,620 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,808,905 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,767,679 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,144,867 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,075,840 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,973,165 | CurrentTaxYearAmt |
| Total | $37,770,456 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $735,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $947,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,763,929 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,450,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,810,002 | CurrentTaxYearAmt |
| Total | $10,707,676 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $116,089 | CurrentTaxYearAmt |
| Total | $116,089 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $735,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $947,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,763,929 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,450,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,926,091 | CurrentTaxYearAmt |
| Total | $10,823,765 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $26,946,691 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,162 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,883 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,139 | CurrentTaxYearAmt |
| Total | $64,732 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,162 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,883 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,139 | CurrentTaxYearAmt |
| Total | $64,732 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,808,992 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,769,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,147,328 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,093,723 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,015,304 | CurrentTaxYearAmt |
| Total | $37,835,188 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.71220 | PublicSupportCY509Pct |
| Public Support PY509 | 0.68780 | PublicSupportPY509Pct |
| Investment Income CY | 0.00170 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $44,500 | OtherCostOrOtherBasisAmt |
| Book Value | $44,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,733,033 | OtherCostOrOtherBasisAmt |
| Depreciation | $221,072 | DepreciationAmt |
| Book Value | $5,511,961 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $305,540 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,302 | DepreciationAmt |
| Book Value | $266,238 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,050,268 | OtherCostOrOtherBasisAmt |
| Depreciation | $609,479 | DepreciationAmt |
| Book Value | $1,440,789 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,500 | OtherCostOrOtherBasisAmt |
| Book Value | $1,500 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,264,988 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| COST REPORT SETTLEMENT RECEIVABLE | $327,404 |
| RESTRICTED CASH | $1,016,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,343,591 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $9,786,801 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$37,903 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $362,792 | OtherRevenueAmt |
| Revenue Not Reported | $324,889 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,461,912 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,461,912 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,685,039 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $362,792 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $362,792 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,322,247 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,322,247 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | PHARMACY COST OF GOODS SOLD 362,792. |
| Part XII, Line 2d - Other Adjustments: | PHARMACY COST OF GOODS SOLD 362,792. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY MIDDLETON | ||||||||||||||
| EXECUTIVE DIRECTOR | $133,689 | $0 | $11,000 | $0 | $0 | $0 | $2,949 | $0 | $5,193 | $0 | $152,831 | $0 | $0 | $0 |
| DR NEIL SEE | ||||||||||||||
| MEDICAL DIRECTOR | $175,597 | $0 | $59,268 | $0 | $0 | $0 | $4,778 | $0 | $10,998 | $0 | $250,641 | $0 | $0 | $0 |
| DR ANN TRAYNOR | ||||||||||||||
| PHYSICIAN | $158,927 | $0 | $1,863 | $0 | $0 | $0 | $3,337 | $0 | $13,289 | $0 | $177,416 | $0 | $0 | $0 |
| DR M TROY SAILERS | ||||||||||||||
| PHYSICIAN | $156,630 | $0 | $3,610 | $0 | $0 | $0 | $3,334 | $0 | $13,289 | $0 | $176,863 | $0 | $0 | $0 |
| DR ELIZABETH WETZEL | ||||||||||||||
| PHYSICIAN | $166,645 | $0 | $6,125 | $0 | $0 | $0 | $3,486 | $0 | $5,280 | $0 | $181,536 | $0 | $0 | $0 |
| DR TIA JEFFERS | ||||||||||||||
| DENTAL DIRECTOR | $132,330 | $0 | $15,200 | $0 | $0 | $0 | $3,004 | $0 | $5,245 | $0 | $155,779 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $95,901 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | FORM 990 MUST BE APPROVED BY THE BOARD PRIOR TO FILING. |
| Form 990, Part VI, Section B, line 12c | CASSOPOLIS CLINIC PROVIDES THE FORMS FROM THE PREVIOUS YEAR AT THE BOARD OF DIRECTORS MEETING. THEY INQUIRE IF THERE ARE UPDATES AND DISCUSS ANY CHANGES OR ISSUES OF CONCERN. BOARD MEMBERS SIGN/RE-SIGN THE CONFLICT OF INTEREST FORMS AT THE JANUARY BOARD MEETING. THEY MUST ABSTAIN FROM A VOTE IF THERE IS A CONFLICT OF INTEREST. THIS WAS LAST DONE DURING THE 2015 TAX YEAR. |
| Form 990, Part VI, Section B, line 15 | CASSOPOLIS CLINIC USES SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION AND GUIDESTAR FOR NON-PROFIT CEO AND OTHER OFFICERS/KEY EMPLOYEES SALARY COMPARISONS. DOCTORS AND THE EXECUTIVE DIRECTOR HAVE YEARLY CONTRACTS AND ALL PAYROLL INCREASES AND SALARY REVIEWS ARE APPROVED BY THE BOARD OF DIRECTORS. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2015. |
| Form 990, Part VI, Section C, line 19 | DOCUMENTS OPEN TO PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST. |
| Form 990, Part XII, Line 2c: | THERE HAS BEEN NO CHANGE FROM PRIOR YEAR. |