Skip to content
Nonprofiteer
← COPPERTOWER FAMILY MEDICAL CENTER INC

Form 990 for tax year 2022

Filed by COPPERTOWER FAMILY MEDICAL CENTER INC.

Totals

Total revenue
$6,819,923
Total expenses
$7,416,101
Contributions and grants received
$3,280,061
Grants paid
$0
Program service revenue
$3,538,510
Investment income
$1,352
Other revenue
$0
Total assets, end of year
$5,549,178
Total liabilities, end of year
$1,235,655
Net assets or fund balances, end of year
$4,313,523
Program services expenses (Part IX)
$4,881,703
Management and general expenses
$2,315,671
Fundraising expenses
$218,727
Program service expenses (Part III)
$4,881,703

Program services were 65.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,918,337

  • 1f · All other contributions, gifts and grants

    $1,361,724

  • 1g · Noncash contributions included above

    $139,902

  • 2a · Program service revenue: MEDICAL FEES

    total $3,418,112 · related or exempt $3,418,112

  • 2b · Program service revenue: OTHER REVENUE

    total $120,398 · related or exempt $120,398

  • 3 · Investment income

    total $1,352 · excluded $1,352

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,142,980 · program services $521,761 · management and general $621,219

  • 7 · Other salaries and wages

    total $3,785,109 · program services $2,523,099 · management and general $1,103,259 · fundraising $158,751

  • 8 · Pension plan contributions

    total $48,769 · program services $35,432 · management and general $10,525 · fundraising $2,812

  • 9 · Other employee benefits

    total $449,538 · program services $288,209 · management and general $144,814 · fundraising $16,515

  • 10 · Payroll taxes

    total $331,095 · program services $205,531 · management and general $114,698 · fundraising $10,866

  • 11b · Fees: legal

    total $6,121 · program services $3,800 · management and general $2,120 · fundraising $201

  • 11c · Fees: accounting

    total $46,425 · program services $28,817 · management and general $16,082 · fundraising $1,526

  • 11g · Fees: other

    total $219,042 · program services $215,279 · management and general $3,658 · fundraising $105

  • 12 · Advertising and promotion

    total $19,246 · management and general $16,443 · fundraising $2,803

  • 14 · Information technology

    total $99,504 · program services $79,279 · management and general $17,605 · fundraising $2,620

  • 16 · Occupancy

    total $212,566 · program services $140,176 · management and general $70,597 · fundraising $1,793

  • 17 · Travel

    total $16,472 · program services $9,500 · management and general $4,625 · fundraising $2,347

  • 19 · Conferences, conventions and meetings

    total $13,759 · program services $8,545 · management and general $3,872 · fundraising $1,342

  • 20 · Interest

    total $21,259 · program services $14,019 · management and general $7,060 · fundraising $180

  • 22 · Depreciation, depletion and amortization

    total $102,339 · program services $83,491 · management and general $18,537 · fundraising $311

  • 23 · Insurance

    total $28,636 · program services $19,955 · management and general $8,100 · fundraising $581

  • 24a · Other expenses: SUPPLIES

    total $391,004 · program services $374,293 · management and general $14,539 · fundraising $2,172

  • 24b · Other expenses: INTERNET & IT SUPPLIES

    total $158,220 · program services $98,397 · management and general $54,639 · fundraising $5,184

  • 24c · Other expenses: COMMUNICATIONS

    total $54,291 · program services $33,794 · management and general $18,721 · fundraising $1,776

  • 24d · Other expenses: EQUIPMENT EXPENSES

    total $52,619 · program services $48,345 · management and general $4,274

  • 24e · All other expenses

    total $217,107 · program services $149,981 · management and general $60,284 · fundraising $6,842

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,382,588 · end of year $563,094

  • 2 · Savings and temporary cash investments

    beginning of year $905,919 · end of year $64,172

  • 3 · Pledges and grants receivable

    beginning of year $357,821 · end of year $337,952

  • 4 · Accounts receivable

    beginning of year $448,885 · end of year $691,942

  • 8 · Inventories for sale or use

    beginning of year $83,406 · end of year $90,329

  • 9 · Prepaid expenses and deferred charges

    beginning of year $98,188 · end of year $55,746

  • 10a · Land, buildings and equipment: cost or other basis

    $3,931,227

  • 10b · Land, buildings and equipment: accumulated depreciation

    $624,801

  • 10c · Land, buildings and equipment, net

    beginning of year $901,890 · end of year $3,306,426

  • 14 · Intangible assets

    beginning of year $170,000 · end of year $170,000

  • 15 · Other assets

    beginning of year $7,419 · end of year $269,517

  • 17 · Accounts payable and accrued expenses

    beginning of year $446,415 · end of year $953,488

  • 25 · Other liabilities

    beginning of year $0 · end of year $282,167

  • 27 · Net assets without donor restrictions

    beginning of year $4,709,701 · end of year $3,674,002

  • 28 · Net assets with donor restrictions

    beginning of year $200,000 · end of year $639,521

Mission and programs · 2022

Mission

TO PROVIDE PATIENT-CENTERED HEALTH CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS FOR ALL.

Activities or mission (Part I)

TO PROVIDE COMPREHENSIVE PRIMARY CARE, ADDRESSING THE WHOLE PERSON NEEDS, INCLUDING BEHAVIORAL AND ORAL HEALTH CARE.

  • THE HEALTH CENTER PROVIDED 17,000 PRIMARY CARE, BEHAVIORAL HEALTH, AND GENERAL DENTISTRY ENCOUNTERS TO 4,100 PATIENTS DURING THE YEAR.

    Expenses $4,881,703 · Revenue $3,538,510

As filed on the 2022 return.

Listed in Part VII

  • Jeanne Cox

    FORMER VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • Robert Freelen

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • James Novak

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • James Berry

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • Orbelina Landaverde

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Maria Gonzalez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Tony Bugica

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Jeffrey Meier

    VICE CHAIRMAN

    Total calculated
    $0
    Hours/week
    2
  • Deborah Grizzard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Charles Levine

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Mark Thayer

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Kim Petersen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Joseph Wiedman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Chris Swartz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2
  • Debbie Howell

    CEO

    Total calculated
    $235,002
    From this org
    $213,308
    From related orgs
    $0
    Other
    $21,694
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,308
    Bonus
    $0
    Other
    $0
    Deferred
    $10,030
    Nontaxable benefits
    $11,664
    Filer's total
    $235,002
  • Jenine Saunders

    CFO

    Total calculated
    $202,396
    From this org
    $183,681
    From related orgs
    $0
    Other
    $18,715
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $183,681
    Bonus
    $0
    Other
    $0
    Deferred
    $8,548
    Nontaxable benefits
    $10,167
    Filer's total
    $202,396
  • Samantha Guthman

    COO

    Total calculated
    $164,038
    From this org
    $157,516
    From related orgs
    $0
    Other
    $6,522
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,516
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $6,522
    Filer's total
    $164,038
  • Cary Wheeler

    CMO

    Total calculated
    $268,988
    From this org
    $250,824
    From related orgs
    $0
    Other
    $18,164
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $250,824
    Bonus
    $0
    Other
    $0
    Deferred
    $6,500
    Nontaxable benefits
    $11,664
    Filer's total
    $268,988
  • Kevin Garvin

    DENTAL DIRECTOR

    Total calculated
    $241,828
    From this org
    $222,436
    From related orgs
    $0
    Other
    $19,392
    Hours/week
    36

    Schedule J breakdown matched by us

    Base
    $222,436
    Bonus
    $0
    Other
    $0
    Deferred
    $7,728
    Nontaxable benefits
    $11,664
    Filer's total
    $241,828
  • Elizabeth Pile

    NURSE PRACTITIONER

    Total calculated
    $161,500
    From this org
    $142,108
    From related orgs
    $0
    Other
    $19,392
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $142,108
    Bonus
    $0
    Other
    $0
    Deferred
    $7,728
    Nontaxable benefits
    $11,664
    Filer's total
    $161,500
  • James Murphy

    STAFF PHYSICIAN

    Total calculated
    $147,854
    From this org
    $147,854
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Anne Hilow

    PROJECT DIRECTOR

    Total calculated
    $142,850
    From this org
    $125,056
    From related orgs
    $0
    Other
    $17,794
    Hours/week
    32
  • Amy Brom

    BH DIRECTOR

    Total calculated
    $140,820
    From this org
    $129,271
    From related orgs
    $0
    Other
    $11,549
    Hours/week
    40
  • Martha Schwartz

    STAFF DENTIST

    Total calculated
    $179,895
    From this org
    $170,803
    From related orgs
    $0
    Other
    $9,092
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $170,803
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,092
    Filer's total
    $179,895

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
13 May 2024
IRS schema version
2022v5.0
Source object
202401369349306350

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.