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Nonprofiteer
← CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED

Form 990 for tax year 2022

Filed by CAPITOL CITY FAMILY HEALTH CENTER INCORPORATED.

Totals

Total revenue
$29,860,346
Total expenses
$27,255,956
Contributions and grants received
$7,350,048
Grants paid
$0
Program service revenue
$22,001,473
Investment income
$65,986
Other revenue
$442,839
Total assets, end of year
$27,212,369
Total liabilities, end of year
$6,544,591
Net assets or fund balances, end of year
$20,667,778
Program services expenses (Part IX)
$16,893,413
Management and general expenses
$10,362,543
Fundraising expenses
$0
Program service expenses (Part III)
$16,893,413

Program services were 62.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Edmond Jordan

    President

    Total calculated
    $0
    Hours/week
    2

  • Elaine Patin

    Vice President

    Total calculated
    $0
    Hours/week
    2

  • Debra Butler

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Ruth Franklin

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Shirley Lolis

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Kenneth Wright

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Fr Richard Andrus

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Edwin Walker Jr

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Kerry Auzenne

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Dalton W Honore II

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Michael Hymbaugh

    Medical Doctor

    Total calculated
    $211,807
    From this org
    $186,766
    From related orgs
    $0
    Other
    $25,041
    Hours/week
    25

    Schedule J breakdown matched by us

    Base
    $186,766
    Bonus
    $0
    Other
    $0
    Deferred
    $14,267
    Nontaxable benefits
    $19,632
    Filer's total
    $220,665

  • Keita Maimouna

    Chief Financial Officer

    Total calculated
    $175,465
    From this org
    $139,904
    From related orgs
    $0
    Other
    $35,561
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,904
    Bonus
    $0
    Other
    $0
    Deferred
    $3,088
    Nontaxable benefits
    $35,561
    Filer's total
    $178,553

  • Matthew Valliere

    Chief Executive Officer

    Total calculated
    $227,439
    From this org
    $192,748
    From related orgs
    $0
    Other
    $34,691
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,398
    Bonus
    $0
    Other
    $0
    Deferred
    $6,737
    Nontaxable benefits
    $27,658
    Filer's total
    $243,793

  • Pamela Daniel

    Dental Director

    Total calculated
    $199,692
    From this org
    $158,459
    From related orgs
    $0
    Other
    $41,233
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $158,459
    Bonus
    $0
    Other
    $0
    Deferred
    $5,134
    Nontaxable benefits
    $36,098
    Filer's total
    $199,691

  • Shanna Warner

    DD

    Total calculated
    $151,763
    From this org
    $133,284
    From related orgs
    $0
    Other
    $18,479
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $139,222
    Bonus
    $0
    Other
    $0
    Deferred
    $4,491
    Nontaxable benefits
    $33,815
    Filer's total
    $177,528

  • Kabrina Smith

    COO

    Total calculated
    $154,885
    From this org
    $135,442
    From related orgs
    $0
    Other
    $19,443
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,950
    Bonus
    $0
    Other
    $0
    Deferred
    $5,029
    Nontaxable benefits
    $20,978
    Filer's total
    $181,957

  • D'Orsay Bryant

    Medical Doctor

    Total calculated
    $217,908
    From this org
    $203,642
    From related orgs
    $0
    Other
    $14,266
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,642
    Bonus
    $0
    Other
    $0
    Deferred
    $14,266
    Nontaxable benefits
    $18,479
    Filer's total
    $236,387

  • Gregory Garner

    CMO

    Total calculated
    $228,032
    From this org
    $191,305
    From related orgs
    $0
    Other
    $36,727
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,305
    Bonus
    $0
    Other
    $0
    Deferred
    $6,356
    Nontaxable benefits
    $36,727
    Filer's total
    $234,388

  • Natalie Cooley

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Lynn Simon

    Physician Psychiatrist

    Total calculated
    $159,126
    From this org
    $147,640
    From related orgs
    $0
    Other
    $11,486
    Hours/week
    17

    Schedule J breakdown matched by us

    Base
    $217,096
    Bonus
    $0
    Other
    $0
    Deferred
    $2,219
    Nontaxable benefits
    $12,207
    Filer's total
    $231,522

  • Zelda Pittman

    Dentist

    Total calculated
    $153,234
    From this org
    $133,457
    From related orgs
    $0
    Other
    $19,777
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $185,576
    Bonus
    $0
    Other
    $0
    Deferred
    $6,166
    Nontaxable benefits
    $34,734
    Filer's total
    $226,476

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

None.

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
27 October 2023
IRS schema version
2022v5.0
Source object
202333069349300433

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