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Nonprofiteer
← ANN SILVERMAN COMMUNITY HEALTH CLINIC

Form 990 for tax year 2022

Filed by ANN SILVERMAN COMMUNITY HEALTH CLINIC.

Totals

Total revenue
$1,023,162
Total expenses
$1,134,706
Contributions and grants received
$1,118,137
Grants paid
$0
Program service revenue
$0
Investment income
-$107,895
Other revenue
$12,920
Total assets, end of year
$4,884,152
Total liabilities, end of year
$420,361
Net assets or fund balances, end of year
$4,463,791
Program services expenses (Part IX)
$838,859
Management and general expenses
$169,804
Fundraising expenses
$126,043
Program service expenses (Part III)
$838,859

Program services were 73.9% 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.

  • 1c · Fundraising events

    $161,068

  • 1f · All other contributions, gifts and grants

    $957,069

  • 1g · Noncash contributions included above

    $71,828

  • 3 · Investment income

    total $86,110 · excluded $86,110

  • 7a · Gross sales of assets other than inventory

    securities $977,567

  • 7b · Less cost or other basis and sales expenses

    securities $1,171,572

  • 7c · Gain or loss

    securities -$194,005

  • 7d · Net gain or loss

    total -$194,005 · excluded -$194,005

  • 8a · Fundraising events: gross income

    $65,400

  • 8a · Fundraising events: contributions included on line 1c

    $161,068

  • 8b · Fundraising events: direct expenses

    $55,108

  • 8c · Net income from fundraising events

    total $10,292 · excluded $10,292

  • 9a · Gaming: gross income

    $6,230

  • 9b · Gaming: direct expenses

    $3,602

  • 9c · Net income from gaming

    total $2,628 · excluded $2,628

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $156,213 · program services $113,727 · management and general $21,243 · fundraising $21,243

  • 7 · Other salaries and wages

    total $661,120 · program services $506,575 · management and general $95,301 · fundraising $59,244

  • 11c · Fees: accounting

    total $10,864 · management and general $10,864

  • 11f · Fees: investment management

    total $18,032 · management and general $18,032

  • 11g · Fees: other

    total $12,269 · fundraising $12,269

  • 12 · Advertising and promotion

    total $7,326 · fundraising $7,326

  • 13 · Office expenses

    total $23,859 · program services $7,731 · management and general $1,780 · fundraising $14,348

  • 16 · Occupancy

    total $1 · program services $1

  • 20 · Interest

    total $14,283 · program services $10,839 · management and general $2,037 · fundraising $1,407

  • 22 · Depreciation, depletion and amortization

    total $90,629 · program services $68,782 · management and general $12,922 · fundraising $8,925

  • 23 · Insurance

    total $2,011 · program services $2,011

  • 24a · Other expenses: PHARMACEUTICALS

    total $55,564 · program services $55,564

  • 24b · Other expenses: CONTRACT LABOR

    total $34,509 · program services $34,509

  • 24c · Other expenses: PATIENT NEEDS

    total $20,772 · program services $20,772

  • 24d · Other expenses: DENTAL SUPPLIES

    total $9,839 · program services $9,839

  • 24e · All other expenses

    total $17,415 · program services $8,509 · management and general $7,625 · fundraising $1,281

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $209 · end of year $134

  • 2 · Savings and temporary cash investments

    beginning of year $637,432 · end of year $272,428

  • 3 · Pledges and grants receivable

    beginning of year $19,375 · end of year $40,198

  • 8 · Inventories for sale or use

    beginning of year $15,738 · end of year $17,135

  • 9 · Prepaid expenses and deferred charges

    beginning of year $12,200 · end of year $3,050

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

    $1,334,006

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

    $571,157

  • 10c · Land, buildings and equipment, net

    beginning of year $518,303 · end of year $762,849

  • 11 · Investments: publicly traded securities

    beginning of year $3,373,656 · end of year $3,788,358

  • 17 · Accounts payable and accrued expenses

    beginning of year $146,571 · end of year $88,804

  • 19 · Deferred revenue

    end of year $5,000

  • 24 · Unsecured notes and loans payable

    beginning of year $350,087 · end of year $326,557

  • 27 · Net assets without donor restrictions

    beginning of year $3,350,966 · end of year $3,701,572

  • 28 · Net assets with donor restrictions

    beginning of year $729,289 · end of year $762,219

Mission and programs · 2022

Mission

FREE HEALTHCARE FOR LOW-INCOME UNINSURED

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $496,261

  • IN THE FISCAL YEAR 2022-2023, THE ANN SILVERMAN COMMUNITY HEALTH CLINIC (ASCHC) DENTAL PROGRAM CONTINUED ITS CRITICAL MISSION OF ADDRESSING THE PRESSING NEED FOR DENTAL SERVICES AMONG THE UNDERSERVED POPULATION IN OUR COMMUNITY. RECOGNIZING THE PROFOUND IMPACT OF ORAL HEALTH ON OVERALL WELL-BEING, ASCHC'S DENTAL PROGRAM HAS LONG BEEN A BEACON OF HOPE FOR THOSE FACING FINANCIAL BARRIERS TO CARE. WITH 408 VISITS PROVIDED BY 10 DEDICATED VOLUNTEERS, INCLUDING DENTISTS, DENTAL ASSISTANTS, AND HYGIENISTS, ONSITE DENTAL SERVICES VALUED AT $21,000 WERE PROVIDED, ALONGSIDE OFFSITE SERVICES VALUED AT $74,000, ENSURING COMPREHENSIVE DENTAL CARE FOR THOSE IN NEED. TOTAL VALUE OF ALL SERVICES IS $95,000. ASCHC'S HYBRID MODEL, COMBINING PREVENTIVE SERVICES ONSITE WITH FREE RESTORATIVE CARE SECURED THROUGH A NETWORK OF VOLUNTEER DENTISTS, HAS BEEN INSTRUMENTAL IN ADDRESSING THE COMMUNITY'S ORAL HEALTH NEEDS. DESPITE THE CHALLENGES POSED BY THE PANDEMIC, WHICH IMPACTED THE CAPACITY OF COMMUNITY DENTAL PARTNERS, ASCHC REMAINED STEADFAST IN ITS COMMITMENT TO SERVING PATIENTS. SINCE ITS INCEPTION IN 2002, THE DENTAL PROGRAM HAS DELIVERED 21,260 TREATMENT VISITS TO 6,987 ADULTS AND CHILDREN, WITH 716 UNDUPLICATED PATIENTS RECEIVING CARE IN THE PAST FISCAL YEAR ALONE. NOTABLY, 1,177 DENTAL HYGIENE SERVICES WERE PROVIDED ONSITE BY PAID STAFF AND VOLUNTEERS, WITH 160 RESTORATIONS COMPLETED ONSITE, FURTHER HIGHLIGHTING ASCHC'S DEDICATION TO RESTORING SMILES AND IMPROVING QUALITY OF LIFE. THROUGH 1,558 TOTAL TREATMENT VISITS, INCLUDING BOTH ONSITE AND COMMUNITY DENTAL VISITS, ASCHC CONTINUES TO MAKE A TANGIBLE DIFFERENCE IN THE LIVES OF INDIVIDUALS AND FAMILIES, ENSURING ACCESS TO ESSENTIAL DENTAL CARE FOR ALL MEMBERS OF OUR COMMUNITY. IT IS WORTH NOTING THAT DUE TO THE SPORADIC DENTAL CARE RECEIVED BY MANY OF OUR PATIENTS, WE HAVE IMPLEMENTED A QUARTERLY SCHEDULING SYSTEM TO ENSURE REGULAR FOLLOW-UPS AND MAINTENANCE OF THEIR ORAL HEALTH.

    Expenses $216,338

  • IN THE FISCAL YEAR 2022-2023, THE BEHAVIORAL HEALTH (BH) PROGRAM AT THE ANN SILVERMAN COMMUNITY HEALTH CLINIC (ASCHC) REMAINED DEDICATED TO PROVIDING COMPREHENSIVE AND COMPASSIONATE CARE TO OUR COMMUNITY MEMBERS. WITH 3 COMMITTED VOLUNTEERS, INCLUDING PSYCHOLOGISTS, BH SERVICES VALUED AT $12,783.02 WERE DELIVERED, REFLECTING OUR UNWAVERING COMMITMENT TO ADDRESSING THE MENTAL HEALTH NEEDS OF THOSE WE SERVE. AT ASCHC, WE RECOGNIZE THAT HEALTH ENCOMPASSES BOTH PHYSICAL AND MENTAL WELL-BEING, AND AS SUCH, OUR APPROACH TO HEALTHCARE IS HOLISTIC AND INCLUSIVE. THROUGH ANNUAL ASSESSMENTS AND INTERVIEWS, NEW AND RETURNING PATIENTS ARE CAREFULLY EVALUATED TO DETERMINE THEIR ELIGIBILITY FOR CLINIC SERVICES AND TO IDENTIFY ANY CASE MANAGEMENT NEEDS, SUCH AS ACCESS TO FOOD, CLOTHING, AND HOUSING. FURTHERMORE, OUR PATIENTS ARE SCREENED FOR DEPRESSION AND ANXIETY, WITH REFERRALS MADE TO OUR LICENSED PROFESSIONAL COUNSELOR FOR BEHAVIORAL HEALTH SERVICES AS NECESSARY. THROUGHOUT THE FISCAL YEAR, A TOTAL OF 1,146 COMBINED SOCIAL SERVICE AND BEHAVIORAL HEALTH VISITS WERE PROVIDED BY OUR DEDICATED STAFF AND VOLUNTEERS, REFLECTING THE BREADTH OF SUPPORT OFFERED BY ASCHC. ADDITIONALLY, 542 INDIVIDUALS UNDERWENT ELIGIBILITY DETERMINATION VISITS, ENSURING THAT OUR SERVICES REACH THOSE WHO NEED THEM MOST. IN FY 22-23, A TOTAL OF 441 COUNSELING SESSIONS WERE CONDUCTED, HIGHLIGHTING THE IMPORTANCE OF ACCESSIBLE MENTAL HEALTH CARE IN OUR COMMUNITY. OUR VOLUNTEER PSYCHIATRIC NURSE PRACTITIONER, SUPPORTED BY SPANISH-SPEAKING INTERPRETERS, FACILITATED 81 BEHAVIORAL HEALTH SESSIONS, FURTHER ENHANCING OUR CAPACITY TO SERVE DIVERSE POPULATIONS. PATIENT NAVIGATOR/ CASE MANAGEMENT MET WITH 624 PATIENTS AND FOLLOWED THEM FOR A PERIOD OF TWO YEARS WITH SESSIONS AVERAGING 8 TIMES A YEAR. OVERALL, 287 UNDUPLICATED PATIENTS RECEIVED BEHAVIORAL HEALTH CARE AT ASCHC DURING THE FISCAL YEAR, UNDERSCORING THE SIGNIFICANT IMPACT OF OUR BH PROGRAM IN IMPROVING THE MENTAL WELL-BEING OF OUR COMMUNITY MEMBERS.

    Expenses $126,260

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Meri Luarasi Gaumond Jun 23

    EXECUTIVE DIRECTOR

    Total calculated
    $0
    Hours/week
    40
  • Sally A Fabian-Oresic To June 23

    IMMEDIATE PAST EXECUTIVE DIRECTOR

    Total calculated
    $134,523
    From this org
    $0
    From related orgs
    $114,977
    Other
    $19,546
    Hours/week
    40
  • Paul Edgerton

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2.63
  • Cheryl McDonald

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.77
  • William F Coyne CPA

    TREASURER

    Total calculated
    $0
    Hours/week
    0.52
  • Allison Brink RN

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.6
  • Joan Block RN

    MEMBER

    Total calculated
    $0
    Hours/week
    0.56
  • James Brexler Fache

    MEMBER

    Total calculated
    $0
    Hours/week
    0.17
  • Albertjohn Depalantino CPA

    MEMBER

    Total calculated
    $0
    Hours/week
    0.27
  • Jorge Fernandez

    MEMBER

    Total calculated
    $0
    Hours/week
    0.19
  • Harold Gever MD

    MEMBER

    Total calculated
    $0
    Hours/week
    0.4
  • Kelly Lanning DMD

    MEMBER

    Total calculated
    $0
    Hours/week
    0.27
  • Scott Levy MD

    MEMBER

    Total calculated
    $0
    Hours/week
    0.12
  • Juan Navia PhD

    MEMBER

    Total calculated
    $0
    Hours/week
    0.29
  • George J Podhor

    MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Brian R Price Esq

    MEMBER

    Total calculated
    $0
    Hours/week
    0.19
  • Richard Reif

    MEMBER

    Total calculated
    $0
    Hours/week
    0.65
  • Robert Rodenbaugh

    MEMBER

    Total calculated
    $0
    Hours/week
    0.15
  • Thomas Rusert Ptr

    MEMBER

    Total calculated
    $0
    Hours/week
    0.31
  • Robert Silberg

    MEMBER

    Total calculated
    $0
    Hours/week
    0.19
  • Binny Silverman

    MEMBER

    Total calculated
    $0
    Hours/week
    0.46
  • Maria Yang

    MEMBER

    Total calculated
    $0
    Hours/week
    0.27

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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
1 May 2024
IRS schema version
2022v5.0
Source object
202431249349300723

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