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 23MERI LUARASI GAUMOND JUN 23
EXECUTIVE DIRECTOR
- Total calculated
- $0
- Hours/week
- 40
-
Sally A Fabian-Oresic To June 23SALLY 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 EdgertonPAUL EDGERTON
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 2.63
-
Cheryl McDonaldCHERYL MCDONALD
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.77
-
William F Coyne CPAWILLIAM F COYNE CPA
TREASURER
- Total calculated
- $0
- Hours/week
- 0.52
-
Allison Brink RNALLISON BRINK RN
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.6
-
Joan Block RNJOAN BLOCK RN
MEMBER
- Total calculated
- $0
- Hours/week
- 0.56
-
James Brexler FacheJAMES BREXLER FACHE
MEMBER
- Total calculated
- $0
- Hours/week
- 0.17
-
Albertjohn Depalantino CPAALBERTJOHN DEPALANTINO CPA
MEMBER
- Total calculated
- $0
- Hours/week
- 0.27
-
Jorge FernandezJORGE FERNANDEZ
MEMBER
- Total calculated
- $0
- Hours/week
- 0.19
-
Harold Gever MDHAROLD GEVER MD
MEMBER
- Total calculated
- $0
- Hours/week
- 0.4
-
Kelly Lanning DMDKELLY LANNING DMD
MEMBER
- Total calculated
- $0
- Hours/week
- 0.27
-
Scott Levy MDSCOTT LEVY MD
MEMBER
- Total calculated
- $0
- Hours/week
- 0.12
-
Juan Navia PhDJUAN NAVIA PHD
MEMBER
- Total calculated
- $0
- Hours/week
- 0.29
-
George J PodhorGEORGE J PODHOR
MEMBER
- Total calculated
- $0
- Hours/week
- 0.69
-
Brian R Price EsqBRIAN R PRICE ESQ
MEMBER
- Total calculated
- $0
- Hours/week
- 0.19
-
Richard ReifRICHARD REIF
MEMBER
- Total calculated
- $0
- Hours/week
- 0.65
-
Robert RodenbaughROBERT RODENBAUGH
MEMBER
- Total calculated
- $0
- Hours/week
- 0.15
-
Thomas Rusert PtrTHOMAS RUSERT PTR
MEMBER
- Total calculated
- $0
- Hours/week
- 0.31
-
Robert SilbergROBERT SILBERG
MEMBER
- Total calculated
- $0
- Hours/week
- 0.19
-
Binny SilvermanBINNY SILVERMAN
MEMBER
- Total calculated
- $0
- Hours/week
- 0.46
-
Maria YangMARIA 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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