Form 990 for tax year 2022
Filed by JANE PAULEY COMMUNITY HEALTH CENTER INC.
Totals
- Total revenue
- $33,024,420
- Total expenses
- $32,277,515
- Contributions and grants received
- $8,413,890
- Grants paid
- $0
- Program service revenue
- $24,614,291
- Investment income
- -$394,316
- Other revenue
- $390,555
- Total assets, end of year
- $27,648,803
- Total liabilities, end of year
- $23,174,364
- Net assets or fund balances, end of year
- $4,474,439
- Program services expenses (Part IX)
- $23,864,950
- Management and general expenses
- $8,412,565
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $23,864,950
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.
-
1e · Government grants (contributions)
$7,735,380
-
1f · All other contributions, gifts and grants
$678,510
-
1g · Noncash contributions included above
$149,414
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $20,686,517 · related or exempt $20,686,517
-
2b · Program service revenue: 340B PROGRAM
total $3,927,774 · related or exempt $3,927,774
-
3 · Investment income
total $6,905 · excluded $6,905
-
6a · Gross rents
real property $225,051
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $225,051
-
6d · Net rental income or loss
total $225,051 · related or exempt $225,051
-
7b · Less cost or other basis and sales expenses
other assets $401,221
-
7c · Gain or loss
other assets -$401,221
-
7d · Net gain or loss
total -$401,221 · excluded -$401,221
-
11a · Other revenue: OTHER REVENUE
total $165,504 · excluded $165,504
-
11e · Other revenue, total
$165,504
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $879,335 · management and general $879,335
-
7 · Other salaries and wages
total $15,015,766 · program services $12,649,690 · management and general $2,366,076
-
8 · Pension plan contributions
total $636,564 · program services $476,154 · management and general $160,410
-
9 · Other employee benefits
total $3,470,099 · program services $2,595,658 · management and general $874,441
-
10 · Payroll taxes
total $1,103,411 · program services $825,359 · management and general $278,052
-
11b · Fees: legal
total $100,838 · management and general $100,838
-
11c · Fees: accounting
total $92,576 · management and general $92,576
-
11g · Fees: other
total $2,637,677 · program services $2,469,829 · management and general $167,848
-
12 · Advertising and promotion
total $335,614 · program services $14,578 · management and general $321,036
-
13 · Office expenses
total $188,751 · program services $56,083 · management and general $132,668
-
14 · Information technology
total $1,717,333 · program services $825,536 · management and general $891,797
-
16 · Occupancy
total $2,456,367 · program services $1,731,912 · management and general $724,455
-
17 · Travel
total $145,121 · program services $94,992 · management and general $50,129
-
19 · Conferences, conventions and meetings
total $201,426 · program services $45,878 · management and general $155,548
-
20 · Interest
total $505,417 · program services $33,185 · management and general $472,232
-
22 · Depreciation, depletion and amortization
total $928,337 · program services $536,722 · management and general $391,615
-
23 · Insurance
total $111,130 · management and general $111,130
-
24a · Other expenses: MEDICAL SUPPLIES
total $1,268,676 · program services $1,258,164 · management and general $10,512
-
24b · Other expenses: MINOR EQUIPMENT
total $222,431 · program services $78,245 · management and general $144,186
-
24c · Other expenses: DUES & SUBSCRIPTIONS
total $87,456 · program services $47,424 · management and general $40,032
-
24e · All other expenses
total $173,190 · program services $125,541 · management and general $47,649
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,688,674 · end of year $5,513,584
-
3 · Pledges and grants receivable
beginning of year $3,920,747 · end of year $1,887,386
-
4 · Accounts receivable
beginning of year $1,741,067 · end of year $1,402,394
-
9 · Prepaid expenses and deferred charges
beginning of year $276,714 · end of year $276,922
-
10a · Land, buildings and equipment: cost or other basis
$13,873,608
-
10b · Land, buildings and equipment: accumulated depreciation
$5,144,371
-
10c · Land, buildings and equipment, net
beginning of year $8,185,927 · end of year $8,729,237
-
15 · Other assets
beginning of year $5,079,661 · end of year $9,839,280
-
17 · Accounts payable and accrued expenses
beginning of year $864,370 · end of year $1,094,984
-
23 · Secured mortgages and notes payable
beginning of year $17,300,886 · end of year $22,079,380
-
27 · Net assets without donor restrictions
beginning of year $3,727,534 · end of year $4,474,439
Mission and programs · 2022
Mission
TO PROMOTE A HEALTHY COMMUNITY THROUGH THE PROVISION OF ACCESSIBLE, RESPECTFUL AND COLLABORATIVE PRIMARY HEALTH CARE WITH LOCAL PARTNERS TO ANY AND ALL INDIVIDUALS AND FAMILIES REGARDLESS OF INSURANCE STATUS.
-
JANE PAULEY CHC PROVIDED PRIMARY HEALTH CARE SERVICES TO APPROXIMATELY 24,600 INDIVIDUALS INCLUDING APPROXIMATELY 4,100 UNINSURED INDIVIDUALS. WE PROVIDED APPROXIMATELY 1,000 PATIENTS ACCESS TO FREE OR REDUCED PRESCRIPTION MEDICATIONS.
Expenses $23,864,950 · Revenue $24,839,342
As filed on the 2022 return.
Listed in Part VII
-
August ZehnerAUGUST ZEHNER
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia ParkesCYNTHIA PARKES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Erin KuroiwaERIN KUROIWA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Howard DorseyHOWARD DORSEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kathy KrusieKATHY KRUSIE
DIRECTOR - BEGAN FEB '22
- Total calculated
- $0
- Hours/week
- 1
-
Kelly DillonKELLY DILLON
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Krystal HutchinsonKRYSTAL HUTCHINSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Bill KalerBILL KALER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Rachel BurkeRACHEL BURKE
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 2
-
Rosaline BaryohROSALINE BARYOH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Stephanie MoranSTEPHANIE MORAN
VICE-CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Tim HansonTIM HANSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Vickie BannonVICKIE BANNON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dr James BienDR JAMES BIEN
CMO
- Total calculated
- $181,513
- From this org
- $163,703
- From related orgs
- $0
- Other
- $17,810
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $162,346
- Bonus
- $300
- Other
- $1,057
- Deferred
- $3,110
- Nontaxable benefits
- $14,700
- Filer's total
- $181,513
-
Dr Scheri-Lyn MakombeDR SCHERI-LYN MAKOMBE
CMO
- Total calculated
- $72,843
- From this org
- $64,623
- From related orgs
- $0
- Other
- $8,220
- Hours/week
- 40
-
Marc HackettMARC HACKETT
CEO
- Total calculated
- $299,612
- From this org
- $258,393
- From related orgs
- $0
- Other
- $41,219
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $225,515
- Bonus
- $31,934
- Other
- $944
- Deferred
- $9,360
- Nontaxable benefits
- $31,859
- Filer's total
- $299,612
-
Michael DaleMICHAEL DALE
CFO
- Total calculated
- $169,649
- From this org
- $129,908
- From related orgs
- $0
- Other
- $39,741
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $129,370
- Bonus
- $300
- Other
- $238
- Deferred
- $7,882
- Nontaxable benefits
- $31,859
- Filer's total
- $169,649
-
Patrick WootenPATRICK WOOTEN
COO
- Total calculated
- $155,718
- From this org
- $130,986
- From related orgs
- $0
- Other
- $24,732
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $130,583
- Bonus
- $300
- Other
- $103
- Deferred
- $0
- Nontaxable benefits
- $24,732
- Filer's total
- $155,718
-
Dr Suzanne HansenDR SUZANNE HANSEN
PHYSICIAN
- Total calculated
- $276,901
- From this org
- $265,893
- From related orgs
- $0
- Other
- $11,008
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $265,000
- Bonus
- $300
- Other
- $593
- Deferred
- $11,008
- Nontaxable benefits
- $0
- Filer's total
- $276,901
-
Dr Daniel FrickDR DANIEL FRICK
PHYSICIAN
- Total calculated
- $310,392
- From this org
- $254,398
- From related orgs
- $0
- Other
- $55,994
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $252,220
- Bonus
- $1,800
- Other
- $378
- Deferred
- $14,508
- Nontaxable benefits
- $41,486
- Filer's total
- $310,392
-
Dr Niles CarterDR NILES CARTER
PHYSICIAN
- Total calculated
- $380,387
- From this org
- $349,232
- From related orgs
- $0
- Other
- $31,155
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $321,630
- Bonus
- $27,300
- Other
- $302
- Deferred
- $10,153
- Nontaxable benefits
- $21,002
- Filer's total
- $380,387
-
Dr Jason HuaDR JASON HUA
DENTIST
- Total calculated
- $308,808
- From this org
- $251,772
- From related orgs
- $0
- Other
- $57,036
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $251,096
- Bonus
- $300
- Other
- $376
- Deferred
- $15,550
- Nontaxable benefits
- $41,486
- Filer's total
- $308,808
-
Dr Mualla AkisikDR MUALLA AKISIK
PHYSICIAN
- Total calculated
- $266,012
- From this org
- $251,040
- From related orgs
- $0
- Other
- $14,972
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $240,000
- Bonus
- $9,535
- Other
- $1,505
- Deferred
- $14,972
- Nontaxable benefits
- $0
- Filer's total
- $266,012
-
Dr Emmanuel MentorDR EMMANUEL MENTOR
FORMER PHYSICIAN
- Total calculated
- $170,411
- From this org
- $138,737
- From related orgs
- $0
- Other
- $31,674
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $138,529
- Bonus
- $0
- Other
- $208
- Deferred
- $8,562
- Nontaxable benefits
- $23,112
- Filer's total
- $170,411
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 · 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.
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
JPCHC REAL ESTATE LLC
REAL ESTATE HOLDING & MANAGEMENT · IN · income $744,420 · assets $4,596,443
Directly controlled by JANE PAULEY COMMUNITY HEALTH CENTER INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 18 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202312929349301151
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