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Nonprofiteer
← TRIAD ADULT AND PEDIATRIC MEDICINE INC

Form 990 for tax year 2023

Filed by TRIAD ADULT AND PEDIATRIC MEDICINE INC.

Totals

Total revenue
$13,952,455
Total expenses
$13,481,568
Contributions and grants received
$3,120,981
Grants paid
$3,329
Program service revenue
$10,521,935
Investment income
$309,539
Other revenue
$0
Total assets, end of year
$23,750,920
Total liabilities, end of year
$1,119,971
Net assets or fund balances, end of year
$22,630,949
Program services expenses (Part IX)
$7,349,314
Management and general expenses
$6,132,254
Fundraising expenses
$0
Program service expenses (Part III)
$7,349,314

Program services were 54.5% 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)

    $2,947,580

  • 1f · All other contributions, gifts and grants

    $173,401

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $9,855,726 · related or exempt $9,855,726

  • 2b · Program service revenue: MANAGEMENT FEES

    total $509,627 · related or exempt $509,627

  • 2c · Program service revenue: OTHER REVENUE

    total $156,582 · related or exempt $156,582

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $191,184 · excluded $191,184

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $667,000

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

    securities $548,645

  • 7c · Gain or loss

    securities $118,355 · other assets $0

  • 7d · Net gain or loss

    total $118,355 · excluded $118,355

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $3,329 · program services $3,329

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $656,336 · program services $234,150 · management and general $422,186

  • 7 · Other salaries and wages

    total $6,241,159 · program services $3,422,046 · management and general $2,819,113

  • 8 · Pension plan contributions

    total $102,932 · program services $60,313 · management and general $42,619

  • 9 · Other employee benefits

    total $738,590 · program services $417,648 · management and general $320,942

  • 10 · Payroll taxes

    total $514,095 · program services $274,628 · management and general $239,467

  • 11b · Fees: legal

    total $1,992 · management and general $1,992

  • 11c · Fees: accounting

    total $155,010 · management and general $155,010

  • 11f · Fees: investment management

    total $36,408 · management and general $36,408

  • 11g · Fees: other

    total $1,707,881 · program services $1,341,329 · management and general $366,552 · fundraising $0

  • 12 · Advertising and promotion

    total $154,742 · management and general $154,742

  • 13 · Office expenses

    total $331,369 · program services $74,451 · management and general $256,918

  • 14 · Information technology

    total $1,124,415 · program services $424,900 · management and general $699,515

  • 16 · Occupancy

    total $506,818 · program services $351,631 · management and general $155,187

  • 17 · Travel

    total $46,343 · program services $1,484 · management and general $44,859

  • 19 · Conferences, conventions and meetings

    total $27,293 · program services $12,816 · management and general $14,477

  • 20 · Interest

    total $3,067 · management and general $3,067

  • 22 · Depreciation, depletion and amortization

    total $468,771 · program services $257,313 · management and general $211,458

  • 23 · Insurance

    total $101,720 · management and general $101,720

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $342,615 · program services $342,615

  • 24b · Other expenses: PHARMACY EXPENSES

    total $117,616 · program services $117,616

  • 24c · Other expenses: LICENSES, DUES, & SUBSCRIPTIONS

    total $51,676 · management and general $51,676

  • 24d · Other expenses: RECRUITMENT & RETENTION

    total $14,885 · program services $13,045 · management and general $1,840

  • 24e · All other expenses

    total $32,506 · program services $0 · management and general $32,506 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,111,677 · end of year $1,459,246

  • 2 · Savings and temporary cash investments

    beginning of year $1,328,130 · end of year $329,051

  • 3 · Pledges and grants receivable

    beginning of year $12,884 · end of year $10,000

  • 4 · Accounts receivable

    beginning of year $591,009 · end of year $383,645

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $356,887 · end of year $162,089

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

    $12,728,622

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

    $3,150,139

  • 10c · Land, buildings and equipment, net

    beginning of year $8,433,754 · end of year $9,578,483

  • 11 · Investments: publicly traded securities

    beginning of year $4,829,148 · end of year $5,846,564

  • 12 · Investments: other securities

    beginning of year $18,750 · end of year $18,750

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $4,850,897 · end of year $5,963,092

  • 17 · Accounts payable and accrued expenses

    beginning of year $715,667 · end of year $617,985

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $136,053 · end of year $501,986

  • 27 · Net assets without donor restrictions

    beginning of year $21,636,771 · end of year $22,555,304

  • 28 · Net assets with donor restrictions

    beginning of year $44,645 · end of year $75,645

Mission and programs · 2023

Mission

Triad Adult and Pediatric Medicine provides the residents of Guilford County, NC with exceptional healthcare that is comprehensive and delivered with compassion and respect.

  • THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND ITS PURPOSE IS TO PROVIDE OUTPATIENT PRIMARY HEALTH CARE SERVICES TO UNINSURED OR UNDERINSURED RESIDENTS, PRIMARILY OF GUILFORD COUNTY, NC. THE ORGANIZATION, WHICH HAS 6 LOCATIONS IN THE TRIAD AREA, SERVED APPROXIMATELY 13,927 PATIENTS DURING THE FISCAL YEAR ENDED 6/30/24.

    Expenses $7,349,314 · Grants $3,329 · Revenue $10,521,935

As filed on the 2023 return.

Listed in Part VII

  • Chris Rivera

    TREASURER END 07/23; BORD MEMBER BEG 08/23

    Total calculated
    $0
    Hours/week
    1

  • Clarence Williamson

    BOARD CHAIR END 07/23; BOARD MEMBER 08/23 - 01/24

    Total calculated
    $0
    Hours/week
    1

  • Felicia Reid

    BOARD MEMBER / BOARD CHAIR BEG 08/23

    Total calculated
    $0
    Hours/week
    1

  • Jasmine Beard

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Sofia Crisp

    SECRETARY END 07/23; TREASURER BEG 08/23

    Total calculated
    $0
    Hours/week
    1

  • Tiffany Grant

    BOARD MEMBER / SECRETARY BEG 08/23

    Total calculated
    $0
    Hours/week
    1

  • Kristen Moore

    BOARD MEMBER BEG 02/24

    Total calculated
    $0
    Hours/week
    1

  • Marcus Thomas

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Milagros Amaro

    BOARD Member

    Total calculated
    $0
    Hours/week
    1

  • Sandie Rachels

    BOARD MEMBER END 10/23

    Total calculated
    $0
    Hours/week
    1

  • Tiffany Pilson

    BOARD MEMBER BEG 10/23

    Total calculated
    $0
    Hours/week
    1

  • Carmen Robinson

    CMO END 11/23

    Total calculated
    $195,496
    From this org
    $179,067
    From related orgs
    $0
    Other
    $16,429
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,067
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $16,429
    Filer's total
    $195,496

  • Danielle Cole

    CFO

    Total calculated
    $118,655
    From this org
    $102,803
    From related orgs
    $0
    Other
    $15,852
    Hours/week
    40

  • Katina Marshall-Dawson

    COO

    Total calculated
    $109,566
    From this org
    $90,488
    From related orgs
    $0
    Other
    $19,078
    Hours/week
    40

  • Michelle Lewis

    CEO

    Total calculated
    $193,964
    From this org
    $161,363
    From related orgs
    $0
    Other
    $32,601
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,363
    Bonus
    $0
    Other
    $0
    Deferred
    $5,200
    Nontaxable benefits
    $27,401
    Filer's total
    $193,964

  • Subhankar Samal MD

    CMO BEG 11/23

    Total calculated
    $38,654
    From this org
    $38,654
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Daniellee Artis

    Physician

    Total calculated
    $186,905
    From this org
    $168,741
    From related orgs
    $0
    Other
    $18,164
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,741
    Bonus
    $0
    Other
    $0
    Deferred
    $6,000
    Nontaxable benefits
    $12,164
    Filer's total
    $186,905

  • David Roper

    Physician

    Total calculated
    $171,679
    From this org
    $153,243
    From related orgs
    $0
    Other
    $18,436
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,243
    Bonus
    $0
    Other
    $0
    Deferred
    $5,485
    Nontaxable benefits
    $12,951
    Filer's total
    $171,679

  • Faith Gardner

    Pediatrician

    Total calculated
    $170,537
    From this org
    $128,885
    From related orgs
    $0
    Other
    $41,652
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $128,885
    Bonus
    $0
    Other
    $0
    Deferred
    $1,488
    Nontaxable benefits
    $40,164
    Filer's total
    $170,537

  • Maurice McGhee

    IT Director

    Total calculated
    $120,330
    From this org
    $114,299
    From related orgs
    $0
    Other
    $6,031
    Hours/week
    40

  • Peter Coccaro

    Physician

    Total calculated
    $191,181
    From this org
    $163,896
    From related orgs
    $0
    Other
    $27,285
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,896
    Bonus
    $0
    Other
    $0
    Deferred
    $6,024
    Nontaxable benefits
    $21,261
    Filer's total
    $191,181

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.

Provenance

Return type
form_990
Tax year
2023
Filed
14 May 2025
IRS schema version
2023v6.0
Source object
202521349349311502

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