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Nonprofiteer
← JANE PAULEY COMMUNITY HEALTH CENTER INC

Form 990 for tax year 2023

Filed by JANE PAULEY COMMUNITY HEALTH CENTER INC.

Totals

Total revenue
$35,569,581
Total expenses
$39,448,072
Contributions and grants received
$6,104,566
Grants paid
$0
Program service revenue
$29,093,410
Investment income
$91,705
Other revenue
$279,900
Total assets, end of year
$22,584,653
Total liabilities, end of year
$21,988,705
Net assets or fund balances, end of year
$595,948
Program services expenses (Part IX)
$29,297,187
Management and general expenses
$10,150,885
Fundraising expenses
$0
Program service expenses (Part III)
$29,297,187

Program services were 74.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • BILL KALER

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • STEPHANIE MORAN

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • AUGUST ZEHNER

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • KELLY DILLON

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • DEE AIME

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARY BAKER-BOUDISSA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • VICKIE BANNON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • HOWARD DORSEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TIM HANSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KRYSTAL HUTCHINSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • BILL KINGSTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KATHY KRUSIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ERIN KUROIWA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CYNTHIA PARKES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ROSALINE BARYOH

    DIRECTOR PARTIAL TERM

    Total calculated
    $0
    Hours/week
    1

  • RACHEL BURKE

    CHAIR PARTIAL TERM/EX-OFFICIO

    Total calculated
    $0
    Hours/week
    2

  • DR JAMES BIEN

    CMO

    Total calculated
    $387,770
    From this org
    $333,801
    From related orgs
    $0
    Other
    $53,969
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $331,031
    Bonus
    $500
    Other
    $2,270
    Deferred
    $19,434
    Nontaxable benefits
    $34,535
    Filer's total
    $387,770

  • MARC HACKETT

    CEO

    Total calculated
    $298,058
    From this org
    $259,388
    From related orgs
    $0
    Other
    $38,670
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,305
    Bonus
    $31,634
    Other
    $1,449
    Deferred
    $8,640
    Nontaxable benefits
    $30,030
    Filer's total
    $298,058

  • MICHAEL DALE

    CFO

    Total calculated
    $182,334
    From this org
    $143,578
    From related orgs
    $0
    Other
    $38,756
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,067
    Bonus
    $0
    Other
    $511
    Deferred
    $8,726
    Nontaxable benefits
    $30,030
    Filer's total
    $182,334

  • PATRICK WOOTEN

    COO

    Total calculated
    $170,088
    From this org
    $144,031
    From related orgs
    $0
    Other
    $26,057
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,853
    Bonus
    $0
    Other
    $178
    Deferred
    $0
    Nontaxable benefits
    $26,057
    Filer's total
    $170,088

  • DR NILES CARTER

    PHYSICIAN

    Total calculated
    $568,207
    From this org
    $512,523
    From related orgs
    $0
    Other
    $55,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $480,611
    Bonus
    $31,500
    Other
    $412
    Deferred
    $19,800
    Nontaxable benefits
    $35,884
    Filer's total
    $568,207

  • DR DANIEL FRICK

    PHYSICIAN

    Total calculated
    $330,670
    From this org
    $272,055
    From related orgs
    $0
    Other
    $58,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $255,315
    Bonus
    $16,362
    Other
    $378
    Deferred
    $16,724
    Nontaxable benefits
    $41,891
    Filer's total
    $330,670

  • DR JASON HUA

    DENTIST

    Total calculated
    $321,690
    From this org
    $263,583
    From related orgs
    $0
    Other
    $58,107
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,205
    Bonus
    $10,000
    Other
    $378
    Deferred
    $16,216
    Nontaxable benefits
    $41,891
    Filer's total
    $321,690

  • DR AKIRA BARHAMS

    REGIONAL SITE MEDICAL DIRECTOR

    Total calculated
    $300,473
    From this org
    $249,302
    From related orgs
    $0
    Other
    $51,171
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $233,004
    Bonus
    $15,962
    Other
    $336
    Deferred
    $15,287
    Nontaxable benefits
    $35,884
    Filer's total
    $300,473

  • DR MICHAEL KHOULI

    PHYSICIAN

    Total calculated
    $293,026
    From this org
    $265,258
    From related orgs
    $0
    Other
    $27,768
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,000
    Bonus
    $0
    Other
    $258
    Deferred
    $13,454
    Nontaxable benefits
    $14,314
    Filer's total
    $293,026

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 $99,781 · assets $4,910,338

    Directly controlled by JANE PAULEY COMMUNITY HEALTH CENTER INC

Provenance

Return type
form_990
Tax year
2023
Filed
7 October 2024
IRS schema version
2023v5.1
Source object
202432819349301428

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