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Nonprofiteer
← PARK DUVALLE COMMUNITY HEALTH CENTER INC

Form 990 for tax year 2022

Filed by PARK DUVALLE COMMUNITY HEALTH CENTER INC.

Totals

Total revenue
$18,777,435
Total expenses
$18,220,599
Contributions and grants received
$7,051,738
Grants paid
$0
Program service revenue
$10,979,109
Investment income
$55,453
Other revenue
$691,135
Total assets, end of year
$24,920,900
Total liabilities, end of year
$4,375,931
Net assets or fund balances, end of year
$20,544,969
Program services expenses (Part IX)
$13,551,756
Management and general expenses
$4,668,843
Fundraising expenses
$0
Program service expenses (Part III)
$13,551,756

Program services were 74.4% 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)

    $6,819,895

  • 1f · All other contributions, gifts and grants

    $231,843

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

    total $7,769,586 · related or exempt $7,769,586

  • 2b · Program service revenue: 340B PROGRAM REVENUE

    total $3,209,523 · related or exempt $3,209,523

  • 3 · Investment income

    total $55,453 · excluded $55,453

  • 6a · Gross rents

    real property $9,600

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $9,600

  • 6d · Net rental income or loss

    total $9,600 · excluded $9,600

  • 11a · Other revenue: EVOLENT-MOLINA HEALTHCARE SERVICE

    total $309,816 · related or exempt $309,816

  • 11b · Other revenue: IPA PROVIDER REV FROM KPCA

    total $227,745 · related or exempt $227,745

  • 11c · Other revenue: QUEST LAB TEST REVENUE

    total $80,456 · related or exempt $80,456

  • 11d · All other revenue

    total $63,518 · related or exempt $44,627 · excluded $18,891

  • 11e · Other revenue, total

    $681,535

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $837,328 · program services $612,003 · management and general $225,325

  • 7 · Other salaries and wages

    total $9,526,741 · program services $6,963,095 · management and general $2,563,646

  • 8 · Pension plan contributions

    total $289,404 · program services $211,525 · management and general $77,879

  • 9 · Other employee benefits

    total $1,664,160 · program services $1,216,335 · management and general $447,825

  • 11b · Fees: legal

    total $82,417 · program services $54,408 · management and general $28,009

  • 11c · Fees: accounting

    total $39,462 · management and general $39,462

  • 11g · Fees: other

    total $599,961 · program services $396,066 · management and general $203,895

  • 12 · Advertising and promotion

    total $30,342 · program services $24,756 · management and general $5,586

  • 13 · Office expenses

    total $919,625 · program services $211,860 · management and general $707,765

  • 14 · Information technology

    total $106,099 · program services $86,566 · management and general $19,533

  • 16 · Occupancy

    total $534,398 · program services $467,598 · management and general $66,800

  • 17 · Travel

    total $21,219 · program services $17,313 · management and general $3,906

  • 19 · Conferences, conventions and meetings

    total $37,583 · program services $30,664 · management and general $6,919

  • 20 · Interest

    total $12,121 · program services $9,890 · management and general $2,231

  • 22 · Depreciation, depletion and amortization

    total $784,275 · program services $686,241 · management and general $98,034

  • 23 · Insurance

    total $121,957 · program services $86,382 · management and general $35,575

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUG

    total $1,619,545 · program services $1,619,545

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $787,390 · program services $688,966 · management and general $98,424

  • 24c · Other expenses: LICENSES AND FEES

    total $85,469 · program services $69,734 · management and general $15,735

  • 24d · Other expenses: PROPERTY EXPENSES

    total $58,385 · program services $47,636 · management and general $10,749

  • 24e · All other expenses

    total $62,718 · program services $51,173 · management and general $11,545

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,814,474 · end of year $4,671,001

  • 2 · Savings and temporary cash investments

    beginning of year $3,129,499 · end of year $3,156,281

  • 3 · Pledges and grants receivable

    beginning of year $423,641 · end of year $336,407

  • 4 · Accounts receivable

    beginning of year $1,076,731 · end of year $1,211,850

  • 8 · Inventories for sale or use

    beginning of year $118,388 · end of year $136,907

  • 9 · Prepaid expenses and deferred charges

    beginning of year $137,174 · end of year $397,087

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

    $22,826,491

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

    $7,815,124

  • 10c · Land, buildings and equipment, net

    beginning of year $11,905,532 · end of year $15,011,367

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,297,012 · end of year $1,479,846

  • 19 · Deferred revenue

    beginning of year $320,294 · end of year $406,502

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $2,489,583

  • 27 · Net assets without donor restrictions

    beginning of year $19,988,133 · end of year $20,544,969

Mission and programs · 2022

Mission

PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF THE SURROUNDING AREA, WITH AN EMPHASIS TOWARDS PREVENTION AND EARLY DETECTION.

  • FEDERALLY FUNDED HEALTH CARE CENTER PROVIDING SERVICES TO LOW INCOME AND OTHER PATIENTS. IT IS ASSURED THAT ALL CARE PROVIDED IS CONTINUOUS AND INTEGRATED WITH OTHER AVAILABLE SERVICES. SERVED 15,843 PEOPLE IN HEALTHCARE SERVICES, 2,395 PEOPLE IN DENTAL SERVICES, 1,711 PEOPLE IN MENTAL HEALTH SERVICES, AND 1,360 PEOPLE IN WIC SERVICES.

    Expenses $13,551,756 · Revenue $11,641,753

As filed on the 2022 return.

Listed in Part VII

  • Dr Swannie Jett

    CEO

    Total calculated
    $229,382
    From this org
    $202,195
    From related orgs
    $0
    Other
    $27,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,195
    Bonus
    $0
    Other
    $0
    Deferred
    $10,349
    Nontaxable benefits
    $16,838
    Filer's total
    $229,382

  • Marietta Enriquez

    MD

    Total calculated
    $199,946
    From this org
    $163,351
    From related orgs
    $0
    Other
    $36,595
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,351
    Bonus
    $0
    Other
    $0
    Deferred
    $27,000
    Nontaxable benefits
    $9,595
    Filer's total
    $199,946

  • David Gerwig

    CHIEF PROJECT OFFICER

    Total calculated
    $196,187
    From this org
    $158,357
    From related orgs
    $0
    Other
    $37,830
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,357
    Bonus
    $0
    Other
    $0
    Deferred
    $27,000
    Nontaxable benefits
    $10,830
    Filer's total
    $196,187

  • Jose Lorenzo

    MD

    Total calculated
    $167,368
    From this org
    $150,023
    From related orgs
    $0
    Other
    $17,345
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,023
    Bonus
    $0
    Other
    $0
    Deferred
    $7,544
    Nontaxable benefits
    $9,801
    Filer's total
    $167,368

  • D'Nai Overstreet

    DMD

    Total calculated
    $153,671
    From this org
    $140,724
    From related orgs
    $0
    Other
    $12,947
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $140,724
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,947
    Filer's total
    $153,671

  • Ryan Irvine

    COO (BEG 01/03/22)

    Total calculated
    $143,525
    From this org
    $136,437
    From related orgs
    $0
    Other
    $7,088
    Hours/week
    40

  • Fe Briones

    CMO

    Total calculated
    $165,411
    From this org
    $131,263
    From related orgs
    $0
    Other
    $34,148
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,263
    Bonus
    $0
    Other
    $0
    Deferred
    $26,249
    Nontaxable benefits
    $7,899
    Filer's total
    $165,411

  • Michelle Nichols

    DMD

    Total calculated
    $148,451
    From this org
    $122,331
    From related orgs
    $0
    Other
    $26,120
    Hours/week
    40

  • Adam Mitchell

    APRN

    Total calculated
    $157,152
    From this org
    $119,290
    From related orgs
    $0
    Other
    $37,862
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $119,290
    Bonus
    $0
    Other
    $0
    Deferred
    $7,670
    Nontaxable benefits
    $30,192
    Filer's total
    $157,152

  • Najeebah Shine

    CHIEF HR OFFICER

    Total calculated
    $112,152
    From this org
    $104,683
    From related orgs
    $0
    Other
    $7,469
    Hours/week
    40

  • Kevin Harris

    COMPTROLLER

    Total calculated
    $123,920
    From this org
    $104,393
    From related orgs
    $0
    Other
    $19,527
    Hours/week
    40

  • Deborah Thomas

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Kevin D Bruce Sr

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Angela Wilson

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Andrew Holden

    TREASURER (BEG 01/22)

    Total calculated
    $0
    Hours/week
    2

  • Desmond Robinson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Katie Calloway

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Dwayne Compton EdD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Barbara Mitchell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Darrell Shaw

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Stacy Sowell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • Rev Martin Tucker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

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 · 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
2022
Filed
1 November 2023
IRS schema version
2022v5.0
Source object
202323109349303172

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