Totals
- Total revenue
- $7,320,693
- Total expenses
- $5,991,901
- Contributions and grants received
- $4,152,653
- Grants paid
- $0
- Program service revenue
- $3,162,463
- Investment income
- $5,577
- Other revenue
- $0
- Total assets, end of year
- $7,532,476
- Total liabilities, end of year
- $687,461
- Net assets or fund balances, end of year
- $6,845,015
- Program services expenses (Part IX)
- $5,991,901
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $5,991,901
Program services were 100.0% 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)
$4,152,653
-
2a · Program service revenue: PATIENT SERVICES REVENUE
total $2,115,980 · related or exempt $2,115,980
-
2b · Program service revenue: COST REPORT SETTLEMENT
total $863,097 · related or exempt $863,097
-
2c · Program service revenue: COMMUNITY HEALTH CENTER COVID
total $178,551 · related or exempt $178,551
-
2d · Program service revenue: WINROCK
total $2,474 · related or exempt $2,474
-
2e · Program service revenue: OTHER PROGRAM INCOME
total $2,361 · related or exempt $2,361
-
3 · Investment income
total $5,577 · related or exempt $5,577
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $2,791,793 · program services $2,791,793
-
8 · Pension plan contributions
total $55,339 · program services $55,339
-
9 · Other employee benefits
total $394,332 · program services $394,332
-
10 · Payroll taxes
total $204,101 · program services $204,101
-
12 · Advertising and promotion
total $74,800 · program services $74,800
-
16 · Occupancy
total $264,344 · program services $264,344
-
17 · Travel
total $149,500 · program services $149,500
-
20 · Interest
total $1,861 · program services $1,861
-
22 · Depreciation, depletion and amortization
total $181,301 · program services $181,301
-
23 · Insurance
total $91,892 · program services $91,892
-
24a · Other expenses: CONTRACT SERVICES
total $848,227 · program services $848,227
-
24b · Other expenses: SUPPLIES
total $696,699 · program services $696,699
-
24c · Other expenses: DUES, LICENSE AND SUBSCR
total $110,992 · program services $110,992
-
24d · Other expenses: PATIENT INCENTIVES
total $64,100 · program services $64,100
-
24e · All other expenses
total $62,620 · program services $62,620
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,834,569 · end of year $3,390,428
-
3 · Pledges and grants receivable
beginning of year $337,848 · end of year $297,638
-
4 · Accounts receivable
end of year $105,815
-
8 · Inventories for sale or use
beginning of year $70,920 · end of year $156,171
-
9 · Prepaid expenses and deferred charges
beginning of year $50,928 · end of year $53,218
-
10a · Land, buildings and equipment: cost or other basis
$6,603,154
-
10b · Land, buildings and equipment: accumulated depreciation
$3,073,948
-
10c · Land, buildings and equipment, net
beginning of year $1,344,350 · end of year $3,529,206
-
17 · Accounts payable and accrued expenses
beginning of year $9,834 · end of year $225,858
-
18 · Grants payable
beginning of year $112,558
-
23 · Secured mortgages and notes payable
end of year $461,603
-
27 · Net assets without donor restrictions
beginning of year $5,516,223 · end of year $6,845,015
Mission and programs · 2022
Mission
TO PROVIDE AFFORDABLE QUALITY HEALTHCARE TO LOW INCOME RESIDENTS AND TO EDUCATE AND PROMOTE THE INTEREST IN HEALTHCARE MAINTENANCE
Activities or mission (Part I)
TO PROVIDE AFFORDABLE QUALITY HEALTH CARE TO LOW INCOME RESIDENTS AND TO EDUCATE AND PROMOTE INTEREST IN HEALTHCARE MAINTENANCE
-
CLINICAL - MEDICAL SERVICES
Expenses $5,991,901
-
DENTAL SERVICES
As filed on the 2022 return.
Listed in Part VII
-
Tuklvara PrabhakaraTUKLVARA PRABHAKARA
PHYSICIAN
- Total calculated
- $235,089
- From this org
- $235,089
- From related orgs
- $0
- Other
- $0
Schedule J breakdown matched by us
- Base
- $235,089
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $235,089
-
Harry MichellHARRY MICHELL
PHYSICIAN
- Total calculated
- $209,921
- From this org
- $209,921
- From related orgs
- $0
- Other
- $0
Schedule J breakdown matched by us
- Base
- $209,921
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $209,921
-
Schrell CrockettSCHRELL CROCKETT
NURSE PRACTI
- Total calculated
- $159,650
- From this org
- $159,650
- From related orgs
- $0
- Other
- $0
Schedule J breakdown matched by us
- Base
- $159,650
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $159,650
-
Kellee FarrisKELLEE FARRIS
EXECUTIVE DI
- Total calculated
- $149,881
- From this org
- $149,881
- From related orgs
- $0
- Other
- $0
-
Stephanie GlennSTEPHANIE GLENN
NURSE PRACTI
- Total calculated
- $113,919
- From this org
- $113,919
- From related orgs
- $0
- Other
- $0
-
Lincoln BarnettLINCOLN BARNETT
ASST. CHAIR
- Total calculated
- $0
-
Diane BowmanDIANE BOWMAN
ASST SECRETA
- Total calculated
- $0
-
Lois JohnsonLOIS JOHNSON
DIRECTOR
- Total calculated
- $0
-
Charlet JonesCHARLET JONES
DIRECTOR
- Total calculated
- $0
-
Summer LongSUMMER LONG
DIRECTOR
- Total calculated
- $0
-
Angela MooreANGELA MOORE
TREASUIER
- Total calculated
- $0
-
Virgie PhillipsVIRGIE PHILLIPS
DIRECTOR
- Total calculated
- $0
-
Desi SimsDESI SIMS
CHAIRMAN
- Total calculated
- $0
-
Thomas WilliamsTHOMAS WILLIAMS
DIRECTOR
- Total calculated
- $0
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
None.
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
- 18 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332779349300413
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