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Nonprofiteer
← STAYWELL HEALTH CARE INC

Form 990 for tax year 2022

Filed by STAYWELL HEALTH CARE INC.

Totals

Total revenue
$38,059,787
Total expenses
$35,467,891
Contributions and grants received
$16,084,759
Grants paid
$0
Program service revenue
$22,071,394
Investment income
-$360,724
Other revenue
$264,358
Total assets, end of year
$20,478,449
Total liabilities, end of year
$4,853,515
Net assets or fund balances, end of year
$15,624,934
Program services expenses (Part IX)
$28,753,809
Management and general expenses
$6,714,082
Fundraising expenses
$0
Program service expenses (Part III)
$28,753,809

Program services were 81.1% 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.

  • 1a · Federated campaigns

    $38,974

  • 1e · Government grants (contributions)

    $15,317,861

  • 1f · All other contributions, gifts and grants

    $727,924

  • 1g · Noncash contributions included above

    $1,085,527

  • 2a · Program service revenue: MEDICAID

    total $12,975,798 · related or exempt $12,975,798

  • 2b · Program service revenue: PHARMACY 340B

    total $5,974,102 · related or exempt $5,974,102

  • 2c · Program service revenue: THIRD-PARTY PAYORS

    total $1,412,102 · related or exempt $1,412,102

  • 2d · Program service revenue: MEDICARE

    total $1,173,378 · related or exempt $1,173,378

  • 2e · Program service revenue: SELF-PAY PATIENTS

    total $536,014 · related or exempt $536,014

  • 3 · Investment income

    total $64,045 · excluded $64,045

  • 6a · Gross rents

    real property $25,228

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $25,228

  • 6d · Net rental income or loss

    total $25,228 · excluded $25,228

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

    securities $424,769

  • 7c · Gain or loss

    securities -$424,769

  • 7d · Net gain or loss

    total -$424,769 · excluded -$424,769

  • 11a · Other revenue: INCENTIVE PAYMENTS

    total $239,130 · related or exempt $239,130

  • 11e · Other revenue, total

    $239,130

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,691,397 · program services $1,361,331 · management and general $330,066

  • 7 · Other salaries and wages

    total $16,147,385 · program services $14,532,647 · management and general $1,614,738

  • 8 · Pension plan contributions

    total $1,635,161 · program services $730,132 · management and general $905,029

  • 9 · Other employee benefits

    total $2,838,495 · program services $1,267,444 · management and general $1,571,051

  • 10 · Payroll taxes

    total $1,300,051 · program services $1,170,046 · management and general $130,005

  • 11b · Fees: legal

    total $81,587 · management and general $81,587

  • 11c · Fees: accounting

    total $86,337 · management and general $86,337

  • 11g · Fees: other

    total $4,257,083 · program services $2,974,331 · management and general $1,282,752

  • 12 · Advertising and promotion

    total $48,147 · program services $43,537 · management and general $4,610

  • 13 · Office expenses

    total $35,202 · program services $31,832 · management and general $3,370

  • 14 · Information technology

    total $789,629 · program services $714,062 · management and general $75,567

  • 16 · Occupancy

    total $642,691 · program services $581,160 · management and general $61,531

  • 17 · Travel

    total $33,882 · program services $30,638 · management and general $3,244

  • 19 · Conferences, conventions and meetings

    total $78,484 · program services $70,970 · management and general $7,514

  • 22 · Depreciation, depletion and amortization

    total $304,898 · program services $275,707 · management and general $29,191

  • 23 · Insurance

    total $179,178 · program services $162,023 · management and general $17,155

  • 24a · Other expenses: PROG. ACTIVITIES, SUPPL

    total $3,221,258 · program services $2,822,621 · management and general $398,637

  • 24b · Other expenses: DONATED VACCINES/MEDICA

    total $1,085,527 · program services $1,085,527

  • 24c · Other expenses: EQUIPMENTAL RENTAL AND

    total $246,738 · program services $223,115 · management and general $23,623

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $91,594 · program services $82,825 · management and general $8,769

  • 24e · All other expenses

    total $673,167 · program services $593,861 · management and general $79,306

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,587,884 · end of year $5,313,673

  • 2 · Savings and temporary cash investments

    beginning of year $4,279,248 · end of year $4,284,697

  • 3 · Pledges and grants receivable

    beginning of year $929,407 · end of year $1,073,797

  • 4 · Accounts receivable

    beginning of year $2,567,609 · end of year $3,251,602

  • 9 · Prepaid expenses and deferred charges

    beginning of year $230,502 · end of year $648,695

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

    $9,967,728

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

    $4,788,557

  • 10c · Land, buildings and equipment, net

    beginning of year $4,223,279 · end of year $5,179,171

  • 12 · Investments: other securities

    beginning of year $31,217 · end of year $34,421

  • 13 · Investments: program-related

    beginning of year $108,333 · end of year $108,333

  • 15 · Other assets

    beginning of year $693,776 · end of year $584,060

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,828,026 · end of year $1,864,821

  • 19 · Deferred revenue

    beginning of year $798,362 · end of year $687,157

  • 25 · Other liabilities

    beginning of year $1,994,308 · end of year $2,301,537

  • 27 · Net assets without donor restrictions

    beginning of year $13,030,559 · end of year $15,624,934

Mission and programs · 2022

Mission

PROVIDE PRIMARY HEALTH CARE, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES, TO THE UNDERSERVED POPULATION OF THE GREATER WATERBURY COMMUNITY.

  • MEDICAL CLINIC, HEALTHY START, AND DENTAL CLINIC WHICH PROVIDE MEDICAL, PRENATAL, AND CHILDCARE FOR INNER CITY RESIDENTS AND UNINSURED RESIDENTS AND RESTORATIVE DENTAL CARE FOR INNER CITY CHILDREN. THE TOTAL NUMBER OF VISITS DURING FISCAL YEAR 2023 WAS 107,658.

    Expenses $28,753,809 · Revenue $22,310,524

As filed on the 2022 return.

Listed in Part VII

  • Ashley Lamb

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Carolyn Highsmith

    TREASURER

    Total calculated
    $0
    Hours/week
    0.75
  • Cynthia Hall

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Elizabeth Burgos

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Mark Briggs

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    0.75
  • Paulette Cuozzo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Randy Geary

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Robert Laney

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Sandra Sorel-Leduc

    VICE-CHAIR

    Total calculated
    $0
    Hours/week
    0.75
  • Wanda Dunbar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Yohaly Soto

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.75
  • Alison Campbell

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.75
  • Donald Thompson

    CEO

    Total calculated
    $361,545
    From this org
    $285,941
    From related orgs
    $0
    Other
    $75,604
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $279,411
    Bonus
    $0
    Other
    $6,530
    Deferred
    $61,800
    Nontaxable benefits
    $13,804
    Filer's total
    $361,545
  • Lule Tracey

    CFO

    Total calculated
    $297,517
    From this org
    $244,186
    From related orgs
    $0
    Other
    $53,331
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $244,120
    Bonus
    $0
    Other
    $66
    Deferred
    $51,717
    Nontaxable benefits
    $1,614
    Filer's total
    $297,517
  • Amit Patel DDS

    DENTAL DIRECTOR

    Total calculated
    $351,667
    From this org
    $260,512
    From related orgs
    $0
    Other
    $91,155
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $260,446
    Bonus
    $0
    Other
    $66
    Deferred
    $54,765
    Nontaxable benefits
    $36,390
    Filer's total
    $351,667
  • Christine Bianchi

    CHIEF DEVELOPMENT OFFICER

    Total calculated
    $264,040
    From this org
    $185,230
    From related orgs
    $0
    Other
    $78,810
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,164
    Bonus
    $0
    Other
    $66
    Deferred
    $43,440
    Nontaxable benefits
    $35,370
    Filer's total
    $264,040
  • Tess Lombard MD

    CMO

    Total calculated
    $417,229
    From this org
    $324,521
    From related orgs
    $0
    Other
    $92,708
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $321,166
    Bonus
    $3,289
    Other
    $66
    Deferred
    $55,300
    Nontaxable benefits
    $37,408
    Filer's total
    $417,229
  • Alison Grover

    PHYSICIAN

    Total calculated
    $248,826
    From this org
    $212,353
    From related orgs
    $0
    Other
    $36,473
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,007
    Bonus
    $3,303
    Other
    $43
    Deferred
    $24,740
    Nontaxable benefits
    $11,733
    Filer's total
    $248,826
  • Elie Helou

    PHYSICIAN

    Total calculated
    $283,684
    From this org
    $242,078
    From related orgs
    $0
    Other
    $41,606
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $239,288
    Bonus
    $2,724
    Other
    $66
    Deferred
    $28,672
    Nontaxable benefits
    $12,934
    Filer's total
    $283,684
  • Jill Bernstein

    PHYSICIAN

    Total calculated
    $252,227
    From this org
    $215,154
    From related orgs
    $0
    Other
    $37,073
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,118
    Bonus
    $1,970
    Other
    $66
    Deferred
    $25,333
    Nontaxable benefits
    $11,740
    Filer's total
    $252,227
  • Miguel Mantilla-Villamizar

    PHYSICIAN

    Total calculated
    $263,726
    From this org
    $211,777
    From related orgs
    $0
    Other
    $51,949
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,504
    Bonus
    $9,207
    Other
    $66
    Deferred
    $24,048
    Nontaxable benefits
    $27,901
    Filer's total
    $263,726
  • Stephen Spear

    PHYSICIAN

    Total calculated
    $264,960
    From this org
    $225,313
    From related orgs
    $0
    Other
    $39,647
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,132
    Bonus
    $2,138
    Other
    $43
    Deferred
    $26,356
    Nontaxable benefits
    $13,291
    Filer's total
    $264,960

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 committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATE IN 457(F) PLAN: - DONALD J. THOMPSON, JR., CEO - LULE TRACEY, CFO - AMIT PATEL, DENTAL DIRECTOR
PART I, LINE 7
THE CENTER PROVIDED AN ANNUAL BOARD APPROVED PROFIT SHARING BONUS.

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
26 February 2024
IRS schema version
2022v5.0
Source object
202400599349300100

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