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Nonprofiteer
← RIVERSIDE FAMILY CLINIC

Form 990 for tax year 2022

Filed by RIVERSIDE FAMILY CLINIC.

Totals

Total revenue
$779,799
Total expenses
$1,702,257
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$779,799
Investment income
$0
Other revenue
$0
Total assets, end of year
$208,430
Total liabilities, end of year
$5,601,672
Net assets or fund balances, end of year
-$5,393,242
Program services expenses (Part IX)
$1,464,035
Management and general expenses
$238,222
Fundraising expenses
$0
Program service expenses (Part III)
$1,464,035

Program services were 86.0% 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.

  • 2a · Program service revenue: PATIENT REVENUE

    total $779,799 · related or exempt $779,799

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $903,409 · program services $903,409

  • 8 · Pension plan contributions

    total $15,281 · program services $15,281

  • 9 · Other employee benefits

    total $57,906 · program services $57,906

  • 10 · Payroll taxes

    total $67,219 · program services $67,219

  • 11g · Fees: other

    total $166,288 · program services $166,288

  • 13 · Office expenses

    total $60,326 · program services $60,326

  • 16 · Occupancy

    total $3,079 · program services $3,079

  • 17 · Travel

    total $38,681 · program services $38,681

  • 19 · Conferences, conventions and meetings

    total $12,735 · program services $12,735

  • 22 · Depreciation, depletion and amortization

    total $47,288 · program services $964 · management and general $46,324

  • 24a · Other expenses: ALLOC COSTS-A&G OTHER

    total $173,464 · management and general $173,464

  • 24b · Other expenses: ALLOC COSTS-PLANT OPER

    total $133,411 · program services $133,411

  • 24c · Other expenses: ALLOC COSTS-CAFETERIA

    total $18,434 · management and general $18,434

  • 24d · Other expenses: ALLOC COSTS-CENTRAL SUPPL

    total $3,538 · program services $3,538

  • 24e · All other expenses

    total $1,198 · program services $1,198

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $346,904 · end of year $199,929

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

    $55,982

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

    $47,481

  • 10c · Land, buildings and equipment, net

    beginning of year $9,705 · end of year $8,501

  • 19 · Deferred revenue

    beginning of year $34,938

  • 25 · Other liabilities

    beginning of year $4,792,455 · end of year $5,601,672

  • 27 · Net assets without donor restrictions

    beginning of year -$4,470,784 · end of year -$5,393,242

Mission and programs · 2022

Mission

TO DELIVER QUALITY, COST-EFFECTIVE HEALTH CARE TO THE COMMUNITIES THAT WE SERVE FOR IMPROVEMENT OF HUMAN LIFE.

  • PROVIDING QUALITY, COST-EFFECTIVE PROFESSIONAL HEALTH CARE SERVICES TO THE PATIENTS THAT WE SERVE.

    Expenses $1,464,035 · Revenue $779,799

As filed on the 2022 return.

Listed in Part VII

  • Jeremiah Eldred

    FNP

    Total calculated
    $345,026
    From this org
    $334,214
    From related orgs
    $0
    Other
    $10,812
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $334,214
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $10,812
    Filer's total
    $345,026

  • Steven Murrell

    MD

    Total calculated
    $337,723
    From this org
    $324,623
    From related orgs
    $0
    Other
    $13,100
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $324,623
    Bonus
    not reported
    Other
    not reported
    Deferred
    $2,288
    Nontaxable benefits
    $10,812
    Filer's total
    $337,723

  • Nancy Marston Quivey

    MD

    Total calculated
    $324,945
    From this org
    $322,010
    From related orgs
    $0
    Other
    $2,935
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $322,010
    Bonus
    not reported
    Other
    not reported
    Deferred
    $2,935
    Nontaxable benefits
    not reported
    Filer's total
    $324,945

  • Ben Miller

    FNP

    Total calculated
    $235,953
    From this org
    $232,119
    From related orgs
    $0
    Other
    $3,834
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $232,119
    Bonus
    not reported
    Other
    not reported
    Deferred
    $3,834
    Nontaxable benefits
    not reported
    Filer's total
    $235,953

  • Margaret Norgaard

    CEO

    Total calculated
    $217,620
    From this org
    $0
    From related orgs
    $185,759
    Other
    $31,861

    Schedule J breakdown matched by us

    Base
    not reported + $185,759 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported + $3,715 related
    Nontaxable benefits
    not reported + $28,146 related
    Filer's total
    not reported + $217,620 related

  • Abby Reum

    FNP

    Total calculated
    $166,560
    From this org
    $154,501
    From related orgs
    $0
    Other
    $12,059
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $154,501
    Bonus
    not reported
    Other
    not reported
    Deferred
    $1,247
    Nontaxable benefits
    $10,812
    Filer's total
    $166,560

  • Demi Wilkinson

    CFO

    Total calculated
    $157,452
    From this org
    $0
    From related orgs
    $142,369
    Other
    $15,083

    Schedule J breakdown matched by us

    Base
    not reported + $142,369 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported + $4,271 related
    Nontaxable benefits
    not reported + $10,812 related
    Filer's total
    not reported + $157,452 related

  • Roger Fisher

    COO

    Total calculated
    $156,905
    From this org
    $0
    From related orgs
    $153,536
    Other
    $3,369

    Schedule J breakdown matched by us

    Base
    not reported + $153,536 related
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported + $3,369 related
    Nontaxable benefits
    not reported
    Filer's total
    not reported + $156,905 related

  • Shane Gibson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Steve Hackley

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • Victoria Matejovsky

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Debbie McGowan

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dan Moudree

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Dallas O'Connor

    VICE-CHAIRMA

    Total calculated
    $0
    Hours/week
    1

  • Stacey Summers

    TRIBAL REP

    Total calculated
    $0
    Hours/week
    1

  • Richard Baland

    CFO

    Total calculated
    $0

  • Michael Post

    CEO

    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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202441359349312299

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