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Nonprofiteer
← AMITY MEDICAL GROUP INC

Form 990 for tax year 2022

Filed by AMITY MEDICAL GROUP INC.

Totals

Total revenue
$14,124,269
Total expenses
$14,985,145
Contributions and grants received
$562,875
Grants paid
$0
Program service revenue
$13,561,394
Investment income
$0
Other revenue
$0
Total assets, end of year
$3,099,578
Total liabilities, end of year
$1,250,754
Net assets or fund balances, end of year
$1,848,824
Program services expenses (Part IX)
$14,681,701
Management and general expenses
$303,444
Fundraising expenses
$0
Program service expenses (Part III)
$14,681,701

Program services were 98.0% 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)

    $562,875

  • 2a · Program service revenue: PHARMACY PROGRAM

    total $11,026,100 · related or exempt $11,026,100

  • 2b · Program service revenue: PATIENT SERVICES

    total $2,532,819 · related or exempt $2,532,819

  • 2c · Program service revenue: MEDICAL RESEARCH

    total $2,475 · related or exempt $2,475

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,248,637 · program services $1,193,939 · management and general $54,698

  • 7 · Other salaries and wages

    total $2,307,761 · program services $2,206,667 · management and general $101,094

  • 8 · Pension plan contributions

    total $46,088 · program services $44,069 · management and general $2,019

  • 9 · Other employee benefits

    total $76,911 · program services $73,542 · management and general $3,369

  • 10 · Payroll taxes

    total $240,027 · program services $229,512 · management and general $10,515

  • 11b · Fees: legal

    total $21,690 · program services $20,740 · management and general $950

  • 11g · Fees: other

    total $920,250 · program services $879,937 · management and general $40,313

  • 12 · Advertising and promotion

    total $23,247 · program services $22,229 · management and general $1,018

  • 13 · Office expenses

    total $505,468 · program services $483,325 · management and general $22,143

  • 16 · Occupancy

    total $500,139 · program services $478,230 · management and general $21,909

  • 22 · Depreciation, depletion and amortization

    total $104,702 · program services $100,115 · management and general $4,587

  • 23 · Insurance

    total $66,526 · program services $63,612 · management and general $2,914

  • 24a · Other expenses: DRUG COSTS

    total $8,058,194 · program services $8,058,194 · management and general $0

  • 24b · Other expenses: BRIDGES TO ACCESS

    total $415,917 · program services $397,697 · management and general $18,220

  • 24c · Other expenses: LAB SERVICES

    total $289,835 · program services $277,138 · management and general $12,697

  • 24d · Other expenses: MEDICAL SUPPLIES

    total $159,141 · program services $152,170 · management and general $6,971

  • 24e · All other expenses

    total $612 · program services $585 · management and general $27

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,600,106 · end of year $326,177

  • 3 · Pledges and grants receivable

    beginning of year $75,239 · end of year $350,370

  • 4 · Accounts receivable

    beginning of year $1,084,825 · end of year $1,526,241

  • 8 · Inventories for sale or use

    beginning of year $62,215 · end of year $62,215

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

    $1,031,383

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

    $286,733

  • 10c · Land, buildings and equipment, net

    beginning of year $464,634 · end of year $744,650

  • 15 · Other assets

    beginning of year $13,209 · end of year $89,925

  • 17 · Accounts payable and accrued expenses

    beginning of year $590,528 · end of year $1,250,754

  • 27 · Net assets without donor restrictions

    beginning of year $2,709,700 · end of year $1,848,824

Mission and programs · 2022

Mission

TO PROVIDE PATIENT-CENTERED TEAM-BASED CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS TO ALL DESPITE ANY BARRIERS, STIGMA, SOCIOECONOMIC OR HEALTH DISPARITY.

  • OUTPATIENT AMBULATORY MEDICAL CARE SERVICES - WE PROVIDE MEDICAL CARE AND TREATMENT TO PATIENTS. WE PROVIDE PRIMARY CARE, HIV SPECIALTY CARE, ADDICTION AND SUBSTANCE USE DISORDERS, CHRONIC CARE MANAGEMENT, REMOTE PATIENT MONITORING AND MORE. THESE SERVICES ARE BILLED TO THIRD PARTY INSURANCE COMPANIES, GRANT-FUNDED (IF APPROPRIATED), SELF-PAY PATIENTS RESPONSIBILITY OR THROUGH OUR SLIDING SCALE DISCOUNT PROGRAM. HOWEVER, A MAJORITY OF THE FUNDS FOR MEDICAL CARE COMES FROM THIRD PARTY INSURANCE BILLING.

    Expenses $3,742,392 · Revenue $2,532,819

  • GRANT-FUNDED PROGRAMS - WE HAD 3 GRANTS IN 2022: RYAN WHITE, MECKLENBURG COUNTY PREP PROGRAM, AND CARES ACT. RYAN WHITE GRANT IS FOR THE MEDICAL CARE AND TREATMENT OF HIV POSITIVE PATIENTS. PREP GRANT IS FOR THE MEDICAL CARE AND MEDICATIONS FOR THE PREVENTION OF HIV IN HIGH-RISK HIV-NEGATIVE PATIENTS. CARES ACT GRANT IS A COVID-19 RELATED GRANT TO HELP THE CLINIC AND THE PATIENTS GET THE PROPER PPE TO PREVENT THE SPREAD OF COVID-19 INFECTIONS.

    Expenses $562,875

  • 340B PRESCRIPTION DRUG PROGRAM - AS A RYAN WHITE GRANT-FUNDED ENTITY, WE PROVIDE MEDICAL CARE SERVICES AND TREATMENT SUPPORT AT LITTLE TO NO COST TO UNDERSERVED, LOW-INCOME HIV POSITIVE INDIVIDUALS AND THEIR CAREGIVERS. ELIGIBLE 340B PRESCRIPTIONS ARE DISPENSED AT CONTRACTED PHARMACIES AND THE COST SAVINGS GENERATED BECOME OUR PROGRAM INCOME. THESE FUNDS ARE USED TO GENERATE MORE SERVICES AND ALLOW THE PROGRAM TO CONTINUE TO SERVE THE UNDERSERVED COMMUNITY.

    Expenses $10,376,434 · Revenue $11,026,100

  • RESEARCH PROJECTS - SOME OF OUR PROVIDERS PARTICIPATE IN RESEARCH PROJECTS WITH SOME UNIVERSITIES OR DRUG MANUFACTURERS.

    Revenue $2,475

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Olivia S Bentley

    EXECUTIVE DIRECTOR

    Total calculated
    $193,468
    From this org
    $177,967
    From related orgs
    $0
    Other
    $15,501
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,896
    Bonus
    $2,200
    Other
    $5,871
    Deferred
    $7,030
    Nontaxable benefits
    $8,471
    Filer's total
    $193,468

  • Mandy Occhipinti

    DIRECTOR OF QUALITY ASSURANCE

    Total calculated
    $141,849
    From this org
    $136,435
    From related orgs
    $0
    Other
    $5,414
    Hours/week
    40

  • Mohamed Elgohary

    DIRECTOR OF FINANCE

    Total calculated
    $120,007
    From this org
    $113,196
    From related orgs
    $0
    Other
    $6,811
    Hours/week
    40

  • April Imes

    CLINICAL MANAGER

    Total calculated
    $86,151
    From this org
    $83,689
    From related orgs
    $0
    Other
    $2,462
    Hours/week
    40

  • Michelle Marquez

    DIRECTOR OF HUMAN RESOURCES

    Total calculated
    $93,279
    From this org
    $83,226
    From related orgs
    $0
    Other
    $10,053
    Hours/week
    40

  • Zachary Richardson

    CHIEF ADMIN OFFICER

    Total calculated
    $66,902
    From this org
    $60,306
    From related orgs
    $0
    Other
    $6,596
    Hours/week
    40

  • Richard T Wynn

    CMO

    Total calculated
    $336,238
    From this org
    $315,567
    From related orgs
    $0
    Other
    $20,671
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,367
    Bonus
    $2,200
    Other
    $72,000
    Deferred
    $12,200
    Nontaxable benefits
    $8,471
    Filer's total
    $336,238

  • Heather Manos

    MEDICAL DIRECTOR, ADDICTION MEDICATION

    Total calculated
    $255,546
    From this org
    $245,000
    From related orgs
    $0
    Other
    $10,546
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,000
    Bonus
    $0
    Other
    $0
    Deferred
    $4,900
    Nontaxable benefits
    $5,646
    Filer's total
    $255,546

  • Joel Wesley Thompson

    MEDICAL DIRECTOR OF HIV

    Total calculated
    $203,528
    From this org
    $196,368
    From related orgs
    $0
    Other
    $7,160
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,368
    Bonus
    $0
    Other
    $0
    Deferred
    $6,905
    Nontaxable benefits
    $255
    Filer's total
    $203,528

  • Jerry Saunders

    PHYSICIAN

    Total calculated
    $240,166
    From this org
    $228,800
    From related orgs
    $0
    Other
    $11,366
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,800
    Bonus
    $0
    Other
    $0
    Deferred
    $4,576
    Nontaxable benefits
    $6,790
    Filer's total
    $240,166

  • William Kreft

    PHYSICIAN ASSISTANT

    Total calculated
    $131,997
    From this org
    $121,576
    From related orgs
    $0
    Other
    $10,421
    Hours/week
    40

  • Chad Ellis

    PHYSICIAN ASSISTANT

    Total calculated
    $123,423
    From this org
    $119,937
    From related orgs
    $0
    Other
    $3,486
    Hours/week
    40

  • Jason Hardin

    RYAN WHITE PROG LEAD

    Total calculated
    $117,473
    From this org
    $108,117
    From related orgs
    $0
    Other
    $9,356
    Hours/week
    40

  • Daryl Hollnagel

    CHAIRMAN OF THE BOARD

    Total calculated
    $0
    Hours/week
    1

  • Marshall Varner

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Thomas Holliday

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Jeanneth Vasquez

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Saswat Kabisatpathy

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jalia Dickerson

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Demond Richardson

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Keith Yon

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Chandra McCloud

    MEMBER

    Total calculated
    $0
    Hours/week
    1

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 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
BONUSES ARE DETERMINED, IN PART, BASED ON THE PERFORMANCE OF THE ORGANIZATION AS A WHOLE. IT IS CALCULATED BY THE HR MANAGER AND PRESENTED TO THE BOARD OF DIRECTORS FOR ADJUSTMENT AND APPROVAL.

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
25 September 2023
IRS schema version
2022v5.0
Source object
202332779349300513

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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