Form 990 for tax year 2022
Filed by TRI CITY HEALTH PARTNERSHIP INC.
Totals
- Total revenue
- $1,153,898
- Total expenses
- $1,023,748
- Contributions and grants received
- $854,323
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $10,320
- Other revenue
- $289,255
- Total assets, end of year
- $1,036,478
- Total liabilities, end of year
- $9,673
- Net assets or fund balances, end of year
- $1,026,805
- Program services expenses (Part IX)
- $898,444
- Management and general expenses
- $112,774
- Fundraising expenses
- $12,530
- Program service expenses (Part III)
- $898,444
Program services were 87.8% 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
$31,315
-
1e · Government grants (contributions)
$132,705
-
1f · All other contributions, gifts and grants
$690,303
-
1g · Noncash contributions included above
$306,382
-
3 · Investment income
total $3,992 · excluded $3,992
-
7a · Gross sales of assets other than inventory
securities $96,454
-
7b · Less cost or other basis and sales expenses
securities $90,126
-
7c · Gain or loss
securities $6,328
-
7d · Net gain or loss
total $6,328 · excluded $6,328
-
8a · Fundraising events: gross income
$290,687
-
8b · Fundraising events: direct expenses
$12,954
-
8c · Net income from fundraising events
total $277,733 · excluded $277,733
-
11a · Other revenue: PAPERWORK FEES
total $11,522 · related or exempt $11,522
-
11e · Other revenue, total
$11,522
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $434,971 · program services $347,594 · management and general $78,639 · fundraising $8,738
-
9 · Other employee benefits
total $33,132 · program services $26,505 · management and general $5,964 · fundraising $663
-
10 · Payroll taxes
total $33,577 · program services $33,577
-
11f · Fees: investment management
total $1,097 · program services $1,097
-
13 · Office expenses
total $10,636 · program services $9,468 · management and general $1,051 · fundraising $117
-
14 · Information technology
total $879 · program services $879
-
16 · Occupancy
total $20,012 · program services $17,991 · management and general $1,819 · fundraising $202
-
17 · Travel
total $6,441 · program services $5,797 · management and general $580 · fundraising $64
-
20 · Interest
total $203 · program services $142 · management and general $55 · fundraising $6
-
22 · Depreciation, depletion and amortization
total $40,218 · program services $36,197 · management and general $3,619 · fundraising $402
-
23 · Insurance
total $10,418 · program services $9,214 · management and general $1,084 · fundraising $120
-
24a · Other expenses: DONATED GOODS
total $306,382 · program services $306,382
-
24b · Other expenses: MEDICATIONS
total $32,216 · program services $32,216
-
24c · Other expenses: PROFESSIONAL FEES
total $31,948 · program services $15,974 · management and general $14,377 · fundraising $1,597
-
24d · Other expenses: FACILITY EXPANSION
total $9,019 · program services $9,019
-
24e · All other expenses
total $52,599 · program services $46,392 · management and general $5,586 · fundraising $621
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $143,412 · end of year $231,937
-
3 · Pledges and grants receivable
end of year $140,325
-
9 · Prepaid expenses and deferred charges
beginning of year $3,344 · end of year $3,344
-
10a · Land, buildings and equipment: cost or other basis
$733,382
-
10b · Land, buildings and equipment: accumulated depreciation
$205,521
-
10c · Land, buildings and equipment, net
beginning of year $568,080 · end of year $527,861
-
11 · Investments: publicly traded securities
beginning of year $249,016 · end of year $133,011
-
17 · Accounts payable and accrued expenses
beginning of year $16,234 · end of year $5,527
-
25 · Other liabilities
beginning of year $7,360 · end of year $4,146
-
27 · Net assets without donor restrictions
beginning of year $940,258 · end of year $751,480
-
28 · Net assets with donor restrictions
end of year $275,325
Mission and programs · 2022
Mission
TO PROVIDE FREE HEALTH CARE IN KANE COUNTY ILLINOIS FOR UNINSURED OR UNDERINSURED INDIVIDUALS.
-
TO PROVIDE FREE HEALTH CARE IN KANE COUNTY, ILLINOIS FOR UNINSURED OR UNDER-INSURED.
Expenses $700,155
-
TO PROVIDE FREE DENTAL CARE IN KANE COUNTY, ILLINOIS FOR UNINSURED OR UNDER-INSURED.
Expenses $198,289
As filed on the 2022 return.
Listed in Part VII
-
Beverly DejovineBEVERLY DEJOVINE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Tom StiberthTOM STIBERTH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Kelly MillerKELLY MILLER
CHAIR
- Total calculated
- $0
- Hours/week
- 4
-
Michael GilbertMICHAEL GILBERT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Scott Dykes DDSSCOTT DYKES DDS
DENTAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 4
-
Cindy BrownCINDY BROWN
SECRETARY
- Total calculated
- $0
- Hours/week
- 4
-
Sarah Kimber MDSARAH KIMBER MD
MEDICAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 4
-
Mark Daniels MDMARK DANIELS MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Phil BukowskiPHIL BUKOWSKI
TREASURER
- Total calculated
- $0
- Hours/week
- 4
-
John PowerJOHN POWER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
John Mason DDSJOHN MASON DDS
DENTAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 4
-
Brad WiltonBRAD WILTON
VICE-CHAIR
- Total calculated
- $0
- Hours/week
- 4
-
Jeff ConnerJEFF CONNER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 3
-
Steve Holtsford MDSTEVE HOLTSFORD MD
MEDICAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 4
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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202331239349302288
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