Totals
- Total revenue
- $13,972,905
- Total expenses
- $13,519,849
- Contributions and grants received
- $5,637,832
- Grants paid
- $0
- Program service revenue
- $8,287,654
- Investment income
- $47,419
- Other revenue
- $0
- Total assets, end of year
- $7,603,661
- Total liabilities, end of year
- $2,185,435
- Net assets or fund balances, end of year
- $5,418,226
- Program services expenses (Part IX)
- $9,734,329
- Management and general expenses
- $3,785,520
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $9,734,329
Program services were 72.0% 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.
-
1a · Federated campaigns
$10,084
-
1e · Government grants (contributions)
$4,602,056
-
1f · All other contributions, gifts and grants
$1,025,692
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $7,681,864 · related or exempt $7,681,864
-
2b · Program service revenue: PREMIUM REVENUE
total $605,790 · related or exempt $605,790
-
3 · Investment income
total $47,419 · unrelated business $0 · excluded $47,419
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $367,089 · program services $255,103 · management and general $111,986
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $5,173,713 · program services $3,569,592 · management and general $1,604,121
-
8 · Pension plan contributions
total $257,787 · program services $188,560 · management and general $69,227
-
9 · Other employee benefits
total $318,678 · program services $233,178 · management and general $85,500
-
10 · Payroll taxes
total $424,179 · program services $292,188 · management and general $131,991
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $23,199 · management and general $23,199
-
11c · Fees: accounting
total $74,976 · program services $13,500 · management and general $61,476
-
11d · Fees: lobbying
total $3,250 · management and general $3,250
-
11e · Fees: professional fundraising services
total $0 · fundraising $0
-
11f · Fees: investment management
total $0 · program services $0
-
11g · Fees: other
total $2,512,168 · program services $2,123,390 · management and general $388,778
-
12 · Advertising and promotion
total $95,915 · program services $0 · management and general $95,915
-
13 · Office expenses
total $364,390 · program services $248,393 · management and general $115,997
-
14 · Information technology
total $670,067 · program services $350 · management and general $669,717
-
15 · Royalties
total $0
-
16 · Occupancy
total $531,957 · program services $400,859 · management and general $131,098
-
17 · Travel
total $16,939 · program services $7,199 · management and general $9,740
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $26,023 · management and general $26,023
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $125,644 · program services $125,644
-
23 · Insurance
total $65,587 · program services $25,086 · management and general $40,501
-
24a · Other expenses: PATIENT CARE
total $1,613,844 · program services $1,606,702 · management and general $7,142
-
24b · Other expenses: MEDICAL SUPPLIES
total $472,414 · program services $351,309 · management and general $121,105
-
24c · Other expenses: REPAIRS & MAINTENANCE
total $294,652 · program services $276,734 · management and general $17,918
-
24d · Other expenses: DUES & SUBSCRIPTIONS
total $44,164 · program services $4,825 · management and general $39,339
-
24e · All other expenses
total $43,214 · program services $11,717 · management and general $31,497
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $313,659 · end of year $308,443
-
2 · Savings and temporary cash investments
beginning of year $4,064,016 · end of year $2,651,237
-
3 · Pledges and grants receivable
beginning of year $146,545 · end of year $198,289
-
4 · Accounts receivable
beginning of year $489,286 · end of year $581,558
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $2,346 · end of year $1,867
-
9 · Prepaid expenses and deferred charges
beginning of year $86,546 · end of year $101,389
-
10a · Land, buildings and equipment: cost or other basis
$5,749,199
-
10b · Land, buildings and equipment: accumulated depreciation
$4,189,549
-
10c · Land, buildings and equipment, net
beginning of year $1,107,307 · end of year $1,559,650
-
11 · Investments: publicly traded securities
beginning of year $561,642 · end of year $1,535,028
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $0 · end of year $666,200
-
17 · Accounts payable and accrued expenses
beginning of year $832,268 · end of year $779,274
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $430,168 · end of year $289,041
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $450,292 · end of year $433,743
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $116,685 · end of year $683,377
-
27 · Net assets without donor restrictions
beginning of year $4,941,934 · end of year $5,418,226
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.
Activities or mission (Part I)
TO OPERATE THREE COMPREHENSIVE HEALTH CENTERS LOCATED IN CHESTER AND DELAWARE COUNTIES.
-
EXPENSES INCURRED IN PROVIDING COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. WE STRIVE TO MEET THE UNIQUE HEALTH NEEDS OF THE COMMUNITIES WE SERVE IN LINGUISTICALLY AND CULTURALLY COMPETENT WAYS. FOR MORE INFORMATION, PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.
Expenses $9,734,329 · Revenue $8,287,654
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Raquibul Islam MDRAQUIBUL ISLAM MD
PHYSICIAN
- Total calculated
- $230,876
- From this org
- $194,071
- From related orgs
- $0
- Other
- $36,805
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,691
- Bonus
- $380
- Other
- $0
- Deferred
- $10,108
- Nontaxable benefits
- $26,697
- Filer's total
- $230,876
-
Susan Harris-McGovern Ms-NpmSUSAN HARRIS-MCGOVERN MS-NPM
PRESIDENT & CEO
- Total calculated
- $200,668
- From this org
- $183,538
- From related orgs
- $0
- Other
- $17,130
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $183,158
- Bonus
- $380
- Other
- $0
- Deferred
- $9,265
- Nontaxable benefits
- $7,865
- Filer's total
- $200,668
-
Bruce Auden MDBRUCE AUDEN MD
PHYSICIAN
- Total calculated
- $200,236
- From this org
- $175,370
- From related orgs
- $0
- Other
- $24,866
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $174,990
- Bonus
- $380
- Other
- $0
- Deferred
- $8,988
- Nontaxable benefits
- $15,878
- Filer's total
- $200,236
-
Kai Turner DoKAI TURNER DO
PHYSICIAN
- Total calculated
- $196,035
- From this org
- $176,999
- From related orgs
- $0
- Other
- $19,036
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $176,619
- Bonus
- $380
- Other
- $0
- Deferred
- $8,933
- Nontaxable benefits
- $10,103
- Filer's total
- $196,035
-
Nancy Koshetar DDSNANCY KOSHETAR DDS
DENTIST
- Total calculated
- $168,667
- From this org
- $151,121
- From related orgs
- $0
- Other
- $17,546
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $150,741
- Bonus
- $380
- Other
- $0
- Deferred
- $7,639
- Nontaxable benefits
- $9,907
- Filer's total
- $168,667
-
Daniel A CaplanDANIEL A CAPLAN
CHIEF FINANCIAL OFFICER
- Total calculated
- $166,421
- From this org
- $139,601
- From related orgs
- $0
- Other
- $26,820
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $139,221
- Bonus
- $380
- Other
- $0
- Deferred
- $7,246
- Nontaxable benefits
- $19,574
- Filer's total
- $166,421
-
Gary DavisGARY DAVIS
FORMER OFFICER
- Total calculated
- $130,808
- From this org
- $123,029
- From related orgs
- $0
- Other
- $7,779
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $64,000
- Bonus
- $0
- Other
- $59,029
- Deferred
- $6,172
- Nontaxable benefits
- $1,607
- Filer's total
- $130,808
-
Elizabeth Warren Cnm FnpELIZABETH WARREN CNM FNP
Certified Nurse Practitoner
- Total calculated
- $129,123
- From this org
- $115,845
- From related orgs
- $0
- Other
- $13,278
- Hours/week
- 40
-
Rae RoederRAE ROEDER
PRESIDENT - DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Gwen SmithGWEN SMITH
VICE PRESIDENT - DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Shepard GarnerSHEPARD GARNER
SECRETARY - DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Karen VeselyKAREN VESELY
TREASURER - DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Carol AllenCAROL ALLEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dina Capalongo Do FacpDINA CAPALONGO DO FACP
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey GreenJEFFREY GREEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Anthony HallANTHONY HALL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David KeithDAVID KEITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Donna LawlerDONNA LAWLER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Patricia G LewisPATRICIA G LEWIS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Willie Mae WellsWILLIE MAE WELLS
DIRECTOR
- 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 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4a · Severance or change-of-control payment
- 7 · Other non-fixed payments
Answered no
- 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 VII AND SCHEDULE J
- In accordance with Internal Revenue Service Form 990 rules, regulations and instructions, the compensation reported in core form, part VII and schedule J, part II of this Form 990 is derived from 2022 Forms W-2 and Forms 1099 (if applicable).
- SCHEDULE J, PART I; QUESTION 4A
- The following individual received a one-time separation of employment payment during calendar year 2022 which was included in his 2022 Form W-2, Box 5, as taxable Medicare wages: Gary Davis, $59,029.
- SCHEDULE J, PART I; QUESTION 7
- Certain individuals included in Schedule J, Part II received a bonus during calendar year 2022 which was included in each individual's 2022 Form W-2, Box 5, as taxable Medicare wages. Please refer to this section of the Form 990, Schedule J for this information by person by amount.
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
- 29 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441229349300244
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