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Nonprofiteer
← AMITY MEDICAL GROUP INC

Form 990 for tax year 2023

Filed by AMITY MEDICAL GROUP INC.

Totals

Total revenue
$19,344,897
Total expenses
$18,522,083
Contributions and grants received
$824,490
Grants paid
$0
Program service revenue
$18,512,907
Investment income
$0
Other revenue
$7,500
Total assets, end of year
$10,345,977
Total liabilities, end of year
$7,723,925
Net assets or fund balances, end of year
$2,622,052
Program services expenses (Part IX)
$17,719,483
Management and general expenses
$802,600
Fundraising expenses
$0
Program service expenses (Part III)
$17,719,483

Program services were 95.7% 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)

    $704,490

  • 1f · All other contributions, gifts and grants

    $120,000

  • 2a · Program service revenue: Pharmacy Program

    total $15,022,785 · related or exempt $15,022,785

  • 2b · Program service revenue: Patient Services

    total $3,481,647 · related or exempt $3,481,647

  • 2c · Program service revenue: Medical Research

    total $8,475 · related or exempt $8,475

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Miscellaneous Revenue

    total $7,500 · excluded $7,500

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $7,500

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,167,787 · program services $1,051,008 · management and general $116,779

  • 7 · Other salaries and wages

    total $3,542,356 · program services $3,235,222 · management and general $307,134

  • 8 · Pension plan contributions

    total $101,807 · program services $92,644 · management and general $9,163

  • 9 · Other employee benefits

    total $273,643 · program services $249,015 · management and general $24,628

  • 10 · Payroll taxes

    total $319,232 · program services $290,501 · management and general $28,731

  • 11b · Fees: legal

    total $36,454 · program services $33,173 · management and general $3,281

  • 11g · Fees: other

    total $905,290 · program services $823,814 · management and general $81,476 · fundraising $0

  • 12 · Advertising and promotion

    total $17,200 · program services $15,652 · management and general $1,548

  • 13 · Office expenses

    total $229,632 · program services $208,965 · management and general $20,667

  • 14 · Information technology

    total $315,496 · program services $287,101 · management and general $28,395

  • 16 · Occupancy

    total $573,442 · program services $521,832 · management and general $51,610

  • 17 · Travel

    total $23,630 · program services $21,503 · management and general $2,127

  • 22 · Depreciation, depletion and amortization

    total $135,287 · program services $123,111 · management and general $12,176

  • 23 · Insurance

    total $66,633 · program services $60,636 · management and general $5,997

  • 24a · Other expenses: Drug Costs

    total $9,604,298 · program services $9,604,298

  • 24b · Other expenses: Medical Supplies

    total $528,108 · program services $480,578 · management and general $47,530

  • 24c · Other expenses: Bridges to Access

    total $400,020 · program services $364,021 · management and general $35,999

  • 24d · Other expenses: Lab Services

    total $268,275 · program services $244,130 · management and general $24,145

  • 24e · All other expenses

    total $13,493 · program services $12,279 · management and general $1,214 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $326,177 · end of year $886,861

  • 3 · Pledges and grants receivable

    beginning of year $350,370 · end of year $171,281

  • 4 · Accounts receivable

    beginning of year $1,526,241 · end of year $1,524,867

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $62,215 · end of year $285,859

  • 9 · Prepaid expenses and deferred charges

    end of year $7,279

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

    $1,138,800

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

    $382,768

  • 10c · Land, buildings and equipment, net

    beginning of year $744,650 · end of year $756,032

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    end of year $1,238,590

  • 15 · Other assets

    beginning of year $89,925 · end of year $5,475,208

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,250,754 · end of year $1,339,940

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 24 · Unsecured notes and loans payable

    end of year $1,000,000

  • 25 · Other liabilities

    beginning of year $0 · end of year $5,383,985

  • 27 · Net assets without donor restrictions

    beginning of year $1,848,824 · end of year $2,622,052

Mission and programs · 2023

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.

  • 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 $14,063,172 · Revenue $15,022,785

  • 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 $3,567,103 · Revenue $3,481,647

  • Grant Funded Program - PREP Program

    Expenses $89,208 · Revenue $8,475

As filed on the 2023 return.

Listed in Part VII

  • Holliday Thomas

    Treasurer

    Total calculated
    $0
    Hours/week
    2
  • Hollnagel Daryl

    Chairman

    Total calculated
    $0
    Hours/week
    2
  • Varner Marshall

    Secretary

    Total calculated
    $0
    Hours/week
    2
  • Dickenson Jaila

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Kabisapathy Swat

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • McCloud Chandra

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Richardson Demond

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Vasquez Jeanneth

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Yon Keith

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Mohamed Elgohary

    Director of Finance

    Total calculated
    $125,879
    From this org
    $119,403
    From related orgs
    $0
    Other
    $6,476
    Hours/week
    40
  • Olivia Bentley

    Executive Director

    Total calculated
    $183,530
    From this org
    $166,543
    From related orgs
    $0
    Other
    $16,987
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,543
    Bonus
    $8,000
    Other
    $0
    Deferred
    $7,768
    Nontaxable benefits
    $9,219
    Filer's total
    $183,530
  • Zachary Richardson

    Chief Admin Officer

    Total calculated
    $77,801
    From this org
    $76,244
    From related orgs
    $0
    Other
    $1,557
    Hours/week
    40
  • Heather Manos

    Medical Director of Addiction Medicine

    Total calculated
    $265,770
    From this org
    $254,418
    From related orgs
    $0
    Other
    $11,352
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $246,418
    Bonus
    $8,000
    Other
    $0
    Deferred
    $5,191
    Nontaxable benefits
    $6,161
    Filer's total
    $265,770
  • Jerry Saunders

    Medical Director of Pediatrics

    Total calculated
    $190,541
    From this org
    $179,336
    From related orgs
    $0
    Other
    $11,205
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,336
    Bonus
    $8,000
    Other
    $0
    Deferred
    $3,791
    Nontaxable benefits
    $7,414
    Filer's total
    $190,541
  • Richard Wynn

    Chief Medical Officer

    Total calculated
    $324,264
    From this org
    $302,172
    From related orgs
    $0
    Other
    $22,092
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $294,172
    Bonus
    $8,000
    Other
    $0
    Deferred
    $12,873
    Nontaxable benefits
    $9,219
    Filer's total
    $324,264
  • Chad Ellis

    PA-C

    Total calculated
    $141,902
    From this org
    $133,019
    From related orgs
    $0
    Other
    $8,883
    Hours/week
    40
  • Jason Hardin

    Medical Director of HIV

    Total calculated
    $151,067
    From this org
    $139,808
    From related orgs
    $0
    Other
    $11,259
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,808
    Bonus
    $8,000
    Other
    $0
    Deferred
    $5,098
    Nontaxable benefits
    $6,161
    Filer's total
    $151,067
  • Mandy Occhipinti

    Director of Quality

    Total calculated
    $152,953
    From this org
    $140,988
    From related orgs
    $0
    Other
    $11,965
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $132,988
    Bonus
    $8,000
    Other
    $0
    Deferred
    $5,804
    Nontaxable benefits
    $6,161
    Filer's total
    $152,953
  • Ron Kirkpatrick

    PA-C

    Total calculated
    $153,000
    From this org
    $153,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $130,000
    Bonus
    $23,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $153,000
  • Rostislav Beyder

    PA-C

    Total calculated
    $192,421
    From this org
    $180,291
    From related orgs
    $0
    Other
    $12,130
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,125
    Bonus
    $29,166
    Other
    $0
    Deferred
    $5,962
    Nontaxable benefits
    $6,168
    Filer's total
    $192,421

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 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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.

Provenance

Return type
form_990
Tax year
2023
Filed
1 May 2025
IRS schema version
2023v6.0
Source object
202511219349301751

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