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Nonprofiteer
← OWENSVILLE PRIMARY CARE INC

Form 990 for tax year 2023

Filed by OWENSVILLE PRIMARY CARE INC.

Totals

Total revenue
$6,467,625
Total expenses
$6,631,997
Contributions and grants received
$1,984,809
Grants paid
$0
Program service revenue
$4,442,882
Investment income
$32,134
Other revenue
$7,800
Total assets, end of year
$5,925,105
Total liabilities, end of year
$1,124,331
Net assets or fund balances, end of year
$4,800,774
Program services expenses (Part IX)
$6,064,426
Management and general expenses
$546,189
Fundraising expenses
$21,382
Program service expenses (Part III)
$6,064,426

Program services were 91.4% 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)

    $1,932,742

  • 1f · All other contributions, gifts and grants

    $52,067

  • 2a · Program service revenue: Fees for Medical Services

    total $3,231,850 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Partnership Income

    total $1,211,032 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $95,120 · unrelated business $0 · excluded $95,120

  • 6a · Gross rents

    real property $7,800

  • 6c · Rental income or loss

    real property $7,800

  • 6d · Net rental income or loss

    total $7,800 · related or exempt $7,800

  • 7b · Less cost or other basis and sales expenses

    other assets $62,986

  • 7c · Gain or loss

    other assets -$62,986

  • 7d · Net gain or loss

    total -$62,986 · related or exempt -$62,986 · unrelated business $0 · excluded $0

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $548,916 · program services $408,779 · management and general $133,894 · fundraising $6,243

  • 7 · Other salaries and wages

    total $3,425,780 · program services $3,184,620 · management and general $231,275 · fundraising $9,885

  • 9 · Other employee benefits

    total $579,698 · program services $524,087 · management and general $53,259 · fundraising $2,352

  • 10 · Payroll taxes

    total $277,801 · program services $251,151 · management and general $25,523 · fundraising $1,127

  • 11b · Fees: legal

    total $440 · program services $0 · management and general $440 · fundraising $0

  • 11c · Fees: accounting

    total $33,475 · program services $0 · management and general $33,475 · fundraising $0

  • 11g · Fees: other

    total $74,958 · program services $70,723 · management and general $4,055 · fundraising $180

  • 12 · Advertising and promotion

    total $37,680 · program services $33,409 · management and general $2,983 · fundraising $1,288

  • 13 · Office expenses

    total $169,244 · program services $153,075 · management and general $15,909 · fundraising $260

  • 14 · Information technology

    total $193,833 · program services $193,833 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $333,638 · program services $302,860 · management and general $30,778 · fundraising $0

  • 17 · Travel

    total $14,628 · program services $13,278 · management and general $1,350 · fundraising $0

  • 20 · Interest

    total $100 · program services $91 · management and general $9 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $223,748 · program services $223,748 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $36,099 · program services $27,650 · management and general $8,402 · fundraising $47

  • 24a · Other expenses: Medical Supplies

    total $312,747 · program services $312,747 · management and general $0 · fundraising $0

  • 24b · Other expenses: Service Agreements

    total $119,143 · program services $119,143 · management and general $0 · fundraising $0

  • 24c · Other expenses: Dues & Subscriptions

    total $30,757 · program services $27,920 · management and general $2,837 · fundraising $0

  • 24d · Other expenses: Contract Pharmacy Expenses

    total $210,937 · program services $210,937 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $8,375 · program services $6,375 · management and general $2,000 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,714,453 · end of year $2,632,758

  • 4 · Accounts receivable

    beginning of year $436,756 · end of year $301,190

  • 7 · Other notes and loans receivable

    beginning of year $1,277 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $101,744 · end of year $86,453

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

    $2,834,139

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

    $882,791

  • 10c · Land, buildings and equipment, net

    beginning of year $1,967,671 · end of year $1,951,348

  • 13 · Investments: program-related

    beginning of year $141,377 · end of year $420,834

  • 15 · Other assets

    beginning of year $621,698 · end of year $532,522

  • 17 · Accounts payable and accrued expenses

    beginning of year $556,605 · end of year $471,545

  • 19 · Deferred revenue

    beginning of year $68,437 · end of year $68,473

  • 23 · Secured mortgages and notes payable

    beginning of year $657,517 · end of year $571,177

  • 25 · Other liabilities

    beginning of year $16,728 · end of year $13,136

  • 27 · Net assets without donor restrictions

    beginning of year $4,323,349 · end of year $4,446,654

  • 28 · Net assets with donor restrictions

    beginning of year $362,340 · end of year $354,120

Mission and programs · 2023

Mission

Our mission is to provide patient centered medical and behavioral health services to our community. As a nonprofit organization, we provide these services to all persons, including our communitys most vulnerable - regardless of financial or housing insecurity, race, ethnicity, immigration status, age, gender or sexual identity.

Activities or mission (Part I)

Our mission is to provide medical and behavioral health services to our community assuring quality health care access for all.

  • The organization is a nonprofit federally qualified health center providing patient centered medical and behavioral health services to the community.

    Expenses $6,064,426 · Revenue $4,387,696

As filed on the 2023 return.

Listed in Part VII

  • Xin Chen

    CMO

    Total calculated
    $250,129
    From this org
    $250,129
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $250,129
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $2,532
    Filer's total
    $252,661

  • Juanita Tryon

    CEO

    Total calculated
    $159,433
    From this org
    $159,433
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $159,433
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $15,196
    Filer's total
    $174,629

  • Bret Minarik

    CFO

    Total calculated
    $143,092
    From this org
    $143,092
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Jana Raup

    Director of BH

    Total calculated
    $142,665
    From this org
    $142,665
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Ryan Beyer

    CIO

    Total calculated
    $139,359
    From this org
    $139,359
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Gbemisola Mojelope

    PNP

    Total calculated
    $138,400
    From this org
    $138,400
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Anthony Hall

    CBHO

    Total calculated
    $121,781
    From this org
    $121,781
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Jeff Bauman

    Director of IT

    Total calculated
    $110,344
    From this org
    $110,344
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Linda Buchanan

    Chair

    Total calculated
    $0
    Hours/week
    2

  • Marvin Solberg

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Darlene Washington

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Brandon Cloud

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Sharyn Martin

    Director

    Total calculated
    $0
    Hours/week
    2

  • Daniyal Sanusi

    Director

    Total calculated
    $0
    Hours/week
    2

  • Steve Schulman

    Director

    Total calculated
    $0
    Hours/week
    2

  • James Wallhauser

    Director

    Total calculated
    $0
    Hours/week
    2

  • Collot Guerard

    Director

    Total calculated
    $0
    Hours/week
    2

  • Rev Emily Skorupinkski

    Director

    Total calculated
    $0
    Hours/week
    2

  • Patsy Watkins

    Director

    Total calculated
    $0
    Hours/week
    2

  • Brenda Zoltak

    Director

    Total calculated
    $0
    Hours/week
    2

  • Margery Calhoun

    Director

    Total calculated
    $0
    Hours/week
    2

  • Susan Fennell

    Director

    Total calculated
    $0
    Hours/week
    2

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.

Provenance

Return type
form_990
Tax year
2023
Filed
3 March 2025
IRS schema version
2023v6.0
Source object
202510629349300216

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