Totals
- Total revenue
- $435,608
- Total expenses
- $470,448
- Contributions and grants received
- $342,012
- Grants paid
- $0
- Program service revenue
- $69,579
- Investment income
- $24,017
- Other revenue
- $0
- Total assets, end of year
- $971,239
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $971,239
- Program services expenses (Part IX)
- $470,448
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $470,448
Program services were 100.0% 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)
$319,680
-
1f · All other contributions, gifts and grants
$22,332
-
2a · Program service revenue: PROGRAM PARTICPANT FEE
total $69,579 · related or exempt $69,579
-
3 · Investment income
total $24,017 · related or exempt $24,017
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $287,363 · program services $287,363
-
8 · Pension plan contributions
total $14,281 · program services $14,281
-
9 · Other employee benefits
total $24,676 · program services $24,676
-
10 · Payroll taxes
total $22,114 · program services $22,114
-
11b · Fees: legal
total $3,375 · program services $3,375
-
13 · Office expenses
total $17,690 · program services $17,690
-
16 · Occupancy
total $20,706 · program services $20,706
-
17 · Travel
total $4,871 · program services $4,871
-
22 · Depreciation, depletion and amortization
total $165 · program services $165
-
23 · Insurance
total $5,099 · program services $5,099
-
24a · Other expenses: MISCELLANEOUS
total $47,278 · program services $47,278
-
24b · Other expenses: CONTRACT LABOR
total $11,700 · program services $11,700
-
24c · Other expenses: TELEPHONE
total $6,144 · program services $6,144
-
24d · Other expenses: DUES
total $4,541 · program services $4,541
-
24e · All other expenses
total $445 · program services $445
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $567,795 · end of year $514,758
-
2 · Savings and temporary cash investments
beginning of year $438,119 · end of year $456,481
-
10a · Land, buildings and equipment: cost or other basis
$58,208
-
10b · Land, buildings and equipment: accumulated depreciation
$58,208
-
10c · Land, buildings and equipment, net
beginning of year $165 · end of year $0
-
27 · Net assets without donor restrictions
beginning of year $1,006,079 · end of year $971,239
Mission and programs · 2025
Mission
TO PROVIDE FOR THE INDENTIFICATION AND TREATMENT OF HEALTHCARE PROFESSIONALS WHO SUFFER FROM IMPAIRMENT, IN ORDER TO PROMOTE THE PUBLIC HEALTH AND SAFETY AND TO ENSURE THE CONTINUED AVAILABILITY OF HIGHLY TRAINED MEDICAL PROFESSIONALS FOR THE BENEFIT OF THE PUBLIC.
-
TO PROVIDE FOR THE INDENTIFICATION AND TREATMENT OF HEALTHCARE PROFESSIONALS WHO SUFFER FROM IMPAIRMENT, IN ORDER TO PROMOTE THE PUBLIC HEALTH AND SAFETY AND TO ENSURE THE CONTINUED AVAILABILITY OF HIGHLY TRAINED MEDICAL PROFESSIONALS FOR THE BENEFIT OF THE PUBLIC.
Expenses $470,448 · Revenue $93,596
As filed on the 2025 return.
Listed in Part VII
-
Michael Mancino MDMICHAEL MANCINO MD
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Eugene Shelby MDEUGENE SHELBY MD
VICE-PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
Stacy Zimmerman MDSTACY ZIMMERMAN MD
SECRETARY/TRESURER
- Total calculated
- $0
- Hours/week
- 2
-
Tina Nichols DDSTINA NICHOLS DDS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Tobias Vancil MDTOBIAS VANCIL MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Anthony Bennett MDANTHONY BENNETT MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Alan Wilson DoALAN WILSON DO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Lee Cranfill MDLEE CRANFILL MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Bradley Diner MDBRADLEY DINER MD
EX-OFFICIO: MEDICAL DIRECTOR
- Total calculated
- $112,030
- From this org
- $112,030
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2
-
Edward Ward Gardner MDEDWARD WARD GARDNER MD
EX-OFFICIO: CHAIR AR MEDICAL BOARD
- Total calculated
- $0
- Hours/week
- 2
-
Danny Wilkerson MDDANNY WILKERSON MD
EX-OFFICIO: EXECUTIVE DIRECTOR
- Total calculated
- $43,507
- From this org
- $43,507
- From related orgs
- $0
- Other
- $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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2025
- Filed
- 27 April 2026
- IRS schema version
- 2025v4.1
- Source object
- 202601319349304835
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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