Totals
- Total revenue
- $6,200,357
- Total expenses
- $6,162,056
- Contributions and grants received
- $2,561,969
- Grants paid
- $0
- Program service revenue
- $3,583,761
- Investment income
- $46,737
- Other revenue
- $7,890
- Total assets, end of year
- $5,984,976
- Total liabilities, end of year
- $1,299,287
- Net assets or fund balances, end of year
- $4,685,689
- Program services expenses (Part IX)
- $5,552,569
- Management and general expenses
- $593,264
- Fundraising expenses
- $16,223
- Program service expenses (Part III)
- $5,552,569
Program services were 90.1% 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)
$2,396,722
-
1f · All other contributions, gifts and grants
$165,247
-
2a · Program service revenue: Fees for Medical Services
total $2,815,643 · unrelated business $0 · excluded $0
-
2b · Program service revenue: Partnership Income
total $768,118 · unrelated business $0 · excluded $0
-
2f · All other program service revenue
total $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $46,805 · unrelated business $0 · excluded $46,805
-
6a · Gross rents
real property $7,890
-
6c · Rental income or loss
real property $7,890
-
6d · Net rental income or loss
total $7,890 · related or exempt $7,890
-
7b · Less cost or other basis and sales expenses
other assets $68
-
7c · Gain or loss
other assets -$68
-
7d · Net gain or loss
total -$68 · related or exempt -$68 · unrelated business $0 · excluded $0
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $885,505 · program services $742,720 · management and general $136,463 · fundraising $6,322
-
6 · Compensation of disqualified persons
total $0 · program services $0 · management and general $0 · fundraising $0
-
7 · Other salaries and wages
total $2,914,836 · program services $2,656,883 · management and general $253,490 · fundraising $4,463
-
9 · Other employee benefits
total $568,708 · program services $508,739 · management and general $58,355 · fundraising $1,614
-
10 · Payroll taxes
total $272,701 · program services $243,946 · management and general $27,981 · fundraising $774
-
11b · Fees: legal
total $6,100 · program services $0 · management and general $6,100 · fundraising $0
-
11c · Fees: accounting
total $29,250 · program services $0 · management and general $29,250 · fundraising $0
-
11g · Fees: other
total $73,552 · program services $69,850 · management and general $3,602 · fundraising $100
-
12 · Advertising and promotion
total $143,375 · program services $126,307 · management and general $14,380 · fundraising $2,688
-
13 · Office expenses
total $157,930 · program services $140,465 · management and general $17,231 · fundraising $234
-
14 · Information technology
total $185,991 · program services $185,991 · management and general $0 · fundraising $0
-
16 · Occupancy
total $255,967 · program services $224,877 · management and general $31,090 · fundraising $0
-
17 · Travel
total $16,702 · program services $14,984 · management and general $1,718 · fundraising $0
-
20 · Interest
total $0 · program services $0 · management and general $0 · fundraising $0
-
22 · Depreciation, depletion and amortization
total $152,350 · program services $152,350 · management and general $0 · fundraising $0
-
23 · Insurance
total $34,846 · program services $26,253 · management and general $8,565 · fundraising $28
-
24a · Other expenses: Medical Supplies
total $264,329 · program services $264,329 · management and general $0 · fundraising $0
-
24b · Other expenses: Service Agreements
total $47,658 · program services $47,658 · management and general $0 · fundraising $0
-
24c · Other expenses: Dues & Subscriptions
total $29,536 · program services $26,497 · management and general $3,039 · fundraising $0
-
24d · Other expenses: Patient special needs
total $12,039 · program services $12,039 · management and general $0 · fundraising $0
-
24e · All other expenses
total $110,681 · program services $108,681 · management and general $2,000 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,176,051 · end of year $2,714,453
-
4 · Accounts receivable
beginning of year $375,684 · end of year $436,756
-
7 · Other notes and loans receivable
end of year $1,277
-
9 · Prepaid expenses and deferred charges
beginning of year $82,171 · end of year $101,744
-
10a · Land, buildings and equipment: cost or other basis
$3,094,615
-
10b · Land, buildings and equipment: accumulated depreciation
$1,126,944
-
10c · Land, buildings and equipment, net
beginning of year $1,268,498 · end of year $1,967,671
-
13 · Investments: program-related
beginning of year $354,977 · end of year $141,377
-
15 · Other assets
beginning of year $5,100 · end of year $621,698
-
17 · Accounts payable and accrued expenses
beginning of year $508,163 · end of year $556,605
-
19 · Deferred revenue
beginning of year $50,687 · end of year $68,437
-
23 · Secured mortgages and notes payable
end of year $657,517
-
25 · Other liabilities
beginning of year $20,025 · end of year $16,728
-
27 · Net assets without donor restrictions
beginning of year $4,313,046 · end of year $4,323,349
-
28 · Net assets with donor restrictions
beginning of year $370,560 · end of year $362,340
Mission and programs · 2022
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 community's 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 $5,552,569 · Revenue $3,591,583
As filed on the 2022 return.
Listed in Part VII
-
Xin Chen
CMO
- Total calculated
- $246,283
- From this org
- $246,283
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $246,283
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $2,532
- Filer's total
- $248,815
-
Juanita Tryon
CEO
- Total calculated
- $162,787
- From this org
- $162,787
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $162,787
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $11,523
- Filer's total
- $174,310
-
Jana Raup
Director of BH
- Total calculated
- $156,970
- From this org
- $156,970
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $156,970
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $15,347
- Filer's total
- $172,317
-
Howard Cook
Physician
- Total calculated
- $150,426
- From this org
- $150,426
- From related orgs
- $0
- Other
- $0
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $162,787
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $34,541
- Filer's total
- $197,328
-
Bret Minarik
CFO
- Total calculated
- $143,631
- From this org
- $143,631
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ryan Beyer
CIO
- Total calculated
- $130,535
- From this org
- $130,535
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Andrea Matthews
Physician
- Total calculated
- $110,744
- From this org
- $110,744
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Lillet Williams
COO
- Total calculated
- $110,065
- From this org
- $110,065
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Jeff Bauman
Director of IT
- Total calculated
- $108,380
- From this org
- $108,380
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nancy Bryant
CRNP
- Total calculated
- $108,150
- From this org
- $108,150
- From related orgs
- $0
- Other
- $0
- Hours/week
- 32
-
Marvin Solberg
Chair
- Total calculated
- $0
- Hours/week
- 2
-
Linda Buchanan
Vice Chair
- Total calculated
- $0
- Hours/week
- 2
-
Brandon Cloud
Treasurer
- Total calculated
- $0
- Hours/week
- 2
-
Edward Johnson
Secretary
- Total calculated
- $0
- Hours/week
- 2
-
Robert Brant
Director
- Total calculated
- $0
- Hours/week
- 2
-
Victor Smith
Director
- Total calculated
- $0
- Hours/week
- 2
-
Christine Tucker
Director
- 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
-
Darlene Washington
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
-
Leo Warring
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
Itemized on Schedule J with no Part VII listing of the same name on this return:
-
Name not reported
Schedule J breakdown
- Base
- $0
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0
-
Name not reported
Schedule J breakdown
- Base
- $0
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0
-
Name not reported
Schedule J breakdown
- Base
- $0
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0
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
- 2022
- Filed
- 10 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401019349300240
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