Form 990 for tax year 2022
Filed by MARGARET B SHIPLEY CHILD HEALTH CLINIC INC.
Totals
- Total revenue
- $1,100,632
- Total expenses
- $1,128,439
- Contributions and grants received
- $170,245
- Grants paid
- $0
- Program service revenue
- $888,855
- Investment income
- $3,135
- Other revenue
- $38,397
- Total assets, end of year
- $1,132,840
- Total liabilities, end of year
- $35,980
- Net assets or fund balances, end of year
- $1,096,860
- Program services expenses (Part IX)
- $951,847
- Management and general expenses
- $176,592
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $951,847
Program services were 84.4% 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.
-
1f · All other contributions, gifts and grants
$170,245
-
2a · Program service revenue: MEDICAID SERVICES
total $375,022 · related or exempt $375,022
-
2b · Program service revenue: VFC VACCINES
total $342,844 · related or exempt $342,844
-
2c · Program service revenue: MCO INCENTIVES
total $114,735 · related or exempt $114,735
-
2d · Program service revenue: PRIVATE INSURANCE
total $48,297 · related or exempt $48,297
-
2e · Program service revenue: PATIENT PAY
total $7,957 · related or exempt $7,957
-
3 · Investment income
total $3,135 · excluded $3,135
-
11a · Other revenue: EMPLOYEE RETENTION CREDIT REF
total $36,022 · related or exempt $36,022
-
11b · Other revenue: OTHER INCOME
total $2,375 · related or exempt $2,375
-
11e · Other revenue, total
$38,397
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $511,890 · program services $403,454 · management and general $108,436
-
9 · Other employee benefits
total $47,499 · program services $37,360 · management and general $10,139
-
10 · Payroll taxes
total $37,983 · program services $30,575 · management and general $7,408
-
11c · Fees: accounting
total $17,792 · management and general $17,792
-
11g · Fees: other
total $46,569 · program services $37,194 · management and general $9,375
-
13 · Office expenses
total $15,436 · program services $8,935 · management and general $6,501
-
16 · Occupancy
total $48,937 · program services $42,731 · management and general $6,206
-
17 · Travel
total $805 · program services $805
-
22 · Depreciation, depletion and amortization
total $8,410 · program services $8,410
-
23 · Insurance
total $11,876 · program services $7,205 · management and general $4,671
-
24a · Other expenses: VFC VACCINES
total $342,844 · program services $342,844
-
24b · Other expenses: SUPPLIES
total $29,898 · program services $24,943 · management and general $4,955
-
24c · Other expenses: EQUIPMENT RENTAL
total $6,552 · program services $5,511 · management and general $1,041
-
24d · Other expenses: STAFF EDUCATION
total $1,948 · program services $1,880 · management and general $68
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $76,358 · end of year $45,882
-
2 · Savings and temporary cash investments
beginning of year $982,375 · end of year $984,105
-
4 · Accounts receivable
beginning of year $55,318 · end of year $73,180
-
9 · Prepaid expenses and deferred charges
beginning of year $11,142 · end of year $12,121
-
10a · Land, buildings and equipment: cost or other basis
$179,429
-
10b · Land, buildings and equipment: accumulated depreciation
$162,877
-
10c · Land, buildings and equipment, net
beginning of year $24,962 · end of year $16,552
-
15 · Other assets
beginning of year $1,000 · end of year $1,000
-
17 · Accounts payable and accrued expenses
beginning of year $26,488 · end of year $35,980
-
27 · Net assets without donor restrictions
beginning of year $1,124,667 · end of year $1,096,860
Mission and programs · 2022
Mission
AMBULATORY FACILITY PROVIDING CARE AND COUNSELING TO CHILDREN AND THEIR PARENTS IN STARK COUNTY.
-
AMBULATORY FACILITY PROVIDING CARE AND COUNSELING TO CHILDREN AND THEIR PARENTS IN STARK COUNTY.
Expenses $951,847 · Revenue $888,855
As filed on the 2022 return.
Listed in Part VII
-
James RossiJAMES ROSSI
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Matt StewartMATT STEWART
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Karen CoughlinKAREN COUGHLIN
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
John Feucht IIJOHN FEUCHT II
VICE PRESIDE
- Total calculated
- $0
- Hours/week
- 1
-
Elaine CampbellELAINE CAMPBELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Mike HearnMIKE HEARN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Allison Oprandi MDALLISON OPRANDI MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Joanne PeppardJOANNE PEPPARD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Amy WeisbrodAMY WEISBROD
EXECUTIVE DI
- Total calculated
- $44,115
- From this org
- $44,115
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
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
- 2022
- Filed
- 11 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333199349320348
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