Form 990 for tax year 2022
Filed by RIVER VALLEY PRIMARY CARE SERVICES INCORPORATED.
Totals
- Total revenue
- $23,912,789
- Total expenses
- $22,194,293
- Contributions and grants received
- $30,267
- Grants paid
- $0
- Program service revenue
- $23,703,827
- Investment income
- $48,015
- Other revenue
- $130,680
- Total assets, end of year
- $16,165,183
- Total liabilities, end of year
- $1,149,065
- Net assets or fund balances, end of year
- $15,016,118
- Program services expenses (Part IX)
- $18,324,926
- Management and general expenses
- $3,869,367
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,324,926
Program services were 82.6% 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)
$30,267
-
2a · Program service revenue: PATIENT SERVICE REVENUE, NET
total $17,804,112 · related or exempt $17,804,112
-
2b · Program service revenue: FEES AND CONTRACTS GOVT. AGEN
total $3,561,619 · related or exempt $3,561,619
-
2c · Program service revenue: MEDICAID SETTLEMENT
total $1,145,354 · related or exempt $1,145,354
-
2d · Program service revenue: INCENTIVE REVENUE
total $879,407 · related or exempt $879,407
-
2e · Program service revenue: MANAGEMENT FEE REVENUE
total $313,335 · related or exempt $313,335
-
3 · Investment income
total $48,015 · excluded $48,015
-
6a · Gross rents
real property $30,996
-
6c · Rental income or loss
real property $30,996
-
6d · Net rental income or loss
total $30,996 · excluded $30,996
-
11a · Other revenue: INSURANCE PROCEEDS
total $89,056 · related or exempt $89,056
-
11b · Other revenue: OTHER INCOME
total $10,628 · related or exempt $10,628
-
11e · Other revenue, total
$99,684
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $11,356,381 · program services $8,903,958 · management and general $2,452,423
-
9 · Other employee benefits
total $1,381,192 · program services $927,361 · management and general $453,831
-
10 · Payroll taxes
total $802,481 · program services $629,184 · management and general $173,297
-
11b · Fees: legal
total $24,000 · management and general $24,000
-
11g · Fees: other
total $186,839 · management and general $186,839
-
12 · Advertising and promotion
total $85,080 · program services $85,080
-
13 · Office expenses
total $152,796 · program services $85,729 · management and general $67,067
-
14 · Information technology
total $882,745 · program services $842,293 · management and general $40,452
-
16 · Occupancy
total $552,570 · program services $480,871 · management and general $71,699
-
17 · Travel
total $111,463 · program services $57,720 · management and general $53,743
-
20 · Interest
total $1,565 · program services $1,408 · management and general $157
-
22 · Depreciation, depletion and amortization
total $603,264 · program services $534,246 · management and general $69,018
-
23 · Insurance
total $48,621 · program services $35,309 · management and general $13,312
-
24a · Other expenses: PHARMACY
total $4,751,604 · program services $4,751,604
-
24b · Other expenses: MEDICAL & DENTAL SUPPLIES
total $868,356 · program services $868,356
-
24c · Other expenses: CONTINUING EDUCATION
total $108,056 · program services $29,975 · management and general $78,081
-
24d · Other expenses: DUES AND MEMBERSHIPS
total $101,452 · program services $40,720 · management and general $60,732
-
24e · All other expenses
total $175,828 · program services $51,112 · management and general $124,716
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,317,009 · end of year $2,508,458
-
2 · Savings and temporary cash investments
beginning of year $633,702 · end of year $1,500,682
-
4 · Accounts receivable
beginning of year $597,903 · end of year $755,963
-
8 · Inventories for sale or use
end of year $437,220
-
9 · Prepaid expenses and deferred charges
beginning of year $23,018 · end of year $16,509
-
10a · Land, buildings and equipment: cost or other basis
$13,230,600
-
10b · Land, buildings and equipment: accumulated depreciation
$3,435,790
-
10c · Land, buildings and equipment, net
beginning of year $9,161,016 · end of year $9,794,810
-
14 · Intangible assets
beginning of year $499,146 · end of year $1,010,204
-
15 · Other assets
beginning of year $3,925 · end of year $141,337
-
17 · Accounts payable and accrued expenses
beginning of year $1,036,549 · end of year $989,425
-
19 · Deferred revenue
end of year $21,429
-
24 · Unsecured notes and loans payable
beginning of year $98,435
-
25 · Other liabilities
end of year $138,211
-
27 · Net assets without donor restrictions
beginning of year $13,099,170 · end of year $15,016,118
-
28 · Net assets with donor restrictions
beginning of year $1,565
Mission and programs · 2022
Mission
TO PROVIDE QUALITY COMPREHENSIVE AND PREVENTATIVE HEALTH CARE TO ALL RESIDENTS OF THE ARKANSAS AREA WITHOUT REGARD TO THEIR ABILITY TO PAY.
-
TO PROVIDE HEALTH CARE SERVICES.
Expenses $18,324,926
As filed on the 2022 return.
Listed in Part VII
-
Jerry WhiteJERRY WHITE
CEO
- Total calculated
- $296,548
- From this org
- $296,548
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $296,548
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $296,548
-
Nathan BennettNATHAN BENNETT
PHYSICIAN
- Total calculated
- $291,115
- From this org
- $291,115
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $291,115
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $291,115
-
Sarikun TjandraSARIKUN TJANDRA
PHYSICIAN
- Total calculated
- $219,913
- From this org
- $219,913
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $219,913
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $219,913
-
Thinh Duc NguyenTHINH DUC NGUYEN
PHYSICIAN
- Total calculated
- $214,931
- From this org
- $214,931
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $214,931
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $214,931
-
Kassandra L PayneKASSANDRA L PAYNE
PHYSICIAN
- Total calculated
- $213,724
- From this org
- $213,724
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $213,724
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $213,724
-
Charles JonesCHARLES JONES
PHYSICIAN
- Total calculated
- $204,632
- From this org
- $204,632
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $204,632
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $204,632
-
Carmelita AdamsCARMELITA ADAMS
VICE PRESIDE
- Total calculated
- $0
- Hours/week
- 1
-
Laura BryantLAURA BRYANT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Mary HowardMARY HOWARD
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Mark LuerssenMARK LUERSSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Bobby McCartneyBOBBY MCCARTNEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Gary O'NealGARY O'NEAL
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Sheila PeckSHEILA PECK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Robert ReddingROBERT REDDING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Gregory SwartzGREGORY SWARTZ
TREASURER
- Total calculated
- $0
- Hours/week
- 1
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
- 2022
- Filed
- 25 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202401219349301130
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