Totals
- Total revenue
- $28,129,695
- Total expenses
- $27,966,826
- Contributions and grants received
- $8,924,829
- Grants paid
- $0
- Program services expenses (Part IX)
- $18,760,994
- Management and general expenses
- $9,205,832
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,760,994
Program services were 67.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
GARY WILTZ
CHIEF EXECUTIVE OFFICER
- Total calculated
- $842,421
- From this org
- $829,400
- From related orgs
- $0
- Other
- $13,021
- Hours/week
- 40
-
BERRYL BROUSSARD
GENERAL COUNSELOR
- Total calculated
- $285,720
- From this org
- $267,892
- From related orgs
- $0
- Other
- $17,828
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $207,092
- Bonus
- $60,800
- Other
- not reported
- Deferred
- $8,295
- Nontaxable benefits
- $9,533
- Filer's total
- $285,720
-
TIMOTHY PELLEGRIN
BEHAVIORAL HEALTH CLINICAL DI
- Total calculated
- $259,679
- From this org
- $237,734
- From related orgs
- $0
- Other
- $21,945
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $231,984
- Bonus
- $5,750
- Other
- not reported
- Deferred
- $10,010
- Nontaxable benefits
- $11,935
- Filer's total
- $259,679
-
RONALD MARTS
PHYSICIAN
- Total calculated
- $229,571
- From this org
- $223,085
- From related orgs
- $0
- Other
- $6,486
- Hours/week
- 40
-
NICOLE KERLEY-MCGUIRE
PEDIATRICIAN
- Total calculated
- $228,340
- From this org
- $202,987
- From related orgs
- $0
- Other
- $25,353
- Hours/week
- 40
-
NIKINA VILCAN
CHIEF FINANCIAL OFFICER
- Total calculated
- $219,212
- From this org
- $213,448
- From related orgs
- $0
- Other
- $5,764
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $198,299
- Bonus
- $15,149
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $5,764
- Filer's total
- $219,212
-
MAYRA BUSTILLO
PEDIATRICIAN
- Total calculated
- $214,529
- From this org
- $200,339
- From related orgs
- $0
- Other
- $14,190
- Hours/week
- 40
-
JANELLE LUQUETTE
CERTIFIED HUMAN RESOURCES DIR
- Total calculated
- $212,842
- From this org
- $196,686
- From related orgs
- $0
- Other
- $16,156
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,986
- Bonus
- $13,700
- Other
- not reported
- Deferred
- $7,401
- Nontaxable benefits
- $8,755
- Filer's total
- $212,842
-
RICHARD BERGERON II
NURSE PRACTITIONER
- Total calculated
- $205,646
- From this org
- $185,209
- From related orgs
- $0
- Other
- $20,437
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $156,459
- Bonus
- $28,750
- Other
- not reported
- Deferred
- $7,089
- Nontaxable benefits
- $13,348
- Filer's total
- $205,646
-
JENNIFER FABRE
CHIEF NURSING OFFICER
- Total calculated
- $190,035
- From this org
- $175,829
- From related orgs
- $0
- Other
- $14,206
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $175,329
- Bonus
- $500
- Other
- not reported
- Deferred
- $7,785
- Nontaxable benefits
- $6,421
- Filer's total
- $190,035
-
PAUL HOANG
PHARMACY DIRECTOR
- Total calculated
- $156,438
- From this org
- $154,356
- From related orgs
- $0
- Other
- $2,082
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $154,356
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $2,082
- Filer's total
- $156,438
-
ATHAN OLIVIER
CHIEF OPERATING OFFICER
- Total calculated
- $65,929
- From this org
- $65,920
- From related orgs
- $0
- Other
- $9
- Hours/week
- 40
-
DENISE PITTS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
JANIS JONES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
EDNA LYONS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
EUGENE DIAL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
WILLIE RACK
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
HOWARD CASTAY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
DARRELL JUPITER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
DONNIE FRIZZELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
THOMAS DARDAR
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2
-
CLEVELAND FARLOUGH
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
LEROY WILLIS
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
BARBARA HILLS
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
SUSAN DORSEY
TREASURER
- 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 — 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:
-
GARY WILTZ MD
CHIEF EXECUTIVE OFFICER
Schedule J breakdown
- Base
- $531,282
- Bonus
- $298,118
- Other
- not reported
- Deferred
- $10,250
- Nontaxable benefits
- $2,771
- Filer's total
- $842,421
-
MAYRA BUSTILLO MD
PEDIATRICIAN
Schedule J breakdown
- Base
- $200,339
- Bonus
- not reported
- Other
- not reported
- Deferred
- $8,817
- Nontaxable benefits
- $5,373
- Filer's total
- $214,529
-
NICOLE KERLEY-MCGUIRE MD
PEDIATRICIAN
Schedule J breakdown
- Base
- $186,487
- Bonus
- $16,500
- Other
- not reported
- Deferred
- $8,655
- Nontaxable benefits
- $16,698
- Filer's total
- $228,340
-
RONALD MARTS MD
PHYSICIAN
Schedule J breakdown
- Base
- $222,585
- Bonus
- $500
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $6,486
- Filer's total
- $229,571
Answered yes
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Other non-fixed payments (Part I, line 7)
- Employee bonuses are based on the achievement of predetermined Organizational goals and objectives.
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
- 6 February 2025
- IRS schema version
- 2023v6.0
- Source object
- 202500379349301475
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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