Totals
- Total revenue
- $10,546,748
- Total expenses
- $9,039,754
- Contributions and grants received
- $5,791,574
- Grants paid
- $0
- Program service revenue
- $4,643,245
- Investment income
- $292
- Other revenue
- $111,637
- Total assets, end of year
- $12,378,150
- Total liabilities, end of year
- $5,820,121
- Net assets or fund balances, end of year
- $6,558,029
- Program services expenses (Part IX)
- $7,046,925
- Management and general expenses
- $1,992,829
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $7,046,925
Program services were 78.0% 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)
$5,791,574
-
2a · Program service revenue: PATIENT SERVICE REVENUE
total $3,787,860 · related or exempt $3,787,860
-
2b · Program service revenue: 340B PHARMACY REVENUE
total $855,385 · related or exempt $855,385
-
3 · Investment income
total $292 · excluded $292
-
10a · Gross sales of inventory
$210,530
-
10b · Cost of goods sold
$215,469
-
10c · Net income from sales of inventory
total -$4,939 · related or exempt -$4,939
-
11a · Other revenue: PAYER BONUS REVENUE
total $84,139 · related or exempt $84,139
-
11b · Other revenue: PROVIDER BONUS REVENUE
total $18,615 · related or exempt $18,615
-
11c · Other revenue: PHYSICIAN SERVICES REVENUE
total $6,000 · related or exempt $6,000
-
11d · All other revenue
total $7,822 · related or exempt $7,822
-
11e · Other revenue, total
$116,576
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $308,186 · program services $270,669 · management and general $37,517
-
7 · Other salaries and wages
total $4,733,255 · program services $4,157,045 · management and general $576,210
-
8 · Pension plan contributions
total $95,819 · program services $84,154 · management and general $11,665
-
9 · Other employee benefits
total $421,827 · program services $370,475 · management and general $51,352
-
10 · Payroll taxes
total $382,617 · program services $336,039 · management and general $46,578
-
11b · Fees: legal
total $57,047 · management and general $57,047
-
11c · Fees: accounting
total $322,518 · management and general $322,518
-
11g · Fees: other
total $559,052 · program services $149,532 · management and general $409,520
-
12 · Advertising and promotion
total $12,763 · program services $3,414 · management and general $9,349
-
13 · Office expenses
total $152,529 · program services $126,004 · management and general $26,525
-
14 · Information technology
total $305,589 · program services $284,683 · management and general $20,906
-
16 · Occupancy
total $620,003 · program services $481,246 · management and general $138,757
-
17 · Travel
total $5,158 · program services $1,568 · management and general $3,590
-
19 · Conferences, conventions and meetings
total $44,771 · program services $13,614 · management and general $31,157
-
20 · Interest
total $67,521 · program services $52,410 · management and general $15,111
-
22 · Depreciation, depletion and amortization
total $330,663 · program services $256,661 · management and general $74,002
-
23 · Insurance
total $75,048 · program services $22,820 · management and general $52,228
-
24a · Other expenses: MEDICAL SUPPLIES AND DR
total $430,521 · program services $401,067 · management and general $29,454
-
24b · Other expenses: DUES AND SUBSCRIPTIONS
total $63,706 · program services $19,372 · management and general $44,334
-
24c · Other expenses: RECRUITING EXPENSES
total $10,334 · program services $3,142 · management and general $7,192
-
24d · Other expenses: TAXES AND LICENSES
total $10,107 · program services $3,073 · management and general $7,034
-
24e · All other expenses
total $30,720 · program services $9,937 · management and general $20,783
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,388,919 · end of year $2,821,772
-
2 · Savings and temporary cash investments
beginning of year $358,659 · end of year $890,735
-
3 · Pledges and grants receivable
beginning of year $568,769 · end of year $1,017,000
-
4 · Accounts receivable
beginning of year $880,109 · end of year $1,001,257
-
8 · Inventories for sale or use
beginning of year $567,530 · end of year $694,193
-
9 · Prepaid expenses and deferred charges
beginning of year $182,433 · end of year $102,756
-
10a · Land, buildings and equipment: cost or other basis
$4,748,475
-
10b · Land, buildings and equipment: accumulated depreciation
$1,861,770
-
10c · Land, buildings and equipment, net
beginning of year $1,957,186 · end of year $2,886,705
-
14 · Intangible assets
beginning of year $136,368 · end of year $113,640
-
15 · Other assets
beginning of year $279,444 · end of year $2,850,092
-
17 · Accounts payable and accrued expenses
beginning of year $695,968 · end of year $882,259
-
19 · Deferred revenue
beginning of year $0 · end of year $318,779
-
23 · Secured mortgages and notes payable
beginning of year $1,572,414 · end of year $1,810,680
-
25 · Other liabilities
beginning of year $0 · end of year $2,808,403
-
27 · Net assets without donor restrictions
beginning of year $5,051,035 · end of year $6,558,029
Mission and programs · 2022
Mission
TO MEET THE NEEDS OF THE UNDERSERVED BY PROMOTING WELLNESS AND PREVENTION AND PROVIDING THE HIGHEST QUALITY MEDICAL SERVICES POSSIBLE FOR THE THREE COUNTY AREAS OF CARROLL, OWEN, AND GALLATIN.
Activities or mission (Part I)
TO MEET THE NEEDS OF THE UNDERSERVED BY PROMOTING WELLNESS AND PREVENTION
-
PROVIDE MEDICAL, MENTAL HEALTH, DENTAL, AND OPTOMETRY SERVICES TO THE RESIDENTS OF GALLATIN, OWEN AND CARROLL COUNTIES WITH AN EMPHASIS ON SERVICES TO THE UNINSURED AND UNDERINSURED. THE SYSTEM PROVIDED APPROXIMATELY $202,357 IN CHARITY CARE.
Expenses $7,046,925 · Revenue $4,754,882
As filed on the 2022 return.
Listed in Part VII
-
Doug SmalaraDOUG SMALARA
PHYSICIAN
- Total calculated
- $274,826
- From this org
- $252,550
- From related orgs
- $0
- Other
- $22,276
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $252,000
- Bonus
- $550
- Other
- $0
- Deferred
- $12,628
- Nontaxable benefits
- $9,648
- Filer's total
- $274,826
-
Larry JohnsonLARRY JOHNSON
PHYSICIAN
- Total calculated
- $288,311
- From this org
- $252,348
- From related orgs
- $0
- Other
- $35,963
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $251,798
- Bonus
- $550
- Other
- $0
- Deferred
- $16,500
- Nontaxable benefits
- $19,463
- Filer's total
- $288,311
-
Eric BaumannERIC BAUMANN
PHYSICIAN
- Total calculated
- $298,310
- From this org
- $252,215
- From related orgs
- $0
- Other
- $46,095
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $251,665
- Bonus
- $550
- Other
- $0
- Deferred
- $16,500
- Nontaxable benefits
- $29,595
- Filer's total
- $298,310
-
Alexis McKendallALEXIS MCKENDALL
DENTIST
- Total calculated
- $225,367
- From this org
- $211,873
- From related orgs
- $0
- Other
- $13,494
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $211,323
- Bonus
- $550
- Other
- $0
- Deferred
- $13,494
- Nontaxable benefits
- $0
- Filer's total
- $225,367
-
Barbara NewellBARBARA NEWELL
PHYSICIAN
- Total calculated
- $206,616
- From this org
- $200,082
- From related orgs
- $0
- Other
- $6,534
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $199,532
- Bonus
- $550
- Other
- $0
- Deferred
- $6,016
- Nontaxable benefits
- $518
- Filer's total
- $206,616
-
Adam CraftADAM CRAFT
CEO
- Total calculated
- $181,548
- From this org
- $158,791
- From related orgs
- $0
- Other
- $22,757
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $158,641
- Bonus
- $150
- Other
- $0
- Deferred
- $13,500
- Nontaxable benefits
- $9,257
- Filer's total
- $181,548
-
Mark MillerMARK MILLER
MEDICAL DIRECTOR
- Total calculated
- $126,639
- From this org
- $122,951
- From related orgs
- $0
- Other
- $3,688
- Hours/week
- 32
-
Cheryl FosterCHERYL FOSTER
CHAIRWOMAN
- Total calculated
- $0
- Hours/week
- 1
-
Bonnie HumphriesBONNIE HUMPHRIES
VICE CHAIRWOMAN
- Total calculated
- $0
- Hours/week
- 1
-
Maryann GagelMARYANN GAGEL
SECRETARY/TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Lora Beth SadlerLORA BETH SADLER
TREASURER (END 02/22)
- Total calculated
- $0
- Hours/week
- 1
-
Dianne ColemanDIANNE COLEMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Mary Jane DayMARY JANE DAY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Justin AlexanderJUSTIN ALEXANDER
DIRECTOR (BEG 01/22)
- Total calculated
- $0
- Hours/week
- 1
-
Donnie DawesDONNIE DAWES
DIRECTOR (BEG 02/22)
- Total calculated
- $0
- Hours/week
- 1
-
Justin PittmanJUSTIN PITTMAN
DIRECTOR (BEG 05/22)
- Total calculated
- $0
- Hours/week
- 1
-
Michael RamseyMICHAEL RAMSEY
DIRECTOR (BEG 03/22)
- Total calculated
- $0
- Hours/week
- 1
-
Janice K RiddleJANICE K RIDDLE
DIRECTOR (BEG 03/22)
- Total calculated
- $0
- Hours/week
- 1
-
Felicia JuettFELICIA JUETT
DIRECTOR (END 02/22)
- Total calculated
- $0
- Hours/week
- 1
-
Rob StaffordROB STAFFORD
DIRECTOR (END 03/22)
- Total calculated
- $0
- Hours/week
- 1
-
Mark WihloiteMARK WIHLOITE
DIRECTOR (END 04/22)
- Total calculated
- $0
- Hours/week
- 1
-
Roger WilliamsROGER WILLIAMS
CFO
- Total calculated
- $0
- Hours/week
- 36
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
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
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 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343069349300219
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