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Nonprofiteer
← MOUNTAINLAND PEDIATRICS INC

Form 990 for tax year 2022

Filed by MOUNTAINLAND PEDIATRICS INC.

Totals

Total revenue
$2,094,750
Total expenses
$2,632,773
Contributions and grants received
$407,204
Grants paid
$0
Program service revenue
$1,685,703
Investment income
$0
Other revenue
$1,843
Total assets, end of year
$6,379,464
Total liabilities, end of year
$6,792,045
Net assets or fund balances, end of year
-$412,581
Program services expenses (Part IX)
$2,014,329
Management and general expenses
$618,444
Fundraising expenses
$0
Program service expenses (Part III)
$2,014,329

Program services were 76.5% 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

    $407,204

  • 1g · Noncash contributions included above

    $378,705

  • 2a · Program service revenue: MEDICAID

    total $978,090 · related or exempt $978,090

  • 2b · Program service revenue: RCCO PAYMENTS

    total $388,895 · related or exempt $388,895

  • 2c · Program service revenue: CLIENT SERVICE REVENUE

    total $318,718 · related or exempt $318,718

  • 11a · Other revenue: OTHER INCOME

    total $1,843 · related or exempt $1,843

  • 11e · Other revenue, total

    $1,843

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,249,126 · program services $1,100,031 · management and general $149,095

  • 8 · Pension plan contributions

    total $62,269 · program services $54,797 · management and general $7,472

  • 9 · Other employee benefits

    total $85,576 · program services $75,307 · management and general $10,269

  • 10 · Payroll taxes

    total $87,885 · program services $77,339 · management and general $10,546

  • 11a · Fees: management

    total $374,174 · management and general $374,174

  • 11g · Fees: other

    total $12,935 · program services $12,935

  • 13 · Office expenses

    total $16,367 · program services $9,327 · management and general $7,040

  • 16 · Occupancy

    total $156,345 · program services $101,624 · management and general $54,721

  • 17 · Travel

    total $928 · program services $56 · management and general $872

  • 19 · Conferences, conventions and meetings

    total $1,287 · program services $972 · management and general $315

  • 23 · Insurance

    total $20,584 · program services $17,496 · management and general $3,088

  • 24a · Other expenses: MEDICATION

    total $508,486 · program services $508,486

  • 24b · Other expenses: CLIENT EXPENSES

    total $49,399 · program services $49,399

  • 24c · Other expenses: DUES

    total $7,412 · program services $6,560 · management and general $852

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $182,888 · end of year $106,207

  • 4 · Accounts receivable

    beginning of year $72,922 · end of year $84,626

  • 8 · Inventories for sale or use

    beginning of year $52,799 · end of year $32,246

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,513 · end of year $6,514

  • 10a · Land, buildings and equipment: cost or other basis

    $124,452

  • 10b · Land, buildings and equipment: accumulated depreciation

    $124,452

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $6,006,178 · end of year $6,149,871

  • 17 · Accounts payable and accrued expenses

    beginning of year $137,371 · end of year $161,209

  • 19 · Deferred revenue

    beginning of year $50,309 · end of year $10,264

  • 25 · Other liabilities

    beginning of year $6,006,178 · end of year $6,620,572

  • 27 · Net assets without donor restrictions

    beginning of year $125,442 · end of year -$412,581

Mission and programs · 2022

Mission

TO ENHANCE THE HEALTH OF OUR COMMUNITY BY PROVIDING COMPREHENSIVE EVIDENCE-BASED MENTAL HEALTHCARE INTEGRATED WITH QUALITY PRIMARY CARE.

  • MOUNTAINLAND PEDIATRICS, INC. IS A FULLY INTEGRATED PATIENT-CENTERED MEDICAL HOME. WE ACCEPT PRIVATE INSURANCE AND MEDICAID. WE OFFER PERSONALIZED CARE TO MEET THE HEALTH CARE NEEDS OF OUR PATIENTS.

    Expenses $2,014,329 · Revenue $1,687,546

As filed on the 2022 return.

Listed in Part VII

  • Sheryl Bain

    TREASURER

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Patrick Day

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Elizabeth Fuselier

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Marge Gallegos

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Michele Haney

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Brad Harvey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Deb Haviland

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Michael McIntosh

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • John Popovich

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Paul Siska

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Nancy Sneath

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Bruce Vezina

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Mary Ann Wisehart

    SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Susan Weber

    SECRETARY - THRU 10/22

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Robert Jones

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Jamie Winger

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Gregg Moss

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • David Sprenger

    DIRECTOR - THRU 12/22

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Richard Doucet

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $522,673
    From this org
    $0
    From related orgs
    $493,476
    Other
    $29,197
    Hours/week
    9 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $427,315 related
    Bonus
    $0 + $53,475 related
    Other
    $0 + $12,686 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $10,897 related
    Filer's total
    $0 + $522,673 related
  • Christine Mecillas

    CHIEF FINANCIAL OFFICER

    Total calculated
    $242,065
    From this org
    $0
    From related orgs
    $221,869
    Other
    $20,196
    Hours/week
    9 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,869 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,746 related
    Nontaxable benefits
    $0 + $9,450 related
    Filer's total
    $0 + $242,065 related
  • Werner Hoellerbauer

    CHIEF INFORMATION OFFICER

    Total calculated
    $207,599
    From this org
    $0
    From related orgs
    $180,952
    Other
    $26,647
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $180,952 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,922 related
    Nontaxable benefits
    $0 + $15,725 related
    Filer's total
    $0 + $207,599 related
  • Amanda Jones

    CHIEF OPERATING OFFICER

    Total calculated
    $186,048
    From this org
    $0
    From related orgs
    $176,414
    Other
    $9,634
    Hours/week
    10 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $176,414 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $1,829 related
    Nontaxable benefits
    $0 + $7,805 related
    Filer's total
    $0 + $186,048 related
  • Starr Wedemeyer

    ASSOCIATE MEDICAL DIRECTOR

    Total calculated
    $208,621
    From this org
    $189,545
    From related orgs
    $0
    Other
    $19,076
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $189,545
    Bonus
    $0
    Other
    $0
    Deferred
    $9,577
    Nontaxable benefits
    $9,499
    Filer's total
    $208,621
  • Megan Murphy

    PHYSICIAN

    Total calculated
    $209,540
    From this org
    $191,753
    From related orgs
    $0
    Other
    $17,787
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,397
    Bonus
    $0
    Other
    $1,356
    Deferred
    $11,087
    Nontaxable benefits
    $6,700
    Filer's total
    $209,540
  • Marcella Pearson

    PHYSICIAN ASSISTANT

    Total calculated
    $140,003
    From this org
    $119,175
    From related orgs
    $0
    Other
    $20,828
    Hours/week
    40
  • Frank Baldwin

    PHYSICIAN ASSISTANT

    Total calculated
    $126,819
    From this org
    $111,966
    From related orgs
    $0
    Other
    $14,853
    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. 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

The filer's explanations (Part III)

PART I, LINE 3:
CEO COMPENSATION: THE CEO RECEIVES COMPENSATION FROM COMMUNITY REACH CENTER SYSTEMS, INC. PLEASE SEE SCHEDULE O, PART VI, QUESTION 15A NARRATIVE FOR HOW COMPENSATION IS DETERMINED.

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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
24 April 2024
IRS schema version
2022v5.0
Source object
202401239349302755

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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