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Nonprofiteer
← MY COMMUNITY HEALTH CENTER

Form 990 for tax year 2023

Filed by MY COMMUNITY HEALTH CENTER.

Totals

Total revenue
$10,238,775
Total expenses
$9,397,430
Contributions and grants received
$3,527,264
Grants paid
$0
Program services expenses (Part IX)
$7,006,010
Management and general expenses
$2,391,420
Fundraising expenses
$0
Program service expenses (Part III)
$7,006,010

Program services were 74.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CYRILIA PRATT

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • KEVIN SMITH

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SUSAN MERCER MD

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • CARL SCHLEICH MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CAROL JOHNSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JEFFREY ZELLERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LINDA MUIR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MARIA HEEGE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MAUREEN ATER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • PHILLIP MICKLEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICK SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SATYNNE PYLES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TOM CASEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN SUTTON MD

    CMO (TERM ENDED 1/31/2023)

    Total calculated
    $40,709
    From this org
    $37,704
    From related orgs
    $0
    Other
    $3,005
    Hours/week
    40

  • JUAN-PAULO AFABLE

    CEO

    Total calculated
    $211,110
    From this org
    $197,424
    From related orgs
    $0
    Other
    $13,686
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,124
    Bonus
    $0
    Other
    $300
    Deferred
    $3,692
    Nontaxable benefits
    $9,994
    Filer's total
    $211,110

  • KELLY LORENZ

    CFO

    Total calculated
    $131,410
    From this org
    $119,697
    From related orgs
    $0
    Other
    $11,713
    Hours/week
    40

  • SARAH HOEHNEN DO

    CMO (TERM BEGAN 4/3/2023)

    Total calculated
    $179,871
    From this org
    $178,140
    From related orgs
    $0
    Other
    $1,731
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,885
    Bonus
    $0
    Other
    $255
    Deferred
    $1,731
    Nontaxable benefits
    $0
    Filer's total
    $179,871

  • Terry Regula

    FORMER CEO

    Total calculated
    $102,914
    From this org
    $102,688
    From related orgs
    $0
    Other
    $226
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $6,530
    Bonus
    $0
    Other
    $96,158
    Deferred
    $226
    Nontaxable benefits
    $0
    Filer's total
    $102,914

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

Answered yes

  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
Terry Regula, former CEO $96,084 - Non Qualified Deferred Compansation Plan
Schedule J, Part I, Line 3
COMPENSATION OF CEO THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCES MANAGER.

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
1 October 2024
IRS schema version
2023v5.1
Source object
202402759349301755

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