Form 990 for tax year 2022
Filed by LEWIS COUNTY PROMARY CARE CENTER INC.
Totals
- Total revenue
- $85,005,084
- Total expenses
- $74,767,431
- Contributions and grants received
- $9,399,046
- Grants paid
- $0
- Program service revenue
- $75,297,006
- Investment income
- $101,422
- Other revenue
- $207,610
- Total assets, end of year
- $62,625,601
- Total liabilities, end of year
- $19,987,120
- Net assets or fund balances, end of year
- $42,638,481
- Program services expenses (Part IX)
- $70,695,094
- Management and general expenses
- $4,072,337
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $70,695,094
Program services were 94.6% 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)
$9,369,772
-
1f · All other contributions, gifts and grants
$29,274
-
2a · Program service revenue: PATIENT SERVICES
total $75,297,006 · related or exempt $75,297,006
-
3 · Investment income
total $101,422 · related or exempt $101,422
-
6a · Gross rents
real property $207,610
-
6c · Rental income or loss
real property $207,610
-
6d · Net rental income or loss
total $207,610
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $31,848,370 · program services $29,534,072 · management and general $2,314,298
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $7,968,538 · program services $7,426,761 · management and general $541,777
-
10 · Payroll taxes
total $2,173,623 · program services $2,003,319 · management and general $170,304
-
11a · Fees: management
total $5,192,087 · program services $4,718,704 · management and general $473,383
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $0
-
11d · Fees: lobbying
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $269,829 · program services $269,829
-
13 · Office expenses
total $28,272 · management and general $28,272
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $840,306 · program services $840,306
-
17 · Travel
total $182,664 · program services $138,273 · management and general $44,391
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $470,752 · program services $460,858 · management and general $9,894
-
20 · Interest
total $563,913 · program services $563,913
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $1,716,999 · program services $1,716,999
-
23 · Insurance
total $212,736 · program services $76,370 · management and general $136,366
-
24a · Other expenses: COST OF SALES
total $18,818,350 · program services $18,818,350
-
24b · Other expenses: MEDICAL SUPPLIES
total $4,191,669 · program services $3,840,695 · management and general $350,974
-
24c · Other expenses: RECRUITMENT
total $215,616 · program services $215,616
-
24d · Other expenses: LICENSES AND PERMITS
total $68,674 · program services $65,996 · management and general $2,678
-
24e · All other expenses
total $5,033 · program services $5,033
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $6,550 · end of year $6,550
-
2 · Savings and temporary cash investments
beginning of year $18,228,204 · end of year $27,767,388
-
4 · Accounts receivable
beginning of year $5,305,144 · end of year $5,380,134
-
8 · Inventories for sale or use
beginning of year $1,041,484 · end of year $1,627,660
-
9 · Prepaid expenses and deferred charges
beginning of year $434,032 · end of year $663,201
-
10a · Land, buildings and equipment: cost or other basis
$40,935,241
-
10b · Land, buildings and equipment: accumulated depreciation
$13,754,573
-
10c · Land, buildings and equipment, net
beginning of year $20,817,181 · end of year $27,180,668
-
17 · Accounts payable and accrued expenses
beginning of year $2,360,726 · end of year $4,082,253
-
19 · Deferred revenue
beginning of year $21,600
-
23 · Secured mortgages and notes payable
beginning of year $11,196,950 · end of year $15,904,867
-
27 · Net assets without donor restrictions
beginning of year $32,007,319 · end of year $42,392,481
-
28 · Net assets with donor restrictions
beginning of year $246,000 · end of year $246,000
Mission and programs · 2022
Mission
PROVIDING QUALITY AFFORDABLE HEALTH CARE TO LOW INCOME FAMILIES RESIDING IN LEWIS AND SURROUNDING COUNTIES
-
PROGRAM EXPENSES ENABLE THE CENTER TO PROVIDE AFFORDIABLE HEALTH CARE TO LOW INCOME FAMILIES RESIDING IN LEWIS AND SURROUNDING COUNTIES
Expenses $70,695,094 · Grants $9,369,772 · Revenue $75,782,821
As filed on the 2022 return.
Listed in Part VII
-
Samantha OlzeskiSAMANTHA OLZESKI
PHYSICIAN
- Total calculated
- $542,379
- From this org
- $542,379
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $542,379
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $542,379
-
Gary ColemanGARY COLEMAN
PHYSICIAN
- Total calculated
- $474,802
- From this org
- $474,802
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $474,802
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $474,802
-
Casey KeetonCASEY KEETON
PHYSICIAN
- Total calculated
- $410,709
- From this org
- $410,709
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $410,709
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $410,709
-
Laura ShowerLAURA SHOWER
PHYSICIAN
- Total calculated
- $379,226
- From this org
- $379,226
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $379,226
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $379,226
-
Kallie AkersKALLIE AKERS
PHYSICIAN
- Total calculated
- $364,230
- From this org
- $364,230
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $364,230
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $364,230
-
Jerry UrginJERRY URGIN
CHIEF EXECUTIVE OFFICER
- Total calculated
- $216,308
- From this org
- $216,308
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $216,308
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $216,308
-
Rita HarrisonRITA HARRISON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Tara BlevinsTARA BLEVINS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Joni PughJONI PUGH
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Mike KennedyMIKE KENNEDY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ed ConnorsED CONNORS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Loretta DixonLORETTA DIXON
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Margaret SnedegarMARGARET SNEDEGAR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jeremy FaulknerJEREMY FAULKNER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Lindsay PhillipsLINDSAY PHILLIPS
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Diana WilsonDIANA WILSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ali DoyleALI DOYLE
DIRECTOR
- 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
- 2 · Substantiation required before reimbursing expenses
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
- 4 October 2024
- IRS schema version
- 2022v5.0
- Source object
- 202432789349300713
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