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Nonprofiteer
← HACKLEY COMMUNITY CARE CENTER INC

Form 990 for tax year 2023

Filed by HACKLEY COMMUNITY CARE CENTER INC.

Totals

Total revenue
$37,690,964
Total expenses
$36,165,133
Contributions and grants received
$6,443,946
Grants paid
$0
Program service revenue
$30,715,378
Investment income
$445,340
Other revenue
$86,300
Total assets, end of year
$26,735,695
Total liabilities, end of year
$9,258,411
Net assets or fund balances, end of year
$17,477,284
Program services expenses (Part IX)
$29,521,898
Management and general expenses
$6,643,235
Fundraising expenses
$0
Program service expenses (Part III)
$29,521,898

Program services were 81.6% 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)

    $6,105,814

  • 1f · All other contributions, gifts and grants

    $338,132

  • 1g · Noncash contributions included above

    $298,314

  • 2a · Program service revenue: PATIENT REVENUES

    total $28,982,713 · related or exempt $28,982,713

  • 2b · Program service revenue: INCENTIVE PAYMENTS

    total $1,390,861 · related or exempt $1,390,861

  • 2c · Program service revenue: CONTRACT REVENUE

    total $231,552 · related or exempt $231,552

  • 2d · Program service revenue: PREMIUM REVENUE

    total $110,252 · related or exempt $110,252

  • 3 · Investment income

    total $445,340 · excluded $445,340

  • 11a · Other revenue: MISCELLANEOUS

    total $86,300 · related or exempt $86,300

  • 11e · Other revenue, total

    $86,300

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,301,865 · program services $176,488 · management and general $1,125,377

  • 7 · Other salaries and wages

    total $17,315,922 · program services $14,117,562 · management and general $3,198,360

  • 8 · Pension plan contributions

    total $256,165 · program services $207,605 · management and general $48,560

  • 9 · Other employee benefits

    total $2,120,697 · program services $1,698,552 · management and general $422,145

  • 10 · Payroll taxes

    total $1,395,955 · program services $1,077,923 · management and general $318,032

  • 11b · Fees: legal

    total $33,708 · management and general $33,708

  • 11c · Fees: accounting

    total $71,005 · program services $15,997 · management and general $55,008

  • 11g · Fees: other

    total $512,520 · program services $312,090 · management and general $200,430

  • 12 · Advertising and promotion

    total $157,575 · program services $157,575

  • 13 · Office expenses

    total $344,468 · program services $248,715 · management and general $95,753

  • 14 · Information technology

    total $1,254,125 · program services $1,093,164 · management and general $160,961

  • 16 · Occupancy

    total $1,658,957 · program services $1,373,449 · management and general $285,508

  • 17 · Travel

    total $87,399 · program services $44,391 · management and general $43,008

  • 19 · Conferences, conventions and meetings

    total $108,472 · program services $76,101 · management and general $32,371

  • 20 · Interest

    total $127,263 · management and general $127,263

  • 22 · Depreciation, depletion and amortization

    total $763,975 · program services $630,360 · management and general $133,615

  • 23 · Insurance

    total $69,741 · program services $17,540 · management and general $52,201

  • 24a · Other expenses: PHARMACY

    total $4,541,646 · program services $4,541,646

  • 24b · Other expenses: 340B EXPENSES

    total $1,843,686 · program services $1,843,686

  • 24c · Other expenses: CLINCAL SUPPLIES

    total $1,316,635 · program services $1,316,635

  • 24d · Other expenses: MINOR EQUIPMENT

    total $244,971 · program services $127,610 · management and general $117,361

  • 24e · All other expenses

    total $638,383 · program services $444,809 · management and general $193,574

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $3,550 · end of year $3,550

  • 2 · Savings and temporary cash investments

    beginning of year $9,980,846 · end of year $10,300,823

  • 3 · Pledges and grants receivable

    beginning of year $1,093,347 · end of year $960,627

  • 4 · Accounts receivable

    beginning of year $2,858,131 · end of year $2,827,781

  • 8 · Inventories for sale or use

    beginning of year $269,056 · end of year $396,820

  • 9 · Prepaid expenses and deferred charges

    beginning of year $706,446 · end of year $453,369

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

    $14,842,178

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

    $6,651,381

  • 10c · Land, buildings and equipment, net

    beginning of year $5,429,397 · end of year $8,190,797

  • 12 · Investments: other securities

    beginning of year $563,315 · end of year $495,566

  • 13 · Investments: program-related

    beginning of year $74,277 · end of year $85,861

  • 15 · Other assets

    beginning of year $3,086,956 · end of year $3,020,501

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,370,934 · end of year $3,725,317

  • 19 · Deferred revenue

    beginning of year $100,948 · end of year $92,327

  • 23 · Secured mortgages and notes payable

    beginning of year $2,380,000 · end of year $2,100,000

  • 25 · Other liabilities

    beginning of year $3,194,237 · end of year $3,340,767

  • 27 · Net assets without donor restrictions

    beginning of year $16,013,398 · end of year $17,471,480

  • 28 · Net assets with donor restrictions

    beginning of year $5,804 · end of year $5,804

Mission and programs · 2023

Mission

TO SUPPORT AND PROMOTE OUR PATIENTS TOTAL HEALTH WITH QUALITY, INTEGRITY, RESPECT AND COMPASSION.

  • THE FEDERALLY QUALIFIED HEALTH CENTER PROVIDES COMPREHENSIVE PRIMARY MEDICAL, DENTAL, AND OTHER HEALTH CARE SERVICES REGARDLESS OF ABILITY TO PAY.

    Expenses $29,521,898 · Revenue $30,715,378

As filed on the 2023 return.

Listed in Part VII

  • Byron Varnado

    PHYSICIAN

    Total calculated
    $269,253
    From this org
    $244,895
    From related orgs
    $0
    Other
    $24,358
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $243,395
    Bonus
    $1,500
    Other
    not reported
    Deferred
    $4,800
    Nontaxable benefits
    $19,558
    Filer's total
    $269,253

  • Michael Weessies

    CEO

    Total calculated
    $258,781
    From this org
    $226,435
    From related orgs
    $0
    Other
    $32,346
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,395
    Bonus
    $1,040
    Other
    not reported
    Deferred
    $12,800
    Nontaxable benefits
    $19,546
    Filer's total
    $258,781

  • Jennifer Hultman

    PHYSICIAN

    Total calculated
    $240,514
    From this org
    $217,385
    From related orgs
    $0
    Other
    $23,129
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $216,685
    Bonus
    $700
    Other
    not reported
    Deferred
    $3,598
    Nontaxable benefits
    $19,531
    Filer's total
    $240,514

  • Nidia Miedema

    PHYSICIAN

    Total calculated
    $235,482
    From this org
    $211,068
    From related orgs
    $0
    Other
    $24,414
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $210,188
    Bonus
    $880
    Other
    not reported
    Deferred
    $4,800
    Nontaxable benefits
    $19,614
    Filer's total
    $235,482

  • Valerie Blondin

    CFO

    Total calculated
    $227,040
    From this org
    $204,745
    From related orgs
    $0
    Other
    $22,295
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,705
    Bonus
    $1,040
    Other
    not reported
    Deferred
    $3,994
    Nontaxable benefits
    $18,301
    Filer's total
    $227,040

  • Joshua Joshua

    DENTAL QUALI

    Total calculated
    $223,687
    From this org
    $203,907
    From related orgs
    $0
    Other
    $19,780
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $202,931
    Bonus
    $976
    Other
    not reported
    Deferred
    $1,664
    Nontaxable benefits
    $18,116
    Filer's total
    $223,687

  • Steven Oginsky

    MEDICAL DIRE

    Total calculated
    $219,263
    From this org
    $214,076
    From related orgs
    $0
    Other
    $5,187
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,105
    Bonus
    $3,971
    Other
    not reported
    Deferred
    $3,328
    Nontaxable benefits
    $1,859
    Filer's total
    $219,263

  • Leslie Kingsley

    CMO

    Total calculated
    $216,236
    From this org
    $211,633
    From related orgs
    $0
    Other
    $4,603
    Hours/week
    37

    Schedule J breakdown matched by us

    Base
    $209,678
    Bonus
    $1,955
    Other
    not reported
    Deferred
    $3,598
    Nontaxable benefits
    $1,005
    Filer's total
    $216,236

  • Tawna Vallance

    CMOO

    Total calculated
    $196,615
    From this org
    $190,662
    From related orgs
    $0
    Other
    $5,953
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $188,731
    Bonus
    $1,931
    Other
    not reported
    Deferred
    $3,622
    Nontaxable benefits
    $2,331
    Filer's total
    $196,615

  • Karen Hayslip

    CHRO

    Total calculated
    $159,204
    From this org
    $148,501
    From related orgs
    $0
    Other
    $10,703
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,489
    Bonus
    $1,012
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $10,703
    Filer's total
    $159,204

  • Maryanne Kowalski

    CBHO

    Total calculated
    $156,878
    From this org
    $128,884
    From related orgs
    $0
    Other
    $27,994
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $127,644
    Bonus
    $1,240
    Other
    not reported
    Deferred
    $7,800
    Nontaxable benefits
    $20,194
    Filer's total
    $156,878

  • Ashley Dowdell

    CCGO

    Total calculated
    $87,111
    From this org
    $76,117
    From related orgs
    $0
    Other
    $10,994
    Hours/week
    40

  • Michael Brecht

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Tonette Brown-Garner

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stephanie Cathey

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Gary Lukkari DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Shauna Hunter

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Javier Martinez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Darius Mitchell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Cheryl Nebedum

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Eva Pena

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sarah Rinsema-Sybenga

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Christopher Sandford

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Harold Santo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kim Sims

    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

  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 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
2023
Filed
27 August 2024
IRS schema version
2023v5.0
Source object
202412429349300206

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