TAPESTRY 360 HEALTH: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- TAPESTRY 360 HEALTH (EIN 36-3843377)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-14
- IRS object ID
- 202641349349304894
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-14T10:53:06+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 Massachusetts Ave Suite 1370 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363843377 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tapestry 360 Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TAPE | BusinessNameControlTxt |
| Phone | 8722603980 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W Devon Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60660 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nicole Willis | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 8722603980 | PhoneNum |
| Signature | 2026-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Anne White | PreparerPersonNm |
| PTIN | P01708202 | PTIN |
| Phone | 3173834000 | PhoneNum |
| Preparation | 2026-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nicole Willis | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W Devon Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60660 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $42,334,784 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.tap360health.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | Tapestry 360 Health's mission is to improve the well-being of the communities it serves by providing accessible, high-quality health care in Albany Park, Lincoln Square, Rogers Park, Uptown, Lakeview and seven school-based health centers. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 346 | TotalEmployeeCnt |
| Total Volunteers | 56 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $12,169,215 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,214,133 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,143,284 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,898,482 | CYProgramServiceRevenueAmt |
| PY Investment Income | $683 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,443 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$104,641 | PYOtherRevenueAmt |
| CY Other Revenue | $84,006 | CYOtherRevenueAmt |
| PY Total Revenue | $42,208,541 | PYTotalRevenueAmt |
| CY Total Revenue | $42,202,064 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,201,617 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,137,679 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $330,884 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,501,298 | PYOtherExpensesAmt |
| CY Other Expenses | $18,904,665 | CYOtherExpensesAmt |
| PY Total Expenses | $42,702,915 | PYTotalExpensesAmt |
| CY Total Expenses | $43,042,344 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$494,374 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$840,280 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,760,121 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,938,107 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,188,318 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,210,549 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,571,803 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,727,558 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of Tapestry 360 Health is to improve the well-being of the communities we serve by providing accessible, high-quality health care. Tapestry 360 Health largely serves the uninsured, underinsured, immigrants and refugees on Chicago's North Side. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $32,344,936 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $22,959,168 | RevenueAmt |
| Desc | Community Health Care - Tapestry 360 Health's community health care where primary care and behavioral health care are integrated. Across these sites Tapestry 360 Health connects patients to comprehensive services including primary care, prenatal care, pediatric care, immunizations, women's health care, chronic disease management, medication discounts, oral health, mental health, and psychiatric services. In fiscal year 2025, Tapestry 360 Health's community health care program provided 110,836 patient medical and behavioral encounters. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,254,205 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,733,681 | RevenueAmt |
| Desc | School-based Health Centers - Tapestry 360 Health operates seven school-based health centers offering primary care, dental care, and behavioral health services to students free of out-of-pocket charges. School-based health centers fill a critical health gap by reaching underserved children in a familiar environment with minimal disruption to their school day. In fiscal year 2025, Tapestry 360 Health's school program provided 12,474 patient medical and behavioral encounters. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $924,166 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,205,633 | RevenueAmt |
| Desc | Oral Health - Tapestry 360 Health's oral health program operates across our health centers to serve our patients in the most cost effective and efficient manner. Our dental team offers preventive services including cleanings, cancer screenings, x-rays, fluoride varnishes, sealants, and stainless steel crowns. We also provide treatments targeting cavities, gum disease, and tooth loss. Dental services are provided regardless of the patient's ability to pay. In fiscal year 2025, Tapestry 360 Health's oral health program provided 4,355 patient encounters. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $35,523,307 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 346 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nicole Willis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8722603980 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W Devon Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60660 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Coletta Sargant | ||||||||
| Vice-Chairman | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| David Ireland | ||||||||
| Treasurer | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jacinta Staples | ||||||||
| Chairman | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kristen Plocinik | ||||||||
| Chairman until 04/11/25 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Nicole Willis | ||||||||
| Chief Executive Officer | 40.0 | 1.0 | Yes (X) | Yes (X) | $242,269 | $0 | $73,892 | |
| Pemba Bayo | ||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Barbara Wahler | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Dean Thompson | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Denzel Olagbegi | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jerome Lucas | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Jose Arroy | ||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Lester McCarroll III | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Matthew Katzfey | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Nicholas Peneff | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Susana Salgago | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Tasneem Qureshi | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Courtney Mapes | ||||||||
| Chief Medical Officer | 40.0 | 1.0 | Yes (X) | $215,532 | $0 | $36,350 | ||
| Jeneba Winfrey-Porter | ||||||||
| Chief Operating Officer | 40.0 | 1.0 | Yes (X) | $148,650 | $0 | $23,335 | ||
| Jeren Stepp | ||||||||
| VP Finance | 40.0 | 1.0 | Yes (X) | $121,214 | $0 | $10,593 | ||
| Bridget Buyea | ||||||||
| Physican | 40.0 | 0.0 | $248,925 | $0 | $37,991 | Yes (X) | ||
| Emma Rodewald Daisy | ||||||||
| Physician | 40.0 | 0.0 | $166,293 | $0 | $65,745 | Yes (X) | ||
| Jennifer Lequieu | ||||||||
| Physician | 40.0 | 0.0 | $182,971 | $0 | $18,898 | Yes (X) | ||
| Jocelyn Tolentino | ||||||||
| Physician | 40.0 | 0.0 | $181,761 | $0 | $47,166 | Yes (X) | ||
| Peter Mayock | ||||||||
| Physician | 40.0 | 0.0 | $201,896 | $0 | $36,997 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,709,511 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $350,967 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Alliance of Chicago Community Health | |||||
| 225 W Illinois St 5th Floor | Chicago | IL | 60654 | Software Maintenance & Support | $1,449,973 |
| Visualutions | |||||
| 7440 Mintwood Ln | Spring | TX | 77379 | Patient Billing Services | $767,721 |
| Trilogy | |||||
| 1400 W Greenleaf Ave | Chicago | IL | 60626 | Licensed Clinical Social Workers | $750,565 |
| Great American Financial Services | |||||
| 625 First St SE | Cedar Rapids | IA | 52401 | IT Services | $462,276 |
| Thresholds | |||||
| 4101 N Ravenswood Ave | Chicago | IL | 60613 | Medical Provider Services | $296,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $22,917 | FederatedCampaignsAmt |
| Fundraising | $158,379 | FundraisingAmt |
| Government Grants | $8,966,097 | GovernmentGrantsAmt |
| All Other Contributions | $66,740 | AllOtherContributionsAmt |
| Total Contributions | $9,214,133 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 624100 | $29,338,288 | $29,338,288 |
| Medicare/Medicaid | 621110 | $3,560,194 | $3,560,194 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,898,482 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,443 | TotalRevenueColumnAmt |
| Exclusion | $5,443 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,873 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,873 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,873 | TotalRevenueColumnAmt |
| Exclusion | $41,873 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $132,220 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $158,379 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $132,720 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$500 | TotalRevenueColumnAmt |
| Exclusion | -$500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $42,633 | TotalRevenueColumnAmt |
| Exclusion | $42,633 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $42,633 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,202,064 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,898,482 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,449 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $883,255 | TotalAmt |
| Management And General | $883,255 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,696,442 | TotalAmt |
| Program Services | $16,529,136 | ProgramServicesAmt |
| Management And General | $2,090,369 | ManagementAndGeneralAmt |
| Fundraising | $76,937 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,728 | TotalAmt |
| Program Services | $252,881 | ProgramServicesAmt |
| Management And General | $85,665 | ManagementAndGeneralAmt |
| Fundraising | $6,182 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,654,711 | TotalAmt |
| Program Services | $1,947,411 | ProgramServicesAmt |
| Management And General | $659,696 | ManagementAndGeneralAmt |
| Fundraising | $47,604 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,558,543 | TotalAmt |
| Program Services | $1,143,297 | ProgramServicesAmt |
| Management And General | $387,298 | ManagementAndGeneralAmt |
| Fundraising | $27,948 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,119 | TotalAmt |
| Management And General | $144,119 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,470 | TotalAmt |
| Management And General | $42,470 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,586 | TotalAmt |
| Management And General | $123,586 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,566,620 | TotalAmt |
| Program Services | $4,373,768 | ProgramServicesAmt |
| Management And General | $1,051,745 | ManagementAndGeneralAmt |
| Fundraising | $141,107 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,113 | TotalAmt |
| Program Services | $39,000 | ProgramServicesAmt |
| Management And General | $157,190 | ManagementAndGeneralAmt |
| Fundraising | $4,923 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $957,292 | TotalAmt |
| Program Services | $185,641 | ProgramServicesAmt |
| Management And General | $748,220 | ManagementAndGeneralAmt |
| Fundraising | $23,431 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,683,763 | TotalAmt |
| Program Services | $1,470,614 | ProgramServicesAmt |
| Management And General | $213,149 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,225 | TotalAmt |
| Program Services | $8,968 | ProgramServicesAmt |
| Management And General | $3,038 | ManagementAndGeneralAmt |
| Fundraising | $219 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,950 | TotalAmt |
| Program Services | $43,977 | ProgramServicesAmt |
| Management And General | $14,898 | ManagementAndGeneralAmt |
| Fundraising | $1,075 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,499 | TotalAmt |
| Program Services | $15,625 | ProgramServicesAmt |
| Management And General | $85,874 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,159 | TotalAmt |
| Program Services | $457,190 | ProgramServicesAmt |
| Management And General | $295,969 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,332 | TotalAmt |
| Program Services | $59,663 | ProgramServicesAmt |
| Management And General | $20,211 | ManagementAndGeneralAmt |
| Fundraising | $1,458 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $6,934,463 | $6,919,814 | $14,649 |
| Bad Debt Expense | $2,047,000 | $2,047,000 | |
| Non-Cap Equipment Exp | $196,074 | $29,322 | $166,752 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,042,344 | TotalAmt |
| Program Services | $35,523,307 | ProgramServicesAmt |
| Management And General | $7,188,153 | ManagementAndGeneralAmt |
| Fundraising | $330,884 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,903,806 | BOYAmt |
| EOY | $3,825,643 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,279,682 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,129,728 | BOYAmt |
| EOY | $4,958,434 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,991 | BOYAmt |
| EOY | $398,708 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,010,043 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,700,051 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,850,674 | BOYAmt |
| EOY | $2,309,992 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
| EOY | $75,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,307,922 | BOYAmt |
| EOY | $5,090,648 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,760,121 | BOYAmt |
| EOY | $17,938,107 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,404 | BOYAmt |
| EOY | $3,561,465 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $75,000 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,052,836 | BOYAmt |
| EOY | $943,157 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,812,078 | BOYAmt |
| EOY | $5,630,927 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,188,318 | BOYAmt |
| EOY | $10,210,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,869,012 | BOYAmt |
| EOY | $7,144,989 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,791 | BOYAmt |
| EOY | $582,569 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,571,803 | BOYAmt |
| EOY | $7,727,558 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,760,121 | BOYAmt |
| EOY | $17,938,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$840,280 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3,965 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,933,702 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,106,212 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,456,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,169,215 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,214,133 | CurrentTaxYearAmt |
| Total | $62,879,409 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,933,702 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,106,212 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,456,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,169,215 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,214,133 | CurrentTaxYearAmt |
| Total | $62,879,409 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,213,206 | SubstantialContributorsTotAmt |
| Public Support Total170 | $58,666,203 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,317 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,459 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,455 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,316 | CurrentTaxYearAmt |
| Total | $106,552 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,504 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,639 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,633 | CurrentTaxYearAmt |
| Total | $221,845 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $63,207,806 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $135,476,629 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.92815 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93741 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - OTHER REVENUE, COLUMN A - 117644.0, COLUMN B - 2504.0, COLUMN C - 13425.0, COLUMN D - 45639.0, COLUMN E - 42633.0, COLUMN F - 221845.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,120,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $698,414 | DepreciationAmt |
| Book Value | $422,315 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,452,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,658,823 | DepreciationAmt |
| Book Value | $1,793,551 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $431,940 | OtherCostOrOtherBasisAmt |
| Depreciation | $342,814 | DepreciationAmt |
| Book Value | $89,126 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,000 | OtherCostOrOtherBasisAmt |
| Book Value | $5,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,309,992 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment Held for Deferred Compensation | $204,157 |
| Lease Incentive Allowance | $51,498 |
| Operating Lease Right-of-Use Assets | $4,654,402 |
| Finance Lease Right-of-Use Assets | $180,591 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,090,648 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| Deferred Compensation Liability | $204,157 |
| Operating Lease Liabilities | $5,242,548 |
| Finance Lease Liabilities | $184,222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,630,927 | TotalLiabilityAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | Tapestry 360 Health is a tax-exempt organization under Internal Revenue Code Section 501(c)(3). Accordingly, no income taxes are reflected in the accompanying consolidated financial statements. Tapestry 360 Health files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing Tapestry 360 Health 36-3843377 authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Form 990 filed by Tapestry 360 Health is subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 filed by Tapestry 360 Health are no longer subject to examination for fiscal year 2020 and prior. The accounting guidance on income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded and disclosed in the financial statements. Tapestry 360 Health may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. Management has determined that Tapestry 360 Health has no material uncertain tax positions that would require disclosure or adjustment. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Annual Gala | Event1Nm |
| Gross Receipts Event1 | $211,827 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $109,721 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $102,106 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $16,823 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $42,109 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $11,235 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $31,940 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Outing | Event2Nm |
| Gross Receipts Event2 | $78,772 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $48,658 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $30,114 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $500 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $12,683 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $12,066 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $856 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $4,508 | OtherDirectExpensesEvent2Amt |
| Gross Revenue Other Events | $0 | GrossRevenueOtherEventsAmt |
| Gross Receipts Total | $290,599 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $158,379 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $132,220 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $500 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $29,506 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $54,175 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $12,091 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $36,448 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $132,720 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$500 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Nicole Willis | ||||||||||||||
| Chief Executive Officer | $242,269 | $0 | $0 | $0 | $0 | $0 | $10,759 | $0 | $63,133 | $0 | $316,161 | $0 | $0 | $0 |
| Courtney Mapes | ||||||||||||||
| Chief Medical Officer | $208,032 | $0 | $7,500 | $0 | $0 | $0 | $9,124 | $0 | $27,226 | $0 | $251,882 | $0 | $0 | $0 |
| Jeneba Winfrey-Porter | ||||||||||||||
| Chief Operating Officer | $148,650 | $0 | $0 | $0 | $0 | $0 | $2,895 | $0 | $20,440 | $0 | $171,985 | $0 | $0 | $0 |
| Bridget Buyea | ||||||||||||||
| Physican | $243,825 | $0 | $5,100 | $0 | $0 | $0 | $10,996 | $0 | $26,995 | $0 | $286,916 | $0 | $0 | $0 |
| Peter Mayock | ||||||||||||||
| Physician | $201,896 | $0 | $0 | $0 | $0 | $0 | $7,902 | $0 | $29,095 | $0 | $238,893 | $0 | $0 | $0 |
| Emma Rodewald Daisy | ||||||||||||||
| Physician | $166,293 | $0 | $0 | $0 | $0 | $0 | $7,780 | $0 | $57,965 | $0 | $232,038 | $0 | $0 | $0 |
| Jocelyn Tolentino | ||||||||||||||
| Physician | $181,761 | $0 | $0 | $0 | $0 | $0 | $7,269 | $0 | $39,897 | $0 | $228,927 | $0 | $0 | $0 |
| Jennifer Lequieu | ||||||||||||||
| Physician | $179,971 | $0 | $3,000 | $0 | $0 | $0 | $2,819 | $0 | $16,079 | $0 | $201,869 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b Review of form 990 by governing body | The Organization's Finance Committee serves as the Finance and Audit Committee for the Organization's Board of Directors. The Finance Chair has been identified as the reviewer of the Form 990 and will report back to the full Board. Members of the Board are provided with copies of the Form 990 prior to filing. |
| Form 990, Part VI, Line 12c Conflict of interest policy | All members of Tapestry 360 Health's Board of Directors annually sign a conflict of interest policy, copies of which are retained in the Executive Director's office. In addition, all of the Tapestry 360 Health senior management (included in Heartland Alliance cabinet) annually sign the conflict of interest policy. A copy of the Board of Directors policy is posted on a password-protected portion of the Organization's website, designated for board members. A copy of the policy for management is posted on the Organization's intranet. Policy requires disclosure of any situation in which there may be even an appearance of potential conflict of interest. In addition, a conflict of interest provision is included in the organizational by-laws approved by the Board of Directors. When appropriate, members of the Board of Directors, or senior management, excuse themselves from decision-making if there is any conflict of interest. Relative to board of committee actions, this is reflected in the meeting minutes. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The compensation committee (a sub-committee of the Board of Directors, which is appointed by the Board Chair) conducts the annual performance evaluation of, and determines the compensation for the Organization's Executive Director as compared to the appropriate independent salary survey information for similar positions and roles. This body may also consult with legal counsel or additional outside resources (i.e. the Illinois Primary Healthcare Association, National Association of Community Health Centers) in determining fair and competitive compensation for the Executive Director of Tapestry 360 Health. The compensation process is documented. |
| Form 990, Part VI, Line 19 Required documents available to the public | The governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(d). |
| Form 990, Part IX, Line 11g Other Fees | OTHER - Total Expense: 5566620, Program Service Expense: 4373768, Management and General Expenses: 1051745, Fundraising Expenses: 141107; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | INTERCOMPANY ADJUSTMENT - -3965; Total - -3965; |
| Form 990 Part III, Line 1 | Sites include seven neighborhood health centers, seven school-based health centers, and three sites where primary care and behavioral health are integrated. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC Devon Real Estate NFP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W Devon Ave | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60660 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 471393283 | EIN |
| Primary Activities | Development of the Community Health Center and raising of capital | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tapestry 360 Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HHC Devon Real Estate NFP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $126,270 | InvolvedAmt |
| Method Of Amount Determination | Fair Market Value | MethodOfAmountDeterminationTxt |
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