KANSAS CITY CARE CLINIC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
KANSAS CITY CARE CLINIC (EIN 43-0967292)
Tax period
2022-04-01 to 2023-03-31
Filed
2024-01-30
IRS object ID
202410309349301761
Schema version
2022v5.0
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

FieldValueIRS element (for citing)
Return2024-01-30T13:31:04-06:00ReturnTs
Tax Period End2023-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430967292EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KANSAS CITY CARE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% GEORGE A BARRETOInCareOfNm
Business Name ControlKANSBusinessNameControlTxt
Phone8167535144PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13515 BROADWAYAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64111ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWIL FRANKLINPersonNm
Person TitleCEOPersonTitleTxt
Phone8167535144PhoneNum
Signature2023-12-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWILPersonFirstNm
Person LastFRANKLINPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael J EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
Preparation2023-12-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWIL FRANKLINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13515 BROADWAYAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$35,850,700GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KCCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROMOTE HEALTH AND WELLNESS BY PROVIDING QUALITY CARE, ACCESS, RESEARCH AND EDUCATION TO THE UNDERSERVED AND ALL PEOPLE IN OUR COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee312TotalEmployeeCnt
Total Volunteers662TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,599,268PYContributionsGrantsAmt
CY Contributions Grants$8,722,556CYContributionsGrantsAmt
PY Program Service Revenue$20,681,868PYProgramServiceRevenueAmt
CY Program Service Revenue$26,578,432CYProgramServiceRevenueAmt
PY Investment Income$22,087PYInvestmentIncomeAmt
CY Investment Income$91,957CYInvestmentIncomeAmt
PY Other Revenue$203,885PYOtherRevenueAmt
CY Other Revenue$199,517CYOtherRevenueAmt
PY Total Revenue$35,507,108PYTotalRevenueAmt
CY Total Revenue$35,592,462CYTotalRevenueAmt
PY Grants And Similar Paid$11,397PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,219CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,986,208PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,426,587CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,110,392CYTotalFundraisingExpenseAmt
PY Other Expenses$14,228,857PYOtherExpensesAmt
CY Other Expenses$17,572,123CYOtherExpensesAmt
PY Total Expenses$30,226,462PYTotalExpensesAmt
CY Total Expenses$34,010,929CYTotalExpensesAmt
PY Revenues Less Expenses$5,280,646PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,581,533CYRevenuesLessExpensesAmt
Total Assets BOY$18,238,604TotalAssetsBOYAmt
Total Assets EOY$21,414,435TotalAssetsEOYAmt
Total Liabilities BOY$3,590,363TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,206,405TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,648,241NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,208,030NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF KC CARE HEALTH CENTER IS TO PROMOTE HEALTH AND WELLNESS BY PROVIDING QUALITY CARE, ACCESS, RESEARCH AND EDUCATION TO THE UNDERSERVED AND ALL PEOPLE IN OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$25,331,554ExpenseAmt
Grant$12,219GrantAmt
Revenue$26,578,432RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$25,331,554TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document249IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee312EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGEORGE A BARRETOPersonNm
Phone8167772766PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13515 BROADWAYAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64111ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CRAIG DIETZ
CHIEF MEDICAL OFFICER40.00.0Yes (X)$232,681$0$33,642
WIL FRANKLIN
CHIEF EXECUTIVE OFFICER40.00.0Yes (X)$213,403$0$48,291
BLAIR THEDINGER
ASSOCIATE MEDICAL DIRECTOR40.00.0$206,516$0$40,124Yes (X)
DENNIS DUNMEYER
CHIEF OPERATING OFFICER40.00.0Yes (X)$177,030$0$45,462
GEORGE BARRETO
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$176,934$0$36,986
TASANAPORN PITIYANUVATH
PHYSICIAN40.00.0$203,989$0$514Yes (X)
MEGAN BURI
FAMILY MEDICINE PHYSICIAN40.00.0$173,051$0$17,789Yes (X)
KAMILE JOHNSON
VP, PHARMACY SERVICES40.00.0$165,086$0$24,809Yes (X)
KRISTINE CODY
Chief Clinical Operations40.00.0$183,084$0$1,530Yes (X)
BERT MALONE
DIRECTOR/IMMEDIATE PAST CHAIR1.00.0$0$0$0Yes (X)
CHADWICK BROOKS
DIRECTOR/SECRETARY1.00.0$0$0$0Yes (X)
TOM NAGEL
DIRECTOR/CHAIR1.00.0$0$0$0Yes (X)
ANDAND RAJARA
DIRECTOR1.00.0$0$0$0Yes (X)
CAROL THRANE
DIRECTOR1.00.0$0$0$0Yes (X)
CHRISTOPHER CARTER
DIRECTOR1.00.0$0$0$0Yes (X)
KIRAN CHANDRA
DIRECTOR1.00.0$0$0$0Yes (X)
LAURA FOLEY
DIRECTOR1.00.0$0$0$0Yes (X)
MARIETTA PARKER
DIRECTOR1.00.0$0$0$0Yes (X)
NIKKI BEARD
DIRECTOR/SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
W DRUE THOMAS JR
DIRECTOR/TREASURER1.00.0Yes (X)$0$0$0Yes (X)
SANDRA GARCIA
DIRECTOR1.00.0$0$0$0Yes (X)
NOELLE KING-WHITLOW
DIRECTOR1.00.0$0$0$0Yes (X)
KELLY KENT
DIRECTOR1.00.0$0$0$0Yes (X)
APRIL D MCNEILL-JOHNSON
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,731,774TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$249,147TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROSSLAND CONSTRUCTION COMPANY
833 S EAST AVECOLUMBUSKS66725CONSTRUCTION$777,226
IMPACT INTERIORS
3050 S 24TH STKANSAS CITYKS66106CONSTRUCTION$209,661
INTEGRATED PSYCHIATRIC CONSULTANTS
15316 PERRY STREETOVERLAND PARKKS66221PROVIDER CONSULTANTS$393,670
IRELAND ARCHITECTS
1908 E SUNSHINE ST STE ASPRINGFIELDMO65804ARCHITECT$163,057
FORVIS
901 E SAINT LOUIS STREET STE 200SPRINGFIELDMO65806AUDIT AND ACCOUNTING$121,318
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$273,858FundraisingAmt
Government Grants$7,244,709GovernmentGrantsAmt
All Other Contributions$1,203,989AllOtherContributionsAmt
Total Contributions$8,722,556TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Program Service Fee621400$25,369,180$25,369,180
Clinical Trials900099$1,188,038$1,188,038
Medical Records Fees900099$21,214$21,214
FieldValueIRS element (for citing)
Total Program Service Revenue$26,578,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,939TotalRevenueColumnAmt
Exclusion$88,939ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,227SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,209SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,018SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,018TotalRevenueColumnAmt
Exclusion$3,018ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$112,634FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$273,858ContriRptFundraisingEventAmt
Fundraising Direct Expenses$229,029FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$116,395TotalRevenueColumnAmt
Exclusion-$116,395ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Rebate Income900099$7,198$7,198
ALL OTHER REVENUE900099$308,714$308,714
FieldValueIRS element (for citing)
Other Revenue Total$315,912OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,592,462TotalRevenueColumnAmt
Related Or Exempt Func Income$26,578,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$291,474ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,219TotalAmt
Program Services$12,219ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$981,249TotalAmt
Program Services$154,618ProgramServicesAmt
Management And General$826,631ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,289,528TotalAmt
Program Services$8,862,630ProgramServicesAmt
Management And General$2,741,181ManagementAndGeneralAmt
Fundraising$685,717FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$214,309TotalAmt
Program Services$174,316ProgramServicesAmt
Management And General$26,506ManagementAndGeneralAmt
Fundraising$13,487FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,973,519TotalAmt
Program Services$799,400ProgramServicesAmt
Management And General$1,120,375ManagementAndGeneralAmt
Fundraising$53,744FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$967,982TotalAmt
Program Services$698,063ProgramServicesAmt
Management And General$215,909ManagementAndGeneralAmt
Fundraising$54,010FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$115,972TotalAmt
Management And General$115,972ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$121,318TotalAmt
Management And General$121,318ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,099TotalAmt
Management And General$1,099ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,076,915TotalAmt
Program Services$938,608ProgramServicesAmt
Management And General$69,588ManagementAndGeneralAmt
Fundraising$68,719FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$185,619TotalAmt
Program Services$42,355ProgramServicesAmt
Management And General$19,840ManagementAndGeneralAmt
Fundraising$123,424FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,311,746TotalAmt
Program Services$9,863,457ProgramServicesAmt
Management And General$1,408,852ManagementAndGeneralAmt
Fundraising$39,437FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,031,060TotalAmt
Program Services$1,031,060ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$703,694TotalAmt
Program Services$31,600ProgramServicesAmt
Management And General$617,073ManagementAndGeneralAmt
Fundraising$55,021FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,471TotalAmt
Program Services$51,741ProgramServicesAmt
Management And General$18,397ManagementAndGeneralAmt
Fundraising$333FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,183TotalAmt
Program Services$14,702ProgramServicesAmt
Management And General$20,481ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$940TotalAmt
Program Services$940ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$226,642TotalAmt
Program Services$167,410ProgramServicesAmt
Management And General$52,046ManagementAndGeneralAmt
Fundraising$7,186FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$121,280TotalAmt
Program Services$89,584ProgramServicesAmt
Management And General$27,850ManagementAndGeneralAmt
Fundraising$3,846FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$1,929,382$1,929,382
Payments to Subrecipients$442,433$442,433
Equipment Rental & Maint$68,701$68,701
All other expenses$129,668$27,036$97,164$5,468

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$34,010,929TotalAmt
Program Services$25,331,554ProgramServicesAmt
Management And General$7,568,983ManagementAndGeneralAmt
Fundraising$1,110,392FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,700BOYAmt
EOY$2,400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,844,098BOYAmt
EOY$5,746,898EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,229,731BOYAmt
EOY$1,684,896EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,110,158BOYAmt
EOY$6,893,321EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$147,770BOYAmt
EOY$133,501EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$291,499BOYAmt
EOY$461,508EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,754,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,380,993LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,876,874BOYAmt
EOY$4,373,031EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$240,156BOYAmt
EOY$219,251EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$496,618BOYAmt
EOY$1,899,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,238,604BOYAmt
EOY$21,414,435EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,259,092BOYAmt
EOY$3,737,248EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$331,271BOYAmt
EOY$72,598EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,396,559EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,590,363BOYAmt
EOY$5,206,405EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,495,692BOYAmt
EOY$12,190,368EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,152,549BOYAmt
EOY$4,017,662EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,648,241BOYAmt
EOY$16,208,030EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,238,604BOYAmt
EOY$21,414,435EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,581,533ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$21,744NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,681,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,364,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,092,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,599,268CurrentTaxYearMinus1YearAmt
Current Tax Year$8,722,556CurrentTaxYearAmt
Total$56,460,256TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,681,622CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,364,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,092,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,599,268CurrentTaxYearMinus1YearAmt
Current Tax Year$8,722,556CurrentTaxYearAmt
Total$56,460,256TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,046,125SubstantialContributorsTotAmt
Public Support Total170$55,414,131PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,522CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,640CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,462CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,882CurrentTaxYearMinus1YearAmt
Current Tax Year$88,939CurrentTaxYearAmt
Total$108,445TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,319CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$203,885CurrentTaxYearMinus1YearAmt
Current Tax Year$315,912CurrentTaxYearAmt
Total$1,123,939TotalAmt
FieldValueIRS element (for citing)
Total Support$57,692,640TotalSupportAmt
Gross Receipts Rltd Activities$80,624,176GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96051PublicSupportCY170Pct
Public Support PY1700.95008PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$252,460BeginningYearBalanceAmt
Investment Earnings Or Losses-$14,983InvestmentEarningsOrLossesAmt
Administrative Expenses$795AdministrativeExpensesAmt
End Year Balance$236,682EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$245,217BeginningYearBalanceAmt
Investment Earnings Or Losses$8,446InvestmentEarningsOrLossesAmt
Administrative Expenses$1,203AdministrativeExpensesAmt
End Year Balance$252,460EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$172,803BeginningYearBalanceAmt
Investment Earnings Or Losses$73,420InvestmentEarningsOrLossesAmt
Administrative Expenses$1,006AdministrativeExpensesAmt
End Year Balance$245,217EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$189,445BeginningYearBalanceAmt
Investment Earnings Or Losses-$15,722InvestmentEarningsOrLossesAmt
Administrative Expenses$920AdministrativeExpensesAmt
End Year Balance$172,803EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$183,145BeginningYearBalanceAmt
Investment Earnings Or Losses$7,164InvestmentEarningsOrLossesAmt
Administrative Expenses$864AdministrativeExpensesAmt
End Year Balance$189,445EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.52700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.47300TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,013,853OtherCostOrOtherBasisAmt
Depreciation$1,704,719DepreciationAmt
Book Value$1,309,134BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$59,065OtherCostOrOtherBasisAmt
Depreciation$1,036DepreciationAmt
Book Value$58,029BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,160,634OtherCostOrOtherBasisAmt
Depreciation$1,675,238DepreciationAmt
Book Value$485,396BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,520,472OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$2,520,472BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,373,031TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
457b Plan Assets$512,961
ROU LEASE ASSETS$1,386,668
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,899,629TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescROU LEASE LIABILITIESDesc
Amt$1,396,559Amt
FieldValueIRS element (for citing)
Total Liability$1,396,559TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$35,938,765TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$21,744NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$369,146DonatedServicesAndUseFcltsAmt
Revenue Not Reported$347,402RevenueNotReportedAmt
Revenue Subtotal$35,591,363RevenueSubtotalAmt
Investment Expenses Not Incld$1,099InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$1,099RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$35,592,462TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$34,378,976TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$369,146DonatedServicesUseFcltsAmt
Expenses Not Reported$369,146ExpensesNotReportedAmt
Expenses Subtotal$34,009,830ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,099InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$1,099ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$34,010,929TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE POLSKY ENDOWMENT WAS ESTABLISHED IN 2010 WITH AN INITIAL GIFT OF $50,000 FROM THE NORMAN AND ELAINE POLSKY FAMILY SUPPORTING FOUNDATION AND A MATCHING CONTRIBUTION FROM THE CLINIC OF $50,000, BOTH OF WHICH ARE TO BE HELD IN PERPETUITY, AS REQUIRED BY THE ENDOWMENT AGREEMENT (THE AGREEMENT). THE AGREEMENT SPECIFIES INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY THE ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. THE CLINIC EXPECTS ITS ENDOWMENT FUNDS TO PROVIDE AN AGGREGATE RATE OF RETURN THAT IS CONSISTENT WITH AVERAGE U.S. EQUITY SECURITY RETURNS. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, THE CLINIC RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CURRENT YIELD (INVESTMENT INCOME SUCH AS DIVIDENDS AND INTEREST) AND CAPITAL APPRECIATION (BOTH REALIZED AND UNREALIZED). THE CLINIC TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES A GREATER EMPHASIS ON USA DIVERSIFIED EQUITY BASED MUTUAL FUNDS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN PRUDENT RISK CONSTRAINTS. THE AGREEMENT REQUIRES ALL EARNINGS ON ENDOWMENT ASSETS TO BE ACCUMULATED IN THE FUND FOR AN INITIAL FIVE YEAR PERIOD AND THEN MAY BE APPROPRIATED FOR EXPENDITURE FOR SPECIFIC PROJECTS OR PROGRAMS AS SPECIFIED IN THE ENDOWMENT AGREEMENT.
SCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$386,492GrossReceiptsEvent1Amt
Charitable Contri Event1$273,858CharitableContriEvent1Amt
Gross Revenue Event1$112,634GrossRevenueEvent1Amt
Rent Facility Costs Event1$122,877RentFacilityCostsEvent1Amt
Food And Beverage Event1$13,534FoodAndBeverageEvent1Amt
Entertainment Event1$38,560EntertainmentEvent1Amt
Other Direct Expenses Event1$54,058OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$386,492GrossReceiptsTotalAmt
Charitable Contributions Tot$273,858CharitableContributionsTotAmt
Gross Revenue Total Events$112,634GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$122,877RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,534FoodAndBeverageTotalEventsAmt
Entertainment Total Events$38,560EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$54,058OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$229,029DirectExpenseSummaryEventsAmt
Net Income Summary-$116,395NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeASSISTANCE TO INDIVIDUALSGrantTypeTxt
Recipient1398RecipientCnt
Cash Grant$12,219CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationASSISTANCE TO INDIVIDUALS IS PRIMARILY FOR CITY TRANSPORTATION PROVIDED TO PATIENTS WHO COME TO THE CLINIC. MANY OF THE PATIENTS WHOM THE CLINIC SERVES DO NOT HAVE TRANSPORTATION TO COME AND RECEIVE HEALTH CARE. THE CLINIC WILL PROVIDE TRANSPORTATION VOUCHERS TO ANY INDIVIDUAL IF THEY MEET THE FEDERAL POVERTY GUIDELINES OR THE CLINICS OWN POVERTY THRESHOLD REQUIREMENTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CRAIG DIETZ
CHIEF MEDICAL OFFICER$224,431$0$0$0$8,250$0$14,348$0$19,294$0$266,323$0$0$0
WIL FRANKLIN
CHIEF EXECUTIVE OFFICER$206,589$0$0$0$6,814$0$6,814$0$41,477$0$261,694$0$0$0
DENNIS DUNMEYER
CHIEF OPERATING OFFICER$171,520$0$0$0$5,510$0$11,021$0$34,441$0$222,492$0$0$0
GEORGE BARRETO
CHIEF FINANCIAL OFFICER$171,424$0$0$0$5,510$0$11,021$0$25,965$0$213,920$0$0$0
BLAIR THEDINGER
ASSOCIATE MEDICAL DIRECTOR$206,516$0$0$0$0$0$6,374$0$33,750$0$246,640$0$0$0
MEGAN BURI
FAMILY MEDICINE PHYSICIAN$173,051$0$0$0$0$0$5,262$0$12,527$0$190,840$0$0$0
KAMILE JOHNSON
VP, PHARMACY SERVICES$165,086$0$0$0$0$0$5,196$0$19,613$0$189,895$0$0$0
TERESA MATHIS
CHIEF COMPLIANCE OFFICER$138,275$0$0$0$4,296$0$8,591$0$3,019$0$154,181$0$0$0
KRISTINE CODY
Chief Clinical Operations$183,084$0$0$0$0$0$0$0$1,530$0$184,614$0$0$0
DOUG DAY
Chief Marketing & Development$120,654$0$0$0$4,009$0$8,019$0$36,771$0$169,453$0$0$0
TASANAPORN PITIYANUVATH
PHYSICIAN$203,989$0$0$0$0$0$0$0$514$0$204,503$0$0$0
ANDREW MEDLIN
DENTIST$149,846$0$0$0$0$0$0$0$11,887$0$161,733$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4AKC CARE PROVIDES AFFORDABLE HEALTHCARE TO MORE THAN 20,000 LOW INCOME, UNINSURED, AND UNDER-INSURED INDIVIDUALS IN THE KANSAS CITY METROPOLITAN AREA. AS A FEDERALLY QUALIFIED HEALTH CENTER, OUR TEAM MEETS STRICT QUALITY-ASSURANCE MEASURES FOR THE WIDE RANGE OF HEALTH SERVICES WE PROVIDE AT THREE LOCATIONS ACROSS THE CITY. THOSE SERVICES INCLUDE PRIMARY CARE, BEHAVIORAL HEALTH, DENTAL CARE, A PHARMACY, HIV CARE, AND A HOST OF SUPPORTING SERVICES. IN THE MOST RECENT FISCAL YEAR, KC CARE SERVED 14,282 PATIENTS IN PRIMARY CARE, 1,444 IN BEHAVIORAL HEALTH, 3,987 IN DENTAL CARE, AN 21,797 IN HIV TREATMENT ADHERENCE AND CASE MANAGEMENT, CLINICAL TRIALS, SEXUAL HEALTH, HARM REDUCTION, AND CARE COORDINATION. WE OFFER UNCONDITIONAL WHOLE-PERSON CARE FOR EVERYONE WITH THE PROMIS OF A PERSONALIZED AND AFFIRMING EXPERIENCE.
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES THE 990 AFTER THE COMPLETION OF THE FINANCIAL AUDIT. THE 990 WORKPAPERS ARE COMPLETED BY THE CONTROLLER. THE 990 DRAFT IS REVIEWED BY THE ORGANIZATION'S CHIEF FINANCIAL OFFICER AND THE FINANCE AND OPERATIONS COMMITTEE. ANY CHANGES REQUESTED ARE MADE BY THE ACCOUNTING FIRM. THE 990 DRAFT IS THEN PROVIDED TO ALL GOVERNING BOARD MEMBERS (EITHER AT THE NEXT SCHEDULED BOARD MEETING OR INCLUDED IN THE BOARD PACKET MAILING) WITH A RESPONSE TIME FOR QUESTIONS AND/OR COMMENTS. DISCUSSION TAKES PLACE AT THE ACTUAL BOARD MEETING, ISSUES ARE TAKEN TO THE ACCOUNTING FIRM FOR RESOLUTION. THE FINAL 990 IS PROVIDED TO THE BOARD PRIOR TO ITS FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE CLINIC'S CONFLICT OF INTEREST POLICY STATES THAT EMPLOYEES, BOARD MEMBERS AND VOLUNTEERS SHOULD AVOID ANY ACTIVITY, INVESTMENT, OR INTEREST THAT MAY REFLECT UNFAVORABLY ON THE REPUTATION OF THE CLINIC. EMPLOYEES, BOARD MEMBERS AND VOLUNTEERS ARE EXPECTED TO SEEK CLARIFICATION OF, AND DISCUSS, ANY QUESTIONS ABOUT POTENTIAL CONFLICTS OF INTEREST WITH THEIR SUPERVISOR, OR ANOTHER CLINIC MANAGER OR DIRECTOR. THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE EMPLOYEE, BOARD MEMBER AND VOLUNTEER HANDBOOKS. ANNUAL SURVEYS ARE COMPLETED BY THE CLINIC OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO UPDATE ANY CONFLICTS OF INTEREST. IF A CONFLICT ARISES, THE OFFICER, DIRECTOR, OR KEY EMPLOYEE ABSTAINS FROM THE VOTE ON THE CONFLICTED POSITION TO MAKE SURE ALL CONTRACTS AND AGREEMENTS ARE KEPT RELATIONSHIP-FREE REGARDING NEGOTIATIONS AND COMMUNICATION.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO RECEIVES JOB PERFORMANCE REVIEW AND COMPENSATION ASSESSMENT ANNUALLY BY THE EXECUTIVE BOARD WHICH RECOMMENDS TO THE BOARD OF DIRECTORS FOR OFFICIAL VOTE BY THE BOARD. IN ADDITION, THE CEO IS RESPONSIBLE FOR THE ANNUAL PERFORMANCE REVIEW OF ALL THE OTHER CHIEF OFFICERS OF THE ORGANIZATION. THE CHIEF OFFICERS AND MANAGERS WILL ALSO PROVIDE ANNUAL PERFORMANCE REVIEWS OF ALL STAFF. IN ADDITION, THE CHIEF HUMAN RESOURCES OFFICER COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS, JOB DESCRIPTIONS AND DUTIES, ALONGSIDE A COMPARATIVE RATE STUDY OF THE JOB MARKET. BASED ON THAT STUDY, THE CEO AND PRESIDENT COULD/MIGHT MAKE PROPER MARKET ADJUSTMENTS. IN 2022, THE REVIEW WAS CONDUCTED BY THE CHIEF HUMAN RESOURCES OFFICER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

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