MID-STATE HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MID-STATE HEALTH CENTER (EIN 02-0487172)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202411369349311386
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T14:52:53-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 921397405 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TSS ADVISORS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 MORGAN DRIVE | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03766 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020487172 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-STATE HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MID- | BusinessNameControlTxt |
| Phone | 6035364000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DRIVE 1 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT MACLEOD | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6035364000 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROBERT | PersonFirstNm |
| Person Last | MACLEOD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSHUA J GAGNE CPA | PreparerPersonNm |
| PTIN | P01278157 | PTIN |
| Phone | 6036530044 | PhoneNum |
| Preparation | 2024-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT MACLEOD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DRIVE 1 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,026,512 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MIDSTATEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SOUND PRIMARY HEALTH CARE TO THE COMMUNITY ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 214 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $490,436 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,968,088 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,501,531 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,732,556 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,502,040 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,732 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,941 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$8,123 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $16,712,253 | PYTotalRevenueAmt |
| CY Total Revenue | $21,026,512 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,149,565 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,628,179 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $76,340 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,079,307 | PYOtherExpensesAmt |
| CY Other Expenses | $6,169,523 | CYOtherExpensesAmt |
| PY Total Expenses | $16,228,872 | PYTotalExpensesAmt |
| CY Total Expenses | $18,797,702 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $483,381 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,228,810 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,515,646 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,252,402 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,165,678 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,673,624 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,349,968 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,578,778 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE SOUND PRIMARY HEALTH CARE TO THE COMMUNITY ACCESSIBLE TO ALL REGARDLESS OF THE ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,218,171 | ExpenseAmt |
| Revenue | $13,198,240 | RevenueAmt |
| Desc | MID-STATE HEALTH CENTER WAS FORMED IN 1998 TO PROVIDE MEDICAL AND SUPPORTIVE SERVICES TO RESIDENTS OF SIXTEEN RURAL COMMUNITIES LOCATED IN NORTH CENTRAL NEW HAMPSHIRE. MSHC TREATED A TOTAL OF 12,190 MEDICAL PATIENTS AND 2,117 DENTAL PATIENTS THIS YEAR. 248 MEDICAL AND 95 DENTAL PATIENTS TREATED RECEIVED CHARITY CARE. | Desc |
| Total Program Service Expenses | $16,218,171 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 214 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT MACLEOD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035364000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | MID-STATE HEALTH CENTER | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|
| PETER LAUFENBERG | ||||||||
| PRESIDENT | 2.00 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TODD BICKFORD | ||||||||
| VICE PRESIDENT | 2.00 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CARINA PARK | ||||||||
| SECRETARY | 2.00 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MIKE LONG | ||||||||
| TREASURER | 2.00 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NICHOLAS COATES | ||||||||
| DIRECTOR THROUGH NOVEMBER 2022 | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| ISAAC DAVIS | ||||||||
| DIRECTOR THROUGH JANUARY 24 2023 | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| BENOIT LAMONTAGNE | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MONTI | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| CHELSEA SALOMON | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SCHEINMAN | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JARRETT STERN | ||||||||
| DIRECTOR THROUGH NOVEMBER 2022 | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH BROCHU | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| PATTI BIEDERMAN | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN SHAFFER | ||||||||
| DIRECTOR | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN LASH | ||||||||
| DIRECTOR AS OF FEBRUARY 28 2023 | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MACLEOD | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.20 | Yes (X) | $274,736 | $0 | $9,307 | ||
| WILLIAM SWEENEY | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.40 | Yes (X) | $160,108 | $0 | $17,105 | ||
| BRADLEY MCCOIL | ||||||||
| DIRECTOR AS OF FEBRUARY 28 2023 | 1.00 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| DAVID FAGAN | ||||||||
| MEDICAL DIRECTOR | 40.00 | $287,118 | $0 | $11,712 | Yes (X) | |||
| ANDREA BERRY | ||||||||
| PHYSICIAN | 40.00 | $257,600 | $0 | $18,415 | Yes (X) | |||
| STEPHEN REGAN | ||||||||
| PHYSICIAN | 40.00 | $221,639 | $0 | $44,208 | Yes (X) | |||
| KELLY PERRY | ||||||||
| PHYSICIAN | 40.00 | $171,988 | $0 | $36,658 | Yes (X) | |||
| CECILIA DISNEY | ||||||||
| PHYSICIAN | 40.00 | $217,102 | $0 | $36,343 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,590,291 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $173,748 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PATRIOT HEALTH PARTNERS | |||||
| 11 WASHINGTON PL | BEDFORD | NH | 03110 | REVENUE CYCLE MANAGEMENT | $962,394 |
| MAINSTAY TECHNOLOGIES LLC | |||||
| 67 WATER STREET UNIT 209 | LACONIA | NH | 03246 | IT SERVICES | $730,598 |
| CADY INC | |||||
| 94 HIGHLAND STREET | PLYMOUTH | NH | 03264 | SUBSTANCE MISUSE PREVENTION | $463,856 |
| SPEARE MEMORIAL HOSPITAL | |||||
| 16 HOSPITAL ROAD | PLYMOUTH | NH | 03264 | CONTRACTED PHYSICIAN AND COMMUNITY HEALT | $323,897 |
| CONTROL TECHNOLOGIES INC | |||||
| 111 ZACHARY ROAD | MANCHESTER | NH | 03109 | HVAC SERVICES | $313,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,335,011 | GovernmentGrantsAmt |
| All Other Contributions | $166,520 | AllOtherContributionsAmt |
| Total Contributions | $5,501,531 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| GROSS PATIENT SERVICE REVENUE | 621110 | $14,951,329 | $14,951,329 | ||
| MISCELLANEOUS OPERATING REVENUE | 900099 | $2,802,752 | $2,802,752 | ||
| PHARMACY | 456110 | $1,813,364 | $1,813,364 | ||
| CONTRACT REVENUE | 621110 | $956,290 | $956,290 | ||
| MONTESSORI CENTER | 624410 | $490,436 | $490,436 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,512,131 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$5,512,131 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,502,040 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,941 | TotalRevenueColumnAmt |
| Exclusion | $22,941 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,026,512 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,198,240 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $490,436 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,836,305 | 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 | $494,208 | TotalAmt |
| Management And General | $494,208 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,663,119 | TotalAmt |
| Program Services | $8,689,765 | ProgramServicesAmt |
| Management And General | $913,251 | ManagementAndGeneralAmt |
| Fundraising | $60,103 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,852 | TotalAmt |
| Program Services | $221,767 | ProgramServicesAmt |
| Management And General | $27,085 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,509,081 | TotalAmt |
| Program Services | $1,483,142 | ProgramServicesAmt |
| Management And General | $13,702 | ManagementAndGeneralAmt |
| Fundraising | $12,237 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,919 | TotalAmt |
| Program Services | $614,393 | ProgramServicesAmt |
| Management And General | $98,526 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,124 | TotalAmt |
| Program Services | $13,370 | ProgramServicesAmt |
| Management And General | $10,754 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,108 | TotalAmt |
| Management And General | $55,108 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,951,468 | TotalAmt |
| Program Services | $1,636,638 | ProgramServicesAmt |
| Management And General | $314,830 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,444 | TotalAmt |
| Program Services | $10,042 | ProgramServicesAmt |
| Management And General | $46,402 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,904 | TotalAmt |
| Program Services | $266,953 | ProgramServicesAmt |
| Management And General | $30,951 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,093 | TotalAmt |
| Program Services | $228,364 | ProgramServicesAmt |
| Management And General | $44,729 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,569 | TotalAmt |
| Program Services | $702,171 | ProgramServicesAmt |
| Management And General | $186,398 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,212 | TotalAmt |
| Program Services | $46,297 | ProgramServicesAmt |
| Management And General | $43,915 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,769 | TotalAmt |
| Program Services | $83,092 | ProgramServicesAmt |
| Management And General | $3,677 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,351 | TotalAmt |
| Program Services | $242,846 | ProgramServicesAmt |
| Management And General | $8,505 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,225 | TotalAmt |
| Program Services | $74,431 | ProgramServicesAmt |
| Management And General | $18,794 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DRUGS AND MEDICATION | $1,632,649 | $1,632,649 | ||
| RECRUITMENT | $159,454 | $103,007 | $56,447 | |
| MISCELLANEOUS EXPENSES | $117,227 | $69,345 | $43,882 | $4,000 |
| DUES AND SUBSCRIPTIONS | $93,555 | $56,412 | $37,143 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,371 | TotalAmt |
| Program Services | $43,487 | ProgramServicesAmt |
| Management And General | $54,884 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,797,702 | TotalAmt |
| Program Services | $16,218,171 | ProgramServicesAmt |
| Management And General | $2,503,191 | ManagementAndGeneralAmt |
| Fundraising | $76,340 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,268,312 | BOYAmt |
| EOY | $1,404,640 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,286,571 | BOYAmt |
| EOY | $978,739 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,739 | BOYAmt |
| EOY | $299,125 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,954,499 | BOYAmt |
| EOY | $4,627,150 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,110 | BOYAmt |
| EOY | $716,629 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,803 | BOYAmt |
| EOY | $217,119 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,394,951 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,157,968 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,775,246 | BOYAmt |
| EOY | $3,236,983 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,366 | BOYAmt |
| EOY | $4,772,017 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,515,646 | BOYAmt |
| EOY | $16,252,402 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,490,502 | BOYAmt |
| EOY | $1,926,190 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,193,982 | BOYAmt |
| EOY | $2,142,299 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,194 | BOYAmt |
| EOY | $4,605,135 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,165,678 | BOYAmt |
| EOY | $8,673,624 | 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 | $5,208,064 | BOYAmt |
| EOY | $7,578,778 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,904 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,349,968 | BOYAmt |
| EOY | $7,578,778 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,515,646 | BOYAmt |
| EOY | $16,252,402 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,228,810 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,310,753 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,403,214 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,477,267 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,968,088 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,501,531 | CurrentTaxYearAmt |
| Total | $20,660,853 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,163,346 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,253,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,561,694 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,777,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,198,240 | CurrentTaxYearAmt |
| Total | $48,954,079 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,474,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,656,577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,038,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,745,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,699,771 | CurrentTaxYearAmt |
| Total | $69,614,932 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $69,614,932 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,617 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,732 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,941 | CurrentTaxYearAmt |
| Total | $70,902 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,617 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,732 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,941 | CurrentTaxYearAmt |
| Total | $70,902 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,476,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,400,403 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,470,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,718,217 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,303,800 | CurrentTaxYearAmt |
| Total | $8,369,195 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,957,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,071,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,516,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,483,473 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,026,512 | CurrentTaxYearAmt |
| Total | $78,055,029 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.89190 | PublicSupportCY509Pct |
| Public Support PY509 | 0.89290 | PublicSupportPY509Pct |
| Investment Income CY | 0.00090 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2018 AMOUNT: $ 1,476,030. 2019 AMOUNT: $ 1,400,403. 2020 AMOUNT: $ 1,470,745. 2021 AMOUNT: $ 1,718,217. 2022 AMOUNT: $ 2,303,800. | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,773 | OtherCostOrOtherBasisAmt |
| Book Value | $165,773 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,356,134 | OtherCostOrOtherBasisAmt |
| Depreciation | $547,277 | DepreciationAmt |
| Book Value | $1,808,857 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $725,415 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,365 | DepreciationAmt |
| Book Value | $595,050 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,147,629 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,480,326 | DepreciationAmt |
| Book Value | $667,303 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,236,983 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BOULDER POINT LEASE | $122,343 |
| CAPITAL INVESTMENT | $42,141 |
| RIGHT-OF-USE ASSETS | $4,607,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,772,017 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CURRENT PORTION OF RIGHT-OF-USE OBLIGATIONS | $569,412 |
| RIGHT-OF-USE OBLIGATIONS, LESS CURRENT PORTION | $4,035,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,605,135 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MSHC AND MSCDC ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR ITS UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE ACCOUNTING METHODS UNDER ASC SUBTOPIC 740-10. THE UTP RULES PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN IN AN ORGANIZATION'S TAX RETURN. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT MIGHT RESULT IN A MATERIAL IMPACT ON THE ORGANIZATION'S STATEMENTS OF FINANCIAL POSITION, OPERATIONS AND CHANGES IN NET ASSETS AND CASH FLOWS. THE ORGANIZATION'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATIONS FOR THE YEARS PRIOR TO 2019. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID FAGAN | ||||||||||||||
| MEDICAL DIRECTOR | $287,118 | $0 | $0 | $0 | $0 | $0 | $8,629 | $0 | $3,083 | $0 | $298,830 | $0 | $0 | $0 |
| ROBERT MACLEOD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $244,507 | $0 | $30,229 | $0 | $0 | $0 | $6,000 | $0 | $3,307 | $0 | $284,043 | $0 | $0 | $0 |
| ANDREA BERRY | ||||||||||||||
| PHYSICIAN | $248,054 | $0 | $9,546 | $0 | $0 | $0 | $5,678 | $0 | $12,737 | $0 | $276,015 | $0 | $0 | $0 |
| STEPHEN REGAN | ||||||||||||||
| PHYSICIAN | $221,639 | $0 | $0 | $0 | $0 | $0 | $6,885 | $0 | $37,323 | $0 | $265,847 | $0 | $0 | $0 |
| CECILIA DISNEY | ||||||||||||||
| PHYSICIAN | $217,102 | $0 | $0 | $0 | $0 | $0 | $6,486 | $0 | $29,857 | $0 | $253,445 | $0 | $0 | $0 |
| KELLY PERRY | ||||||||||||||
| PHYSICIAN | $171,988 | $0 | $0 | $0 | $0 | $0 | $4,533 | $0 | $32,125 | $0 | $208,646 | $0 | $0 | $0 |
| WILLIAM SWEENEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $160,108 | $0 | $0 | $0 | $0 | $0 | $4,874 | $0 | $12,231 | $0 | $177,213 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTED THE MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY THE GOVERNING BODY. THIS WAS NOT DONE FOR EACH INDIVIDUAL COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY THE ORGANIZATION HAS BOARD MEMBERS READ THE CONFLICT OF INTEREST POLICY AND SIGN AN AGREEMENT TO DISCLOSE ANY CONFLICTS THEY MAY HAVE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO INCLUDED PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE. HIS COMPENSATION WAS ALSO COMPARED TO NATIONAL MGMA STATISTICS. THE ORGANIZATION USES COMPARABILITY DATA FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER FEES: PROGRAM SERVICE EXPENSES 1,636,638. MANAGEMENT AND GENERAL EXPENSES 314,830. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,951,468. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-STATE COMMUNITY DEVELOPMENT CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DR STE 1 | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03264 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204351056 | EIN |
| Primary Activities | BUSINESS LENDING, REAL ESTATE DEVELOPMENT & ECONOMIC DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-STATE HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MID-STATE COMMUNITY DEVELOPMENT CORPORATION | ||
| K | $477,655 | ACTUAL |
| MID-STATE COMMUNITY DEVELOPMENT CORPORATION | ||
| D | $716,629 | ACTUAL |
Comments