METRO FAMILY PRACTICE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- METRO FAMILY PRACTICE INC (EIN 25-1844246)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-14
- IRS object ID
- 202421359349301867
- 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 | 2024-05-14T08:29:13-04:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251520242 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BIELAU TIERNEY COON & CO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2740 SMALLMAN ST SUITE 202 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | 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 | 251844246 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METRO FAMILY PRACTICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | METR | BusinessNameControlTxt |
| Phone | 4122472310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1789 SOUTH BRADDOCK AVENUE - 410 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15218 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MINGRONE | PersonNm |
| Person Title | CHIEF EXEC OFFICER | PersonTitleTxt |
| Phone | 4122475546 | PhoneNum |
| Signature | 2023-11-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | MINGRONE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH T TAPPE JR CPA | PreparerPersonNm |
| PTIN | P00325895 | PTIN |
| Phone | 4122610330 | PhoneNum |
| Preparation | 2023-11-21 | PreparationDt |
| 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 | MICHAEL MINGRONE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1789 S BRADDOCK AVE SUITE 410 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15218 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,182,992 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | METROCOMMUNITYHEALTHCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 71 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $316,271 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,756,752 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,134,098 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,191,194 | CYProgramServiceRevenueAmt |
| PY Investment Income | $247,609 | PYInvestmentIncomeAmt |
| CY Investment Income | $165,678 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,940 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,700,918 | PYTotalRevenueAmt |
| CY Total Revenue | $22,113,624 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,349,941 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,969,989 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $115,181 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,821,951 | PYOtherExpensesAmt |
| CY Other Expenses | $15,601,463 | CYOtherExpensesAmt |
| PY Total Expenses | $12,171,892 | PYTotalExpensesAmt |
| CY Total Expenses | $20,571,452 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$470,974 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,542,172 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,549,068 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,195,243 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,150,513 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,111,828 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,398,555 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,083,415 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,160,272 | ExpenseAmt |
| Revenue | $3,325,843 | RevenueAmt |
| Desc | OPERATION OF FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. SERVICES INCLUDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH. DURING THE YEAR, THE ORGANIZATION HAD APPROXIMATELY 21,000 PATIENT ENCOUNTERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,328,985 | ExpenseAmt |
| Revenue | $16,865,351 | RevenueAmt |
| Desc | 340B PHARMACY AND CASE MANAGEMENT PROGRAM WHICH PROVIDES DRUGS AND MEDICINES TO METRO PATIENTS AT A SUBSTANTIAL DISCOUNTS. DURING THE YEAR APPROXIMATELY 64,000 PRESCRIPTIONS WERE FILLED UNDER THE PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $18,489,257 | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | 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 |
| 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 71 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 71 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELAINE KULMAN | PersonNm |
| Phone | 4122472310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1789 SOUTH BRADDOCK AVENUE - SUITE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15218 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| DR KATHRINE HOMROK MD | ||||||||
| CHIEF MEDICA | 40.00 | Yes (X) | $245,349 | $0 | $19,588 | |||
| MICHAEL MINGRONE | ||||||||
| CHIEF EXEC O | 40.00 | $246,313 | $0 | $17,341 | Yes (X) | |||
| DR DAVID FREEMAN MD | ||||||||
| PHYSICIAN | 40.00 | $214,821 | $0 | $10,106 | Yes (X) | |||
| DR RACHEL DURKALSKI DO | ||||||||
| PHYSICIAN | 40.00 | $177,448 | $0 | $13,393 | Yes (X) | |||
| DR SUSAN MASLO DMD | ||||||||
| DENTIST | 40.00 | $168,227 | $0 | $17,767 | Yes (X) | |||
| JESSICA DUFOUR | ||||||||
| NURSE PRACTI | 40.00 | $134,905 | $0 | $11,715 | Yes (X) | |||
| DR ARIEL GOLDBERG DMD | ||||||||
| DENTIST | 40.00 | $134,597 | $0 | $11,656 | Yes (X) | |||
| ELAINE KULMAN | ||||||||
| CHIEF FINANC | 40.00 | $121,254 | $0 | $12,988 | Yes (X) | |||
| RICHARD ALLISON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ANDREW BEYER | ||||||||
| PRESIDENT | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BEN CONGEDO | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SONJA FORD-GORE | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| RICHARD LEVINE | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SHAWN MCGILL | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KRISTEN MOHLER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KEITH MORGENLANDER | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| VALERIE POWELL | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| LAUREN SCHUSTER | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ALICYN SIMPSON | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| GREG WHITTED | ||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ANN WILLIAMSON | ||||||||
| VICE PRESIDE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,442,914 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $114,554 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| COORDINATED CARE NETWORK OF AMERICA | |||||
| 300 PENN CENTER BOULEVARD - SUITE 5 | PITTSBURGH | PA | 15235 | PHARMACY | $11,308,083 |
| CONSILIUM STAFFING LLC | |||||
| 6363 N STATE HWY 161 SUITE 800 | IRVING | TX | 75038 | PROF. STAFFING | $562,678 |
| QUATRIS HEALTHCO LLC | |||||
| 7657 SW MOHAWK ST | TUALATIN | OR | 97062 | COMPUTER SUPPOR | $302,472 |
| LOCUMTENENSCOM | |||||
| 2575 NORTHWINDS PARKWAY | ALPHARETTA | GA | 30009 | PROF. STAFFING | $286,335 |
| PC DOCTOR | |||||
| PO BOX 3455 | PITTSBURGH | PA | 15230 | COMPUTER SUPPOR | $165,506 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,426,267 | GovernmentGrantsAmt |
| All Other Contributions | $330,485 | AllOtherContributionsAmt |
| Total Contributions | $1,756,752 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340B PHARMACY REVENUE | 621400 | $16,865,351 | $16,865,351 |
| PATIENT FEES | 621400 | $2,800,389 | $2,800,389 |
| CASE MANAGEMENT FEES | 621400 | $501,216 | $501,216 |
| OTHER MEDICAL RELATED REVENUE | 621400 | $24,238 | $24,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,191,194 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $118,144 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $118,144 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,062,775 | SecuritiesAmt |
| Other | $54,127 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,069,368 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,593 | SecuritiesAmt |
| Other | $54,127 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,534 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,113,624 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,356,872 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,304 | TotalAmt |
| Program Services | $286,690 | ProgramServicesAmt |
| Management And General | $547,158 | ManagementAndGeneralAmt |
| Fundraising | $50,456 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,313,565 | TotalAmt |
| Program Services | $2,733,284 | ProgramServicesAmt |
| Management And General | $541,713 | ManagementAndGeneralAmt |
| Fundraising | $38,568 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,445 | TotalAmt |
| Program Services | $87,344 | ProgramServicesAmt |
| Management And General | $15,749 | ManagementAndGeneralAmt |
| Fundraising | $3,352 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,376 | TotalAmt |
| Program Services | $241,370 | ProgramServicesAmt |
| Management And General | $94,087 | ManagementAndGeneralAmt |
| Fundraising | $10,919 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,299 | TotalAmt |
| Program Services | $227,977 | ProgramServicesAmt |
| Management And General | $79,436 | ManagementAndGeneralAmt |
| Fundraising | $11,886 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,532 | TotalAmt |
| Program Services | $27,526 | ProgramServicesAmt |
| Management And General | $3,006 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,080 | TotalAmt |
| Program Services | $65,772 | ProgramServicesAmt |
| Management And General | $7,308 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,492 | TotalAmt |
| Management And General | $22,492 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $904,883 | TotalAmt |
| Program Services | $901,165 | ProgramServicesAmt |
| Management And General | $3,718 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,199 | TotalAmt |
| Program Services | $295,599 | ProgramServicesAmt |
| Management And General | $36,600 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,561 | TotalAmt |
| Program Services | $323,063 | ProgramServicesAmt |
| Management And General | $44,498 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,730 | TotalAmt |
| Program Services | $405,864 | ProgramServicesAmt |
| Management And General | $42,866 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,632 | TotalAmt |
| Program Services | $469,344 | ProgramServicesAmt |
| Management And General | $54,288 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,657 | TotalAmt |
| Program Services | $12,967 | ProgramServicesAmt |
| Management And General | $1,690 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,076 | TotalAmt |
| Program Services | $9,829 | ProgramServicesAmt |
| Management And General | $26,247 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,330 | TotalAmt |
| Program Services | $1,850 | ProgramServicesAmt |
| Management And General | $280,480 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,292 | TotalAmt |
| Program Services | $95,145 | ProgramServicesAmt |
| Management And General | $11,147 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CCN FEE | $10,836,837 | $10,836,837 | |
| CCN CASE MANAGEMENT EXPEN | $471,246 | $471,246 | |
| BAD DEBT - PATIENT/INSURA | $264,744 | $264,744 | |
| MEDICAL BILLING | $164,099 | $129,590 | $34,509 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722,073 | TotalAmt |
| Program Services | $602,051 | ProgramServicesAmt |
| Management And General | $120,022 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,571,452 | TotalAmt |
| Program Services | $18,489,257 | ProgramServicesAmt |
| Management And General | $1,967,014 | ManagementAndGeneralAmt |
| Fundraising | $115,181 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,011,857 | BOYAmt |
| EOY | $4,700,205 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,623,794 | BOYAmt |
| EOY | $2,120,202 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,736 | BOYAmt |
| EOY | $12,616 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,222,599 | BOYAmt |
| EOY | $3,820,026 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,756 | BOYAmt |
| EOY | $134,450 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,954 | BOYAmt |
| EOY | $60,002 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,040,475 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $993,990 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,572 | BOYAmt |
| EOY | $1,046,485 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,294,800 | BOYAmt |
| EOY | $4,794,540 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,506,717 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,549,068 | BOYAmt |
| EOY | $19,195,243 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,952,339 | BOYAmt |
| EOY | $5,928,745 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,174 | BOYAmt |
| EOY | $2,183,083 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,150,513 | BOYAmt |
| EOY | $8,111,828 | 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 | $9,398,555 | BOYAmt |
| EOY | $11,083,415 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,398,555 | BOYAmt |
| EOY | $11,083,415 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,549,068 | BOYAmt |
| EOY | $19,195,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,542,172 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $142,688 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $292,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $347,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $316,271 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,756,752 | CurrentTaxYearAmt |
| Total | $2,878,334 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,976,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,873,406 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,981,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,134,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,191,194 | CurrentTaxYearAmt |
| Total | $64,156,280 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,141,578 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,165,691 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,329,030 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,450,369 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,947,946 | CurrentTaxYearAmt |
| Total | $67,034,614 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $24,947 | CurrentTaxYearMinus3YearsAmt |
| Total | $24,947 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $24,947 | CurrentTaxYearMinus3YearsAmt |
| Total | $24,947 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $67,009,667 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,997 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,158 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,270 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $118,145 | CurrentTaxYearAmt |
| Total | $460,969 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,997 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,158 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,399 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,270 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $118,145 | CurrentTaxYearAmt |
| Total | $460,969 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,940 | CurrentTaxYearMinus1YearAmt |
| Total | $1,940 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,704 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $487 | CurrentTaxYearMinus3YearsAmt |
| Total | $10,191 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,242,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,255,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,406,429 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,537,579 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,066,091 | CurrentTaxYearAmt |
| Total | $67,507,714 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99260 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99290 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | 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 | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS 10,191 | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,178,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $516,698 | DepreciationAmt |
| Book Value | $662,230 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $799,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $469,411 | DepreciationAmt |
| Book Value | $330,526 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,610 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,881 | DepreciationAmt |
| Book Value | $53,729 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,046,485 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT-OF-USE ASSETS | $1,971,637 |
| DEPOSIT ON EQUIPMENT | $524,925 |
| ACCRUED INTEREST RECEIVABLE | $10,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,506,717 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL LEASE OBLIGATIONS | $2,007,382 |
| LEASEHOLD IMPROVEMENT ALLOWANCE | $245,164 |
| AMORT OF LEASEHOLD IMP ALLOW | -$69,463 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,183,083 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $21,969,076 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $142,688 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $142,688 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,826,388 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $22,492 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $264,744 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $287,236 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,113,624 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,284,216 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $20,284,216 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $22,492 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $264,744 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $287,236 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,571,452 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 264,744 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 264,744 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| DR KATHRINE HOMROK MD | |||||
| CHIEF MEDICAL OFFICR | $238,551 | $6,798 | $7,651 | $11,937 | $264,937 |
| MICHAEL MINGRONE | |||||
| CHIEF EXEC OFFICER | $220,315 | $25,998 | $8,556 | $8,785 | $263,654 |
| DR DAVID FREEMAN MD | |||||
| PHYSICIAN | $208,399 | $6,422 | $8,771 | $1,335 | $224,927 |
| DR RACHEL DURKALSKI DO | |||||
| PHYSICIAN | $171,648 | $5,800 | $6,852 | $6,541 | $190,841 |
| DR SUSAN MASLO DMD | |||||
| DENTIST | $163,198 | $5,029 | $6,880 | $10,887 | $185,994 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY. |
| FORM 990, PAGE 1, PART I, LINE 6 | THE ORGANIZATION'S OFFICERS AND DIRECTORS VOLUNTEER THEIR TIME AS MEMBERS OF THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR BEFORE FILING. COPIES ARE PROVIDED TO BOARD MEMBERS FOR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. IF ANY CONFLICTS ARE NOTED OR IF DURING THE YEAR A CONFLICT ARISES, THEY ARE DISCUSSED BY THE BOARD AND THEY MAKE A DETERMINATION ON HOW IT WILL BE RESOLVED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS, WITH OUTSIDE ASSISTANCE, REVIEWED COMPENSATION DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS OF SIMILAR SIZE AND OPERATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |
| FORM 990, PART XI, LINE 9 | BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES -264,744 BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 264,744 |
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