CHESPENN HEALTH SERVICES: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHESPENN HEALTH SERVICES (EIN 23-7354899)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-01
- IRS object ID
- 202441229349300244
- 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 | 2024-05-01T09:55:13-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WithumSmithBrown PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1835 MARKET STREET SUITE 1710 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 191032945 | 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 | 237354899 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESPENN HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DANIEL A CAPLAN | InCareOfNm |
| Business Name Control | CHES | BusinessNameControlTxt |
| Phone | 6104853800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 CHESTER PIKE Suite 200 | AddressLine1Txt |
| City | EDDYSTONE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19022 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL A CAPLAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6104853800 | PhoneNum |
| Signature | 2024-04-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DANIEL A | PersonFirstNm |
| Person Last | CAPLAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 000000000 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott J Mariani | PreparerPersonNm |
| PTIN | P00642486 | PTIN |
| Phone | 2155462140 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| 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 | SUSAN HARRIS-MCGOVERN MS-NPM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 CHESTER PIKE SUITE 200 | AddressLine1Txt |
| City | EDDYSTONE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,972,905 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHESPENN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE THREE COMPREHENSIVE HEALTH CENTERS LOCATED IN CHESTER AND DELAWARE COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 178 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,173,376 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,637,832 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,859,528 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,287,654 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,499 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,419 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,047,403 | PYTotalRevenueAmt |
| CY Total Revenue | $13,972,905 | 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 | $6,717,036 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,541,446 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,111,565 | PYOtherExpensesAmt |
| CY Other Expenses | $6,978,403 | CYOtherExpensesAmt |
| PY Total Expenses | $12,828,601 | PYTotalExpensesAmt |
| CY Total Expenses | $13,519,849 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$781,198 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $453,056 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,771,347 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,603,661 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,829,413 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,185,435 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,941,934 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,418,226 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,734,329 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,287,654 | RevenueAmt |
| Desc | EXPENSES INCURRED IN PROVIDING COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. WE STRIVE TO MEET THE UNIQUE HEALTH NEEDS OF THE COMMUNITIES WE SERVE IN LINGUISTICALLY AND CULTURALLY COMPETENT WAYS. FOR MORE INFORMATION, PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT IN SCHEDULE O. | Desc |
| Total Program Service Expenses | $9,734,329 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 178 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | 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 | DANIEL A CAPLAN | PersonNm |
| Phone | 6104853800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1510 CHESTER PIKE SUITE 200 | AddressLine1Txt |
| City | EDDYSTONE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19022 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| RAQUIBUL ISLAM MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $194,071 | $0 | $36,805 | |||
| SUSAN HARRIS-MCGOVERN MS-NPM | |||||||||
| PRESIDENT & CEO | 40.0 | 0.0 | $183,538 | $0 | $17,130 | Yes (X) | |||
| BRUCE AUDEN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $175,370 | $0 | $24,866 | |||
| KAI TURNER DO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | Yes (X) | $176,999 | $0 | $19,036 | |||
| NANCY KOSHETAR DDS | |||||||||
| DENTIST | 40.0 | 0.0 | Yes (X) | $151,121 | $0 | $17,546 | |||
| DANIEL A CAPLAN | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | $139,601 | $0 | $26,820 | Yes (X) | |||
| GARY DAVIS | |||||||||
| FORMER OFFICER | 0.0 | 0.0 | $123,029 | $0 | $7,779 | Yes (X) | |||
| ELIZABETH WARREN CNM FNP | |||||||||
| Certified Nurse Practitoner | 40.0 | 0.0 | Yes (X) | $115,845 | $0 | $13,278 | |||
| RAE ROEDER | |||||||||
| PRESIDENT - DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| GWEN SMITH | |||||||||
| VICE PRESIDENT - DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SHEPARD GARNER | |||||||||
| SECRETARY - DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KAREN VESELY | |||||||||
| TREASURER - DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| CAROL ALLEN | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DINA CAPALONGO DO FACP | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JEFFREY GREEN | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| ANTHONY HALL | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DAVID KEITH | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DONNA LAWLER | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| PATRICIA G LEWIS | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| WILLIE MAE WELLS | |||||||||
| DIRECTOR | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,259,574 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $163,260 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| PROSPECT HEALTH ACCESS NETWORK | |||||
| ONE MEDICAL CENTER BOULEVARD | UPLAND | PA | 19013 | MEDICAL | $1,105,814 |
| CALL 4 HEALTH | |||||
| 2855 SOUTH CONGRESS AVENUE | DELRAY BEACH | FL | 33445 | CALL CENTER | $382,247 |
| VIRTUAL OFFICEWARE HEALTHCARE SOLUT | |||||
| 2000 CLIFF MINE RD PARK W TWO ST | PITTSBURGH | PA | 15275 | IT | $365,209 |
| GIBIAN LLC | |||||
| 228 NORTH JACKSON STREET | MEDIA | PA | 19063 | CONSTRUCTION | $304,810 |
| NO BOUNDARIES - LANGUAGE INTERPRE | |||||
| 475 TIMBERLINE TRAIL | WEST CHESTER | PA | 19382 | TRANSLATION | $206,966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $10,084 | FederatedCampaignsAmt |
| Government Grants | $4,602,056 | GovernmentGrantsAmt |
| All Other Contributions | $1,025,692 | AllOtherContributionsAmt |
| Total Contributions | $5,637,832 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $7,681,864 | $7,681,864 |
| PREMIUM REVENUE | 621400 | $605,790 | $605,790 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,287,654 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,419 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,419 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,972,905 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,287,654 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,419 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,089 | TotalAmt |
| Program Services | $255,103 | ProgramServicesAmt |
| Management And General | $111,986 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,173,713 | TotalAmt |
| Program Services | $3,569,592 | ProgramServicesAmt |
| Management And General | $1,604,121 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,787 | TotalAmt |
| Program Services | $188,560 | ProgramServicesAmt |
| Management And General | $69,227 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,678 | TotalAmt |
| Program Services | $233,178 | ProgramServicesAmt |
| Management And General | $85,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,179 | TotalAmt |
| Program Services | $292,188 | ProgramServicesAmt |
| Management And General | $131,991 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,199 | TotalAmt |
| Management And General | $23,199 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,976 | TotalAmt |
| Program Services | $13,500 | ProgramServicesAmt |
| Management And General | $61,476 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,250 | TotalAmt |
| Management And General | $3,250 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,512,168 | TotalAmt |
| Program Services | $2,123,390 | ProgramServicesAmt |
| Management And General | $388,778 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,915 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $95,915 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,390 | TotalAmt |
| Program Services | $248,393 | ProgramServicesAmt |
| Management And General | $115,997 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $670,067 | TotalAmt |
| Program Services | $350 | ProgramServicesAmt |
| Management And General | $669,717 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,957 | TotalAmt |
| Program Services | $400,859 | ProgramServicesAmt |
| Management And General | $131,098 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,939 | TotalAmt |
| Program Services | $7,199 | ProgramServicesAmt |
| Management And General | $9,740 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,023 | TotalAmt |
| Management And General | $26,023 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,644 | TotalAmt |
| Program Services | $125,644 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,587 | TotalAmt |
| Program Services | $25,086 | ProgramServicesAmt |
| Management And General | $40,501 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE | $1,613,844 | $1,606,702 | $7,142 |
| MEDICAL SUPPLIES | $472,414 | $351,309 | $121,105 |
| REPAIRS & MAINTENANCE | $294,652 | $276,734 | $17,918 |
| DUES & SUBSCRIPTIONS | $44,164 | $4,825 | $39,339 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,214 | TotalAmt |
| Program Services | $11,717 | ProgramServicesAmt |
| Management And General | $31,497 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,519,849 | TotalAmt |
| Program Services | $9,734,329 | ProgramServicesAmt |
| Management And General | $3,785,520 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,659 | BOYAmt |
| EOY | $308,443 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,064,016 | BOYAmt |
| EOY | $2,651,237 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,545 | BOYAmt |
| EOY | $198,289 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,286 | BOYAmt |
| EOY | $581,558 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,346 | BOYAmt |
| EOY | $1,867 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,546 | BOYAmt |
| EOY | $101,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,749,199 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,189,549 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,107,307 | BOYAmt |
| EOY | $1,559,650 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,642 | BOYAmt |
| EOY | $1,535,028 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $666,200 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,771,347 | BOYAmt |
| EOY | $7,603,661 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,268 | BOYAmt |
| EOY | $779,274 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,168 | BOYAmt |
| EOY | $289,041 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,292 | BOYAmt |
| EOY | $433,743 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,685 | BOYAmt |
| EOY | $683,377 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,829,413 | BOYAmt |
| EOY | $2,185,435 | 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 | $4,941,934 | BOYAmt |
| EOY | $5,418,226 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,941,934 | BOYAmt |
| EOY | $5,418,226 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,771,347 | BOYAmt |
| EOY | $7,603,661 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $453,056 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $23,236 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $3,554,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,232,107 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,764,797 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,173,376 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,637,832 | CurrentTaxYearAmt |
| Total | $24,362,852 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,642,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,874,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,939,474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,859,528 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,287,654 | CurrentTaxYearAmt |
| Total | $39,603,366 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,197,215 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,106,342 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,704,271 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,032,904 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,925,486 | CurrentTaxYearAmt |
| Total | $63,966,218 | 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 | $63,966,218 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,029 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,934 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,419 | CurrentTaxYearAmt |
| Total | $279,799 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,029 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $81,934 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,499 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,419 | CurrentTaxYearAmt |
| Total | $279,799 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,269,133 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,170,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,786,205 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,047,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,972,905 | CurrentTaxYearAmt |
| Total | $64,246,017 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99565 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99591 | PublicSupportPY509Pct |
| Investment Income CY | 0.00436 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00409 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $3,250 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $3,250 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B; LINE 1I | FormAndLineReferenceDesc |
| Explanation | THIS ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS, WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THIS ORGANIZATION DURING THE YEAR ENDED JUNE 30, 2023. THIS ALLOCATION AMOUNTED TO $3,250 DURING THE YEAR ENDED JUNE 30, 2023. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,838 | OtherCostOrOtherBasisAmt |
| Book Value | $100,838 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,648,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,438,106 | DepreciationAmt |
| Book Value | $1,210,717 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $349,794 | OtherCostOrOtherBasisAmt |
| Depreciation | $349,794 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,649,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,401,649 | DepreciationAmt |
| Book Value | $248,095 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $1,559,650 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING RIGHT-OF-USE ASSETS | Desc |
| Book Value | $666,200 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $666,200 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENT | $14,815 |
| CURRENT LEASE LIAB. - OPERATING | $444,924 |
| NON-CURRENT LEASE LIAB. - OPERATING | $223,638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $683,377 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,925,486 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $13,925,486 | RevenueSubtotalAmt |
| Other Revenues Not Included | $47,419 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $47,419 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,972,905 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,519,849 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $13,519,849 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $13,519,849 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X; LINE 2 | An independent CPA firm audited the financial statements of this organization for the years ended June 30, 2023 and June 30, 2022; respectively. The independent CPA firm issued an unmodified opinion with respect to the audited financial statements. The following footnote is included in the organization's audited financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740): The Corporation accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold at June 30, 2023 and 2022. |
| SCHEDULE D, PART XI; LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: - NON-OPERATING INVESTMENT INCOME - $47,419. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAQUIBUL ISLAM MD | ||||||||||||||
| PHYSICIAN | $193,691 | $0 | $380 | $0 | $0 | $0 | $10,108 | $0 | $26,697 | $0 | $230,876 | $0 | $0 | $0 |
| SUSAN HARRIS-MCGOVERN MS-NPM | ||||||||||||||
| PRESIDENT & CEO | $183,158 | $0 | $380 | $0 | $0 | $0 | $9,265 | $0 | $7,865 | $0 | $200,668 | $0 | $0 | $0 |
| BRUCE AUDEN MD | ||||||||||||||
| PHYSICIAN | $174,990 | $0 | $380 | $0 | $0 | $0 | $8,988 | $0 | $15,878 | $0 | $200,236 | $0 | $0 | $0 |
| KAI TURNER DO | ||||||||||||||
| PHYSICIAN | $176,619 | $0 | $380 | $0 | $0 | $0 | $8,933 | $0 | $10,103 | $0 | $196,035 | $0 | $0 | $0 |
| NANCY KOSHETAR DDS | ||||||||||||||
| DENTIST | $150,741 | $0 | $380 | $0 | $0 | $0 | $7,639 | $0 | $9,907 | $0 | $168,667 | $0 | $0 | $0 |
| DANIEL A CAPLAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $139,221 | $0 | $380 | $0 | $0 | $0 | $7,246 | $0 | $19,574 | $0 | $166,421 | $0 | $0 | $0 |
| GARY DAVIS | ||||||||||||||
| FORMER OFFICER | $64,000 | $0 | $0 | $0 | $59,029 | $0 | $6,172 | $0 | $1,607 | $0 | $130,808 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART VII AND SCHEDULE J | In accordance with Internal Revenue Service Form 990 rules, regulations and instructions, the compensation reported in core form, part VII and schedule J, part II of this Form 990 is derived from 2022 Forms W-2 and Forms 1099 (if applicable). |
| SCHEDULE J, PART I; QUESTION 4A | The following individual received a one-time separation of employment payment during calendar year 2022 which was included in his 2022 Form W-2, Box 5, as taxable Medicare wages: Gary Davis, $59,029. |
| SCHEDULE J, PART I; QUESTION 7 | Certain individuals included in Schedule J, Part II received a bonus during calendar year 2022 which was included in each individual's 2022 Form W-2, Box 5, as taxable Medicare wages. Please refer to this section of the Form 990, Schedule J for this information by person by amount. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | ChesPenn Health Services, Inc. ("ChesPenn") is a network of non-profit, Federally Qualified Health Centers ("FQHCS") that provides comprehensive primary and preventive health care and social services to medically underserved families and individuals across southeastern Pennsylvania, with locations in Chester, Upper Darby, and Coatesville. FQHCS are local, community-directed non-profit health centers that serve low income, medically underserved communities. Located in areas where care is needed but scarce, FQHCS improve access to care for patients regardless of their insurance status or ability to pay. During the 2023 tax year, ChesPenn provided care to 30,847 encounters to 12,861 medical patients and 7,343 encounters to 3.868 dental patients across our three sites. 34% of patients were under the age of 18 while 66% were 19 or older. 79% of our patients have incomes at or below the federal poverty level. ChesPenn provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amounts determined to be charity care are not reported as revenue. During the 2023 tax year, ChesPenn provided charity care of approximately $810,000 to patients. Approximately 48% of our patients were African American, 28% White, and 7% Asian, with the remaining were mixed race or undisclosed. ChesPenn employees live our mission - demonstrating compassion, cultural humility, dedication and service; working as a team to provide our communities with high quality health care. ChesPenn's healthcare team is trained to respond to the health needs of residents of these communities. Our staff includes medical, dental, and behavioral health professionals, social service workers, community health educators, and other dedicated professionals. Mission ------- Our mission is to provide comprehensive primary and preventive care and social services to medically underserved families and individuals regardless of their ability to pay. We strive to meet the unique health needs of the communities we serve in linguistically and culturally competent ways. Vision ------ We envision thriving communities where every person has access to quality, affordable healthcare, and health disparities have been eliminated. Values ------ At ChesPenn, we strive for: - compassion - our first priority is the physical and emotional wellbeing of every person who interacts with ChesPenn. We strive to model compassion, bringing empathy and kindness to every facet of our interaction with co-workers, patients, and the larger communities we serve. - teamwork - ChesPenn values every member of our team and aims to cultivate an environment of inclusion and open communication where all team members support one another in providing outstanding patient care. - integrity - ChesPenn employees hold themselves accountable to the highest standards of honesty, transparency, and ethical conduct. - quality - we are committed to pursuing the highest possible quality patient-centered and trauma-informed care through rigorous evaluation, continual innovation, and attention to patient and employee safety. - inclusion - we embrace diversity and strive to make all feel welcome and comfortable in our organization. Services ======== Medical care ------------ ChesPenn offers a full range of quality primary health care services to children and adults as well as skilled prenatal care. Choosing a primary care provider (PCP) is your first step. Our primary care teams provide personalized, complete care for patients including: Adult primary care: - routine physicals and health screenings - diagnosis and treatment of illnesses, such as hepatitis c - management of chronic conditions such as asthma, diabetes and hypertension - preventive care and cancer screening - std/HIV testing and treatment, including prep - immunizations, including covid-19 vaccines - care coordination - integrated behavioral health Pediatric primary care: - well child check ups - newborn care - routine physicals, including sports physicals - diagnosis and management of illnesses such as asthma - sick visits - immunizations - vision and hearing screening - lead screening - care coordination - integrated behavioral health Women's health: - annual gynecology exams - cancer screenings - immunizations - family planning services, including contraceptive management - pregnancy testing - std/HIV testing and treatment - care coordination - integrated behavioral health Prenatal care: - initial evaluation and regular supervision of pregnant patients - prenatal health education - post-partum follow-up - care of high-risk prenatal patients - care coordination - integrated behavioral health |
| CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Dental care ----------- Healthy teeth and gums give you much more than a pretty smile. Good dental health is critical to your overall health. ChesPenn provides quality primary dental health services at our centers for family health at Coatesville and Eastside. Dental services include: - dental examinations and diagnostic x-rays - education and nutritional guidance to help prevent cavities and gum disease - cleanings - sealant and fluoride varnish application - fillings - periodontal (gum disease) therapies - partial and full dentures Behavioral health care ---------------------- ChesPenn offers behavioral health care to our current patients. Our behavioral health consultants provide short term support for conditions including depression and anxiety and can help patients struggling to manage chronic disease. Patients with more severe diagnoses receive referrals to the appropriate services. Health education outreach ------------------------- ChesPenn staff provides medical and dental health education and screenings in locations across Chester and Delaware counties. Social services --------------- A patients' health is affected by their income level, ability to maintain stable housing, food security and a host of other economic and social factors. We provide supportive services that empower residents of the communities we serve to live healthier lives. - information and referral for issues such as housing, employment, food insecurity, domestic violence - smoking cessation one-on-one counseling - health education - pa Medicaid and PA health insurance marketplace enrollment assistance Community outreach ================== The eat fresh program (Coatesville patients) -------------------------------------------- In partnership with the Chester County Food Bank, this Coatesville initiative teaches patients how to make healthy food choices and provides fresh produce accompanied by great recipes each week to help prepare healthy meals for themselves and their families. Reach out and read (Delaware County Pediatric Patients) ------------------------------------------------------- Early language development is an important aspect of brain development. Encouraging parents to read to their children is an effective way to help children build language skills and promote more interaction between parents and small children. ChesPenn participates in the reach out and read program, which provides books to young children (6 months - 5 yrs.) During their well child visits with a pediatrician or family medicine provider. The McNeil children's library (Coatesville pediatric patients) -------------------------------------------------------------- We also host the McNeil children's library in the waiting room of the Coatesville office. Every child who visits the waiting room is encouraged to take home a new or like-new book. |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | This organization's federal Form 990 was provided to each voting member of the organization's governing body, its board of directors, prior to filing with the Internal Revenue Service ("IRS"). As part of the organization's federal Form 990 tax return preparation process the system hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal Form 990. The CPA firm's tax professionals worked closely with the organization's finance personnel and various other individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal Form 990 and furnished it to the internal working group for review. The internal working group reviewed the draft federal Form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft federal Form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review and approval. Following this review, the Form 990 was then provided to the organization's Finance Committee and subsequently made available to each voting member of the organization's governing body prior to filing with the IRS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | The organization has a conflict of interest policy which it annually monitors and enforces. The policy mandates that all members of management and the Board of Directors annually sign a conflict of interest policy and disclose any potential or actual conflicts that may exist. All members of the board of directors and management must make full disclosure of any possible conflict of interest through the use of the conflict of interest disclosure form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all board members and employees annually. Completed forms are returned to the President/CEO, who is responsible for monitoring and resolving any conflict of interest that may arise within the organization. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | Compensation at ChesPenn Health Services, Inc. takes into consideration the compensation paid for other similar positions in the marketplace as well as general performance of the employee and the current financial capacity of the organization. Each year the board of directors conducts a performance review of the organization's President/Chief Executive Officer ("CEO") and determines the CEO's salary. When establishing the CEO's salary, the board relies on two sources. The first source is an annual survey conducted by the National Association of Community Health Centers. The second source is the Federal Form 990 of other comparable community health centers in the region. Both sources of information are used by the organization's board to ensure that the CEO's compensation is consistent with local, state, and national benchmarks. The board's review and approval of the CEO's compensation is conducted on an annual basis and the process is documented in the board minutes. The CEO sets the compensation for certain other members of management, including, but not limited to, those reported on this organization's Form 990. The CEO reviews compensation for these individuals in accordance with job performance and current fair market value salary data. |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the Commonwealth of Pennsylvania. The organization's conflict of interest policy and questionnaire is available to the public upon request. |
| CORE FORM, PART X | Certain reclassifications have been made to the beginning balance sheet to conform with the current year presentation. These reclassifications have no affect on the organization's net assets. |
| CORE FORM, PART XII; QUESTION 2 | An independent CPA firm audited the financial statements of ChesPenn Health Services, Inc. for the years ended June 30, 2023 and June 30, 2022; respectively. The independent CPA firm issued an unmodified opinion with respect to the audited financial statements. ChesPenn's Finance Committee has assumed responsibility for the oversight of the audit of the financial statements and the selection of an independent auditor. |
| CORE FORM, PART XII; QUESTION 3 | This organization engaged an independent accounting firm to prepare and issue an audit under the Single Audit Act and OMB Circular A-133. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:2512168 |
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