BETA

GOOD SHEPHERD MEDICATION MANAGEMENT: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD MEDICATION MANAGEMENT (EIN 46-3313048)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-15
IRS object ID
202232589349302198
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-15T18:22:24-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621114363PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HENDERSON HUTCHERSON & MCCULLOUGH PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11755 KIRBY PARKWAY SUITE 200AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38120ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463313048EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD MEDICATION MANAGEMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone8775216337PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1266 S CLEVELAND STREET SUITE 202AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38104ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR PHILIP J BAKERPersonNm
Person TitleCEOPersonTitleTxt
Phone8775216337PhoneNum
Signature2022-09-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastPHILIP J BAKERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON MARTIN CPAPreparerPersonNm
PTINP01522122PTIN
Phone9016834234PhoneNum
Preparation2022-08-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PHARMACYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDR PHILIP J BAKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1266 S CLEVELAND STREET SUITE 202AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,862,836GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.GOODSHEPHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionGOOD SHEPHERD MEDICATION MANAGEMENT IS A COMMUNITY PHARMACY THAT STORES, PREPARES, AND DISPENSES MEDICINAL PREPARATIONS AND/OR PRESCRIPTIONS FOR A LOCAL PATIENT POPULATION IN ACCORDANCE WITH FEDERAL AND STATE LAW; COUNSEL PATIENTS AND CAREGIVERS (SOMETIMES INDEPENDENT OF THE DISPENSING PROCESS); ADMINISTER VACCINATIONS; AND PROVIDE OTHER PROFESSIONAL SERVICES ASSOCIATED WITH PHARMACEUTICAL CARE SUCH AS HEALTH SCREENINGS, CONSULTATIVE SERVICES WITH OTHER HEALTH CARE PROVIDERS, COLLABORATIVE PRACTICE, DISEASE STATE MANAGEMENT, AND EDUCATION CLASSES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,040,294PYContributionsGrantsAmt
CY Contributions Grants$1,446,589CYContributionsGrantsAmt
PY Program Service Revenue$518,748PYProgramServiceRevenueAmt
CY Program Service Revenue$416,247CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,559,042PYTotalRevenueAmt
CY Total Revenue$1,862,836CYTotalRevenueAmt
PY Grants And Similar Paid$4,372,417PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,073,344CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,303PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$250,991CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$73,046CYTotalFundraisingExpenseAmt
PY Other Expenses$250,323PYOtherExpensesAmt
CY Other Expenses$282,935CYOtherExpensesAmt
PY Total Expenses$4,738,043PYTotalExpensesAmt
CY Total Expenses$2,607,270CYTotalExpensesAmt
PY Revenues Less Expenses-$2,179,001PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$744,434CYRevenuesLessExpensesAmt
Total Assets BOY$2,325,879TotalAssetsBOYAmt
Total Assets EOY$1,363,068TotalAssetsEOYAmt
Total Liabilities BOY$511,257TotalLiabilitiesBOYAmt
Total Liabilities EOY$292,880TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,814,622NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,070,188NetAssetsOrFundBalancesEOYAmt
MissionGOOD SHEPHERD MEDICATION MANAGEMENT EXISTS TO GLORIFY GOD BY IMPROVING THE LIVES OF OUR MEMBERS THROUGH AFFORDABLE PHARMACY SERVICES FOR THE UNINSURED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,469,500ExpenseAmt
Grant$2,073,344GrantAmt
Revenue$416,247RevenueAmt
DescTHE PRESCRIPTION REPOSITORY PROGRAM ACCEPTS DONATED PRESCRIPTION MEDICATIONS FROM HOSPITALS, NURSING HOMES, AND INDIVIDUALS AND PROPERLY REDISPENSES MEDICATIONS TO UNINSURED INDIVIDUALS FOR A MONTHLY SUBSCRIPTION FEE OR FREE.Desc
Total Program Service Expenses$2,469,500TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8775216337PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1266 S CLEVELAND STREET SUITE 202AddressLine1Txt
CityMEMPHISCityNm
State AbbreviationTNStateAbbreviationCd
ZIP38104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RICK TALLEY
CHAIRMAN/SECRETARY16.00Yes (X)$0$0$0
LIZ ROBINSON
DIRECTOR0.00Yes (X)$0$0$0
SACHIE STOVER
DIRECTOR0.00Yes (X)$0$0$0
MICHELLE ZULU
DIRECTOR0.00Yes (X)$0$0$0
AYILE ARNETT
DIRECTOR0.00Yes (X)$0$0$0
CARMON HEILMAN
DIRECTOR0.00Yes (X)$0$0$0
DR PHILIP J BAKER
CEO/PRESIDENT40.00$47,500$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$47,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$59,177GovernmentGrantsAmt
All Other Contributions$1,387,412AllOtherContributionsAmt
Noncash Contributions$940,198NoncashContributionsAmt
Total Contributions$1,446,589TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP FEES621300$404,847$404,847
PRECEPTOR FEES621300$11,400$11,400
FieldValueIRS element (for citing)
Total Program Service Revenue$416,247TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,862,836TotalRevenueColumnAmt
Related Or Exempt Func Income$416,247RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,073,344TotalAmt
Program Services$2,073,344ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$47,500TotalAmt
Management And General$23,750ManagementAndGeneralAmt
Fundraising$23,750FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$185,800TotalAmt
Program Services$185,800ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,691TotalAmt
Program Services$14,069ProgramServicesAmt
Management And General$1,811ManagementAndGeneralAmt
Fundraising$1,811FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,621TotalAmt
Program Services$5,297ProgramServicesAmt
Management And General$1,324ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,582TotalAmt
Program Services$19,665ProgramServicesAmt
Management And General$4,917ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,485TotalAmt
Fundraising$47,485FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$70,943TotalAmt
Program Services$49,791ProgramServicesAmt
Management And General$21,152ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$23,627TotalAmt
Program Services$20,083ProgramServicesAmt
Management And General$3,544ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,504TotalAmt
Program Services$24,799ProgramServicesAmt
Management And General$2,705ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,176TotalAmt
Program Services$9,176ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,470TotalAmt
Program Services$25,470ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$816TotalAmt
Program Services$816ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERNET AND TELEPHONE$23,720$23,720
LICENSES$15,177$15,177
MEALS AND TRAVEL$6,901$1,380$5,521
OTHER$913$913

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,607,270TotalAmt
Program Services$2,469,500ProgramServicesAmt
Management And General$64,724ManagementAndGeneralAmt
Fundraising$73,046FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$116,732BOYAmt
EOY$19,936EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,079BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,080,299BOYAmt
EOY$1,240,833EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$178,292LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$75,993LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$127,769BOYAmt
EOY$102,299EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,325,879BOYAmt
EOY$1,363,068EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,560BOYAmt
EOY$1,680EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$116,106BOYAmt
EOY$93,200EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$250,000BOYAmt
EOY$150,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$139,591BOYAmt
EOY$48,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$511,257BOYAmt
EOY$292,880EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,814,622BOYAmt
EOY$1,070,188EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,814,622BOYAmt
EOY$1,070,188EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,325,879BOYAmt
EOY$1,363,068EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$744,434ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,086,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,653,516CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,487,293CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,060,094CurrentTaxYearMinus1YearAmt
Current Tax Year$1,446,589CurrentTaxYearAmt
Total$18,733,626TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$438,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$496,689CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$479,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$498,948CurrentTaxYearMinus1YearAmt
Current Tax Year$416,247CurrentTaxYearAmt
Total$2,330,486TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,524,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,150,205CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,967,043CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,559,042CurrentTaxYearMinus1YearAmt
Current Tax Year$1,862,836CurrentTaxYearAmt
Total$21,064,112TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,064,112PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$28TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5CurrentTaxYearMinus3YearsAmt
Total$28TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,525,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,150,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,967,043CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,559,042CurrentTaxYearMinus1YearAmt
Current Tax Year$1,862,836CurrentTaxYearAmt
Total$21,064,140TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$160,741InvestmentCostOrOtherBasisAmt
Depreciation$68,889DepreciationAmt
Book Value$91,852BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$17,551InvestmentCostOrOtherBasisAmt
Depreciation$7,104DepreciationAmt
Book Value$10,447BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,299TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$48,000Amt
FieldValueIRS element (for citing)
Total Liability$48,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,862,836TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,862,836RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,862,836TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,607,270TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,607,270ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,607,270TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES. BASED ON ITS EVALUATION, THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN ITS FINANCIAL STATEMENTS. THE ORGANIZATION'S EVALUATION WAS PERFORMED FOR THE TAX YEARS ENDED DECEMBER 31, 2018 THROUGH DECEMBER 31, 2021, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS AS OF THE YEAR ENDED DECEMBER 31, 2021.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePRESCRIPTION MEDICATIONSGrantTypeTxt
Valuation Method UsedRETAIL VALUE OF SIMILAR MEDICATIONSValuationMethodUsedDesc
Non Cash AssistancePRESCRIPTION MEDICATION DISTRIBUTED TO QUALIFED AND ELIGIBLE MEMBERSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGOOD SHEPHERD MEDICATION MANAGEMENT GENERALLY RECEIVES PRESCRIPTION MEDICATIONS DONATED FROM HOSPITALS, NURSING HOMES AND OTHER SOURCES IN ORDER TO PROPERLY REDISPENSE THE MEDICATIONS TO UNINSURED INDIVIDUALS. ALTHOUGH GOOD SHEPHERD MEDICATION MANAGEMENT RECEIVED A MONTHLY SUBSCRIPTION FEE FROM THE INDIVIDUALS, THE ORGANIZATION MONITORS MEMBERS' FINANCIAL RESOURCES IN ORDER TO INSURE THE MEMBER IS QUALIFIED.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$940,198NoncashContributionsRptF990Amt
Method Of Determining RevenuesCURRENT MARKETMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO BOARD OF DIRECTORS FOR REVIEW, COMMENTS AND APPROVAL BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS ARE REGULARLY REMINDED OF THE CONFLICT OF INTEREST POLICIES AND ISSUES ARE RESOLVED TIMELY AT REGULAR BOARD MEETINGS IF NEEDED.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWED SIMILAR PROFESSIONAL POSITIONS AND APPROVED THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL OTHER POSITIONS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION HAS ALL REQUIRED DOCUMENTS FOR PUBLIC DISCLOSURE IN A SEPERATE BINDER AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS OF SELECTING THE INDEPENDENT ACCOUNTING FIRM HAS NOT CHANGED.

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