LAKELAND IMMEDIATE CARE CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
LAKELAND IMMEDIATE CARE CENTER (EIN 38-3082107)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-09-09
IRS object ID
202432539349300613
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-09-09T08:56:15-04:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382706146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1YEO & YEO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1710 E MILHAM AVEAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP490021494ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383082107EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAKELAND IMMEDIATE CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone2694453874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCASSOPOLISCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH GAVANPersonNm
Person TitleCEOPersonTitleTxt
Phone2694453874PhoneNum
Signature2024-08-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN R DIXONPreparerPersonNm
PTINP01321580PTIN
Phone2693297007PhoneNum
Preparation2024-08-30PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CASSOPOLIS FAMILY CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJOSEPH GAVANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCASSOPOLISCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,544,898GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCASSFAMILYCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionOUR MISSION IS TO PROVIDE NECESSARY, COMPASSIONATE HEALTHCARE TO PEOPLE IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee150TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,156,286PYContributionsGrantsAmt
CY Contributions Grants$3,564,544CYContributionsGrantsAmt
PY Program Service Revenue$12,041,116PYProgramServiceRevenueAmt
CY Program Service Revenue$12,118,039CYProgramServiceRevenueAmt
PY Investment Income-$80,244PYInvestmentIncomeAmt
CY Investment Income$303,933CYInvestmentIncomeAmt
PY Other Revenue$4,697,940PYOtherRevenueAmt
CY Other Revenue$6,640,368CYOtherRevenueAmt
PY Total Revenue$20,815,098PYTotalRevenueAmt
CY Total Revenue$22,626,884CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,007,354PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,875,564CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,199,339PYOtherExpensesAmt
CY Other Expenses$6,094,535CYOtherExpensesAmt
PY Total Expenses$17,206,693PYTotalExpensesAmt
CY Total Expenses$17,970,099CYTotalExpensesAmt
PY Revenues Less Expenses$3,608,405PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,656,785CYRevenuesLessExpensesAmt
Total Assets BOY$31,560,707TotalAssetsBOYAmt
Total Assets EOY$36,741,350TotalAssetsEOYAmt
Total Liabilities BOY$6,939,266TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,295,566TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,621,441NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,445,784NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO PROVIDE NECESSARY, COMPASSIONATE HEALTHCARE TO PEOPLE IN OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$14,752,931ExpenseAmt
Revenue$12,118,039RevenueAmt
DescCASSOPOLIS FAMILY CLINIC PROVIDES MEDICAL SERVICES TO LOW INCOME PATIENTS FROM CASS AND SOUTHWEST BERRIEN COUNTIES. WE PROVIDE PREVENTIVE AND PRIMARY CARE, INCLUDING OBSTETRICS, DENTAL AND BEHAVIORAL HEALTH.Desc
Total Program Service Expenses$14,752,931TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee150EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKYLEIGH KRAMBPersonNm
Phone2694453874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCASSOPOLISCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TRACY HERTSEL
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
GEORGE BROSSMAN
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
MARSHA ELLIS
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JOYCE BAILEY
BOARD MEMBER1.00Yes (X)$0$0$0
ADRIENNE GLOVER
BOARD MEMBER1.00Yes (X)$0$0$0
LISA M GREEN
TREASURER1.00Yes (X)Yes (X)$0$0$0
BARBARA HANNON
BOARD MEMBER1.00Yes (X)$0$0$0
DELORES MCNEARY
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA PATANO
BOARD MEMBER1.00Yes (X)$0$0$0
NEIL R SEE
BOARD MEMBER1.00Yes (X)$0$0$0
MARCELLA TAYLOR
BOARD MEMBER1.00Yes (X)$0$0$0
JASON HAMEL
BOARD MEMBER1.00Yes (X)$0$0$0
MATTHEW PAZDERKA
PHYSICIAN40.00$304,929$0$29,058Yes (X)
HARRIS SHAIKH
PHYSICIAN40.00$286,704$0$28,714Yes (X)
JOHN ZAKHARY
PHYSICIAN40.00$276,779$0$18,778Yes (X)
ALEXANDER SCHNEIDER
PHYSICIAN40.00$270,877$0$27,994Yes (X)
ELIZABETH WETZEL
PHYSICIAN40.00$272,288$0$19,975Yes (X)
MARY MIDDLETON
FORMER CEO40.00Yes (X)$298,596$0$29,824
TAMMY HOWARD
COO40.00Yes (X)$188,638$0$15,433
KYLEIGH KRAMB
CFO40.00Yes (X)$150,538$0$7,317
JOSEPH GAVAN
CEO40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,049,349TotalReportableCompFromOrgAmt
Total Other Compensation$177,093TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FREDERICK CONSTRUCTION INC
120 E PRAIRIE STSUITE CVICKSBURGMI49097CONSTRUCTION$1,128,566
LAKELAND MEDICAL PROVIDERS
100 MICHIGAN STREET NEGRAND RAPIDSMI49503OB DOCTORS$711,744
MAPLETRONICS COMPUTERS
PO BOX 136GOSHENIN46527IT SERVICES$473,783
INDIANA MICHIGAN POWER
PO BOX 371496PITTSBURGHPA15250POWER SOURCE$100,054
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$3,541,251GovernmentGrantsAmt
All Other Contributions$23,293AllOtherContributionsAmt
Noncash Contributions$162,758NoncashContributionsAmt
Total Contributions$3,564,544TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621110$10,414,007$10,414,007
340B REBATE900099$1,108,223$1,108,223
INCENTIVE PROGRAM621110$469,121$469,121
OTHER621300$126,688$126,688
FieldValueIRS element (for citing)
Total Program Service Revenue$12,118,039TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,751TotalRevenueColumnAmt
Exclusion$7,751ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,579,000SecuritiesAmt
Other$54,319OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,277,381SecuritiesAmt
Other$59,756OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$301,619SecuritiesAmt
Other-$5,437OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$296,182TotalRevenueColumnAmt
Exclusion$296,182ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$12,221,245GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,580,877CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,640,368TotalRevenueColumnAmt
Related Or Exempt Func Income$6,640,368RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,626,884TotalRevenueColumnAmt
Related Or Exempt Func Income$18,758,407RelatedOrExemptFuncIncomeAmt
Exclusion$303,933ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$690,346TotalAmt
Management And General$690,346ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,973,355TotalAmt
Program Services$8,061,688ProgramServicesAmt
Management And General$911,667ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$277,612TotalAmt
Program Services$243,298ProgramServicesAmt
Management And General$34,314ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,276,701TotalAmt
Program Services$1,049,712ProgramServicesAmt
Management And General$226,989ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$657,550TotalAmt
Program Services$553,210ProgramServicesAmt
Management And General$104,340ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$98,230TotalAmt
Program Services$24,493ProgramServicesAmt
Management And General$73,737ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,861TotalAmt
Management And General$63,861ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,006,798TotalAmt
Program Services$957,841ProgramServicesAmt
Management And General$48,957ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,271,424TotalAmt
Program Services$1,099,195ProgramServicesAmt
Management And General$172,229ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$467,949TotalAmt
Program Services$329,449ProgramServicesAmt
Management And General$138,500ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$129,721TotalAmt
Program Services$93,642ProgramServicesAmt
Management And General$36,079ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$46,920TotalAmt
Program Services$17,759ProgramServicesAmt
Management And General$29,161ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$363,618TotalAmt
Management And General$363,618ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$856,023TotalAmt
Program Services$676,057ProgramServicesAmt
Management And General$179,966ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$79,687TotalAmt
Program Services$51,148ProgramServicesAmt
Management And General$28,539ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,280,648$1,280,648
REPAIRS AND MAINTENANCE$198,144$135,014$63,130
OUTREACH$82,484$82,484
RECRUITING$79,412$62,548$16,864

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$69,616TotalAmt
Program Services$34,745ProgramServicesAmt
Management And General$34,871ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,970,099TotalAmt
Program Services$14,752,931ProgramServicesAmt
Management And General$3,217,168ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,761,040BOYAmt
EOY$6,985,280EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,650,889BOYAmt
EOY$5,549,837EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,546BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,437,649BOYAmt
EOY$1,797,448EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$380,524BOYAmt
EOY$507,860EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$222,608BOYAmt
EOY$258,473EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,640,356LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,305,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,611,020BOYAmt
EOY$17,334,998EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$82,135BOYAmt
EOY$364,397EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,395,296BOYAmt
EOY$3,943,057EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,560,707BOYAmt
EOY$36,741,350EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,303,766BOYAmt
EOY$1,350,680EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,635,500BOYAmt
EOY$5,533,200EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$411,686EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,939,266BOYAmt
EOY$7,295,566EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,601,895BOYAmt
EOY$29,445,784EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,546BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,621,441BOYAmt
EOY$29,445,784EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,560,707BOYAmt
EOY$36,741,350EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,656,785ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$167,558NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,187,975CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,993,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,219,019CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,156,286CurrentTaxYearMinus1YearAmt
Current Tax Year$3,564,544CurrentTaxYearAmt
Total$18,121,060TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,904,124CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,637,515CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,890,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,487,251CurrentTaxYearMinus1YearAmt
Current Tax Year$24,339,284CurrentTaxYearAmt
Total$84,258,908TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,092,099CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,630,751CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,109,753CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,643,537CurrentTaxYearMinus1YearAmt
Current Tax Year$27,903,828CurrentTaxYearAmt
Total$102,379,968TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,587CurrentTaxYearMinus4YearsAmt
Total$8,587TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,587CurrentTaxYearMinus4YearsAmt
Total$8,587TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$102,371,381PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,147CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,508CurrentTaxYearMinus1YearAmt
Current Tax Year$7,751CurrentTaxYearAmt
Total$283,705TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,854CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76,147CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,508CurrentTaxYearMinus1YearAmt
Current Tax Year$7,751CurrentTaxYearAmt
Total$283,705TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,170,953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,706,898CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,177,198CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,697,045CurrentTaxYearMinus1YearAmt
Current Tax Year$27,911,579CurrentTaxYearAmt
Total$102,663,673TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99720PublicSupportCY509Pct
Public Support PY5090.99740PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,710OtherCostOrOtherBasisAmt
Book Value$183,710BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,155,692OtherCostOrOtherBasisAmt
Depreciation$3,037,455DepreciationAmt
Book Value$15,118,237BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,936,370OtherCostOrOtherBasisAmt
Depreciation$2,267,903DepreciationAmt
Book Value$1,668,467BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$364,584OtherCostOrOtherBasisAmt
Book Value$364,584BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,334,998TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE - OTHER$3,888,918
THIRD PARTY COST SETTLEMENTS$54,139
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,943,057TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTHIRD PARTY COST SETTLEMENTDesc
Amt$411,686Amt
FieldValueIRS element (for citing)
Total Liability$411,686TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$28,375,319TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$167,558NetUnrealizedGainsInvstAmt
Other Revenue$5,580,877OtherRevenueAmt
Revenue Not Reported$5,748,435RevenueNotReportedAmt
Revenue Subtotal$22,626,884RevenueSubtotalAmt
Total Revenue Per Form990$22,626,884TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$23,550,976TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,580,877OtherExpensesIncludedAmt
Expenses Not Reported$5,580,877ExpensesNotReportedAmt
Expenses Subtotal$17,970,099ExpensesSubtotalAmt
Total Expenses Per Form990$17,970,099TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DCOGS 5,580,877
SCHEDULE D, PAGE 4, PART XII, LINE 2DCOGS 5,580,877

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
MATTHEW PAZDERKA
PHYSICIAN$282,339$22,590$10,232$18,826$333,987
HARRIS SHAIKH
PHYSICIAN$257,114$29,590$11,387$17,327$315,418
JOHN ZAKHARY
PHYSICIAN$255,689$21,090$10,860$7,918$295,557
ALEXANDER SCHNEIDER
PHYSICIAN$247,784$23,093$10,657$17,337$298,871
ELIZABETH WETZEL
PHYSICIAN$251,185$21,103$10,577$9,398$292,263
MARY MIDDLETON
FORMER CEO$267,596$31,000$12,123$17,701$328,420
TAMMY HOWARD
COO$169,638$19,000$6,602$8,831$204,071
KYLEIGH KRAMB
CFO$136,038$14,500$6,021$1,296$157,855

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1720ContributionCnt
Noncash Contributions Rpt F990$162,758NoncashContributionsRptF990Amt
Method Of Determining RevenuesDOSE AMOUNTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 MUST BE APPROVED BY THE BOARD PRIOR TO FILING
FORM 990, PAGE 6, PART VI, LINE 12CCASSOPOLIS FAMILY CLINIC PROVIDES THE FORMS FROM THE PREVIOUS YEAR AT THE BOARD OF DIRECTORS MEETING. THEY INQUIRE IF THERE ARE UPDATES AND DISCUSS ANY CHANGES OR ISSUES OF CONCERN. BOARD MEMBERS SIGN/RE-SIGN THE CONFLICT OF INTEREST FORMS AT THE JANUARY BOARD MEETING. THEY MUST ABSTAIN FROM A VOTE IF THERE IS A CONFLICT OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15ACASSOPOLIS FAMILY CLINIC USE SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION AND GUIDESTAR FOR NON-PROFIT FOR CEO AND OTHER OFFICER/KEY EMPLOYEE SALARY COMPARISONS. DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE ANNUAL CONTRACTS AND ALL PAYROLL INCREASES AND SALARY REVIEWS ARE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BCASSOPOLIS FAMILY CLINIC USE SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION AND GUIDESTAR FOR NON-PROFIT FOR CEO AND OTHER OFFICER/KEY EMPLOYEE SALARY COMPARISONS. DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE ANNUAL CONTRACTS AND ALL PAYROLL INCREASES AND SALARY REVIEWS ARE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART XI, LINE 9COGS 5,580,877 COGS -5,580,877

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