MY COMMUNITY HEALTH CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MY COMMUNITY HEALTH CENTER (EIN 81-2171085)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-01
IRS object ID
202402759349301755
Schema version
2023v5.1
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)
Return2024-10-01T17:51:03+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1312 Walnut Street Suite 3000AddressLine1Txt
CityCincinnatiCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812171085EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MY COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMYCOBusinessNameControlTxt
Phone3303636242PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 7TH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKellyPersonNm
Person TitleLorenzPersonTitleTxt
Phone3303636242PhoneNum
Signature2024-10-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAaron HershbergerPreparerPersonNm
PTINP00961884PTIN
Phone5136218300PhoneNum
Preparation2024-10-01PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JUAN-PAULO AFABLEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 7TH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,238,775GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYCOMHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPASSIONATE CARE TO ALL; HEALING AND LEARNING TOGETHER.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee104TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,815,506PYContributionsGrantsAmt
CY Contributions Grants$3,527,264CYContributionsGrantsAmt
PY Program Service Revenue$5,405,360PYProgramServiceRevenueAmt
CY Program Service Revenue$6,440,447CYProgramServiceRevenueAmt
PY Investment Income$11,976PYInvestmentIncomeAmt
CY Investment Income$198,952CYInvestmentIncomeAmt
PY Other Revenue$77,236PYOtherRevenueAmt
CY Other Revenue$72,112CYOtherRevenueAmt
PY Total Revenue$9,310,078PYTotalRevenueAmt
CY Total Revenue$10,238,775CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,434,060PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,515,926CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,704,256PYOtherExpensesAmt
CY Other Expenses$4,881,504CYOtherExpensesAmt
PY Total Expenses$8,138,316PYTotalExpensesAmt
CY Total Expenses$9,397,430CYTotalExpensesAmt
PY Revenues Less Expenses$1,171,762PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$841,345CYRevenuesLessExpensesAmt
Total Assets BOY$7,380,647TotalAssetsBOYAmt
Total Assets EOY$9,111,387TotalAssetsEOYAmt
Total Liabilities BOY$2,571,111TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,460,506TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,809,536NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,650,881NetAssetsOrFundBalancesEOYAmt
MissionMY COMMUNITY HEALTH CENTER (MCHC) IS A GRASSROOTS, COMMUNITY-BASED 501(C)(3) OHIO NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE COMPASSIONATE CARE TO ALL, HEALING AND LEARNING TOGETHER. MCHC'S GOAL IS TO BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IT SERVES, BUT WITH CONTINUED EMPHASIS ON THE UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE, REGARDLESS OF RACE, ECONOMIC STATUS, AGE, SEX, SEXUAL ORIENTATION, OR DISABILITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,006,010ExpenseAmt
Grant$0GrantAmt
Revenue$6,440,447RevenueAmt
DescMY COMMUNITY HEALTH CENTER (MCHC) IS A GRASSROOTS, COMMUNITY BASED 501(C)(3) OHIO NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE COMPASSIONATE CARE TO ALL, HEALING AND LEARNING TOGETHER. MCHC'S GOAL IS TO BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IT SERVES, BUT WITH CONTINUED EMPHASIS ON THE UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE, REGARDLESS OF RACE, ECONOMIC STATUS, AGE, SEX, SEXUAL ORIENTATION, OR DISABILITY. MCHC ESTABLISHED ITSELF AS A COMMUNITY CLINIC SITE IN AUGUST 2017 AND HAS BEEN ACTIVE AS A COMMUNITY HEALTH CARE PROVIDER SINCE. THE ORGANIZATION BELIEVES IN TRAINING THE NEXT GENERATION OF HEALTH CARE PROVIDERS. AS SUCH, MCHC HAS ESTABLISHED A RELATIONSHIP WITH THREE RESIDENCY PROGRAMS FOR THEIR RESIDENTS TO PROVIDE OUTPATIENT, CONTINUITY OF CARE AT MCHC: INTERNAL MEDICINE, FAMILY MEDICINE AND OBSTETRICS AND GYNECOLOGY. THE INTERNAL MEDICINE ALSO PROVIDES A RICH LEARNING ENVIRONMENT FOR PHARMACY RESIDENTS. IN ADDITION TO PROVIDERS, MCHC IS A CLINICAL SITE FOR NURSING AND MEDICAL ASSISTANT STUDENTS. IN SEPTEMBER 2019, MCHC RECEIVED FULL DESIGNATION FROM THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO BE FEDERALLY QUALIFIED HEALTH CENTER. MCHC EMPLOYS MORE THAN 70 EMPLOYEES, MANY FROM THE LOCAL COMMUNITY. STAFF ARE FLUENT IN ENGLISH, SPANISH, AND AMERICAN SIGN LANGUAGE (CONTRACTED TRANSLATION SERVICES FOR OTHER LANGUAGES) AND EFFECTIVE AT WORKING WITH PEOPLE AT ALL LEVELS OF LITERACY. SERVICES PROVIDED BY MCHC INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, PRENATAL SERVICES, POSTPARTUM CARE, WELL CHILD AND PEDIATRIC CARE, SCREENINGS, CHRONIC DISEASE MANAGEMENT, DENTAL CARE (BY REFERRAL), LABORATORY, BEHAVIORAL HEALTH (INCLUDING INDIVIDUALS/GROUPS), FAMILY PLANNING, OUTREACH, HEALTH EDUCATION (INCLUDING NUTRITION), ELIGIBILITY ASSISTANCE, AND CASE MANAGEMENT. THESE OUTPATIENT PRIMARY HEALTH SERVICES ARE PROVIDED TO THE MEDICALLY UNDERSERVED POPULATIONS IN STARK COUNTY, OHIO AND SURROUNDING COMMUNITIES. OUR OBSTETRICAL PROGRAM IS UNIQUE IN THE FACT THAT WE ARE THE LARGEST OB PROVIDER FOR MEDICAID PATIENTS IN STARK COUNTY. THE ORGANIZATION RECEIVED APPROVAL TO OPEN A SECOND SITE IN MAGNOLIA, OHIO, A HRSA DESIGNATED UNDERSERVED AREA IN SEPTEMBER 2019. THIS FULLY FUNCTIONING SATELLITE OFFICE BEGAN OPERATIONS IN JANUARY 2020 AND PROVIDES MOST OF THE SAME HEALTH CENTER SERVICES AS DESCRIBED ABOVE. IN MARCH OF 2020 TO MEET THE CHALLENGING ISSUES OF COVID-19 WITH OUR PATIENTS, MCHC ADDED TELEHEALTH SERVICES AND WE HAVE CONTINUED TO PROVIDE THIS SERVICE. IN 2023 WE PROVIDED OVER 1,100 TELEHEALTH VISITS AND SO MANY OF OUR PATIENTS CAN ACCESS OUR CARE. FURTHERMORE, MCHC PROVIDED CARE TO, YET AGAIN OVER 10,000 PATIENTS WITH OVER 36,500 MEDICAL VISITS AND OVER 750 MENTAL HEALTH VISITS IN 2023. ON MARCH 8, 2023, MCHC OPENED A 340B INHOUSE PHARMACY TO PROVIDE PRESCRIPTION MEDICATIONS TO MCHC PATIENTS. THIS WAS A SIGNIFICANT CHANGE IN OUR CARE DELIVERY AND TRULY ADDRESSED ADHERENCE IN TREATMENT, ESPECIALLY WITH MAT AND SUD. COMMUNITY COLLABORATION IS OF UTMOST IMPORTANCE TO MCHC. BELOW ARE SOME OF THE HIGHLIGHTS OF OUR MANY COLLABORATIONS WITH COMMUNITY PARTNERS. OUR OB-GYN DEPARTMENT CONTINUES TO COLLABORATE WITH STARK COUNTY AND CANTON CITY HEALTH DEPARTMENT FOR THE THRIVE INITIATIVE TO REDUCE INFANT MORTALITY. OUR INTERNAL MEDICINE DIVISION CONTINUES TO COLLABORATE WITH ACCESS HEALTH TO PROVIDE COMMUNITY HEALTH WORKERS FOR HIGH-RISK DIABETICS IN THE PRACTICE. THIS SAME DEPARTMENT STARTED COLLABORATING MORE WITH CANTON CITY HEALTH DEPARTMENT AND EQUITAS HEALTH IN 2023, TO PROVIDE INFECTIOUS DISEASE MEDICAL CARE TO TREAT PATIENTS WITH HIV, HEPATITIS C AND ALSO PATIENTS WITH SUBSTANCE USE DISORDER. OVER 4500 PATIENTS WERE TESTED WITH HIV AND A TOTAL OF 9 WERE DIAGNOSED IN 2023. WE HAVE OVER 80 PATIENTS WHO HAS THE HEP C DIAGNOSIS AND MANY HAVE BEEN TREATED AT OUR FACILITY. LASTLY, WE HAVE OVER 250 PATIENTS WITH AN SUD DIAGNOSIS AND WE CONTINUE TO ENGAGE PATIENTS TO BE TREATED. IN 2023, MCHC CONTINUED TO PARTICIPATE IN MANY COMMUNITY EVENTS, PLEASE SEE THEM OUTLINED BELOW. IN EARLY APRIL, MCHC HOSTED THE GRAND OPENING OF THE INHOUSE PHARMACY AND INVITED MANY COMMUNITY STAKEHOLDERS TO BE PRESENT FOR THE OPENING. WE GAVE MCHC TRINKETS TO MANY PARTNERS AND PATIENTS TO PROMOTE THE OPENING OF OUR PHARMACY. WE HAD BEEN FEATURED BY THE LOCAL NEWSPAPER, THE CANTON REPOSITORY, THROUGH OUR PARTNERSHIP FROM THE STARK COMMUNITY FOUNDATION. BY MAY, OUR PHARMACY STARTED DELIVERING PRESCRIPTIONS TO PATIENT HOMES. IN JULY, MCHC MADE A DONATION TO THE AKRON-CANTON REGIONAL FOOD BANK. THE FUNDS RAISED WERE BORN OUT THE DOLLAR DENIM PROGRAM WERE STAFF DONATED $2 EVERY FRIDAY. HALF OF THE FUNDS RAISED GOES TO A CHARITY WE HAVE CHOSEN AND HALF GOES TO A FUND FOR STAFF CULTURE. IN AUGUST, MCHC ONCE AGAIN PARTICIPATED AT THE SANDY VALLEY BACK TO SCHOOL BASH. WE GAVE AWAY STRING BAGS, WATER BOTTLES, SCREENING TOOL GUIDELINES AND EDUCATED MANY PARENTS ABOUT THE IMPORTANCE OF VACCINATIONS FOR CHILDREN. IN SEPTEMBER, MCHC JOINED THE MASSILLON HEALTH AND WELLNESS FAIR AT THE DUNCAN PLAZA TO PROMOTE WELLNESS AND IMPORTANCE OF SCREENINGS IN THE COMMUNITY. IN OCTOBER, MCHC MADE A DONATION TO THE YWCA OF CANTON OHIO. THE ONLY WOMEN AND CHILDREN'S EMERGENCY SHELTER AND LARGEST OF ITS KIND IN CANTON OHIO. THE FUNDS RAISED ALSO CAME OUT OF THE DOLLAR DENIM PROGRAM. STAFF ARE TRULY EXCITED TO BE ABLE TO CONTRIBUTE TO THE MANY CAUSES AROUND US. MANY OF OUR PATIENTS COME FROM THE YMCA SHELTER. IN DECEMBER, MCHC PARTICIPATED AGAIN AT THE COMMUNITY CHRISTMAS OF STARK COUNTY. WE ONCE AGAIN, ADOPTED MULTIPLE FAMILIES. MCHC RAISED OVER $1,000 TO PROVIDE GIFTS AND MUCH NEEDED SUPPORT TO DISADVANTAGED FAMILIES IN OUR COUNTY. OTHER HIGHLIGHTS OF THE YEAR 2023 ARE DESCRIBED BELOW. IN OCTOBER, BOTH OUR CANTON AND MAGNOLIA LOCATION RECEIVED RECOGNITION AGAIN AS A PATIENT CENTERED MEDICAL HOME, AN ACCREDITATION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THIS DESIGNATION CONTINUES TO DEMONSTRATE OUR COMMITMENT TO IMPROVING THE QUALITY OF HEALTH CARE FOR OUR PATIENTS. IN NOVEMBER, MCHC FORMALIZED A PARTNERSHIP WITH YUVO HEALTH, A VALUE BASED CARE ORGANIZATION THAT HELPS FQHCS TO BENEFIT FULLY FROM PAYOR BASED VALUE ARRANGEMENTS. THIS IS A UNIQUE OPPORTUNITY AS YUVO IS QUITE AN INNOVATIVE CONCEPT IN VALUE BASED CARE. THEY ARE FINANCIALLY BACKED AND CAN SUPPORT FQHCS HAVING BEEN ABLE TO SUPPORT MANY FQHCS IN NEW YORK CITY. MCHC IS THE FIRST ORGANIZATION TO JOIN THE YUVO IPA AND THIS OPENED UP MANY OPPORTUNITIES FOR MCHC TO CAPTURE MORE REVENUE TO SUPPORT OUR UNDER-RESOURCED PATIENTS. TOWARDS THE END OF 2023 MCHC WAS PUTTING THE FINAL PIECES TOWARDS THE OPENING OF OUR THIRD LOCATION AT GONDER PLACE. THIS CLINIC OF OURS IS THROUGH A COLLABORATION WITH THE CITY OF CANTON, CANTON FOR ALL PEOPLE AND SOMMERS MARKET. THIS PROJECT HAS GONE THROUGH MANY DELAYS BUT OUR GROUP HAS REMAINED RESOLUTE AND UNYIELDING AS IT HAS BEEN OUR DREAM TO OPEN A THE FIRST HEALTH CENTER AND GROCERY STORE COMBINATION IN THE SOUTHEAST OF CANTON WHICH IS A FOOD AND HEALTH CARE DESERT. MY COMMUNITY HEALTH CENTER CONTINUED TO THRIVE AND GROW IN 2023 MAKING IT EASIER TO ACCESS CRITICAL PREVENTATIVE CARE FOR ALL PATIENTS.Desc
Total Program Service Expenses$7,006,010TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 ContrifalseDeductibleNonCashContriInd
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 Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee104EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLY LORENZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3303631310PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12600 7TH STREET SWAddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44710ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CYRILIA PRATT
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
KEVIN SMITH
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
SUSAN MERCER MD
PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
CARL SCHLEICH MD
DIRECTOR1.00.0Yes (X)$0$0$0
CAROL JOHNSON
DIRECTOR1.00.0Yes (X)$0$0$0
JEFFREY ZELLERS
DIRECTOR1.00.0Yes (X)$0$0$0
LINDA MUIR
DIRECTOR1.00.0Yes (X)$0$0$0
MARIA HEEGE
DIRECTOR1.00.0Yes (X)$0$0$0
MAUREEN ATER
DIRECTOR1.00.0Yes (X)$0$0$0
PHILLIP MICKLEY
DIRECTOR1.00.0Yes (X)$0$0$0
RICK SMITH
DIRECTOR1.00.0Yes (X)$0$0$0
SATYNNE PYLES
DIRECTOR1.00.0Yes (X)$0$0$0
TOM CASEY
DIRECTOR1.00.0Yes (X)$0$0$0
JOHN SUTTON MD
CMO (TERM ENDED 1/31/2023)40.00.0Yes (X)$37,704$0$3,005
JUAN-PAULO AFABLE
CEO40.00.0Yes (X)$197,424$0$13,686
KELLY LORENZ
CFO40.00.0Yes (X)$119,697$0$11,713
SARAH HOEHNEN DO
CMO (TERM BEGAN 4/3/2023)40.00.0Yes (X)$178,140$0$1,731
Terry Regula
FORMER CEO0.00.0$102,688$0$226Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$635,653TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$30,361TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Aultman Hospital
2600 Sixth Street SWCantonOH44710Preceptors$995,418
Aultman Health Foundation
2600 Sixth Street SWCantonOH44710Master Service Agreement & Malpractice$725,146
Allscripts Healtcare LLC
24630 Network PlaceChicagoIL60673Billing Service, E H R hosting & Quality Software$440,510
Cardinal Health Pharmacy Serivces LLC
13651 Dubli CourtStaffordTX77477Pharmacy Services$366,301
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$1,470,887GovernmentGrantsAmt
All Other Contributions$2,056,377AllOtherContributionsAmt
Total Contributions$3,527,264TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$4,897,820$4,897,820
PHARMACY REVENUE621400$1,386,269$1,386,269
QUALITY INCENTIVE REVENUE621400$156,358$156,358

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,440,447TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$198,952TotalRevenueColumnAmt
Exclusion$198,952ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$72,112TotalRevenueColumnAmt
Exclusion$72,112ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$72,112OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,238,775TotalRevenueColumnAmt
Related Or Exempt Func Income$6,440,447RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$271,064ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$666,014TotalAmt
Program Services$530,842ProgramServicesAmt
Management And General$135,172ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,008,845TotalAmt
Program Services$2,390,926ProgramServicesAmt
Management And General$617,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$72,100TotalAmt
Program Services$61,107ProgramServicesAmt
Management And General$10,993ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$487,389TotalAmt
Program Services$413,080ProgramServicesAmt
Management And General$74,309ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$281,578TotalAmt
Program Services$238,648ProgramServicesAmt
Management And General$42,930ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$9,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$61,025TotalAmt
Program Services$0ProgramServicesAmt
Management And General$61,025ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,537,066TotalAmt
Program Services$1,950,304ProgramServicesAmt
Management And General$586,762ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$157,525TotalAmt
Program Services$72,485ProgramServicesAmt
Management And General$85,040ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$152,426TotalAmt
Program Services$0ProgramServicesAmt
Management And General$152,426ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$449,815TotalAmt
Program Services$0ProgramServicesAmt
Management And General$449,815ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,039TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,039ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,914TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,914ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$129,362TotalAmt
Program Services$95,728ProgramServicesAmt
Management And General$33,634ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,769TotalAmt
Program Services$22,645ProgramServicesAmt
Management And General$47,124ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & EQUIPMENT$1,163,488$1,163,488$0$0
OTHER EXPENSES$145,075$66,757$78,318$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,397,430TotalAmt
Program Services$7,006,010ProgramServicesAmt
Management And General$2,391,420ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,783,293BOYAmt
EOY$4,588,189EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$242,736BOYAmt
EOY$148,142EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$421,792BOYAmt
EOY$688,709EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,084BOYAmt
EOY$26,737EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,959BOYAmt
EOY$60,151EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,151,729LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$320,888LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$802,125BOYAmt
EOY$830,841EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,056,658BOYAmt
EOY$2,768,618EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,380,647BOYAmt
EOY$9,111,387EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$521,665BOYAmt
EOY$694,979EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,049,446BOYAmt
EOY$2,765,527EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,571,111BOYAmt
EOY$3,460,506EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,674,446BOYAmt
EOY$5,517,888EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$135,090BOYAmt
EOY$132,993EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,809,536BOYAmt
EOY$5,650,881EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,380,647BOYAmt
EOY$9,111,387EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$841,345ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$0TotalSupportAmt
Gross Receipts Rltd Activities$0GrossReceiptsRltdActivitiesAmt
Public Support CY1700PublicSupportCY170Pct
Public Support PY1700.0PublicSupportPY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

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

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$0PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

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

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090PublicSupportCY509Pct
Public Support PY5090.0PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.0InvestmentIncomePYPct
Private Foundation509Yes (X)PrivateFoundation509Ind

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

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)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,024,511OtherCostOrOtherBasisAmt
Depreciation$305,318DepreciationAmt
Book Value$719,193BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$127,218OtherCostOrOtherBasisAmt
Depreciation$15,570DepreciationAmt
Book Value$111,648BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$830,841TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRight of Use AssetsDesc
Book Value$2,768,618BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,768,618TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLease LiabilitiesDesc
Amt$2,765,527Amt
FieldValueIRS element (for citing)
Total Liability$2,765,527TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,238,775TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,238,775RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,238,775TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,397,430TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,397,430ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,397,430TotalExpensesPerForm990Amt

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 PlanYes (true)SupplementalNonqualRtrPlanInd
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 (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JUAN-PAULO AFABLE
CEO$197,124$0$0$0$300$0$3,692$0$9,994$0$211,110$0$0$0
SARAH HOEHNEN DO
CMO (TERM BEGAN 4/3/2023)$177,885$0$0$0$255$0$1,731$0$0$0$179,871$0$0$0
Terry Regula
FORMER CEO$6,530$0$0$0$96,158$0$226$0$0$0$102,914$0$96,084$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTerry Regula, former CEO $96,084 - Non Qualified Deferred Compansation Plan
Schedule J, Part I, Line 3COMPENSATION OF CEO THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCES MANAGER.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S CFO. THE CEO AND CFO CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN, RECONCILING THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARING THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. A COMPLETE COPY OF THE 990 WAS THEN SENT VIA EMAIL TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 12c Conflict of interest policyTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO CLINIC BOARD MEMBERS, EMPLOYEES, CONSULTANTS AND THOSE WHO FURNISH GOODS OR SERVICES TO THE ORGANIZATION. EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CERTIFICATION OF AGREEMENT WITH THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY KNOWN CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR REELECTION TO THE BOARD AND ANNUALLY THEREAFTER. WHENEVER THE CHIEF EXECUTIVE OFFICER, KEY MANAGEMENT PERSONNEL OR ANY BOARD MEMBER HAS A CONFLICT OF INTEREST OR A PERCEIVED CONFLICT OF INTEREST WITH MCHC, HE OR SHE IS REQUIRED TO NOTIFY THE FULL BOARD OF SUCH CONFLICT IN WRITING USING THE ANNUAL CERTIFICATION FORM. WHEN ANY CONFLICT OF INTEREST IS RELEVANT TO A MATTER THAT COMES UNDER CONSIDERATION OR REQUIRES ACTION BY THE BOARD, OR A BOARD COMMITTEE, THE INTERESTED PERSON IS REQUIRED TO CALL IT TO THE ATTENTION OF THE BOARD CHAIR AND MUST LEAVE THE MEETING DURING BOARD OR COMMITTEE DISCUSSION OR DECISION ON THE MATTER. HOWEVER, THAT PERSON IS ALLOWED TO PROVIDE THE BOARD OR APPLICABLE COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION ON THE PARTICULAR MATTER. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY MAY, DEPENDING ON THE SEVERITY OF THE VIOLATION, BE SUBJECT TO ORAL ADMONISHMENT OR REMOVAL FROM THEIR POSITION.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE ANNUAL REVIEW FOR THE CEO WAS DONE IN November OF 2023. THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCE MANAGER.
Form 990, Part VI, Line 19 Required documents available to the publicMY COMMUNITY HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part IX, Line 11g Other FeesOther - Total Expense: 2537066, Program Service Expense: 1950304, Management and General Expenses: 586762, Fundraising Expenses: 0;

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