COMPASSION HEALTH TOLEDO: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- COMPASSION HEALTH TOLEDO (EIN 47-3197108)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-10-21
- IRS object ID
- 202402959349301405
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-10-21T11:53:38-04:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 E MILHAM AVE | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 490021494 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473197108 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMPASSION HEALTH TOLEDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMP | BusinessNameControlTxt |
| Phone | 5616610565 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1638 BROADWAY ST | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43609 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNE RUCH MD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5616610565 | PhoneNum |
| Signature | 2024-10-21 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 2693297007 | PhoneNum |
| Preparation | 2024-10-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANNE RUCH MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1638 BROADWAY ST | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43609 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,973,760 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.COMPASSIONHEALTHTOLEDO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CHRIST CENTERED INTEGRATED AFFORDABLE AND QUALITY HEALTH CARE TO THOSE WHO NEED IT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 33 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,534,335 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,803,266 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $992,968 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,107,866 | CYProgramServiceRevenueAmt |
| CY Investment Income | $20,538 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,730 | PYOtherRevenueAmt |
| CY Other Revenue | $42,090 | CYOtherRevenueAmt |
| PY Total Revenue | $2,539,033 | PYTotalRevenueAmt |
| CY Total Revenue | $2,973,760 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,831 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,014 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,056,220 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,329,009 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $418,423 | PYOtherExpensesAmt |
| CY Other Expenses | $416,463 | CYOtherExpensesAmt |
| PY Total Expenses | $1,486,474 | PYTotalExpensesAmt |
| CY Total Expenses | $1,761,486 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,052,559 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,212,274 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,888,815 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,208,096 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,405 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $165,412 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,830,410 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,042,684 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE CHRIST CENTERED INTEGRATED AFFORDABLE AND QUALITY HEALTH CARE TO THOSE WHO NEED IT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,455,691 | ExpenseAmt |
| Grant | $16,014 | GrantAmt |
| Revenue | $1,107,866 | RevenueAmt |
| Desc | COMPASSION HEALTH TOLEDO OPENED IN JULY 2017. CHT PROVIDES CHRIST CENTERED INTEGRATED AFFORDABLE AND QUALITY HEALTH CARE TO THOSE WHO NEED IT. | Desc |
| Total Program Service Expenses | $1,455,691 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 33 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNE RUCH MD | PersonNm |
| Phone | 5676610565 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1638 BROADWAY ST | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43609 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JACOB CALHOUN | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DINA VILLA | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KENETTA JONES | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILL RUDOLPH | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAURA RUDOLPH | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH SCHLENDER | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CALVIN SWEENEY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY MOORE | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CELESTE TAYLOR | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN GRAHAM | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JO HINES | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AVERY COOPER | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANET ROBINSON | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNE RUCH MD | |||||||
| CEO | 40.00 | Yes (X) | $3,500 | $0 | $0 | ||
| JEFFREY REMAKLUS | |||||||
| CMO | 40.00 | $100,999 | $0 | $0 | Yes (X) | ||
| MARK JACOBY | |||||||
| CFO | 40.00 | Yes (X) | $2,500 | $0 | $0 | ||
| NATALIE BIGELOW | |||||||
| DOCTOR | 40.00 | $164,067 | $0 | $5,251 | Yes (X) | ||
| JENNA WOLF | |||||||
| PA-C | 40.00 | $103,986 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $375,052 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $5,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE SPIEKER COMPANY | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2541 TRACY RD | AddressLine1Txt |
| City | NORTHWOOD | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43619 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSTRUCTION | ServicesDesc |
| Compensation | $988,414 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $580,268 | GovernmentGrantsAmt |
| All Other Contributions | $1,222,998 | AllOtherContributionsAmt |
| Noncash Contributions | $96,342 | NoncashContributionsAmt |
| Total Contributions | $1,803,266 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SERVICES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $1,107,866 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,107,866 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,107,866 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,538 | TotalRevenueColumnAmt |
| Exclusion | $20,538 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $42,090 | TotalRevenueColumnAmt |
| Exclusion | $42,090 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $42,090 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,973,760 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,107,866 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $62,628 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,089 | TotalAmt |
| Program Services | $3,089 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,925 | TotalAmt |
| Program Services | $12,925 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,000 | TotalAmt |
| Program Services | $5,400 | ProgramServicesAmt |
| Management And General | $600 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,167,167 | TotalAmt |
| Program Services | $1,050,450 | ProgramServicesAmt |
| Management And General | $116,717 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,505 | TotalAmt |
| Program Services | $55,355 | ProgramServicesAmt |
| Management And General | $6,150 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,337 | TotalAmt |
| Program Services | $84,903 | ProgramServicesAmt |
| Management And General | $9,434 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,643 | TotalAmt |
| Management And General | $82,643 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540 | TotalAmt |
| Program Services | $405 | ProgramServicesAmt |
| Management And General | $135 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,544 | TotalAmt |
| Management And General | $11,544 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,168 | TotalAmt |
| Program Services | $11,376 | ProgramServicesAmt |
| Management And General | $3,792 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,041 | TotalAmt |
| Program Services | $84,781 | ProgramServicesAmt |
| Management And General | $28,260 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $815 | TotalAmt |
| Program Services | $611 | ProgramServicesAmt |
| Management And General | $204 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,412 | TotalAmt |
| Program Services | $3,309 | ProgramServicesAmt |
| Management And General | $1,103 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34 | TotalAmt |
| Program Services | $25 | ProgramServicesAmt |
| Management And General | $9 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,132 | TotalAmt |
| Program Services | $12,099 | ProgramServicesAmt |
| Management And General | $4,033 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,441 | TotalAmt |
| Program Services | $13,831 | ProgramServicesAmt |
| Management And General | $4,610 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $131,158 | $98,368 | $32,790 |
| DUES AND SUBSCRIPTIONS | $8,117 | $6,088 | $2,029 |
| PHARMACY | $7,448 | $7,448 | |
| MISC | $6,829 | $5,122 | $1,707 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141 | TotalAmt |
| Program Services | $106 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,761,486 | TotalAmt |
| Program Services | $1,455,691 | ProgramServicesAmt |
| Management And General | $305,795 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,877 | BOYAmt |
| EOY | $262,123 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,247 | BOYAmt |
| EOY | $429,308 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,084 | BOYAmt |
| EOY | $423,030 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,585 | BOYAmt |
| EOY | $64,422 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,384 | BOYAmt |
| EOY | $13,950 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,086,339 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $85,870 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $842,507 | BOYAmt |
| EOY | $2,000,469 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,131 | BOYAmt |
| EOY | $1,178 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,616 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,815 | BOYAmt |
| EOY | $3,208,096 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,824 | BOYAmt |
| EOY | $99,263 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $406 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $581 | BOYAmt |
| EOY | $65,743 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,405 | BOYAmt |
| EOY | $165,412 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,745,585 | BOYAmt |
| EOY | $2,626,826 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,825 | BOYAmt |
| EOY | $415,858 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,830,410 | BOYAmt |
| EOY | $3,042,684 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,815 | BOYAmt |
| EOY | $3,208,096 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,212,274 | ReconcilationRevenueExpnssAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $537,736 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $481,822 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $511,874 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,534,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,803,266 | CurrentTaxYearAmt |
| Total | $4,869,033 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $614,930 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $387,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $378,470 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,004,698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,107,866 | CurrentTaxYearAmt |
| Total | $3,493,414 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,152,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $869,272 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $890,344 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,539,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,911,132 | CurrentTaxYearAmt |
| Total | $8,362,447 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $35,000 | CurrentTaxYearAmt |
| Total | $35,000 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $35,000 | CurrentTaxYearAmt |
| Total | $35,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $8,327,447 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $560 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,510 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $560 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,510 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $61,628 | CurrentTaxYearAmt |
| Total | $61,628 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $37,303 | CurrentTaxYearMinus2YearsAmt |
| Total | $37,303 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,152,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $870,222 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $928,207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,539,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,972,760 | CurrentTaxYearAmt |
| Total | $8,462,888 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98400 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99360 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 37,303 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,571 | DepreciationAmt |
| Book Value | $29,034 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,751 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,299 | DepreciationAmt |
| Book Value | $97,452 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $126,486 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER CURRENT LIABILITIES | $52,197 |
| FINANCE LEASE OBLIGATION | $13,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $65,743 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,264,612 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $290,852 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $290,852 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,973,760 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,973,760 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,052,338 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $290,852 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $290,852 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,761,486 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,761,486 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EMERGENCY ASSISTANCE | GrantTypeTxt |
| Recipient | 28 | RecipientCnt |
| Cash Grant | $9,572 | CashGrantAmt |
| Non Cash Assistance | $3,353 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | SUPPLIES | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE HEALTH CENTER SHALL MAINTAIN RECORDS THAT SUPPORT THE DOCUMENTATION ESSENTIAL TO VALIDATE CARRYING OUT THE FUNCTIONS OF GRANT FUNDING RECEIVED. THE HEALTH CENTER'S ACCOUNTING AND MANAGEMENT SYSTEMS SHALL BE CAPABLE OF RECORDING, SEGREGATING, MANAGING AND REPORTING OUT DATA THAT SUPPORT THE HEALTH CENTER'S ACTIVITIES AS MANDATED BY THE PROGRAM REQUIREMENTS AND FUNDING CONDITIONS OF EACH GRANT AND CONTRACT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATALIE BIGELOW | PersonNm |
| Title | DOCTOR | TitleTxt |
| Base Compensation Filing Org | $164,067 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $5,251 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $169,318 | TotalCompensationFilingOrgAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 28 | ContributionCnt |
| Noncash Contributions Rpt F990 | $96,342 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 2 | BILL RUDOLPH LAURA RUDOLPH TREASURER MEMBER MARRIED |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FULL 990 IS PROVIDED TO EACH BOARD MEMBER. IT IS THEN DISCUSSED AND APPROVED BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD AT THE ANNUAL MEETING SIGN A NEW COI FOR FILE AND THE CFO REVIEWS. THE FORM IS FOR POTENTIAL CONFLICTS AND IT MONITORS THOSE ACTIVITIES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ANNE RUCH IS A LICENSED OBGYN AND DONATES HER TIME TO THE CENTER. NOMINAL COMPENSATION IS THERE TO PROVIDE COMPLIANCE FOR INSURANCE PURPOSES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | WAGES FOR OFFICERS AND KEY EMPLOYEES ARE APPROVED AT THE BEGINNING OF THE YEAR AT THE FINANCE COMMITTEE MEETING AND THEN AT THE BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND ALL REQUIRED DOCUMENTS ARE KEPT IN A COMMON PLACE AND INSPECTION IS ALLOWED BY APPOINTMENT ONLY. |
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