CHESPENN HEALTH SERVICES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHESPENN HEALTH SERVICES (EIN 23-7354899)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-01-31
IRS object ID
202320319349300622
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-01-31T12:29:32-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11835 MARKET STREET SUITE 1710AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191032945ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237354899EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHESPENN HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DANIEL A CAPLANInCareOfNm
Business Name ControlCHESBusinessNameControlTxt
Phone6104853800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 CHESTER PIKE Suite 200AddressLine1Txt
CityEDDYSTONECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19022ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL A CAPLANPersonNm
Person TitleCFOPersonTitleTxt
Phone6104853800PhoneNum
Signature2023-01-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDANIEL APersonFirstNm
Person LastCAPLANPersonLastNm
FieldValueIRS element (for citing)
SSN000000000SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott J MarianiPreparerPersonNm
PTINP00642486PTIN
Phone2155462140PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN HARRIS-MCGOVERN MS-NPMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 CHESTER PIKE SUITE 200AddressLine1Txt
CityEDDYSTONECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19022ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,047,403GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHESPENN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO OPERATE THREE COMPREHENSIVE HEALTH CENTERS LOCATED IN CHESTER AND DELAWARE COUNTIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee121TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,764,797PYContributionsGrantsAmt
CY Contributions Grants$5,173,376CYContributionsGrantsAmt
PY Program Service Revenue$7,939,474PYProgramServiceRevenueAmt
CY Program Service Revenue$6,859,528CYProgramServiceRevenueAmt
PY Investment Income$81,934PYInvestmentIncomeAmt
CY Investment Income$14,499CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,786,205PYTotalRevenueAmt
CY Total Revenue$12,047,403CYTotalRevenueAmt
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$6,710,324PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,717,036CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,217,559PYOtherExpensesAmt
CY Other Expenses$6,111,565CYOtherExpensesAmt
PY Total Expenses$12,927,883PYTotalExpensesAmt
CY Total Expenses$12,828,601CYTotalExpensesAmt
PY Revenues Less Expenses$858,322PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$781,198CYRevenuesLessExpensesAmt
Total Assets BOY$8,301,423TotalAssetsBOYAmt
Total Assets EOY$6,797,107TotalAssetsEOYAmt
Total Liabilities BOY$2,490,543TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,855,173TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,810,880NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,941,934NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,068,113ExpenseAmt
Grant$0GrantAmt
Revenue$6,859,528RevenueAmt
DescEXPENSES INCURRED IN PROVIDING COMPREHENSIVE PRIMARY AND PREVENTIVE CARE AND SOCIAL SERVICES TO MEDICALLY UNDERSERVED FAMILIES AND INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. WE STRIVE TO MEET THE UNIQUE HEALTH NEEDS OF THE COMMUNITIES WE SERVE IN LINGUISTICALLY AND CULTURALLY COMPETENT WAYS. FOR MORE INFORMATION, PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT IN SCHEDULE O.Desc
Total Program Service Expenses$9,068,113TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee121EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIEL A CAPLANPersonNm
Phone6104853800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 CHESTER PIKE SUITE 200AddressLine1Txt
CityEDDYSTONECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19022ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
GARY DAVIS
PRESIDENT & CEO (TERM 4/8/22)40.00.0Yes (X)$224,824$0$13,494
RAQUIBUL ISLAM MD
PHYSICIAN40.00.0$177,717$0$34,759Yes (X)
BRUCE AUDEN MD
PHYSICIAN40.00.0$167,020$0$41,072Yes (X)
KAI TURNER DO
PHYSICIAN40.00.0$171,864$0$18,205Yes (X)
KEVIN MCCABE DO
PHYSICIAN40.00.0$168,187$0$8,290Yes (X)
DANIEL A CAPLAN
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$137,540$0$25,821
NANCY KOSHETAR DDS
DENTIST40.00.0$146,556$0$16,642Yes (X)
SUSAN HARRIS-MCGOVERN MS-NPM
PRESIDENT & CEO (EFF. 4/11/22)40.00.0Yes (X)$130,100$0$14,250
WILLIE MAE WELLS
PRESIDENT - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
GWEN SMITH
VICE PRESIDENT - DIRECTOR1.00.0$0$0$0Yes (X)
RAE ROEDER
SECRETARY - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
KAREN VESELY
TREASURER - DIRECTOR1.00.0Yes (X)$0$0$0Yes (X)
CAROL ALLEN
DIRECTOR1.00.0$0$0$0Yes (X)
DINA CAPALONGO DO FACP
DIRECTOR1.00.0$0$0$0Yes (X)
SHEPARD GARNER
DIRECTOR1.00.0$0$0$0Yes (X)
JEFFREY GREEN
DIRECTOR1.00.0$0$0$0Yes (X)
ANTHONY HALL
DIRECTOR1.00.0$0$0$0Yes (X)
DAVID KEITH
DIRECTOR1.00.0$0$0$0Yes (X)
DONNA LAWLER
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,323,808TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$172,533TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROSPECT HEALTH ACCESS NETWORK
ONE MEDICAL CENTER BOULEVARDUPLANDPA19013MEDICAL$1,324,923
CALL 4 HEALTH
2855 SOUTH CONGRESS AVENUEDELRAY BEACHFL33445CALL CENTER$385,703
VIRTUAL OFFICEWARE HEALTHCARE SOLUT
2000 CLIFF MINE RD PARK W TWO STPITTSBURGHPA15275IT$371,141
NO BOUNDARIES - LANGUAGE INTERPRE
475 TIMBERLINE TRAILWEST CHESTERPA19382TRANSLATION$202,073
GIBIAN LLC
228 NORTH JACKSON STREETMEDIAPA19063CONSTRUCTION$177,487
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$10,381FederatedCampaignsAmt
Government Grants$4,345,034GovernmentGrantsAmt
All Other Contributions$817,961AllOtherContributionsAmt
Total Contributions$5,173,376TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$6,237,366$6,237,366
PREMIUM REVENUE621400$622,162$622,162
FieldValueIRS element (for citing)
Total Program Service Revenue$6,859,528TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,499TotalRevenueColumnAmt
Exclusion$14,499ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,047,403TotalRevenueColumnAmt
Related Or Exempt Func Income$6,859,528RelatedOrExemptFuncIncomeAmt
Exclusion$14,499ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$546,029TotalAmt
Program Services$370,106ProgramServicesAmt
Management And General$175,923ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,206,672TotalAmt
Program Services$3,511,646ProgramServicesAmt
Management And General$1,695,026ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$201,618TotalAmt
Program Services$145,993ProgramServicesAmt
Management And General$55,625ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$320,641TotalAmt
Program Services$222,918ProgramServicesAmt
Management And General$97,723ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$442,076TotalAmt
Program Services$298,597ProgramServicesAmt
Management And General$143,479ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,742TotalAmt
Management And General$10,742ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$72,325TotalAmt
Program Services$13,245ProgramServicesAmt
Management And General$59,080ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,330TotalAmt
Management And General$4,330ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,637,800TotalAmt
Program Services$2,188,026ProgramServicesAmt
Management And General$449,774ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$187TotalAmt
Management And General$187ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$496,804TotalAmt
Program Services$396,981ProgramServicesAmt
Management And General$99,823ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$563,439TotalAmt
Management And General$563,439ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$518,990TotalAmt
Program Services$387,907ProgramServicesAmt
Management And General$131,083ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,611TotalAmt
Program Services$20,018ProgramServicesAmt
Management And General$8,593ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,978TotalAmt
Management And General$26,978ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$99,720TotalAmt
Program Services$99,720ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$62,159TotalAmt
Program Services$30,443ProgramServicesAmt
Management And General$31,716ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT CARE$893,497$886,344$7,153
MEDICAL SUPPLIES$426,876$316,978$109,898
REPAIRS & MAINTENANCE$198,478$173,287$25,191
DUES & SUBSCRIPTIONS$41,889$4,659$37,230

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$28,740TotalAmt
Program Services$1,245ProgramServicesAmt
Management And General$27,495ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,828,601TotalAmt
Program Services$9,068,113ProgramServicesAmt
Management And General$3,760,488ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$317,890BOYAmt
EOY$313,659EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,326,709BOYAmt
EOY$4,064,016EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,992BOYAmt
EOY$146,545EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$423,521BOYAmt
EOY$489,286EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,881BOYAmt
EOY$2,346EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$54,698BOYAmt
EOY$112,306EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,171,215LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,063,908LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,207,027BOYAmt
EOY$1,107,307EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$895,705BOYAmt
EOY$561,642EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,301,423BOYAmt
EOY$6,797,107EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,492,089BOYAmt
EOY$858,028EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$359,910BOYAmt
EOY$430,168EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$465,885BOYAmt
EOY$450,292EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$172,659BOYAmt
EOY$116,685EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,490,543BOYAmt
EOY$1,855,173EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,810,880BOYAmt
EOY$4,941,934EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,810,880BOYAmt
EOY$4,941,934EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,301,423BOYAmt
EOY$6,797,107EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$781,198ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$87,748NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$3,721,480CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,554,740CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,232,107CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,764,797CurrentTaxYearMinus1YearAmt
Current Tax Year$5,173,376CurrentTaxYearAmt
Total$22,446,500TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,233,321CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,642,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,874,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,939,474CurrentTaxYearMinus1YearAmt
Current Tax Year$6,859,528CurrentTaxYearAmt
Total$39,549,033TotalAmt

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$11,954,801CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,197,215CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,106,342CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,704,271CurrentTaxYearMinus1YearAmt
Current Tax Year$12,032,904CurrentTaxYearAmt
Total$61,995,533TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$61,995,533PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,934CurrentTaxYearMinus1YearAmt
Current Tax Year$14,499CurrentTaxYearAmt
Total$254,280TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,900CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$71,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$81,934CurrentTaxYearMinus1YearAmt
Current Tax Year$14,499CurrentTaxYearAmt
Total$254,280TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,976,701CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,269,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,170,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,786,205CurrentTaxYearMinus1YearAmt
Current Tax Year$12,047,403CurrentTaxYearAmt
Total$62,249,813TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99591PublicSupportCY509Pct
Public Support PY5090.99600PublicSupportPY509Pct
Investment Income CY0.00409InvestmentIncomeCYPct
Investment Income PY0.00400InvestmentIncomePYPct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$4,330OtherActivitiesAmt
Total Lobbying Expenditures$4,330TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B; LINE 1IFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS A MEMBER OF THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS, WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER ORGANIZATIONS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THIS ORGANIZATION DURING THE YEAR ENDED JUNE 30, 2022. THIS ALLOCATION AMOUNTED TO $4,330 DURING THE YEAR ENDED JUNE 30, 2022.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,838OtherCostOrOtherBasisAmt
Book Value$100,838BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,330,555OtherCostOrOtherBasisAmt
Depreciation$2,327,507DepreciationAmt
Book Value$1,003,048BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$349,794OtherCostOrOtherBasisAmt
Depreciation$349,794DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,390,028OtherCostOrOtherBasisAmt
Depreciation$1,386,607DepreciationAmt
Book Value$3,421BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,107,307TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY SETTLEMENTDesc
Amt$116,685Amt
FieldValueIRS element (for citing)
Total Liability$116,685TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,032,904TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$12,032,904RevenueSubtotalAmt
Other Revenues Not Included$14,499OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,499RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,047,403TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,828,601TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$12,828,601ExpensesSubtotalAmt
Total Expenses Per Form990$12,828,601TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X; LINE 2An independent CPA firm audited the financial statements of this organization for the years ended June 30, 2022 and June 30, 2021; respectively. The independent CPA firm issued an unmodified opinion with respect to the audited financial statements. The following footnote is included in the organization's audited financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740): The Corporation accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold at June 30, 2022 and 2021.
SCHEDULE D, PART XI; LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: - NON-OPERATING INVESTMENT INCOME - $14,499.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
GARY DAVIS
PRESIDENT & CEO (TERM 4/8/22)$204,474$0$20,350$0$0$0$11,270$0$2,224$0$238,318$0$0$0
RAQUIBUL ISLAM MD
PHYSICIAN$177,367$0$350$0$0$0$9,290$0$25,469$0$212,476$0$0$0
BRUCE AUDEN MD
PHYSICIAN$166,670$0$350$0$0$0$8,879$0$32,193$0$208,092$0$0$0
KAI TURNER DO
PHYSICIAN$171,514$0$350$0$0$0$8,677$0$9,528$0$190,069$0$0$0
KEVIN MCCABE DO
PHYSICIAN$147,828$0$0$0$20,359$0$7,391$0$899$0$176,477$0$0$0
DANIEL A CAPLAN
CHIEF FINANCIAL OFFICER$137,190$0$350$0$0$0$7,143$0$18,678$0$163,361$0$0$0
NANCY KOSHETAR DDS
DENTIST$146,206$0$350$0$0$0$7,490$0$9,152$0$163,198$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VII AND SCHEDULE JIn accordance with Internal Revenue Service Form 990 rules, regulations and instructions, the compensation reported in core form, part VII and schedule J, part II of this Form 990 is derived from 2021 Forms W-2 and Forms 1099 (if applicable).
SCHEDULE J, PART I; QUESTION 7Certain individuals included in Schedule J, Part II received a bonus during calendar year 2021 which was included in each individual's 2021 Form W-2, Box 5, as taxable Medicare wages. Please refer to this section of the Form 990, Schedule J for this information by person by amount.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSChesPenn Health Services, Inc. ("ChesPenn") is a network of non-profit, Federally Qualified Health Centers ("FQHCs") that provides comprehensive primary and preventive health care and social services to medically underserved families and individuals across southeastern Pennsylvania, with locations in Chester, Upper Darby, and Coatesville. FQHCs are local, community-directed non-profit health centers that serve low income, medically underserved communities. Located in areas where care is needed but scarce, FQHCs improve access to care for patients regardless of their insurance status or ability to pay. During the 2021 tax year, ChesPenn had total patient encounters of 40,784. The patient encounters consisted of 9,429 pediatric encounters, 24,049 adult encounters, and 7,306 dental encounters. In addition, there were 9,201 medical encounters at the Upper Darby Center for Family Health and 9,451 medical and dental encounters in the Coatesville Service Area. ChesPenn provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. The amounts determined to be charity care are not reported as revenue. During the 2021 tax year, ChesPenn provided charity care of approximately $1,223,000 to patients. ChesPenn employees live our mission - demonstrating compassion, dedication and service; working as a team to provide our communities with high quality health care. ChesPenn's healthcare team is trained to respond to the health needs of residents of these communities. Our staff includes medical, dental, and behavioral health professionals, social service workers, community health educators, and other dedicated professionals. Mission ------- Our mission is to provide comprehensive primary and preventive care and social services to medically underserved families and individuals regardless of their ability to pay. We strive to meet the unique health needs of the communities we serve in linguistically and culturally competent ways. Vision ------ We envision thriving communities where every person has access to quality, affordable healthcare, and health disparities have been eliminated. Values ------ At ChesPenn, we strive for: - Compassion - Our first priority is the physical and emotional wellbeing of every person who interacts with ChesPenn. We strive to model compassion, bringing empathy and kindness to every facet of our interaction with co-workers, patients, and the larger communities we serve. - Teamwork - ChesPenn values every member of our team and aims to cultivate an environment of inclusion and open communication where all team members support one another in providing outstanding patient care. - Integrity - ChesPenn employees hold themselves accountable to the highest standards of honesty, transparency, and ethical conduct. - Quality - We are committed to pursuing the highest possible quality patient-centered and trauma-informed care through rigorous evaluation, continual innovation, and attention to patient and employee safety. - Inclusion - We embrace diversity and strive to make all feel welcome and comfortable in our organization. SERVICES ======== Medical Care ------------ ChesPenn offers a full range of quality primary health care services to children and adults as well as skilled prenatal care. Choosing a primary care provider (PCP) is your first step. Our primary care teams provide personalized, complete care for patients including: Adult Primary Care: - Routine physicals and health screenings - Diagnosis and treatment of illnesses, such as Hepatitis C - Management of chronic conditions such as asthma, diabetes and hypertension - Preventive care and cancer screening - STD/HIV testing and treatment, including PrEP - Immunizations, including COVID-19 vaccines - Care coordination - Integrated behavioral health Pediatric Primary Care: - Well child check ups - Newborn care - Routine physicals, including sports physicals - Diagnosis and management of illnesses such as asthma - Sick visits - Immunizations - Vision and hearing screening - Lead screening - Care coordination - Integrated behavioral health Women's Health: - Annual gynecology exams - Cancer screenings - Immunizations - Family planning services, including contraceptive management - Pregnancy testing - STD/HIV testing and treatment - Care coordination - Integrated behavioral health Prenatal Care: - Initial evaluation and regular supervision of pregnant patients - Prenatal health education - Post-partum follow-up - Care of high risk prenatal patients - Care coordination - Integrated behavioral health
CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSDental Care ----------- Healthy teeth and gums give you much more than a pretty smile. Good dental health is critical to your overall health. ChesPenn provides quality primary dental health services at our Centers for Family Health at Coatesville and Eastside. Dental services include: - Dental examinations and diagnostic x-rays - Education and nutritional guidance to help prevent cavities and gum disease - Cleanings - Sealant and fluoride varnish application - Fillings - Periodontal (gum disease) therapies - Partial and full dentures Behavioral Health Care ---------------------- ChesPenn offers behavioral health care to our current patients. Our Behavioral Health Consultants provide short term support for conditions including depression and anxiety and can help patients struggling to manage chronic disease. Patients with more severe diagnoses receive referrals to the appropriate services. Health Education Outreach ------------------------- ChesPenn staff provides medical and dental health education and screenings in locations across Chester and Delaware Counties. Social Services --------------- A patients' health is affected by their income level, ability to maintain stable housing, food security and a host of other economic and social factors. We provide supportive services that empower residents of the communities we serve to live healthier lives. - Information and Referral for issues such as housing, employment, food insecurity, domestic violence - Smoking Cessation one-on-one counseling - Health Education - PA Medicaid and PA Health Insurance Marketplace Enrollment Assistance COMMUNITY OUTREACH ================== The Eat Fresh Program (Coatesville patients) -------------------------------------------- In partnership with the Chester County Food Bank, this Coatesville initiative teaches patients how to make healthy food choices and provides fresh produce accompanied by great recipes each week to help prepare healthy meals for themselves and their families. Reach Out and Read (Delaware County Pediatric Patients) ------------------------------------------------------- Early language development is an important aspect of brain development. Encouraging parents to read to their children is an effective way to help children build language skills and promote more interaction between parents and small children. ChesPenn participates in the Reach Out and Read Program, which provides books to young children (6 months - 5 yrs.) during their well child visits with a pediatrician or family medicine provider. The McNeil Children's Library (Coatesville Pediatric Patients) -------------------------------------------------------------- We also host the McNeil Children's Library in the waiting room of the Coatesville office. Every child who visits the waiting room is encouraged to take home a new or like-new book.
CORE FORM, PART VI, SECTION B; QUESTION 11BThis organization's federal Form 990 was provided to each voting member of the organization's governing body, its board of directors, prior to filing with the Internal Revenue Service ("IRS"). As part of the organization's federal Form 990 tax return preparation process the system hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal Form 990. The CPA firm's tax professionals worked closely with the organization's finance personnel and various other individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal Form 990 and furnished it to the internal working group for review. The internal working group reviewed the draft federal Form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft federal Form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review and approval. Following this review, the Form 990 was then provided to the organization's Finance Committee and subsequently made available to each voting member of the organization's governing body prior to filing with the IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12The organization has a conflict of interest policy which it annually monitors and enforces. The policy mandates that all members of management and the Board of Directors annually sign a conflict of interest policy and disclose any potential or actual conflicts that may exist. All members of the board of directors and management must make full disclosure of any possible conflict of interest through the use of the conflict of interest disclosure form and refrain from voting or participating in decision-making involving any possible conflict of interest. The form is distributed to all board members and employees annually. Completed forms are returned to the President/CEO, who is responsible for monitoring and resolving any conflict of interest that may arise within the organization.
CORE FORM, PART VI, SECTION B; QUESTION 15Compensation at ChesPenn Health Services, Inc. takes into consideration the compensation paid for other similar positions in the marketplace as well as general performance of the employee and the current financial capacity of the organization. Each year the board of directors conducts a performance review of the organization's President/Chief Executive Officer ("CEO") and determines the CEO's salary. When establishing the CEO's salary, the board relies on two sources. The first source is an annual survey conducted by the National Association of Community Health Centers. The second source is the Federal Form 990 of other comparable community health centers in the region. Both sources of information are used by the organization's board to ensure that the CEO's compensation is consistent with local, state, and national benchmarks. The board's review and approval of the CEO's compensation is conducted on an annual basis and the process is documented in the board minutes. The CEO sets the compensation for certain other members of management, including, but not limited to, those reported on this organization's Form 990. The CEO reviews compensation for these individuals in accordance with job performance and current fair market value salary data.
CORE FORM, PART VI, SECTION C; QUESTION 19The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the Commonwealth of Pennsylvania. The organization's conflict of interest policy and questionnaire is available to the public upon request.
CORE FORM, PART XCertain reclassifications have been made to the beginning balance sheet to conform with the current year presentation. These reclassifications have no affect on the organization's net assets.
CORE FORM, PART XII; QUESTION 2An independent CPA firm audited the financial statements of ChesPenn Health Services, Inc. for the year ended June 30, 2022. The independent CPA firm issued an unmodified opinion with respect to the audited financial statements. ChesPenn's Finance Committee has assumed responsibility for the oversight of the audit of the financial statements and the selection of an independent auditor.
CORE FORM, PART XII; QUESTION 3This organization engaged an independent accounting firm to prepare and issue an audit under the Single Audit Act and OMB Circular A-133.
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:2637800

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