CHASE BREXTON HEALTH SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHASE BREXTON HEALTH SERVICES INC (EIN 52-1638592)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-03-09
- IRS object ID
- 202320689349301037
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-03-09T15:07:25-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 INTERNATIONAL DRIVE SUITE 1400 | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521638592 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASE BREXTON HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAS | BusinessNameControlTxt |
| Phone | 4108372050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC TURNBAUGH | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 4108372050 | PhoneNum |
| Signature | 2023-01-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ERIC | PersonFirstNm |
| Person Last | TURNBAUGH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIA FLANNERY | PreparerPersonNm |
| PTIN | P00928918 | PTIN |
| Phone | 4102469300 | PhoneNum |
| Preparation | 2023-01-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK MUTCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $143,646,560 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHASEBREXTON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPASSIONATE AND INTEGRATED HIGH QUALITY HEALTH CARE THAT HONORS DIVERSITY, ADDRESSES HEALTH INEQUITIES, AND ADVANCES WELLNESS IN THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 575 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,299,887 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,648,385 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $127,458,582 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $125,491,378 | CYProgramServiceRevenueAmt |
| PY Investment Income | $517,951 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,381,735 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$22,494 | PYOtherRevenueAmt |
| CY Other Revenue | -$8,599 | CYOtherRevenueAmt |
| PY Total Revenue | $148,253,926 | PYTotalRevenueAmt |
| CY Total Revenue | $143,512,899 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $794,280 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $829,893 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $42,993,601 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $47,332,829 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $523,775 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $78,682,679 | PYOtherExpensesAmt |
| CY Other Expenses | $77,720,332 | CYOtherExpensesAmt |
| PY Total Expenses | $122,470,560 | PYTotalExpensesAmt |
| CY Total Expenses | $125,883,054 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $25,783,366 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,629,845 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $87,054,195 | TotalAssetsBOYAmt |
| Total Assets EOY | $95,183,718 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,297,491 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,806,274 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $76,756,704 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $84,377,444 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE COMPASSIONATE AND INTEGRATED HIGH QUALITY HEALTH CARE THAT HONORS DIVERSITY, ADDRESSES HEALTH INEQUITIES, AND ADVANCES WELLNESS IN THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $62,064,600 | ExpenseAmt |
| Revenue | $92,727,946 | RevenueAmt |
| Desc | PHARMACY - OFFERING A COMPLETE RANGE OF PRESCRIPTION MEDICATIONS, THE CHASE BREXTON PHARMACY PROVIDES CARE TO ALL CHASE BREXTON PATIENTS. THE CHASE BREXTON PHARMACY STAFF SPECIALIZES IN COMPLEX, CHRONIC ILLNESS MEDICATIONS AND TREATMENT PLANS AND PROVIDES INSIGHT AND EDUCATION TO ALL PATIENTS. ADDITIONALLY, BECAUSE NEARLY 10% OF OUR PATIENTS ARE HIV+, OUR PHARMACY PROVIDES A PARTICULAR FOCUS ON HIV-RELATED SUPPORT AND MEDICATIONS. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $30,949,549 | ExpenseAmt |
| Grant | $829,893 | GrantAmt |
| Revenue | $18,878,721 | RevenueAmt |
| Desc | MEDICAL - CHASE BREXTON'S BOARD CERTIFIED PRIMARY CARE PROVIDERS SERVED PATIENTS WITH AN EMPHASIS ON PROVIDING PATIENT-CENTERED CARE TO PEOPLE ACROSS THEIR LIFESPAN. CHASE BREXTON MAKES IT A PRIORITY TO PROVIDE EQUITY OF CARE TO UNDER-SERVED POPULATIONS. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,314,797 | ExpenseAmt |
| Revenue | $9,587,641 | RevenueAmt |
| Desc | MENTAL HEALTH - CHASE BREXTON'S DIVERSE BEHAVIORAL HEALTH SERVICES AND PROGRAMS FOCUS ON A WHOLE-PERSON PHILOSOPHY OF CARE TO HELP PATIENTS MANAGE ALL ASPECTS OF THEIR WELL-BEING, SO THEY CAN THRIVE. MENTAL HEALTH SERVICES PROVIDED BY CHASE BREXTON INCLUDE INDIVIDUAL THERAPY, COUPLES THERAPY, GROUP THERAPY, PSYCHIATRY, MEDICATION MANAGEMENT, ADDICTIONS COUNSELING, ADDICTIONS INTENSIVE OUTPATIENT PROGRAM, SMOKING CESSATION CLASSES, AND CLASSES TO CONTRIBUTE TO OUR PATIENTS' HAPPINESS AND HEALTH. OUR SERVICES ARE LGBTQ-AFFIRMING AND SENSITIVE TO THE PSYCHOLOGICAL ASPECTS OF HIV/AIDS. TREATMENT OPTIONS ARE DETERMINED BY THE INDIVIDUAL'S NEEDS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,881,469 | ExpenseAmt |
| Revenue | $4,297,070 | RevenueAmt |
| Desc | OTHER PROGRAMS:SOCIAL WORK - SOCIAL WORKERS HELP PEOPLE HELP THEMSELVES, INCLUDING PEOPLE OF EVERY AGE, GENDER, GENDER IDENTITY, RELIGION, CULTURE, RACE, SEXUAL ORIENTATION, SOCIOECONOMIC STATUS OR COUNTRY OF ORIGIN. CASE MANAGEMENT IS A SUPPORT SYSTEM FOR ANYONE IN NEED OF NEARLY ANY TYPE OF SUPPORT TO MAKE THEIR QUALITY OF LIFE BETTER. CHASE BREXTON'S SOCIAL WORK DEPARTMENT ADHERES TO AND BASES ITS PROVISION OF SERVICES UPON THE PRINCIPLES AND VALUES ESTABLISHED BY THE NATIONAL ASSOCIATION OF SOCIAL WORKERS CODE OF ETHICS.DENTAL SERVICES - CHASE BREXTON'S DENTISTS AND DENTAL HYGIENISTS CAN HELP IMPROVE A PATIENT'S SMILE AND GET CHILDREN STARTED FOR A LIFETIME OF HEALTHY TEETH. THE DENTAL PROGRAM PROVIDES PREVENTATIVE CARE FOR CHILDREN AND ADULTS, RESTORATIVE CARE, REPLACEMENT CARE, EMERGENCY CARE, ROUTINE ORAL SURGICAL AND ENDODONTIC TREATMENTS AND COSMETIC AND ELECTIVE CARE.OB/GYN - CHASE BREXTON'S OB/GYN TEAM PROVIDES MEDICAL CARE TO PATIENTS FROM PUBERTY THROUGH MENOPAUSE AND BEYOND. ADULT AND ADOLESCENT GYNECOLOGY SERVICES INCLUDE ROUTINE PREVENTIVE CARE, PRE-CONCEPTION COUNSELING, INFERTILITY COUNSELING, PREGNANCY TESTING, GYNECOLOGICAL CARE INCLUDING ADVANCED LAPAROSCOPY, ENDOCRINOLOGY, MENOPAUSE CARE, STD COUNSELING AND OBSTETRICS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $5,881,469 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $4,297,070 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $104,210,415 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 575 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERIC TURNBAUGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4108372050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 NORTH CHARLES STREET | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JUAN NEGRIN | |||||||||
| PRESIDENT | 6.00 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL MONTGOMERY | |||||||||
| TREAS-END 12/21, VP-BEG 1/22 | 6.00 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SANJEEV DEV | |||||||||
| DIR-END 12/21, TREAS-BEG 1/22 | 6.00 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KAYE GOOCH | |||||||||
| DIR-END 12/21, SEC-BEG 1/22 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PAULA TEAGUE | |||||||||
| SECRETARY-END 12/21 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| KATHY WARD | |||||||||
| VICE PRESIDENT-END 12/21 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL V FULLER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| RAHUL GOR | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR DAMIAN CRAWFORD | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| FT BURDEN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JULIA KRIEGER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH FERLISE | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAYSIA PHILLIPS | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JESSICA OBAYAN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| OSCAR FRANKLIN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| LOIS ANDERSON | |||||||||
| DIRECTOR-BEG 5/22 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| NEIJMA CELESTINE DONNAR | |||||||||
| DIRECTOR-BEG 5/22 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| CRYSTAL SIMPSON | |||||||||
| DIRECTOR-END 12/21 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICK MUTCH | |||||||||
| CEO | 40.00 | 1.00 | Yes (X) | $348,090 | $0 | $86,990 | |||
| ERIC TURNBAUGH | |||||||||
| CFO | 40.00 | 1.00 | Yes (X) | $300,403 | $0 | $32,822 | |||
| AJAYE POPE | |||||||||
| COO | 40.00 | $222,116 | $0 | $20,096 | Yes (X) | ||||
| SEBASTIAN RUHS | |||||||||
| CMO | 40.00 | $333,306 | $0 | $21,305 | Yes (X) | ||||
| MAHRO ERSHADI | |||||||||
| VP, PHARMACY, STRATEGY & BUS DEV | 40.00 | $307,209 | $0 | $4,378 | Yes (X) | ||||
| SHARON BISCO | |||||||||
| DIRECTOR, PSYCHIATRY | 40.00 | $257,630 | $0 | $17,586 | Yes (X) | ||||
| FRIBA FAQEERI | |||||||||
| SITE MEDICAL DIRECTOR | 40.00 | $244,013 | $0 | $14,122 | Yes (X) | ||||
| BILLY WOODWARD | |||||||||
| DIRECTOR, DENTAL SERVICES | 40.00 | $221,399 | $0 | $21,581 | Yes (X) | ||||
| TERRANCE LOVELL | |||||||||
| VP, HUMAN RESOURCES | 40.00 | $214,059 | $0 | $27,250 | Yes (X) | ||||
| IHUOMA EMENUGA | |||||||||
| SITE MEDICAL DIRECTOR (THRU 2/2/22) | 40.00 | $205,703 | $0 | $24,983 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,653,928 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $271,113 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUADRANT INCORPORATED | |||||
| 1881 CAMPUS COMMONS DRIVE SUITE 30 | RESTON | VA | 20191 | TEMPORARY PERSONNEL | $1,714,352 |
| VISUALUTIONS | |||||
| 7440 MINTWOOD LANE | SPRING | TX | 77379 | REVENUE CYCLE FEES | $1,507,030 |
| VVC HOLDING CORP | |||||
| PO BOX 840952 | DALLAS | TX | 75284 | EMR HOSTING AND LICENSING | $1,183,069 |
| RX BENEFITS | |||||
| PO BOX 896503 | CHARLOTTE | NC | 28289 | PHARMACY BENEFIT ADMINISTRATOR | $894,171 |
| AEROTEK INC | |||||
| 3689 COLLECTION CTR DR | CHICAGO | IL | 60693 | TEMPORARY PERSONNEL | $829,713 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 36 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $264,280 | FundraisingAmt |
| Government Grants | $13,699,054 | GovernmentGrantsAmt |
| All Other Contributions | $2,685,051 | AllOtherContributionsAmt |
| Total Contributions | $16,648,385 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE RE | 624100 | $122,550,988 | $122,550,988 |
| PATIENT RELATED SERVIC | 624100 | $2,879,363 | $2,879,363 |
| OTHER REVENUE | 624100 | $61,027 | $61,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $125,491,378 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,381,735 | TotalRevenueColumnAmt |
| Exclusion | $1,381,735 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,750 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $48,750 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,750 | TotalRevenueColumnAmt |
| Exclusion | $48,750 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $76,312 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $264,280 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $133,661 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$57,349 | TotalRevenueColumnAmt |
| Exclusion | -$57,349 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,512,899 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $125,491,378 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,373,136 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $829,893 | TotalAmt |
| Program Services | $829,893 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,888 | TotalAmt |
| Program Services | $305,089 | ProgramServicesAmt |
| Management And General | $1,401,799 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,061,962 | TotalAmt |
| Program Services | $32,881,152 | ProgramServicesAmt |
| Management And General | $5,895,107 | ManagementAndGeneralAmt |
| Fundraising | $285,703 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,315 | TotalAmt |
| Program Services | $478,005 | ProgramServicesAmt |
| Management And General | $129,222 | ManagementAndGeneralAmt |
| Fundraising | $10,088 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,243,432 | TotalAmt |
| Program Services | $2,613,441 | ProgramServicesAmt |
| Management And General | $606,191 | ManagementAndGeneralAmt |
| Fundraising | $23,800 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,703,232 | TotalAmt |
| Program Services | $2,194,455 | ProgramServicesAmt |
| Management And General | $487,345 | ManagementAndGeneralAmt |
| Fundraising | $21,432 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,319 | TotalAmt |
| Management And General | $64,319 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,705 | TotalAmt |
| Management And General | $93,705 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,952,253 | TotalAmt |
| Program Services | $1,739,340 | ProgramServicesAmt |
| Management And General | $2,212,913 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,031 | TotalAmt |
| Program Services | $8,492 | ProgramServicesAmt |
| Management And General | $523,227 | ManagementAndGeneralAmt |
| Fundraising | $4,312 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,398,633 | TotalAmt |
| Program Services | $275,526 | ProgramServicesAmt |
| Management And General | $1,962,250 | ManagementAndGeneralAmt |
| Fundraising | $160,857 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500,729 | TotalAmt |
| Program Services | $544,102 | ProgramServicesAmt |
| Management And General | $1,943,084 | ManagementAndGeneralAmt |
| Fundraising | $13,543 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,010,872 | TotalAmt |
| Program Services | $6,756 | ProgramServicesAmt |
| Management And General | $4,004,116 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,716 | TotalAmt |
| Program Services | $18,145 | ProgramServicesAmt |
| Management And General | $9,571 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,202 | TotalAmt |
| Program Services | $13,347 | ProgramServicesAmt |
| Management And General | $34,855 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,529 | TotalAmt |
| Management And General | $4,529 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,297,270 | TotalAmt |
| Program Services | $526,781 | ProgramServicesAmt |
| Management And General | $770,489 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,606 | TotalAmt |
| Management And General | $266,606 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $58,575,571 | $58,575,571 | |
| BAD DEBT | $2,958,716 | $2,958,716 | |
| RECRUITING & RETENTION | $645,245 | $645,245 | |
| LICENSES, DUES, SUBSCRI | $152,842 | $73,837 | $79,005 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,093 | TotalAmt |
| Program Services | $167,767 | ProgramServicesAmt |
| Management And General | $15,286 | ManagementAndGeneralAmt |
| Fundraising | $4,040 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,883,054 | TotalAmt |
| Program Services | $104,210,415 | ProgramServicesAmt |
| Management And General | $21,148,864 | ManagementAndGeneralAmt |
| Fundraising | $523,775 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,164,169 | BOYAmt |
| EOY | $7,649,210 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,048,458 | BOYAmt |
| EOY | $4,019,981 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,217,208 | BOYAmt |
| EOY | $2,484,877 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,710,817 | BOYAmt |
| EOY | $8,190,511 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,890,002 | BOYAmt |
| EOY | $1,867,293 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,123,456 | BOYAmt |
| EOY | $2,113,883 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,013,373 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,026,255 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,010,846 | BOYAmt |
| EOY | $6,987,118 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,844,604 | BOYAmt |
| EOY | $26,179,362 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,567,518 | BOYAmt |
| EOY | $35,204,002 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $477,117 | BOYAmt |
| EOY | $487,481 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,054,195 | BOYAmt |
| EOY | $95,183,718 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,261,424 | BOYAmt |
| EOY | $8,166,419 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,333 | BOYAmt |
| EOY | $144,390 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,284 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,693,450 | BOYAmt |
| EOY | $2,495,465 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,297,491 | BOYAmt |
| EOY | $10,806,274 | 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 | $75,612,255 | BOYAmt |
| EOY | $83,542,872 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,144,449 | BOYAmt |
| EOY | $834,572 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,756,704 | BOYAmt |
| EOY | $84,377,444 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,054,195 | BOYAmt |
| EOY | $95,183,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $17,629,845 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,009,105 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,591,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,451,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,800,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,299,887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,648,385 | CurrentTaxYearAmt |
| Total | $66,792,663 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,591,921 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,451,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,800,851 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,299,887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,648,385 | CurrentTaxYearAmt |
| Total | $66,792,663 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $66,792,663 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $808,479 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,359,841 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $877,940 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $517,951 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,430,485 | CurrentTaxYearAmt |
| Total | $4,994,696 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $71,787,359 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $522,646,550 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.93040 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93740 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,562,458 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,913,718 | DepreciationAmt |
| Book Value | $3,648,740 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,594,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,112,537 | DepreciationAmt |
| Book Value | $2,482,295 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $856,083 | OtherCostOrOtherBasisAmt |
| Book Value | $856,083 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,987,118 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (8 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| ISHARES CORE S&P 500 ETF | $13,822,099 | F |
| ISHARES TR ESG AWR MSCI USA | $9,731,228 | F |
| ISHARES TR CORE TOTAL USD | $6,779,147 | F |
| ISHARES TR EAFE VALUE ETF | $4,865,681 | F |
| INVESTMENT - PRIORITY PARTNERS | $100 | C |
| INVESTMENT - MCHS, INC | $100 | C |
| INVESTMENT - BALTIMORE COMMUNITY FOUNDATION | $5,294 | F |
| INVESTMENT - MD PRIMARY CARE NETWORK | $353 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $35,204,002 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTY | $336,327 |
| ESTIMATED SELF-INSURANCE COSTS | $328,989 |
| DEFERRED RENT | $1,598,526 |
| DEFERRED COMPENSATION | $231,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,495,465 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $133,665,815 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$10,009,105 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $28,360 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$9,980,745 | RevenueNotReportedAmt |
| Revenue Subtotal | $143,646,560 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$133,661 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$133,661 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $143,512,899 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $128,541,212 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $28,360 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $2,629,798 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,658,158 | ExpensesNotReportedAmt |
| Expenses Subtotal | $125,883,054 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $125,883,054 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHASE BREXTON REALTY, INC. REVENUE 155,000. ELIMINATION ENTRY -155,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -133,661. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHASE BREXTON REALTY, INC. EXPENSES 2,651,137. ELIMINATION ENTRY -155,000. FUNDRAISING EXPENSES 133,661. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $340,592 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $264,280 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $76,312 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $18,016 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $32,525 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $36,247 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $18,134 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $28,739 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $340,592 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $264,280 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $76,312 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $18,016 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $32,525 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $36,247 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $18,134 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $28,739 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $133,661 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$57,349 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| TRANSPORTATION ASSISTANCE | 13408 | $46,929 |
| NUTRITIONAL ASSISTANCE | 3542 | $177,111 |
| UTILITY ASSISTANCE | 36 | $27,130 |
| COMMUNICATION ASSISTANCE | 24928 | $448,697 |
| HOUSING ASSISTANCE | 73 | $76,510 |
| EYE CARE ASSISTANCE | 29 | $8,277 |
| MISCELLANEOUS ASSISTANCE | 405 | $45,239 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION SELECTS GRANT RECIPIENTS BASED ON IMMEDIATE NEED. FUNDS ARE USED IMMEDIATELY BY THE RECIPIENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK MUTCH | ||||||||||||||
| CEO | $327,467 | $0 | $19,861 | $0 | $762 | $0 | $64,416 | $0 | $22,574 | $0 | $435,080 | $0 | $0 | $0 |
| SEBASTIAN RUHS | ||||||||||||||
| CMO | $302,994 | $0 | $30,250 | $0 | $62 | $0 | $9,942 | $0 | $11,363 | $0 | $354,611 | $0 | $0 | $0 |
| ERIC TURNBAUGH | ||||||||||||||
| CFO | $272,450 | $0 | $27,810 | $0 | $143 | $0 | $3,856 | $0 | $28,966 | $0 | $333,225 | $0 | $0 | $0 |
| MAHRO ERSHADI | ||||||||||||||
| VP, PHARMACY, STRATEGY & BUS DEV | $235,303 | $0 | $71,638 | $0 | $268 | $0 | $471 | $0 | $3,907 | $0 | $311,587 | $0 | $0 | $0 |
| SHARON BISCO | ||||||||||||||
| DIRECTOR, PSYCHIATRY | $256,234 | $0 | $1,000 | $0 | $396 | $0 | $4,952 | $0 | $12,634 | $0 | $275,216 | $0 | $0 | $0 |
| FRIBA FAQEERI | ||||||||||||||
| SITE MEDICAL DIRECTOR | $242,953 | $0 | $1,000 | $0 | $60 | $0 | $12,187 | $0 | $1,935 | $0 | $258,135 | $0 | $0 | $0 |
| BILLY WOODWARD | ||||||||||||||
| DIRECTOR, DENTAL SERVICES | $220,141 | $0 | $1,000 | $0 | $258 | $0 | $0 | $0 | $21,581 | $0 | $242,980 | $0 | $0 | $0 |
| AJAYE POPE | ||||||||||||||
| COO | $201,060 | $0 | $21,000 | $0 | $56 | $0 | $10,127 | $0 | $9,969 | $0 | $242,212 | $0 | $0 | $0 |
| TERRANCE LOVELL | ||||||||||||||
| VP, HUMAN RESOURCES | $195,226 | $0 | $18,540 | $0 | $293 | $0 | $0 | $0 | $27,250 | $0 | $241,309 | $0 | $0 | $0 |
| IHUOMA EMENUGA | ||||||||||||||
| SITE MEDICAL DIRECTOR (THRU 2/2/22) | $204,765 | $0 | $800 | $0 | $138 | $0 | $4,942 | $0 | $20,041 | $0 | $230,686 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | PATRICK MUTCH, CEO WAS THE ONLY EMPLOYEE ELIGIBLE TO PARTICIPATE IN THE 457(F) SERP. THE PARTICIPANT BECOMES VESTED IN EACH ANNUAL EMPLOYER CONTRIBUTION CREDITED TO HIS ACCOUNT (INCLUDING DEEMED EARNINGS AND LOSSES ALLOCABLE TO THE CONTRIBUTION) ON JANUARY 1, 2023. THE ORGANIZATION CONTRIBUTED $50,058 TO PATRICK MUTCH'S 457(F) PLAN DURING THE YEAR WHICH HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN C AS CURRENT YEAR DEFERRED COMPENSATION. |
| PART I, LINE 7 | NON-FIXED PAYMENTS: EMPLOYEE BONUSES ARE DETERMINED BASED ON MEASUREMENTS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS. THESE MEASURES MAY INCLUDE, BUT ARE NOT LIMITED TO, STRATEGIC PLAN TARGETS AND QUALITY MEASURES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | PHARMACY SERVICES: DUE TO THE COMPLEX NATURE OF HIV TREATMENT, EVERY HIV PATIENT IS PROVIDED CARE THROUGH OUR INTENSIVE EDUCATION AND COMPREHENSIVE SUPPORT PROGRAM, MEDICATION SUPPORT TEAM (MST). THIS TEAM, WHICH HAS RECENTLY EXPANDED TO ALSO WORK WITH OTHER CHRONICALLY ILL PATIENTS, HELPS PATIENTS TO BETTER UNDERSTAND, MANAGE, AND COPE WITH THEIR MEDICATIONS AND DISEASES. CHASE BREXTON ALSO OFFERS HOME DELIVERY OF MEDICATIONS TO THOSE IN NEED. |
| FORM 990, PART III, LINE 4B: | MEDICAL SERVICES: WE PROVIDE CARE TO PATIENTS OF ALL AGES, RACES, GENDERS, GENDER IDENTITIES, RELIGIONS, SEXUAL ORIENTATIONS, ETHNICITIES, AND SOCIOECONOMIC STATUSES. BECAUSE OF OUR SPECIAL EMPHASIS ON AFFIRMING, OPEN CARE, WE HAVE FOUND THAT MORE THAN 20% OF OUR PATIENTS IDENTIFY AS LESBIAN, GAY, BISEXUAL, OR TRANSGENDER. WE ALSO STAFF BOARD CERTIFIED INFECTIOUS DISEASE PHYSICIANS TO CARE FOR THOSE WITH HIV, HEPATITIS C, AND OTHER INFECTIOUS DISEASES THAT HAVE TAKEN HOLD IN OUR COMMUNITIES. ADDITIONALLY, OUR ABILITY TO PROVIDE CARE FOR ALL IS OF PARTICULAR IMPORTANCE AS THE NUMBER OF UNINSURED WE SERVE HAS STEADILY RISEN IN THE PAST YEARS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED BY SENIOR LEADERSHIP AND THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS THE ORGANIZATION'S DIRECTORS, OFFICERS AND ANY OTHER INDIVIDUALS ASSOCIATED WITH THE ORGANIZATION. PER THE POLICY, NO INTERESTED PERSON SHALL PARTICIPATE IN THE ORGANIZATION'S SELECTION, AWARD OR ADMINISTRATION OF ANY CONTRACT OR GRANT, PAID IN WHOLE OR IN PART WITH FEDERAL FUNDS, IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. REQUIREMENTS SURROUNDING FQHC'S STIPULATE THAT BOARD MEMBERS ARE INDEPENDENT AND HAVE NO CONFLICTS OF INTEREST. POTENTIAL BOARD MEMBERS ARE INTERVIEWED AS TO WHETHER ANY CONFLICTS EXIST AND ELECTED MEMBERS ARE REQUIRED TO CERTIFY. REVIEW IS PERFORMED BY MANAGEMENT ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPANY HAS AN EXECUTIVE COMPENSATION COMMITTEE WHICH REVIEWS THE SALARIES AND BENEFITS FOR ALL OFFICERS ON AN ANNUAL BASIS USING COMPARABILITY DATA. MINUTES AND MEMOS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASE BREXTON REALTY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 N CHARLES ST | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461116883 | EIN |
| Primary Activities | R/E HOLDING | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASE BREXTON HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHASE BREXTON REALTY INC | ||
| K | $155,000 | FMV |
| CHASE BREXTON REALTY INC | ||
| E | $155,000 | FMV |
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