LAKELAND IMMEDIATE CARE CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LAKELAND IMMEDIATE CARE CENTER (EIN 38-3082107)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-07-31
- IRS object ID
- 202332129349300718
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-07-31T10:33:32-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 710 E MILHAM AVE | AddressLine1Txt |
| City | KALAMAZOO | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 490021494 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383082107 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAKELAND IMMEDIATE CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAKE | BusinessNameControlTxt |
| Phone | 2694453874 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY MIDDLETON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2694453874 | PhoneNum |
| Signature | 2023-07-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARY | PersonFirstNm |
| Person Last | MIDDLETON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 2693297007 | PhoneNum |
| Preparation | 2023-07-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASSOPOLIS FAMILY CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY MIDDLETON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $30,068,146 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CASSFAMILYCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE NECESSARY, COMPASSIONATE HEALTHCARE TO PEOPLE IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 162 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,219,018 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,156,286 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,399,027 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,041,116 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$92,345 | PYInvestmentIncomeAmt |
| CY Investment Income | -$80,244 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,462,969 | PYOtherRevenueAmt |
| CY Other Revenue | $4,697,940 | CYOtherRevenueAmt |
| PY Total Revenue | $17,988,669 | PYTotalRevenueAmt |
| CY Total Revenue | $20,815,098 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,925,457 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,007,354 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $291 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,640,368 | PYOtherExpensesAmt |
| CY Other Expenses | $5,199,339 | CYOtherExpensesAmt |
| PY Total Expenses | $15,565,825 | PYTotalExpensesAmt |
| CY Total Expenses | $17,206,693 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,422,844 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,608,405 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,798,669 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,560,707 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,968,381 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,939,266 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,830,288 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,621,441 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO PROVIDE NECESSARY, COMPASSIONATE HEALTHCARE TO PEOPLE IN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,805,859 | ExpenseAmt |
| Revenue | $12,041,116 | RevenueAmt |
| Desc | CASSOPOLIS FAMILY CLINIC PROVIDES MEDICAL SERVICES TO LOW INCOME PATIENTS FROM CASS AND SOUTHWEST BERRIEN COUNTIES. WE PROVIDE PREVENTIVE AND PRIMARY CARE, INCLUDING OBSTETRICS, DENTAL AND BEHAVIORAL HEALTH. | Desc |
| Total Program Service Expenses | $13,805,859 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 162 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MEREDITH KUJAWA | PersonNm |
| Phone | 2694453874 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 261 M-62 | AddressLine1Txt |
| City | CASSOPOLIS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49031 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TRACY HERTSEL | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE BROSSMAN | |||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARSHA ELLIS | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA M GREEN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOYCE BAILEY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RAY CRUSE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEON GILLIAM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ADRIENNE GLOVER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DELORES MCNEARY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA PATANO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NEIL R SEE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCELLA TAYLOR | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA HANNON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DWAINE WARREN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN ZAKHARY | |||||||
| PHYSICIAN | 40.00 | $261,389 | $0 | $18,522 | Yes (X) | ||
| MATTHEW PAZDERKA | |||||||
| PHYSICIAN | 40.00 | $293,149 | $0 | $29,691 | Yes (X) | ||
| HARRIS SHAIKH | |||||||
| PHYSICIAN | 40.00 | $256,970 | $0 | $28,199 | Yes (X) | ||
| ALEXANDER SCHNEIDER | |||||||
| PHYSICIAN | 40.00 | $251,320 | $0 | $28,182 | Yes (X) | ||
| ELIZABETH WETZEL | |||||||
| PHYSICIAN | 40.00 | $257,676 | $0 | $20,060 | Yes (X) | ||
| MARY MIDDLETON | |||||||
| CEO | 40.00 | Yes (X) | $299,349 | $0 | $23,777 | ||
| MEREDITH KUJAWA | |||||||
| CFO | 40.00 | Yes (X) | $128,585 | $0 | $13,638 | ||
| TAMMY HOWARD | |||||||
| COO | 40.00 | Yes (X) | $184,976 | $0 | $13,655 | ||
| KYLEIGH KRAMB | |||||||
| CFO | 40.00 | Yes (X) | $110,940 | $0 | $5,430 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,044,354 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $181,154 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| FREDERICK CONSTRUCTION INC | ||||||
| 120 E PRAIRIE ST | VICKSBURG | MI | 49097 | CONSTRUCTION | $1,236,047 | |
| LAKELAND MEDICAL PRACTICES | ||||||
| 3950 HOLLYWOOD ROAD | ST JOSEPH | MI | 49085 | OB DOCTORS | $747,261 | SUITE 100 |
| MAPLETRONICS COMPUTERS | ||||||
| PO BOX 136 | GOSHEN | IN | 46527 | IT SERVICES | $409,643 | |
| WILLIAMS A-1 EXPERT TREE SERVICE | ||||||
| 57710 M-51 SOUTH | DOWAGIAC | MI | 49047 | LANDSCAPING | $130,928 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,076,355 | GovernmentGrantsAmt |
| All Other Contributions | $79,931 | AllOtherContributionsAmt |
| Noncash Contributions | $160,214 | NoncashContributionsAmt |
| Total Contributions | $4,156,286 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $10,667,148 | $10,667,148 |
| 340B REBATE | 900099 | $781,120 | $781,120 |
| INCENTIVE PROGRAM | 621110 | $357,866 | $357,866 |
| OTHER | 621300 | $169,982 | $169,982 |
| CASS COUNT MCF | 900099 | $65,000 | $65,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,041,116 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,508 | TotalRevenueColumnAmt |
| Exclusion | $53,508 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,371,101 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,504,853 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$133,752 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$133,752 | TotalRevenueColumnAmt |
| Exclusion | -$133,752 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $8,446,135 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,748,195 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,697,940 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,697,940 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,815,098 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,739,056 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$80,244 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,350 | TotalAmt |
| Management And General | $780,350 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,021,326 | TotalAmt |
| Program Services | $8,038,830 | ProgramServicesAmt |
| Management And General | $982,496 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,368 | TotalAmt |
| Program Services | $229,234 | ProgramServicesAmt |
| Management And General | $33,134 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,290,792 | TotalAmt |
| Program Services | $1,061,751 | ProgramServicesAmt |
| Management And General | $229,041 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $652,518 | TotalAmt |
| Program Services | $542,546 | ProgramServicesAmt |
| Management And General | $109,972 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,715 | TotalAmt |
| Program Services | $43,892 | ProgramServicesAmt |
| Management And General | $41,823 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,065 | TotalAmt |
| Management And General | $52,065 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,468 | TotalAmt |
| Program Services | $862,962 | ProgramServicesAmt |
| Management And General | $33,506 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $904,875 | TotalAmt |
| Program Services | $739,624 | ProgramServicesAmt |
| Management And General | $164,960 | ManagementAndGeneralAmt |
| Fundraising | $291 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $466,977 | TotalAmt |
| Program Services | $245,640 | ProgramServicesAmt |
| Management And General | $221,337 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,830 | TotalAmt |
| Program Services | $93,474 | ProgramServicesAmt |
| Management And General | $36,356 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,581 | TotalAmt |
| Program Services | $25,430 | ProgramServicesAmt |
| Management And General | $57,151 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,039 | TotalAmt |
| Management And General | $288,039 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $793,187 | TotalAmt |
| Program Services | $606,062 | ProgramServicesAmt |
| Management And General | $187,125 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,608 | TotalAmt |
| Program Services | $44,244 | ProgramServicesAmt |
| Management And General | $23,364 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $964,977 | $964,977 | |
| REPAIRS AND MAINTENANCE | $189,841 | $131,217 | $58,624 |
| RECRUITING | $103,484 | $38,244 | $65,240 |
| OUTREACH | $99,088 | $99,088 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,604 | TotalAmt |
| Program Services | $38,644 | ProgramServicesAmt |
| Management And General | $35,960 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,206,693 | TotalAmt |
| Program Services | $13,805,859 | ProgramServicesAmt |
| Management And General | $3,400,543 | ManagementAndGeneralAmt |
| Fundraising | $291 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,632,908 | BOYAmt |
| EOY | $3,761,040 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,759,700 | BOYAmt |
| EOY | $2,650,889 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,462 | BOYAmt |
| EOY | $19,546 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,856 | BOYAmt |
| EOY | $1,437,649 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $716,445 | BOYAmt |
| EOY | $380,524 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,042 | BOYAmt |
| EOY | $222,608 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,114,374 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,503,354 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,078,280 | BOYAmt |
| EOY | $16,611,020 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $82,135 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,397,976 | BOYAmt |
| EOY | $6,395,296 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,798,669 | BOYAmt |
| EOY | $31,560,707 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200,709 | BOYAmt |
| EOY | $1,303,766 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,733,100 | BOYAmt |
| EOY | $5,635,500 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,034,572 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,968,381 | BOYAmt |
| EOY | $6,939,266 | 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 | $19,798,826 | BOYAmt |
| EOY | $24,601,895 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,462 | BOYAmt |
| EOY | $19,546 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,830,288 | BOYAmt |
| EOY | $24,621,441 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,798,669 | BOYAmt |
| EOY | $31,560,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,608,405 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,182,748 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,500,585 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,187,975 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,993,236 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,219,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,156,286 | CurrentTaxYearAmt |
| Total | $17,057,101 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,349,913 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,904,124 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,637,515 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,890,734 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,487,251 | CurrentTaxYearAmt |
| Total | $70,269,537 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,850,498 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,092,099 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,630,751 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,109,753 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,643,537 | CurrentTaxYearAmt |
| Total | $87,326,638 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,213 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,587 | CurrentTaxYearMinus3YearsAmt |
| Total | $37,800 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,213 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,587 | CurrentTaxYearMinus3YearsAmt |
| Total | $37,800 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $87,288,838 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,854 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $67,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$80,244 | CurrentTaxYearAmt |
| Total | $193,928 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $51,726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $78,854 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $67,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$80,244 | CurrentTaxYearAmt |
| Total | $193,928 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,902,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,170,953 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,706,898 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,177,198 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,563,293 | CurrentTaxYearAmt |
| Total | $87,520,566 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99740 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96650 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $183,710 | OtherCostOrOtherBasisAmt |
| Book Value | $183,710 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,580,431 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,522,224 | DepreciationAmt |
| Book Value | $13,058,207 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,540,330 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,981,130 | DepreciationAmt |
| Book Value | $1,559,200 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,809,903 | OtherCostOrOtherBasisAmt |
| Book Value | $1,809,903 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,611,020 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS LIMITED AS TO USE - OTHER | $5,546,094 |
| THIRD PARTY COST SETTLEMENTS | $849,202 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,395,296 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $25,746,041 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,182,748 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,748,195 | OtherRevenueAmt |
| Revenue Not Reported | $4,930,943 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,815,098 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $20,815,098 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,954,888 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,748,195 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,748,195 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,206,693 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,206,693 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | COGS 3,748,195 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | COGS 3,748,195 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| JOHN ZAKHARY | |||||
| PHYSICIAN | $245,989 | $15,400 | $10,258 | $8,264 | $279,911 |
| MATTHEW PAZDERKA | |||||
| PHYSICIAN | $274,749 | $18,400 | $9,829 | $19,862 | $322,840 |
| HARRIS SHAIKH | |||||
| PHYSICIAN | $237,133 | $19,837 | $10,032 | $18,167 | $285,169 |
| ALEXANDER SCHNEIDER | |||||
| PHYSICIAN | $237,570 | $13,750 | $10,007 | $18,175 | $279,502 |
| ELIZABETH WETZEL | |||||
| PHYSICIAN | $242,276 | $15,400 | $10,307 | $9,753 | $277,736 |
| MARY MIDDLETON | |||||
| CEO | $265,349 | $34,000 | $11,296 | $12,481 | $323,126 |
| TAMMY HOWARD | |||||
| COO | $166,226 | $18,750 | $4,518 | $9,137 | $198,631 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $160,214 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 MUST BE APPROVED BY THE BOARD PRIOR TO FILING |
| FORM 990, PAGE 6, PART VI, LINE 12C | CASSOPOLIS FAMILY CLINIC PROVIDES THE FORMS FROM THE PREVIOUS YEAR AT THE BOARD OF DIRECTORS MEETING. THEY INQUIRE IF THERE ARE UPDATES AND DISCUSS ANY CHANGES OR ISSUES OF CONCERN. BOARD MEMBERS SIGN/RE-SIGN THE CONFLICT OF INTEREST FORMS AT THE JANUARY BOARD MEETING. THEY MUST ABSTAIN FROM A VOTE IF THERE IS A CONFLICT OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CASSOPOLIS FAMILY CLINIC USE SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION AND GUIDESTAR FOR NON-PROFIT FOR CEO AND OTHER OFFICER/KEY EMPLOYEE SALARY COMPARISONS. DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE ANNUAL CONTRACTS AND ALL PAYROLL INCREASES AND SALARY REVIEWS ARE APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | CASSOPOLIS FAMILY CLINIC USE SALARY SURVEYS, INCLUDING MEDICAL GROUP MANAGEMENT ASSOCIATION AND GUIDESTAR FOR NON-PROFIT FOR CEO AND OTHER OFFICER/KEY EMPLOYEE SALARY COMPARISONS. DIRECTORS AND THE EXECUTIVE DIRECTOR HAVE ANNUAL CONTRACTS AND ALL PAYROLL INCREASES AND SALARY REVIEWS ARE APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | COGS 3,748,195 COGS -3,748,195 |
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