NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NORTH TEXAS AREA COMMUNITY HEALTH CENTERS INC (EIN 54-2117989)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-08-28
- IRS object ID
- 202312409349301421
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-28T14:28:55-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMANINO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15950 N DALLAS PKWY 600 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75248 | 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 | 542117989 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH TEXAS AREA COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8175466477 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2332 BEVERLY HILLS DR | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76114 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY L PYRON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8175466477 | PhoneNum |
| Signature | 2023-08-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JERRY | PersonFirstNm |
| Person Last | PYRON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW PETROSKI | PreparerPersonNm |
| PTIN | P00853132 | PTIN |
| Phone | 9726611843 | PhoneNum |
| Preparation | 2023-08-18 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GERRIE WHITAKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2332 BEVERLY HILLS DR | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,791,118 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NTACHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE COMPREHENSIVE, AFFORDABLE, QUALITY, PRIMARY HEALTH CARE TO UNDERSERVED COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 151 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,654,944 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,074,545 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,178,531 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,386,309 | CYProgramServiceRevenueAmt |
| PY Investment Income | $98,730 | PYInvestmentIncomeAmt |
| CY Investment Income | $98,793 | CYInvestmentIncomeAmt |
| PY Other Revenue | $707,218 | PYOtherRevenueAmt |
| CY Other Revenue | $788,340 | CYOtherRevenueAmt |
| PY Total Revenue | $11,639,423 | PYTotalRevenueAmt |
| CY Total Revenue | $12,347,987 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,380,127 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,279,824 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $72,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $93,600 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $225,694 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,157,364 | PYOtherExpensesAmt |
| CY Other Expenses | $5,319,885 | CYOtherExpensesAmt |
| PY Total Expenses | $11,609,491 | PYTotalExpensesAmt |
| CY Total Expenses | $12,693,309 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,932 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$345,322 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,210,174 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,078,400 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,421,874 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,146,890 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,788,300 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,931,510 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE A COMMUNITY MEDICAL HOME THROUGH ACCESSIBLE, COMPASSIONATE, AND QUALITY HEALTHCARE SERVICES IN A COMMUNITY-BASED ENVIRONMENT, MAXIMIZING THE USE OF PUBLIC AND PRIVATE RESOURCES TO AID NTACHC PATIENTS TO OBTAIN, REGAIN, AND MAINTAIN OPTIMUM HEALTH AND FUNCTION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,542,261 | ExpenseAmt |
| Revenue | $5,173,881 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES PRIMARY HEALTH CARE TO PREDOMINANTLY UNINSURED AND UNDERINSURED POPULATION IN ITS 3 LOCATIONS. DURING THE COMPANY'S LATS FISCAL YEAR, THE CLINIC SERVED NEARLY 13,038 PATIENTS AND PROVIDED 32,348 PATIENT VISITS. THE CLINICS TOGETHER PROVIDE FAMILY MEDICINE, PEDIATRICS, AND OB/GYN SERVICES AND COLLABORATE WITH OTHER AREA ORGANIZATIONS AND SPECIALISTS TO ENSURE COMPREHENSIVE CARE FOR ITS PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DURING THE YEAR THE ORGANIZATION WAS GIVEN A GRANT FROM THE STATE OF TEXAS FOR FAMILY PLANNING, HEALTY TEXAS WOMEN AND PRIMARY HEALTH CARE PROGRAMS. WE PROVIDED SERVICES TO THE PRIVATE PATIENT POPULATION. WE SAW 3,985 PATIENTS A TOTAL OF 4,999 VISITS FOR THESE PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,542,261 | 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 | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | Yes (1) | 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 | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 151 | 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 | 0 | QuidProQuoContributionsInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | 0 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERRY L PYRON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8175466477 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2332 BEVERLY HILLS DR | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| LORI KENNEDY | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM VENABLE | ||||||||
| CO-CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREGORY EASTIN | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | 1.00 | |
| CARLOS MORALES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DIANN SANCHEZ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY COLANTINO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL JONES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIELA ARROYO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIN CARLSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN REED | ||||||||
| DIRECTOR (THRU 09/22) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TERESA MONTES | ||||||||
| CO-CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TETSUYA UMEBAYASHI | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KRISTA DANIELS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA R GONZALEZ | ||||||||
| CHIEF MEDICAL OFFICER | 50.00 | Yes (X) | $239,873 | $0 | $6,355 | |||
| GERALDINE D WHITAKER | ||||||||
| CHIEF EXECUTIVE OFFICER | 50.00 | Yes (X) | $209,960 | $0 | $9,408 | |||
| JERRY PYRON | ||||||||
| CHIEF FINANCIAL OFFICER | 50.00 | Yes (X) | $137,636 | $0 | $17,225 | |||
| THOMAS J RUBEO | ||||||||
| OB/GYN PHYSICIAN | 40.00 | $235,250 | $0 | $1,094 | Yes (X) | |||
| MARIA C LEVY | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $215,688 | $0 | $13,556 | Yes (X) | |||
| DINESH N GOWDA | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $212,276 | $0 | $7,069 | Yes (X) | |||
| MADHAVI GAVIRNENI | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $139,304 | $0 | $95 | Yes (X) | |||
| MONICA FALCON | ||||||||
| PHYSICIAN ASSISTANT | 40.00 | $109,628 | $0 | $6,876 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,499,615 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $61,678 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| LABCORP | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB | $494,614 |
| OSIS | |||||
| PO BOX 772852 | CHICAGO | IL | 60677 | EPM/'HER | $239,231 |
| UNIVERSITY OF HOUSTON COLLEGE OF OPTOMET | |||||
| 4901 CALHOUN RD RM 2195 | HOUSTON | TX | 77204 | CONTRACT PROVIDER | $152,500 |
| NIGHT LINE JANITORIAL SERVICES INC | |||||
| 16970 DALLAS PARKWAY 100 | DALLAS | TX | 75248 | JANERIAL SERVICE | $118,004 |
| VOYCE INC | |||||
| 1301 INTERNATIONAL PKWY STE 510 | SUNRISE | FL | 33323 | INTERPRETATION SERVICE | $103,714 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,451,351 | GovernmentGrantsAmt |
| All Other Contributions | $623,194 | AllOtherContributionsAmt |
| Noncash Contributions | $444,250 | NoncashContributionsAmt |
| Total Contributions | $7,074,545 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REVENUE | 621110 | $4,269,284 | $4,269,284 |
| CLINIC REVENUE | 621110 | $117,025 | $117,025 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,386,309 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $98,793 | TotalRevenueColumnAmt |
| Exclusion | $98,793 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,231,471 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $443,131 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $788,340 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $788,340 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,347,987 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,174,649 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $98,793 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,622 | TotalAmt |
| Program Services | $26,584 | ProgramServicesAmt |
| Management And General | $558,122 | ManagementAndGeneralAmt |
| Fundraising | $59,916 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,698,297 | TotalAmt |
| Program Services | $5,074,800 | ProgramServicesAmt |
| Management And General | $623,497 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,180 | TotalAmt |
| Program Services | $34,999 | ProgramServicesAmt |
| Management And General | $10,013 | ManagementAndGeneralAmt |
| Fundraising | $10,168 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,455 | TotalAmt |
| Program Services | $387,087 | ProgramServicesAmt |
| Management And General | $62,519 | ManagementAndGeneralAmt |
| Fundraising | $20,849 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,270 | TotalAmt |
| Program Services | $311,108 | ProgramServicesAmt |
| Management And General | $63,220 | ManagementAndGeneralAmt |
| Fundraising | $36,942 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,590 | TotalAmt |
| Management And General | $40,590 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,808 | TotalAmt |
| Program Services | $7,021 | ProgramServicesAmt |
| Management And General | $69,787 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,600 | TotalAmt |
| Fundraising | $93,600 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,291,480 | TotalAmt |
| Program Services | $1,211,446 | ProgramServicesAmt |
| Management And General | $80,034 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,928 | TotalAmt |
| Program Services | $6,427 | ProgramServicesAmt |
| Management And General | $69,501 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,367 | TotalAmt |
| Program Services | $83,020 | ProgramServicesAmt |
| Management And General | $60,230 | ManagementAndGeneralAmt |
| Fundraising | $1,117 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,491 | TotalAmt |
| Program Services | $295,857 | ProgramServicesAmt |
| Management And General | $112,634 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,268,714 | TotalAmt |
| Program Services | $1,171,561 | ProgramServicesAmt |
| Management And General | $97,153 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,273 | TotalAmt |
| Program Services | $8,008 | ProgramServicesAmt |
| Management And General | $6,265 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,914 | TotalAmt |
| Program Services | $8,387 | ProgramServicesAmt |
| Management And General | $15,527 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,158 | TotalAmt |
| Program Services | $396,158 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,084 | TotalAmt |
| Program Services | $205,094 | ProgramServicesAmt |
| Management And General | $10,990 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,036 | TotalAmt |
| Program Services | $278 | ProgramServicesAmt |
| Management And General | $27,758 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $908,558 | $888,307 | $17,149 | $3,102 |
| PHARMACY EXPENSES | $262,244 | $262,244 | ||
| MAINTENANCE & REPAIRS | $164,240 | $163,875 | $365 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,693,309 | TotalAmt |
| Program Services | $10,542,261 | ProgramServicesAmt |
| Management And General | $1,925,354 | ManagementAndGeneralAmt |
| Fundraising | $225,694 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,877 | BOYAmt |
| EOY | $129,864 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,502 | BOYAmt |
| EOY | $105,067 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,449 | BOYAmt |
| EOY | $276,912 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $935,169 | BOYAmt |
| EOY | $1,039,549 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,852,000 | BOYAmt |
| EOY | $9,852,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,195 | BOYAmt |
| EOY | $18,211 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,738 | BOYAmt |
| EOY | $21,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,859,708 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,810,017 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,604,104 | BOYAmt |
| EOY | $3,049,691 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,007,140 | BOYAmt |
| EOY | $2,585,536 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,210,174 | BOYAmt |
| EOY | $17,078,400 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,874 | BOYAmt |
| EOY | $710,977 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,751 | BOYAmt |
| EOY | $511,019 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,672,777 | BOYAmt |
| EOY | $6,454,830 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,426,472 | BOYAmt |
| EOY | $5,470,064 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,421,874 | BOYAmt |
| EOY | $13,146,890 | 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 | $3,768,300 | BOYAmt |
| EOY | $3,931,510 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,788,300 | BOYAmt |
| EOY | $3,931,510 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,210,174 | BOYAmt |
| EOY | $17,078,400 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$345,322 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $479,875 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $8,657 | DonatedServicesAndUseFcltsAmt |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,278,165 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,829,183 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,932,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,654,944 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,074,545 | CurrentTaxYearAmt |
| Total | $29,769,442 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,278,165 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,829,183 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,932,605 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,654,944 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,074,545 | CurrentTaxYearAmt |
| Total | $29,769,442 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $517,332 | SubstantialContributorsTotAmt |
| Public Support Total170 | $29,252,110 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,211 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $244,885 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $99,614 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,793 | CurrentTaxYearAmt |
| Total | $547,233 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $30,316,675 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $21,888,126 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96490 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96290 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Contributions | $52,500 | ContributionsAmt |
| Other Expenditures | $72,500 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $129,005 | BeginningYearBalanceAmt |
| Contributions | $290,500 | ContributionsAmt |
| Other Expenditures | $399,505 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $64,694 | BeginningYearBalanceAmt |
| Contributions | $463,900 | ContributionsAmt |
| Other Expenditures | $399,589 | OtherExpendituresAmt |
| End Year Balance | $129,005 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $250,000 | BeginningYearBalanceAmt |
| Contributions | $90,000 | ContributionsAmt |
| Other Expenditures | $275,306 | OtherExpendituresAmt |
| End Year Balance | $64,694 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $0 | BeginningYearBalanceAmt |
| Contributions | $525,000 | ContributionsAmt |
| Other Expenditures | $275,000 | OtherExpendituresAmt |
| End Year Balance | $250,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $613,680 | OtherCostOrOtherBasisAmt |
| Book Value | $613,680 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,622,313 | OtherCostOrOtherBasisAmt |
| Depreciation | $452,502 | DepreciationAmt |
| Book Value | $2,169,811 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,552 | DepreciationAmt |
| Book Value | -$20,779 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,570,942 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,283,963 | DepreciationAmt |
| Book Value | $286,979 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,049,691 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $7,041 |
| QALICB INVESTMENT | $2,184,415 |
| DUE FROM QALICB | $394,080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,585,536 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RENT | $3,807,023 |
| DUE TO QALICB | $1,663,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,470,064 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISION OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER IS ALSO EXEMPT FROM STATE INCOME TAXES. MANAGEMENT HAS EVALUATED THE CENTER'S FEDERAL AND STATE TAX POSITIONS AND HAS CONCLUDED THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 AND 2021, FOR WHICH A RESERVE WOULD BE NECESSARY. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | 0 | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HYDEN INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470784 | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76147 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CAPITAL CAMPAIGN FUNDRAISING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $93,600 | RetainedByContractorAmt |
| Net To Organization | -$93,600 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $93,600 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$93,600 | TotalNetToOrganizationAmt |
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 | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA R GONZALEZ | ||||||||||||||
| CHIEF MEDICAL OFFICER | $239,873 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,355 | $0 | $246,228 | $0 | $0 | $0 |
| THOMAS J RUBEO | ||||||||||||||
| OB/GYN PHYSICIAN | $235,250 | $0 | $0 | $0 | $0 | $0 | $1,094 | $0 | $0 | $0 | $236,344 | $0 | $0 | $0 |
| MARIA C LEVY | ||||||||||||||
| PEDIATRIC PHYSICIAN | $215,688 | $0 | $0 | $0 | $0 | $0 | $307 | $0 | $13,249 | $0 | $229,244 | $0 | $0 | $0 |
| GERALDINE D WHITAKER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $209,960 | $0 | $0 | $0 | $0 | $0 | $949 | $0 | $8,459 | $0 | $219,368 | $0 | $0 | $0 |
| DINESH N GOWDA | ||||||||||||||
| PEDIATRIC PHYSICIAN | $212,276 | $0 | $0 | $0 | $0 | $0 | $194 | $0 | $6,875 | $0 | $219,345 | $0 | $0 | $0 |
| JERRY PYRON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $137,636 | $0 | $0 | $0 | $0 | $0 | $235 | $0 | $16,990 | $0 | $154,861 | $0 | $0 | $0 |
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 | $444,250 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THIS NUBMER REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEE MAY TAKE ACTION ON BEHALF OF THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED TO THE BOARD AND SIGNED BY THE CFO BEFORE FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND OFFICERS ARE REQUIRED TO COMPLETE A CONFLICT-OF-INTEREST STATEMENT ANNUALLY TO INFORM THE BOARD OF ANY CONFLICTS THAT ARISE DURING THE YEAR. WHEN A MEMBER OR OFFICER SELF-IDENTIFIES A CONFLICT, THE FULL BOARD OF DIRECTORS IS INFORMED OF IT AND MUST BE DELIBERATE AND APPROVE IT. THE BOARD THEN DETERMINES THE APPROPRIATE RESPONSE, WHICH GENERALLY WILL INVOLVE THE MEMBER THAT HAS THE CONFLICT RECUSING THEMSELVES FROM ANY DISCUSSION INVOLVING THAT SUBJECT AND ANY VOTES THAT MAY BE REQUIRED. IN ADDITION, FAMILY MEMBERS OF THE OFFICERS AND BOARD MEMBERS ARE PROHIBITED FROM ENTERING INTO ANY BUSINESS TRANSACTION WITH THE ORGANIZATION OR SERVING ON THE BOARD OR ITS COMMITTEES. CEO AND CFO ARE CHARGED WITH REGULAR AND CONSISTENT MONITORING AND ENFORCING OF THE CONFLICT-OF-INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | TO DETERMINE THE CEO'S COMPENSATION, THE BOARD OF DIRECTORS UTILIZES INFORMATION GATHERED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS WHICH PERFORMS AN ANNUAL SALARY SURVEY OF EXECUTIVE DIRECTORS, CFOS, AND CMOS. THE SURVEY COMPILES INFORMATION BY REGION, CENTER SIZE, PATIENT ENCOUNTERS, ETC. TO ESTABLISH MEDIUM AND MEDIAN RANGES FOR THESE POSITIONS. THE BOARD ALSO CONSULTS WITH THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC). IN ADDITION, THE BOARD GATHERS DATA FROM OTHER LOCAL AGENCIES TO ESTABLISH A FAIR AND REASONABLE SALARY. THE BOARD'S DISCUSSION AND DECISION ARE RECORDED IN THE MEETING MINUTES. OTHER KEY POSITION SALARIES ARE BASED ON SIMILAR AREA DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,095,249. MANAGEMENT AND GENERAL EXPENSES 76,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,171,283. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 70,800. MANAGEMENT AND GENERAL EXPENSES 4,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,800. ANSWERING SERVICE: PROGRAM SERVICE EXPENSES 45,397. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,397. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NTACHC QALICB | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2332 BEVERLY HILLS DR | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814967086 | EIN |
| Primary Activities | HOLDING CORPORATION | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH TEXAS AREA COMMUNITY HEALTH CENTER | 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 | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 |
|---|---|---|
| NTACHC QALICB | ||
| K | $68,184 | CASH TRANSFERRED |
| NTACHC QALICB | ||
| K | $971,895 | CASH TRANSFERRED |