BRIGHTWATER HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BRIGHTWATER HEALTH (EIN 41-0777937)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-25
- IRS object ID
- 202322989349301852
- 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 | 2023-10-25T14:39:00-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 227 WEST FIRST STREET SUITE 700 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55802 | 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 | 410777937 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUMAN DEVELOPMENT CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUMA | BusinessNameControlTxt |
| Phone | 2187284491 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 EAST FIRST STREET | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CALE DICKEY | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 2187284491 | PhoneNum |
| Signature | 2023-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CALE | PersonFirstNm |
| Person Last | DICKEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE BOYER | PreparerPersonNm |
| PTIN | P01278549 | PTIN |
| Phone | 2187275025 | PhoneNum |
| Preparation | 2023-10-20 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | 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 | BEN HATFIELD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 EAST FIRST STREET | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $24,371,949 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HDCNORTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1938 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | PROVISION OF MENTAL HEALTH AND RECOVERY SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 379 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $99,571 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $66,429 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,889,201 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,047,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,406,045 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,715,565 | CYProgramServiceRevenueAmt |
| PY Investment Income | $102,237 | PYInvestmentIncomeAmt |
| CY Investment Income | $587,274 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$30,359 | PYOtherRevenueAmt |
| CY Other Revenue | -$21,672 | CYOtherRevenueAmt |
| PY Total Revenue | $23,367,124 | PYTotalRevenueAmt |
| CY Total Revenue | $23,328,417 | 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 | $16,252,050 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,889,967 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,565 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,384,327 | PYOtherExpensesAmt |
| CY Other Expenses | $3,055,267 | CYOtherExpensesAmt |
| PY Total Expenses | $18,636,377 | PYTotalExpensesAmt |
| CY Total Expenses | $19,945,234 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,730,747 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,383,183 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,656,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,894,845 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,586,370 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,424,654 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,070,424 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,470,191 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HDC'S MISSION IS TO FOSTER HOPE, RESILIENCE, AND RECOVERY BY PROVIDING INTEGRATED, CULTURALLY RESPECTFUL MENTAL HEALTH AND ADDICTION SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,939,332 | ExpenseAmt |
| Revenue | $15,715,565 | RevenueAmt |
| Desc | HDC HAS BEEN PROVIDING MENTAL HEALTH SERVICES IN NORTHEASTERN MINNESOTA/NORTHWESTERN WISCONSIN AREA FOR OVER 80 YEARS. THESE SERVICES INCLUDE SOME OF THE FOLLOWING: RECOVERY SERVICES, ADULT AND CHILD CASE MANAGEMENT, ADULT AND CHILD MENTAL HEALTH SERVICES, COMMUNITY OUTREACH SERVICES, EARLY CHILDHOOD MENTAL HEALTH SERVICES, EMPLOYMENT CONNECTION SERVICES, HOMELESS PROJECT SERVICES, AND SCHOOL BASED SERVICES. WE DELIVER SERVICES THAT ARE FINANCIALLY AND GEOGRAPHICALLY AVAILABLE TO ALL PERSONS IN THE COMMUNITIES WE SERVE. WE ALSO PARTNER EFFECTIVELY WITH OTHER AGENCIES AND PROVIDERS TO ENSURE THAT SERVICES ARE CUSTOMIZED TO THE NEEDS OF OUR COMMUNITIES AND THEIR MEMBERS. WE INTEGRATE TECHNOLOGY AND HUMAN CREATIVITY TO MEET COMMUNITY MEMBERS' BEHAVIORAL HEALTH NEEDS AND ADAPT TO A CHANGING ENVIRONMENT. WE COORDINATE INTERNAL AND EXTERNAL RESOURCES TO DELIVER COHESIVE BEHAVIORAL HEALTH SERVICES. WE MEET THE NEEDS OF THE DIVERSE COMMUNITIES WE SERVE AND PRIORITIZE PRACTICES THAT SUSTAIN AND RETAIN DIVERSE STAFF. WE CULTIVATE A SUPPORTIVE AND COMPASSIONATE ENVIRONMENT FOR OUR EMPLOYEES AND PROVIDE OPPORTUNITIES THAT ENABLE PERSONAL AND PROFESSIONAL GROWTH. WE MANAGE SOCIAL, FISCAL, AND ENVIRONMENTAL RESOURCES IN A MANNER THAT FOSTERS RESILIENCE AND BALANCES CURRENT AND FUTURE NEEDS. | Desc |
| Total Program Service Expenses | $15,939,332 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | 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 | Yes (1) | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 52 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 379 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALE DICKEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2187284491 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1401 EAST FIRST STREET | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55805 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DENNIS FALK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACOB STONESIFER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDA DENEEN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PEGGY DOWNING | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM GRUBA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NICK NAVARRO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY SUMBS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN FORCIER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM SPREITZER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| IDA-WATSON SOUTHER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEAN OLSON | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BRENT MALVICK | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KEVIN MOSIER | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DANIEL MADDY | ||||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BEN HATFIELD | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $163,979 | $0 | $19,628 | Yes (X) | |||
| CALE DICKEY | ||||||||
| CHIEF FINANCE OFFICER | 40.00 | $102,393 | $0 | $29,555 | Yes (X) | |||
| STEVEN BAUER | ||||||||
| MEDICAL DIRECTOR | 32.00 | $169,991 | $0 | $30,453 | Yes (X) | |||
| JOHN GLICK | ||||||||
| PSYCHIATRIST | 32.00 | $192,236 | $0 | $31,465 | Yes (X) | |||
| AMY LISDAHL | ||||||||
| DIRECTOR OF PSYCHIATRY | 40.00 | $143,108 | $0 | $9,065 | Yes (X) | |||
| BRENT HANSON | ||||||||
| NURSE PRACTITIONER | 40.00 | $125,710 | $0 | $25,232 | Yes (X) | |||
| KATHRYN PALM | ||||||||
| NURSE PRACTITIONER | 36.00 | $128,456 | $0 | $6,302 | Yes (X) | |||
| ANNETTE GUNTER | ||||||||
| CHIEF OPERATION OFFICER | 40.00 | $119,668 | $0 | $15,575 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,145,541 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $167,275 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DONALD HOLM CONSTRUCTION INC | |||||
| 3211 WEST 3RD STREET | DULUTH | MN | 55806 | REMODEL OF UPPER LEVEL OF 120 | $901,024 |
| STACK BROTHERS | |||||
| 3119 HILL AVENUE | SUPERIOR | WI | 54880 | BOILER REPLACEMENT IN SUPERIOR BUILDING | $259,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $62,355 | FederatedCampaignsAmt |
| Fundraising | $9,100 | FundraisingAmt |
| Government Grants | $6,134,126 | GovernmentGrantsAmt |
| All Other Contributions | $841,669 | AllOtherContributionsAmt |
| Total Contributions | $7,047,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 624100 | $15,646,644 | $15,646,644 |
| OTHER RELATED REVENUE | 624100 | $54,221 | $54,221 |
| RELATED RENTAL INCOME | 624100 | $14,700 | $14,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,715,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,319 | TotalRevenueColumnAmt |
| Exclusion | $33,319 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $732,217 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $753,889 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$21,672 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,672 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $99,571 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$121,243 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $829,560 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $275,605 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $553,955 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $553,955 | TotalRevenueColumnAmt |
| Exclusion | $553,955 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,038 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,100 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $14,038 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,328,417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,715,565 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $99,571 | UnrelatedBusinessRevenueAmt |
| Exclusion | $466,031 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,403 | TotalAmt |
| Program Services | $200,444 | ProgramServicesAmt |
| Management And General | $312,959 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,920 | TotalAmt |
| Program Services | $41,920 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,890,204 | TotalAmt |
| Program Services | $10,992,421 | ProgramServicesAmt |
| Management And General | $1,897,783 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,697 | TotalAmt |
| Program Services | $326,948 | ProgramServicesAmt |
| Management And General | $53,749 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,087,164 | TotalAmt |
| Program Services | $1,772,070 | ProgramServicesAmt |
| Management And General | $315,094 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,579 | TotalAmt |
| Program Services | $818,302 | ProgramServicesAmt |
| Management And General | $158,277 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,104 | TotalAmt |
| Program Services | $5,399 | ProgramServicesAmt |
| Management And General | $29,705 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,409 | TotalAmt |
| Program Services | $11,444 | ProgramServicesAmt |
| Management And General | $62,965 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,286 | TotalAmt |
| Program Services | $37,460 | ProgramServicesAmt |
| Management And General | $205,826 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,887 | TotalAmt |
| Program Services | $7,519 | ProgramServicesAmt |
| Management And General | $41,368 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,924 | TotalAmt |
| Program Services | $180,603 | ProgramServicesAmt |
| Management And General | $256,878 | ManagementAndGeneralAmt |
| Fundraising | $443 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,614 | TotalAmt |
| Program Services | $93,976 | ProgramServicesAmt |
| Management And General | $382,686 | ManagementAndGeneralAmt |
| Fundraising | $952 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,550 | TotalAmt |
| Program Services | $131,680 | ProgramServicesAmt |
| Management And General | -$74,130 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,982 | TotalAmt |
| Program Services | $226,181 | ProgramServicesAmt |
| Management And General | $12,801 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,067 | TotalAmt |
| Program Services | $47,775 | ProgramServicesAmt |
| Management And General | $39,292 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,458 | TotalAmt |
| Program Services | $113,688 | ProgramServicesAmt |
| Management And General | -$230 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $490,512 | TotalAmt |
| Program Services | $395,261 | ProgramServicesAmt |
| Management And General | $95,251 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,666 | TotalAmt |
| Program Services | $138,829 | ProgramServicesAmt |
| Management And General | $36,813 | ManagementAndGeneralAmt |
| Fundraising | $24 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| UBIT TAXES | $15,839 | $15,839 | ||
| CLIENT DIRECT | $340,225 | $340,225 | ||
| MISCELLANEOUS | $126,736 | $20,097 | $105,493 | $1,146 |
| FURNISHINGS AND EQUIPME | $62,408 | $13,986 | $48,422 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,600 | TotalAmt |
| Program Services | $7,265 | ProgramServicesAmt |
| Management And General | $22,335 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,945,234 | TotalAmt |
| Program Services | $15,939,332 | ProgramServicesAmt |
| Management And General | $4,003,337 | ManagementAndGeneralAmt |
| Fundraising | $2,565 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,192 | BOYAmt |
| EOY | $934,018 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,042,131 | BOYAmt |
| EOY | $1,726,253 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,124 | BOYAmt |
| EOY | $1,817,645 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,614,695 | BOYAmt |
| EOY | $1,193,207 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,640 | BOYAmt |
| EOY | $80,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,940,206 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,084,935 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,451,012 | BOYAmt |
| EOY | $7,855,271 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,022,306 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $265,442 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,656,794 | BOYAmt |
| EOY | $17,894,845 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,066 | BOYAmt |
| EOY | $1,313,860 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,084,671 | BOYAmt |
| EOY | $3,817,873 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,633 | BOYAmt |
| EOY | $292,921 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,586,370 | BOYAmt |
| EOY | $5,424,654 | 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 | $8,989,487 | BOYAmt |
| EOY | $12,377,651 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,937 | BOYAmt |
| EOY | $92,540 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,070,424 | BOYAmt |
| EOY | $12,470,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,656,794 | BOYAmt |
| EOY | $17,894,845 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,383,183 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $16,584 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $5,754,733 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,895,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,170,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,889,201 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,047,250 | CurrentTaxYearAmt |
| Total | $37,756,937 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,754,733 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,895,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,170,530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,889,201 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,047,250 | CurrentTaxYearAmt |
| Total | $37,756,937 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $37,756,937 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $401,719 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $389,027 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $432,027 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $411,044 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $396,002 | CurrentTaxYearAmt |
| Total | $2,029,819 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $66,554 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,571 | CurrentTaxYearAmt |
| Total | $166,125 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,093 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $1,842 | CurrentTaxYearMinus2YearsAmt |
| Total | $61,935 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $40,014,816 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $65,791,706 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94280 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,108,781 | OtherCostOrOtherBasisAmt |
| Book Value | $1,108,781 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,860,936 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,835,462 | DepreciationAmt |
| Book Value | $6,025,474 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,523 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,594 | DepreciationAmt |
| Book Value | $19,929 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,635,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,224,879 | DepreciationAmt |
| Book Value | $410,791 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $290,296 | OtherCostOrOtherBasisAmt |
| Book Value | $290,296 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,855,271 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD-PARTY PAYOR SETTLEMENTS | $26,116 |
| RIGHT-OF-USE LIABILITY | $266,805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $292,921 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $24,098,891 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $16,584 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $16,584 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,082,307 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$753,890 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$753,890 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $23,328,417 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,699,124 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $753,890 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $753,890 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,945,234 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,945,234 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC AND SIMILAR STATE STATUTES. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER TOOK NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH ACCOUNTING GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL AND STATE TAX AUTHORITIES FOR YEARS BEFORE 2019. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -753,890. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 753,890. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HDC GALA 2022 | Event1Nm |
| Gross Receipts Event1 | $23,138 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $9,100 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,038 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $283 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,515 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,057 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,179 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $23,138 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $9,100 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $14,038 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $283 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,515 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $8,057 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,179 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $14,038 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN GLICK | ||||||||||||||
| PSYCHIATRIST | $191,840 | $0 | $0 | $0 | $396 | $0 | $7,956 | $0 | $23,509 | $0 | $223,701 | $0 | $0 | $0 |
| STEVEN BAUER | ||||||||||||||
| MEDICAL DIRECTOR | $169,595 | $0 | $0 | $0 | $396 | $0 | $7,087 | $0 | $23,366 | $0 | $200,444 | $0 | $0 | $0 |
| BEN HATFIELD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $163,889 | $0 | $0 | $0 | $90 | $0 | $6,672 | $0 | $12,956 | $0 | $183,607 | $0 | $0 | $0 |
| AMY LISDAHL | ||||||||||||||
| DIRECTOR OF PSYCHIATRY | $143,018 | $0 | $0 | $0 | $90 | $0 | $5,752 | $0 | $3,313 | $0 | $152,173 | $0 | $0 | $0 |
| BRENT HANSON | ||||||||||||||
| NURSE PRACTITIONER | $125,656 | $0 | $0 | $0 | $54 | $0 | $10,335 | $0 | $14,897 | $0 | $150,942 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAMANTHA BAUER | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | DAUGHTER OF KEY EMPLOYEE STEVEN BAUER | RelationshipDescriptionTxt |
| Transaction | $41,920 | TransactionAmt |
| Transaction | COMPENSATION FOR SERVICES PROVIDED AS AN EMPLOYEE OF HDC. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, FORM 990 IS REVIEWED BY THE CEO AND CFO AND THEN SHARED WITH THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | FROM THE CONFLICT OF INTEREST POLICY FOR HDC BOARD OF DIRECTORS: PROCEDURE A. PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. B. A DIRECTOR OR COMMITTEE MEMBER WHO PLANS NOT TO ATTEND A MEETING AT WHICH S/HE HAS REASON TO BELIEVE THAT THE BOARD OR COMMITTEE WILL ACT ON A MATTER IN WHICH THE PERSON HAS A CONFLICT OF INTEREST SHALL DISCLOSE TO THE CHAIR OF THE MEETING ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CHAIR SHALL REPORT THE DISCLOSURE AT THE MEETING AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. C. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS/HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. D. A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. E. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF HDC, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEE ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT HDC'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE CHAIR OR THE CHAIR'S DESIGNEE, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. F. A RESPONSIBLE PERSONS AND/OR FAMILY MEMBERS OF RESPONSIBLE PERSON RECEIVING SERVICES FROM HDC ARE NOT CONSIDERED A CONFLICT OF INTEREST, BUT THE RESPONSIBLE PERSON MUST EXERCISE GOOD FAITH IN ALL TRANSACTIONS IN WHICH S/HE ARE INVOLVED AND SHOULD NOT USE HIS/HER POSITION OR KNOWLEDGE FOR PERSONAL GAIN. A RESPONSIBLE PERSON SHOULD RECUSE HIS/HERSELF FROM PARTICIPATION IN ANY DISCUSSION, DECISION MAKING, AND/OR VOTING THAT MAY BE INFLUENCED BY SERVICES BEING RECEIVED. REVIEW OF POLICY A. EACH NEW RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THIS POLICY AND TO ACKNOWLEDGE IN WRITING THAT S/HE HAS DONE SO. B. EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT S/HE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. SUCH RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES MAY INCLUDE SERVICE AS A DIRECTOR OF OR CONSULTANT TO A NONPROFIT ORGANIZATION OR OWNERSHIP OF A BUSINESS THAT MIGHT PROVIDE GOODS OR SERVICES TO HDC. ANY SUCH INFORMATION REGARDING BUSINESS INTERESTS OF A RESPONSIBLE PERSON OR A FAMILY MEMBER SHALL BE TREATED AS CONFIDENTIAL AND SHALL GENERALLY BE MADE AVAILABLE ONLY TO THE CHAIR, THE CHIEF EXECUTIVE OFFICER, AND ANY COMMITTEE APPOINTED TO ADDRESS CONFLICTS OF INTEREST, EXCEPT TO THE EXTENT ADDITIONAL DISCLOSURE IS NECESSARY IN CONNECTION WITH THE IMPLEMENTATION OF THIS POLICY. C. THIS POLICY SHALL BE REVIEWED ANNUALLY BY EACH MEMBER OF THE BOARD OF DIRECTORS. ANY CHANGES TO THE POLICY SHALL BE COMMUNICATED IMMEDIATELY TO ALL RESPONSIBLE PERSONS. A SEPARATE CONFLICT OF INTEREST POLICY IS IN PLACE FOR HDC EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF OFFICERS MUST BE APPROVED BY THE BOARD OF DIRECTORS AND RECOMMENDED BY THE PERSONNEL COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE UPON REQUEST. |
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