CARE FREE MEDICAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CARE FREE MEDICAL INC (EIN 14-1909938)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202313199349311566
- 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 | 2023-11-15T12:12:07-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382157642 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANER COSTERISAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2425 E GRAND RIVER SUITE 1 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 489123291 | 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 | 141909938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST 5 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FARHAN BHATTI | PersonNm |
| Person Title | EXCUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5178875922 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | FARHAN | PersonFirstNm |
| Person Last | BHATTI | 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 | BRANDY L MIKULA CPA | PreparerPersonNm |
| PTIN | P00645694 | PTIN |
| Phone | 5173237500 | PhoneNum |
| Preparation | 2023-11-11 | 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
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL AND DENTAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FARHAN BHATTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST 5 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,232,715 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAREFREEMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH SERVICES TO UNINSURED & UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MI AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $26,934 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,322 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $527,975 | PYContributionsGrantsAmt |
| CY Contributions Grants | $714,174 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,172,356 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,467,693 | CYProgramServiceRevenueAmt |
| PY Investment Income | $308 | PYInvestmentIncomeAmt |
| CY Investment Income | $357 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,410 | PYOtherRevenueAmt |
| CY Other Revenue | $19,982 | CYOtherRevenueAmt |
| PY Total Revenue | $1,719,049 | PYTotalRevenueAmt |
| CY Total Revenue | $2,202,206 | 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 | $1,152,101 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,385,920 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $615,050 | PYOtherExpensesAmt |
| CY Other Expenses | $711,599 | CYOtherExpensesAmt |
| PY Total Expenses | $1,767,151 | PYTotalExpensesAmt |
| CY Total Expenses | $2,097,519 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$48,102 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $104,687 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $730,059 | TotalAssetsBOYAmt |
| Total Assets EOY | $508,669 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $447,017 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $124,731 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $283,042 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $383,938 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FREE MEDICAL AND DENTAL PROVIDES HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MICHIGAN AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,663,385 | ExpenseAmt |
| Revenue | $1,467,693 | RevenueAmt |
| Desc | THE MEDICAL, OPTICAL, AND DENTAL CLINICS HAD 13,362 PATIENT ENCOUNTERS IN 2022. | Desc |
| Total Program Service Expenses | $1,663,385 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 37 | 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 | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIELLE HILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| FARHAN BHATTI | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $214,610 | $0 | $13,459 | ||
| MICHELLE LOUBERT | |||||||
| DOCTOR | 40.00 | $182,841 | $0 | $4,278 | Yes (X) | ||
| AMANDA ESTRADA-SEARLS | |||||||
| NURSE PRACTITIONER | 40.00 | $110,595 | $0 | $0 | Yes (X) | ||
| ROXANNE FORD | |||||||
| DENTIST | 40.00 | $100,627 | $0 | $0 | Yes (X) | ||
| DOUGLAS EDEMA | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DAVID HOUSTON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| AMY FOUNTAIN | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| ANATOL TOLCHINSKY | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DEAN HOLLAND | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY WILSON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| AMANDA BOWMAN | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| RONNIE THORTON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DAESEAN ASHBY | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DR ABDALMAJID KATRANJI MD | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| JEAN YOUNG | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANGELA EPOLITO SPRECHER | |||||||
| SECRETARY | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAUL KENNEDY | |||||||
| CHAIR | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $608,673 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,737 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $9,296 | FederatedCampaignsAmt |
| Fundraising | $19,092 | FundraisingAmt |
| Government Grants | $414,345 | GovernmentGrantsAmt |
| All Other Contributions | $271,441 | AllOtherContributionsAmt |
| Total Contributions | $714,174 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL CLINIC | 621110 | $1,208,649 | $1,208,649 |
| DENTAL CLINIC | 621300 | $120,398 | $120,398 |
| MEDICAID VISITS | 621110 | $97,772 | $97,772 |
| OPTOMETRY CLINIC | 621300 | $40,874 | $40,874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,467,693 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $357 | TotalRevenueColumnAmt |
| Exclusion | $357 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,424 | RealAmt |
| Personal | $5,625 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $20,115 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,309 | RealAmt |
| Personal | $5,625 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,934 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $26,934 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,442 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $19,092 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $10,394 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,952 | TotalRevenueColumnAmt |
| Exclusion | -$6,952 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,202,206 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,467,693 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $26,934 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$6,595 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,069 | TotalAmt |
| Program Services | $212,859 | ProgramServicesAmt |
| Management And General | $15,210 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,020,953 | TotalAmt |
| Program Services | $966,124 | ProgramServicesAmt |
| Management And General | $54,829 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,530 | TotalAmt |
| Program Services | $26,529 | ProgramServicesAmt |
| Management And General | $10,001 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,368 | TotalAmt |
| Program Services | $93,300 | ProgramServicesAmt |
| Management And General | $7,068 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,779 | TotalAmt |
| Management And General | $45,779 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,750 | TotalAmt |
| Program Services | $6,764 | ProgramServicesAmt |
| Management And General | $14,986 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,201 | TotalAmt |
| Management And General | $2,201 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,660 | TotalAmt |
| Program Services | $102,507 | ProgramServicesAmt |
| Management And General | $21,153 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,909 | TotalAmt |
| Program Services | $42,742 | ProgramServicesAmt |
| Management And General | $5,167 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,621 | TotalAmt |
| Program Services | $3,781 | ProgramServicesAmt |
| Management And General | $178,840 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,980 | TotalAmt |
| Management And General | $17,980 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,128 | TotalAmt |
| Program Services | $26,637 | ProgramServicesAmt |
| Management And General | $36,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HEALTHY KID GRANT EXPEN | $85,832 | $85,256 | $576 |
| MEDICINE | $45,929 | $45,929 | |
| DUES AND SUBSCRIPTIONS | $34,788 | $13,581 | $21,207 |
| LAB FEES | $28,963 | $28,963 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,059 | TotalAmt |
| Program Services | $8,413 | ProgramServicesAmt |
| Management And General | $2,646 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,097,519 | TotalAmt |
| Program Services | $1,663,385 | ProgramServicesAmt |
| Management And General | $434,134 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,804 | BOYAmt |
| EOY | $46,438 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,085 | BOYAmt |
| EOY | $68,046 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $52,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $880,333 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $548,168 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,871 | BOYAmt |
| EOY | $332,165 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,299 | BOYAmt |
| EOY | $9,508 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,059 | BOYAmt |
| EOY | $508,669 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,969 | BOYAmt |
| EOY | $6,508 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,748 | BOYAmt |
| EOY | $81,618 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $332,300 | BOYAmt |
| EOY | $36,605 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,017 | BOYAmt |
| EOY | $124,731 | 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 | $283,042 | BOYAmt |
| EOY | $383,938 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,042 | BOYAmt |
| EOY | $383,938 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,059 | BOYAmt |
| EOY | $508,669 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $104,687 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,791 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $751,317 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $387,181 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $575,412 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $527,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $714,174 | CurrentTaxYearAmt |
| Total | $2,956,059 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $936,659 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $884,402 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,156,805 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,172,356 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,467,693 | CurrentTaxYearAmt |
| Total | $5,617,915 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,687,976 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,271,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,732,217 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,700,331 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,181,867 | CurrentTaxYearAmt |
| Total | $8,573,974 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $280,478 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,192 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $173,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,505 | CurrentTaxYearAmt |
| Total | $782,854 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $280,478 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,192 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $115,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $173,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,505 | CurrentTaxYearAmt |
| Total | $782,854 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,791,120 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,926 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,406 | CurrentTaxYearAmt |
| Total | $121,856 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,926 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47,357 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,406 | CurrentTaxYearAmt |
| Total | $121,856 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $27,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,540 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,166 | CurrentTaxYearMinus1YearAmt |
| Total | $31,649 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,688,050 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,299,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,761,683 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,748,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,229,273 | CurrentTaxYearAmt |
| Total | $8,727,479 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.89270 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90060 | PublicSupportPY509Pct |
| Investment Income CY | 0.01400 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00900 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,590 | DepreciationAmt |
| Book Value | $240,818 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $148,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $81,056 | DepreciationAmt |
| Book Value | $67,243 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $293,125 | OtherCostOrOtherBasisAmt |
| Depreciation | $269,021 | DepreciationAmt |
| Book Value | $24,104 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,501 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $332,165 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED REVENUE | Desc |
| Amt | $36,605 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,605 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $15,804 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $13,457 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,347 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $6,799 | OtherDirectExpensesEvent1Amt |
| Event2 | BREAKFAST | Event2Nm |
| Gross Receipts Event2 | $6,730 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $5,635 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $1,095 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $1,095 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Oth Direct Expnss Other Events | $2,500 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $22,534 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $19,092 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,442 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,394 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,394 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,952 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FARHAN BHATTI | ||||||||||||||
| EXECUTIVE DIRECTOR | $169,610 | $0 | $45,000 | $0 | $0 | $0 | $0 | $0 | $13,459 | $0 | $228,069 | $0 | $0 | $0 |
| MICHELLE LOUBERT | ||||||||||||||
| DOCTOR | $182,841 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,278 | $0 | $187,119 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE IN-HOUSE ACCOUNTANT AND EMAILED TO THE BOARD FOR REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | BY RECOMMENDATION OF THE EXECUTIVE BOARD AND FINANCE SUB-COMMITTEES AND APPROVAL BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 1 | THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE PREPARED USING THE MODIFIED CASH BASIS OF ACCOUNTING. |
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