SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SPECIAL HEALTH RESOURCES FOR TEXAS INCORPORATED (EIN 75-2405203)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202323189349303287
- 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 | 2023-11-14T07:43:24-08:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 751503978 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Henry & Peters PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2101 Judson Road | AddressLine1Txt |
| City | Longview | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75605 | 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 | 752405203 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECIAL HEALTH RESOURCES FOR TEXAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPEC | BusinessNameControlTxt |
| Phone | 9032340776 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2709 | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75606 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAUN'TA WHITEHEAD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHAUNTA | PersonFirstNm |
| Person Last | WHITEHEAD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Adrienne Deason | PreparerPersonNm |
| PTIN | P01384505 | PTIN |
| Phone | 9037580648 | PhoneNum |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| 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 | SHAUN'TA WHITEHEAD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2709 | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 756062709 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,444,927 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SPECIALHEALTHRESOURCES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION IS TO PROVIDE COMPREHENSIVE, PRIMARY HEALTH CARE TO THE GENERAL POPULATION IN 23 COUNTIES OF NORTHEAST TEXAS BY THE MOST EFFICIENT AND AFFORDABLE MEANS INCLUDING HIV MEDICAL CARE, TESTING AND PREVENTION, CASE MANAGEMENT AND HOUSING ASSISTANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 395 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,353,315 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,866,648 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,666,566 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,413,372 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,953 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,041 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,620 | PYOtherRevenueAmt |
| CY Other Revenue | $154,866 | CYOtherRevenueAmt |
| PY Total Revenue | $41,038,454 | PYTotalRevenueAmt |
| CY Total Revenue | $41,444,927 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $884,708 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $910,792 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,536,168 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,234,786 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,429,521 | PYOtherExpensesAmt |
| CY Other Expenses | $21,191,918 | CYOtherExpensesAmt |
| PY Total Expenses | $35,850,397 | PYTotalExpensesAmt |
| CY Total Expenses | $40,337,496 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,188,057 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,107,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,164,703 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,476,492 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,969,325 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,173,683 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,195,378 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,302,809 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION IS TO PROVIDE COMPREHENSIVE, PRIMARY HEALTH CARE TO THE GENERAL POPULATION IN 23 COUNTIES OF NORTHEAST TEXAS BY THE MOST EFFICIENT AND AFFORDABLE MEANS INCLUDING HIV MEDICAL CARE, TESTING AND PREVENTION, CASE MANAGEMENT AND HOUSING ASSISTANCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $29,884,604 | ExpenseAmt |
| Revenue | $31,028,007 | RevenueAmt |
| Desc | OPERATION OF MEDICAL CLINICS FOR THE GENERAL POPULATION, INCLUDING PRIMARY CARE, OB/GYN, MENTAL HEALTH SERVICES, ETC. DESIGNATED FEDERALLY QUALIFIED HEALTH CLINICS WITH 28,321 UNDUPLICATED PATIENTS SERVED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,186,001 | ExpenseAmt |
| Grant | $910,792 | GrantAmt |
| Revenue | $385,365 | RevenueAmt |
| Desc | HIV SERVICES - PROVIDES PRIMARY MEDICAL SERVICES TO PEOPLE WHO ARE HIV POSITIVE, INCLUDING DOCTORS' VISITS, LABORATORY SERVICES, MEDICAL CASE MANAGEMENT, DENTAL ORAL HEALTH EDUCATION AND CARE, MENTAL HEALTH AND NUTRITIONAL COUNSELING, TRANSPORTATION, HOUSING INSURANCE AND MEDICATION ASSISTANCE, ESTIMATED 26,589 UNITS OF SERVICE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,243,717 | ExpenseAmt |
| Desc | SUBSTANCE ABUSE INTERVENTION & TREATMENT - HIV, HEPATITIS C AND SYPHILIS TESTING TO AT-RISK PEOPLE TO INCLUDE PRE AND POST TEST COUNSELING, RISK REDUCTION AND REFERRALS. PROVIDES COMMUNITY HIV STD EDUCATION IN A VARIETY OF SETTINGS INCLUDING WORKSHOPS, HEALTH FAIRS, SCHOOLS, AGENCIES AND OUTREACH TO DISTRIBUTE PREVENTION MATERIALS AND LITERATURE ABOUT HIV AND STDS. ESTIMATED 9,250 CLIENTS SERVED (UNDUPLICATED). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $285,363 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $34,599,685 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 395 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEN KOSOWICZ | PersonNm |
| Phone | 9032127170 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 410 NORTH FOURTH STREET | AddressLine1Txt |
| City | LONGVIEW | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | TitleTitleTxt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| DEVABRATA GANGULY MD | |||||||
| 32.00 | 0.00 | $1,040,290 | $0 | $0 | |||
| MOHEB MILAD MD | |||||||
| 32.00 | 0.00 | $381,476 | $0 | $0 | |||
| CLIFFORD T SCOTT MD | |||||||
| 32.00 | 0.00 | $363,111 | $0 | $0 | |||
| IFTEQAR M SYED MD | |||||||
| 32.00 | 0.00 | $347,752 | $0 | $0 | |||
| AUBREY C GIBBS MD | |||||||
| 32.00 | 0.00 | $336,972 | $0 | $0 | |||
| DAVID HAYES | |||||||
| 40.00 | 0.00 | $187,042 | $0 | $12,023 | FORMER CEO | Yes (X) | |
| KEN KOSOWICZ | |||||||
| 40.00 | 0.00 | $127,764 | $0 | $27,000 | CFO | Yes (X) | |
| SHAUN'TA WHITEHEAD | |||||||
| 40.00 | 0.00 | $55,626 | $0 | $0 | CEO | Yes (X) | |
| AMPARO MAHLER | |||||||
| 40.00 | 0.00 | $26,259 | $0 | $0 | FORMER COO | Yes (X) | |
| ROQUE CAPETILLO | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Director | Yes (X) | |
| BRIANA ASBERRY | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Director | Yes (X) | |
| ROGER GARDNER | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Director | Yes (X) | |
| BOBBY PIERCE | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | VICE CHAIR | Yes (X) | Yes (X) |
| JANINE WOOD | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Secretary | Yes (X) | Yes (X) |
| DANNY RIVERS | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Treasurer | Yes (X) | Yes (X) |
| PAMELA LEWIS | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Director | Yes (X) | |
| LUPE TOBAR | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Chairman | Yes (X) | Yes (X) |
| TIMOTHY WALSWORTH | |||||||
| 2.00 | 0.00 | $0 | $0 | $0 | Director | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,866,292 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $39,023 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| META CONSULTANTS LLC | |||||
| 10004 WURZBACH RD | SAN ANTONIO | TX | 78230 | MEDICAL SERVICES | $377,731 |
| UNITED SOLUTIONS MSO | |||||
| 3030 E 29TH STREET STE 101 | BRYAN | TX | 77802 | MEDICAL BILLING SVCS | $500,489 |
| LABORATORY CORP OF AMERICA HOLDING | |||||
| 649 S BROADWAY AVE STE 1 | TYLER | TX | 75701 | LAB SERVICES | $489,454 |
| DR ANITA SCRIBNER | |||||
| 709 HOLLYBROOK DR 4500 | LONGVIEW | TX | 75605 | MEDICAL SERVICES | $216,000 |
| ECLINICAL WORKS | |||||
| 2 TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | EHR PROVIDER | $371,658 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,796,326 | GovernmentGrantsAmt |
| All Other Contributions | $70,322 | AllOtherContributionsAmt |
| Total Contributions | $9,866,648 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| COMMUNITY CLINIC INCOME | 621110 | $18,711,692 | $18,711,692 |
| COMMUNITY CLINIC PHARMACY | 621990 | $12,348,312 | $12,348,312 |
| OTHER PATIENT REVENUE | 621110 | $353,368 | $353,368 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,413,372 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,267 | TotalRevenueColumnAmt |
| Exclusion | $8,267 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,774 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,774 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,774 | TotalRevenueColumnAmt |
| Exclusion | $1,774 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $154,866 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $154,866 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $154,866 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,444,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,568,238 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,041 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,792 | TotalAmt |
| Program Services | $910,792 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,714 | TotalAmt |
| Program Services | $435,714 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,832,578 | TotalAmt |
| Program Services | $12,283,057 | ProgramServicesAmt |
| Management And General | $2,549,521 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,811,414 | TotalAmt |
| Program Services | $1,532,357 | ProgramServicesAmt |
| Management And General | $279,057 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,155,080 | TotalAmt |
| Program Services | $977,134 | ProgramServicesAmt |
| Management And General | $177,946 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,489 | TotalAmt |
| Program Services | $128,609 | ProgramServicesAmt |
| Management And General | $285,880 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,484 | TotalAmt |
| Program Services | $108,740 | ProgramServicesAmt |
| Management And General | $18,744 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,510 | TotalAmt |
| Management And General | $380,510 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $227,212 | TotalAmt |
| Program Services | $193,805 | ProgramServicesAmt |
| Management And General | $33,407 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,217,183 | TotalAmt |
| Program Services | $1,217,947 | ProgramServicesAmt |
| Management And General | $999,236 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,822 | TotalAmt |
| Program Services | $271,093 | ProgramServicesAmt |
| Management And General | $46,729 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,718 | TotalAmt |
| Management And General | $3,718 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,296 | TotalAmt |
| Management And General | $245,296 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,592 | TotalAmt |
| Program Services | $101,156 | ProgramServicesAmt |
| Management And General | $17,436 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| 340B PHARMACY EXPENSES | $9,183,715 | $9,183,715 | |
| OTHER SVC/ASSISTANCE | $2,764,923 | $2,764,923 | |
| MEDICAL SUPPLIES | $1,720,290 | $1,450,031 | $270,259 |
| BAD DEBT | $1,333,670 | $1,333,670 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,137,014 | TotalAmt |
| Program Services | $1,706,942 | ProgramServicesAmt |
| Management And General | $430,072 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,337,496 | TotalAmt |
| Program Services | $34,599,685 | ProgramServicesAmt |
| Management And General | $5,737,811 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,203,069 | BOYAmt |
| EOY | $4,653,220 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,897,678 | BOYAmt |
| EOY | $4,579,081 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,188 | BOYAmt |
| EOY | $176,364 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,338 | BOYAmt |
| EOY | $351,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,696,359 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,431,811 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,184,325 | BOYAmt |
| EOY | $2,264,548 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,105 | BOYAmt |
| EOY | $5,451,485 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,164,703 | BOYAmt |
| EOY | $17,476,492 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,051,394 | BOYAmt |
| EOY | $2,182,574 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,931 | BOYAmt |
| EOY | $5,991,109 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,969,325 | BOYAmt |
| EOY | $8,173,683 | 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 | $8,195,378 | BOYAmt |
| EOY | $9,302,809 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,195,378 | BOYAmt |
| EOY | $9,302,809 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,164,703 | BOYAmt |
| EOY | $17,476,492 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,107,431 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,928,645 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,231,226 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,442,937 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,353,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,866,648 | CurrentTaxYearAmt |
| Total | $41,822,771 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,983,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,252,677 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,690,186 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,666,566 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,413,372 | CurrentTaxYearAmt |
| Total | $129,006,089 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,911,933 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,483,903 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,133,123 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,019,881 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,280,020 | CurrentTaxYearAmt |
| Total | $170,828,860 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $170,828,860 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,267 | CurrentTaxYearAmt |
| Total | $17,869 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $984 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,267 | CurrentTaxYearAmt |
| Total | $17,869 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $77,368 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,213 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $156,640 | CurrentTaxYearAmt |
| Total | $297,855 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,992,136 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,504,946 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,164,121 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,038,454 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,444,927 | CurrentTaxYearAmt |
| Total | $171,144,584 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99870 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,300 | OtherCostOrOtherBasisAmt |
| Book Value | $69,300 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $520,611 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,566 | DepreciationAmt |
| Book Value | $445,045 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,206,798 | OtherCostOrOtherBasisAmt |
| Depreciation | $412,421 | DepreciationAmt |
| Book Value | $794,377 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,175,724 | OtherCostOrOtherBasisAmt |
| Depreciation | $458,456 | DepreciationAmt |
| Book Value | $717,268 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $723,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $485,368 | DepreciationAmt |
| Book Value | $238,558 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,264,548 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CONSTRUCTION IN PROCESS | |
| RIGHT OF USE ASSET | $5,451,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,451,485 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED REVENUE | $316,957 |
| OPERATING LEASE LIABILITY | $5,497,496 |
| OTHER LIABILITIES | $176,656 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,991,109 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $40,111,257 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$1,333,670 | OtherRevenueAmt |
| Revenue Not Reported | -$1,333,670 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,444,927 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $41,444,927 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,003,826 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $39,003,826 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,333,670 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,333,670 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $40,337,496 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X : FIN48 Footnote | Management considers the likelihood of changes by taxing authorities in its filed income tax returns, and discloses potential significant changes that management believes are more likely than not to occur upon examination by tax authorities. Management has not identified any uncertain tax positions in filed income tax returns that require disclosure in the accompanying financial statements. The Organizations income tax returns for the past three years are subject to examination by tax authorities and may change upon examination. |
| Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S | BAD DEBT $1333670 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| CLIENT CONSUMABLES (FOOD) | 136 | $7,052 | FMV | FOOD |
| CLIENT LAB SERVICES | 3149 | $425,920 | FMV | LAB SERVICES |
| CLIENT INSURANCE | 9 | $3,362 | FMV | HEALTH INSURANCE |
| EMERGENCY RENTAL/UTILITIES ASSISTAN | 175 | $309,429 | FMV | RENT AND UTILITIES |
| LONG TERM RENT ASSISTANCE | 40 | $147,252 | FMV | HOUSING ASSISTANCE |
| CLIENT INCENTIVES | 468 | $17,777 | FMV | GIFT CARDS |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES: THE ORGANIZATION PROVIDES ASSISTANCE TO CLIENTS BY PAYING MONTHLY RENT ON APARTMENTS THE ORGANIZATION LEASES FOR CLIENT'S USE, PAYMENT OF CLIENT'S UTILITY BILLS AND TO PROVIDE MEALS AND TRANSPORTATION TO CLIENTS AFTER HOURS. THE ORGANIZATION ALSO PROVIDES VARIOUS LAB SERVICES AND MEDICATION TO CLIENTS ON AN AS NEEDED BASIS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | TitleTitleTxt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|
| AUBREY C GIBBS MD | |||
| $336,972 | $336,972 | ||
| CLIFFORD T SCOTT MD | |||
| $363,111 | $363,111 | ||
| DAVID HAYES | |||
| $187,042 | $199,065 | FORMER CEO | $12,023 |
| DEVABRATA GANGULY MD | |||
| $1,040,290 | $1,040,290 | ||
| IFTEQAR M SYED MD | |||
| $347,752 | $347,752 | ||
| KEN KOSOWICZ | |||
| $127,764 | $154,764 | CFO | $27,000 |
| MOHEB MILAD MD | |||
| $381,476 | $381,476 | ||
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | OTHER PROGRAM SERVICES 4: SUBSTANCE ABUSE INTERVENTION & TREATMENT - HIV, HEPATITIS C AND SYPHILIS TESTING TO AT-RISK PEOPLE TO INCLUDE PRE AND POST TEST COUNSELING, RISK REDUCTION AND REFERRALS. PROVIDES COMMUNITY HIV STD EDUCATION IN A VARIETY OF SETTINGS INCLUDING WORKSHOPS, HEALTH FAIRS, SCHOOLS, AGENCIES AND OUTREACH TO DISTRIBUTE PREVENTION MATERIALS AND LITERATURE ABOUT HIV AND STDS. ESTIMATED 9,250 CLIENTS SERVED (UNDUPLICATED). |
| Form 990, Part VI, Section A, Line 1a | DELEGATION OF AUTHORITY THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE WITH THE AUTHORITY TO MEET WHEN BOARD ACTIONS ARE REQUIRED OUTSIDE OF THE NORMALLY SCHEDULED MEETINGS. THESE DECISIONS ARE THEN RATIFIED BY THE FULL BOARD AT THE NEXT REGULAR MEETING. |
| Form 990, Part VI, Section B, Line 11b | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE CFO. AFTER THE CFO'S REVIEW, THE BOARD IS PROVIDED A COPY OF THE FORM 990 PRIOR TO FILING WITH IRS. |
| Form 990, Part VI, Section B, Line 12c | ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED TO PROVIDE SIGNED STATEMETNS ATTESTING TO THEIR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IT IS THE RESPONSIBILITY OF THE INDIVIDUALS TO RECUSE THEMSELVES FROM ISSUES THAT MAY PRESENT A CONFLICT OF INTEREST. |
| Form 990, Part VI, Section B, Line 15a | THE CEO AND SENIOR MANAGEMENT REVIEW ALL SALARIES ANNUALLY AND SOURCES FOR SALARY REVIEW ARE MAINTAINED BY THE HR MANAGER. IF ADJUSTMENTS ARE MADE, THESE ARE DOCUMENTED IN THE INDIVIDUAL PERSONNEL FILES. THE CEO APPROVES ANY SALARY OR WAGE RECOMMENDATIONS FOR OTHER MANAGERS AND STAFF. IN CONTRAST, THE BOARD OF DIRECTORS ARE REQUIRED TO REVIEW THE CEO'S PERFORMANCE ANNUALLY, AND MAKE ANY ADJUSTMENTS DEEMED APPROPRIATE TO THE CEO'S SALARY. ANY SUCH ACTION WOULD BE DOCUMENTED IN THE MINUTES OF A REGULARLY SCHEDULED BOARD MEETING. |
| Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |