MIDMICHIGAN HEALTH SERVICES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MIDMICHIGAN HEALTH SERVICES (EIN 38-2168007)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-19
- IRS object ID
- 202222319349300337
- Schema version
- 2021v4.0
- 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 | 2022-08-19T18:33:23Z | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382168007 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDMICHIGAN HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDM | BusinessNameControlTxt |
| Phone | 9894222138 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9249 W LAKE CITY RD | AddressLine1Txt |
| City | HOUGHTON LAKE | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 486299602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Collin | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9894222138 | PhoneNum |
| Signature | 2022-08-19 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | James P Raschke | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9249 W Lake City Road | AddressLine1Txt |
| City | Houghton Lake | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,215,598 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.midmichigan.org/microsites/chs | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Community Health Center providing primary health care services to Roscommon, Gladwin counties and surrounding areas of Michigan. Through four clinics and three school-based health centers, MidMichigan Health Services provided services to 17,393 patients through 51,359 medical encounters. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 171 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,386,037 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,805,126 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,312,828 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,700,775 | CYProgramServiceRevenueAmt |
| PY Investment Income | $679,352 | PYInvestmentIncomeAmt |
| CY Investment Income | $523,444 | CYInvestmentIncomeAmt |
| PY Other Revenue | $544,914 | PYOtherRevenueAmt |
| CY Other Revenue | $186,253 | CYOtherRevenueAmt |
| PY Total Revenue | $19,923,131 | PYTotalRevenueAmt |
| CY Total Revenue | $20,215,598 | 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 | $11,312,864 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,714,421 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,172,988 | PYOtherExpensesAmt |
| CY Other Expenses | $7,057,409 | CYOtherExpensesAmt |
| PY Total Expenses | $18,485,852 | PYTotalExpensesAmt |
| CY Total Expenses | $19,771,830 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,437,279 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $443,768 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,288,720 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,679,039 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,330,290 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,276,841 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,958,430 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,402,198 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide high quality, community-oriented, patient-centered health services for all. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $19,771,830 | ExpenseAmt |
| Revenue | $20,215,598 | RevenueAmt |
| Desc | Community Health Center provides health care services to Roscommon, Gladwin and surrounding counties of Michigan. Located at four clinic sites and three school-based health centers. MidMichigan Health Services provided services to 17,393 patients through 51,359 encounters. MidMichigan Health Services offers imaging services in Houghton Lake. In addition, through an affiliation with MidMichigan Health, on-site laboratory services are offered at the Houghton Lake site. Physical Therapy and Specialty Services are also provided in Houghton Lake by our affiliation agreement. The three school-based health centers offer health care services to students on school campuses, allowing the students to receive services while minimizing the time spent out of the classroom. In keeping with it's mission, the clinic provides high quality healthcare services to all patients, regardless of the individual's inability to pay. Through its 340b drug program, the clinic was able to provide significant discounts on prescriptions filled with our contracted pharmacies. | Desc |
| Prog Srvc Accom Acty2 | ProgSrvcAccomActy2Grp | |
| Prog Srvc Accom Acty3 | ProgSrvcAccomActy3Grp | |
| Total Program Service Expenses | $19,771,830 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 171 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | Yes (true) | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Form720 Filed | false | Form720FiledInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Excs Tax Sect4951 Or4952 Or4953 | false | ExcsTaxSect4951Or4952Or4953Ind |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Collin | PersonNm |
| Phone | 9892024604 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9249 W Lake City Road | AddressLine1Txt |
| City | Houghton Lake | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48629 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Scott Govitz | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dawn LaCasse | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Debbie VanWert | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Fred Roemer | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Greg Rogers | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeff Fossitt | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jim Bischoff | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Ray Stover | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shannon Phelps | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Joe Passalcqua | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tom Moreau | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lorelei King | |||||||||
| Director | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| James P Raschke | |||||||||
| CEO | 40.00 | 40.00 | $206,328 | $0 | $0 | Yes (X) | |||
| William Collin | |||||||||
| CFO | 40.00 | 40.00 | $170,195 | $0 | $0 | Yes (X) | |||
| Jeffrey Strickler | |||||||||
| CMO | 8.00 | 8.00 | $40,934 | $0 | $0 | Yes (X) | |||
| Jennifer Shamel | |||||||||
| COO | 40.00 | 40.00 | $126,203 | $0 | $0 | Yes (X) | |||
| Kevin Denlinger | |||||||||
| CMO | 8.00 | 8.00 | $42,000 | $0 | $0 | Yes (X) | |||
| Allison Hubbard | |||||||||
| Human Resources Director | 40.00 | 40.00 | $104,283 | $0 | $0 | Yes (X) | |||
| Kevin Denlinger | |||||||||
| Physician | 36.00 | 36.00 | $282,710 | $0 | $0 | Yes (X) | |||
| Roberto Viguilla | |||||||||
| Physician | 36.00 | 36.00 | $234,146 | $0 | $0 | Yes (X) | |||
| Robert McMorrow | |||||||||
| Physician | 36.00 | 36.00 | $325,918 | $0 | $0 | Yes (X) | |||
| Stacey Gedeon | |||||||||
| Psychologist | 36.00 | 36.00 | $226,257 | $0 | $0 | Yes (X) | |||
| Lyndsy McMorrow | |||||||||
| Physician | 36.00 | 36.00 | $244,281 | $0 | $0 | Yes (X) | |||
| Jeffrey Strickler | |||||||||
| Physician | 32.00 | 32.00 | $246,787 | $0 | $0 | Yes (X) | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,250,042 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Midland Radiology | ||||||
| 4000 Wellness Drive | Midland | MI | 48640 | Imaging | $194,160 | |
| Hi-Tech Cleaning Service | ||||||
| 6578 Roger Drive | Jenison | MI | 49428 | Cleaning Service | $222,355 | Suite A |
| Three Rivers Corporation | ||||||
| 3069 E Vantage Point Drive | Midland | MI | 48641 | Building/Construction | $115,706 | |
| Net Express Inc | ||||||
| PO Box 280 | Farmington | MI | 48332 | Telephone/Internet | $109,248 | |
| MidMichigan-Clare | ||||||
| 703 McEwan Street | Clare | MI | 48617 | Imaging | $460,399 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $5,805,126 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $5,805,126 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Misc | Desc |
| Business | 621100 | BusinessCd |
| Total Revenue Column | $13,700,775 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,700,775 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Oth Program Service Rev | TotalOthProgramServiceRevGrp | |
| Total Program Service Revenue | $13,700,775 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,927 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,927 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $201,312 | RealAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Less Rental Expenses | LessRentalExpensesGrp |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $201,312 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,312 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $201,312 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $492,517 | SecuritiesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Less Cost Oth Basis Sales Expnss | LessCostOthBasisSalesExpnssGrp |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $492,517 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $492,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $492,517 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Other Revenue | 900099 | -$15,059 | -$15,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Misc | OtherRevenueMiscGrp | |
| Other Revenue Total | -$15,059 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,215,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,410,472 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,493,569 | TotalAmt |
| Program Services | $2,803,626 | ProgramServicesAmt |
| Management And General | $689,943 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,738,856 | TotalAmt |
| Program Services | $3,414,789 | ProgramServicesAmt |
| Management And General | $2,324,067 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,555 | TotalAmt |
| Program Services | $215,233 | ProgramServicesAmt |
| Management And General | $104,322 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,495,495 | TotalAmt |
| Program Services | $1,504,380 | ProgramServicesAmt |
| Management And General | $991,115 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,946 | TotalAmt |
| Program Services | $438,642 | ProgramServicesAmt |
| Management And General | $228,304 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$145,034 | TotalAmt |
| Program Services | $4,127 | ProgramServicesAmt |
| Management And General | -$149,161 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,900 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $39,900 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,485 | TotalAmt |
| Program Services | $3,209 | ProgramServicesAmt |
| Management And General | $73,276 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,227,907 | TotalAmt |
| Program Services | $2,993,569 | ProgramServicesAmt |
| Management And General | $234,338 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,408 | TotalAmt |
| Program Services | $301,675 | ProgramServicesAmt |
| Management And General | $9,733 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,833 | TotalAmt |
| Program Services | $283,371 | ProgramServicesAmt |
| Management And General | $106,462 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,343 | TotalAmt |
| Program Services | $15,373 | ProgramServicesAmt |
| Management And General | $35,970 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,100 | TotalAmt |
| Program Services | $62,755 | ProgramServicesAmt |
| Management And General | $31,345 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,748 | TotalAmt |
| Program Services | $258,696 | ProgramServicesAmt |
| Management And General | $393,052 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,896 | TotalAmt |
| Program Services | $39,782 | ProgramServicesAmt |
| Management And General | $114 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased & Contract Services | $1,429,764 | $1,228,267 | $201,497 |
| Equipment & Repair Expense | $442,405 | $432,785 | $9,620 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,654 | TotalAmt |
| Program Services | $308,360 | ProgramServicesAmt |
| Management And General | $139,294 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,771,830 | TotalAmt |
| Program Services | $14,308,639 | ProgramServicesAmt |
| Management And General | $5,463,191 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,099,914 | BOYAmt |
| EOY | $1,921,873 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,684,575 | BOYAmt |
| EOY | $2,610,424 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,724 | BOYAmt |
| EOY | $791,105 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $921,175 | BOYAmt |
| EOY | $1,445,897 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,991 | BOYAmt |
| EOY | $531,365 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,715 | BOYAmt |
| EOY | $340,172 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,011,421 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,990,278 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,929,237 | BOYAmt |
| EOY | $7,011,421 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,389 | BOYAmt |
| EOY | $26,782 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,288,720 | BOYAmt |
| EOY | $14,679,039 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,779 | BOYAmt |
| EOY | $1,439,865 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,147 | BOYAmt |
| EOY | $568,342 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,421,364 | BOYAmt |
| EOY | $2,268,634 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,330,290 | BOYAmt |
| EOY | $4,276,841 | 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 | $9,958,430 | BOYAmt |
| EOY | $10,402,198 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,958,430 | BOYAmt |
| EOY | $10,402,198 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,288,720 | BOYAmt |
| EOY | $14,679,039 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $443,768 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Supported Organizations | 0 | SupportedOrganizationsCnt |
| Supported Organizations Total | 0 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,326,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,412,423 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,876,773 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,386,037 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,805,126 | CurrentTaxYearAmt |
| Total | $23,807,161 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,326,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,412,423 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,876,773 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,386,037 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,805,126 | CurrentTaxYearAmt |
| Total | $23,807,161 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,807,161 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $483,306 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,032 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $544,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $679,352 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $523,444 | CurrentTaxYearAmt |
| Total | $2,264,096 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $26,071,257 | TotalSupportAmt |
| Public Support CY170 | 0.91320 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91320 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Thirty Thr Pct Suprt Tests PY170 | Yes (X) | ThirtyThrPctSuprtTestsPY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $387,401 | OtherCostOrOtherBasisAmt |
| Book Value | $387,401 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,781,791 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,076,914 | DepreciationAmt |
| Book Value | $5,704,877 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,646,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,783,630 | DepreciationAmt |
| Book Value | $862,413 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $186,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,734 | DepreciationAmt |
| Book Value | $56,730 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,011,421 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| William Collin | ||
| CFO | $170,195 | $170,195 |
| James Raschke | ||
| CEO | $206,328 | $206,328 |
| Allison Hubbard | ||
| Human Resources Director | $104,283 | $104,283 |
| Kevin Denlinger | ||
| CMO | $42,000 | $42,000 |
| Jennifer Shamel | ||
| COO | $126,203 | $126,203 |
| Roberto Viguilla | ||
| Physician | $234,146 | $234,146 |
| Kevin Denlinger | ||
| Physician | $282,710 | $282,710 |
| Stacey Gedeon | ||
| Psychologist | $226,257 | $226,257 |
| Lyndsy McMorrow | ||
| Physician | $244,281 | $244,281 |
| Robert McMorrow | ||
| Physician | $325,918 | $325,918 |
| Jeffrey Strickler | ||
| Physician | $246,787 | $246,787 |
| Jeffrey Strickler | ||
| CMO | $40,934 | $40,934 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI, Line 11b | Subsequent to completion, a copy of the 990 is reviewed by the Executive Director and the Executive Committee of the Board of Directors prior to submission to the IRS. |
| Part VI, Line 12c | At the time of initial election, and annually thereafter, each board member shall be asked to complete and file a Disclosure of Certain Interests form. Before discussion of each issue at a Committee or Board Meeting, board members should voluntarily state any conflict of interest they may have. When a conflict of interest is established, members with a conflict may not participate in the discussion or vote on the matter before the body. |
| Part VI, Line 15b | The Board of Directors provide regular annual performance evaluations of the Executive Director in which compensation is determined and approved for the following year. The Executive Director provides annual performance evaluations for other officers and top management officials, while reporting and justifying compensation changes to the Board Executive Committee. |
| Part VI, Line 19 | The governing documents, conflict of interest policy, and financial statements are made available to the public upon request. |
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