CENTRAL COUNTIES HEALTH CENTERS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CENTRAL COUNTIES HEALTH CENTERS INC (EIN 37-1361916)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-01
IRS object ID
202233059349301828
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-01T12:55:16-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN371335003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ECK SCHAFER & PUNKE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 S Seventh StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationILStateAbbreviationCd
ZIP62701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371361916EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Counties Health Centers IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone2177882300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 East Cook StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationILStateAbbreviationCd
ZIP62703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHeather BurtonPersonNm
Person TitleCEOPersonTitleTxt
Phone2177882300PhoneNum
Signature2022-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHeatherPersonFirstNm
Person LastBurtonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrent LeachPreparerPersonNm
PTINP00331592PTIN
Phone2175251111PhoneNum
Preparation2022-10-24PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHeather BurtonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 East Cook StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationILStateAbbreviationCd
ZIP62703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,345,600GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.centralcounties.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo improve access to health care for low income patients.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee123TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,441,636PYContributionsGrantsAmt
CY Contributions Grants$5,377,597CYContributionsGrantsAmt
PY Program Service Revenue$6,220,360PYProgramServiceRevenueAmt
CY Program Service Revenue$7,997,954CYProgramServiceRevenueAmt
PY Investment Income$207,966PYInvestmentIncomeAmt
CY Investment Income$369,813CYInvestmentIncomeAmt
PY Other Revenue$1,551,744PYOtherRevenueAmt
CY Other Revenue$581,220CYOtherRevenueAmt
PY Total Revenue$14,421,706PYTotalRevenueAmt
CY Total Revenue$14,326,584CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,878,641PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,027,845CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$136,360CYTotalFundraisingExpenseAmt
PY Other Expenses$2,325,106PYOtherExpensesAmt
CY Other Expenses$2,205,857CYOtherExpensesAmt
PY Total Expenses$11,203,747PYTotalExpensesAmt
CY Total Expenses$11,233,702CYTotalExpensesAmt
PY Revenues Less Expenses$3,217,959PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,092,882CYRevenuesLessExpensesAmt
Total Assets BOY$19,334,746TotalAssetsBOYAmt
Total Assets EOY$21,432,400TotalAssetsEOYAmt
Total Liabilities BOY$1,746,462TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,861,875TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,588,284NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,570,525NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide access to quality, cost-effective health and oral (dental) care to the community, especially where there is a shortage, through the development and implementation of programs without regard to age, race, nationality, gender, sexual orientation, religion, political beliefs or ability to pay. We believe that all people have the right to quality health care and that such access will improve the health of the entire community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,723,154ExpenseAmt
Revenue$8,544,207RevenueAmt
DescProvide non-emergency health care, preventative health maintenance and health education to medically underserved citizens in the local community.Desc
Total Program Service Expenses$8,723,154TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee123EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Angel MacGibbonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2177882300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12239 East Cook StreetAddressLine1Txt
CitySpringfieldCityNm
State AbbreviationILStateAbbreviationCd
ZIP62703ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Julie Ann Janssen
Chairman3.00Yes (X)Yes (X)$0$0$0
James J Greenwald DDS
Secretary1.00Yes (X)Yes (X)$0$0$0
Sam Gaines MD
Treasurer3.00Yes (X)Yes (X)$0$0$0
Ida Jackson
Member1.00Yes (X)$0$0$0
Michael Myles
Member1.00Yes (X)$0$0$0
Misty Hall
Vice Chair1.00Yes (X)Yes (X)$0$0$0
Judy Donley Henderson
Member1.00Yes (X)$0$0$0
David Mytar
Member1.00Yes (X)$0$0$0
Lois Davis
Member1.00Yes (X)$0$0$0
Racine Freeman
Member1.00Yes (X)$0$0$0
Sandra Yard
Member1.00Yes (X)$0$0$0
Bradley Buzzard
COO40.00Yes (X)$212,764$0$13,000
Heather Burton
CEO40.00Yes (X)$222,894$0$8,933
Angel MacGibbon
CFO40.00Yes (X)$116,650$0$2,063
Hwa Chen
Physician40.00$250,250$0$13,000Yes (X)
Dr Michael Murphy
Physician40.00$269,000$0$13,000Yes (X)
Dr Dora Ramos
Medical Director40.00$333,871$0$13,000Yes (X)
Dr Gerard Tolentino
Physician40.00$269,650$0$13,000Yes (X)
Mastan Rao Indlamuri
Physician40.00$246,981$0$9,750Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,922,060TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$85,746TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,081,461GovernmentGrantsAmt
All Other Contributions$296,136AllOtherContributionsAmt
Total Contributions$5,377,597TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue621300$6,314,551$6,314,551
Federal 340B Drug Pricing Program446110$1,683,403$1,683,403
FieldValueIRS element (for citing)
Total Program Service Revenue$7,997,954TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$369,813TotalRevenueColumnAmt
Exclusion$369,813ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$53,983RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$19,016RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$34,967RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,967TotalRevenueColumnAmt
Exclusion$34,967ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther RevenueDesc
Business621400BusinessCd
Total Revenue Column$546,253TotalRevenueColumnAmt
Related Or Exempt Func Income$546,253RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$546,253OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,326,584TotalRevenueColumnAmt
Related Or Exempt Func Income$8,544,207RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$404,780ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$602,452TotalAmt
Program Services$481,961ProgramServicesAmt
Management And General$114,466ManagementAndGeneralAmt
Fundraising$6,025FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,718,307TotalAmt
Program Services$5,179,382ProgramServicesAmt
Management And General$1,434,375ManagementAndGeneralAmt
Fundraising$104,550FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$266,194TotalAmt
Program Services$212,955ProgramServicesAmt
Management And General$50,577ManagementAndGeneralAmt
Fundraising$2,662FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$965,291TotalAmt
Program Services$739,386ProgramServicesAmt
Management And General$209,966ManagementAndGeneralAmt
Fundraising$15,939FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$475,601TotalAmt
Program Services$367,795ProgramServicesAmt
Management And General$100,622ManagementAndGeneralAmt
Fundraising$7,184FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,955TotalAmt
Management And General$14,955ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,779TotalAmt
Management And General$32,779ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$149,086TotalAmt
Program Services$86,639ProgramServicesAmt
Management And General$62,447ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$788,336TotalAmt
Program Services$671,165ProgramServicesAmt
Management And General$117,171ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,401TotalAmt
Program Services$2,401ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,767TotalAmt
Management And General$18,767ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$26,418TotalAmt
Management And General$26,418ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$316,760TotalAmt
Program Services$285,410ProgramServicesAmt
Management And General$31,350ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$97,152TotalAmt
Program Services$43,422ProgramServicesAmt
Management And General$53,730ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Contractual Services$237,535$209,876$27,659
Medical Supplies$200,776$200,776
Publicity, Promotion &$120,043$91,647$28,396
Dues, Publications, Lic$71,262$51,917$19,345

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$129,587TotalAmt
Program Services$98,422ProgramServicesAmt
Management And General$31,165ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,233,702TotalAmt
Program Services$8,723,154ProgramServicesAmt
Management And General$2,374,188ManagementAndGeneralAmt
Fundraising$136,360FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$550BOYAmt
EOY$550EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,875,512BOYAmt
EOY$3,236,757EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$296,302BOYAmt
EOY$150,109EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$534,884BOYAmt
EOY$481,064EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,186BOYAmt
EOY$38,746EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,952,206LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,645,583LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,624,819BOYAmt
EOY$6,306,623EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,313,127BOYAmt
EOY$4,815,548EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,652,366BOYAmt
EOY$6,403,003EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$19,334,746BOYAmt
EOY$21,432,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$959,140BOYAmt
EOY$1,066,006EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$33,333BOYAmt
EOY$151,905EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$753,989BOYAmt
EOY$643,964EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,746,462BOYAmt
EOY$1,861,875EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,588,284BOYAmt
EOY$19,570,525EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,588,284BOYAmt
EOY$19,570,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,334,746BOYAmt
EOY$21,432,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,092,882ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,110,641NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,539,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,771,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,690,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,441,636CurrentTaxYearMinus1YearAmt
Current Tax Year$5,377,597CurrentTaxYearAmt
Total$22,820,787TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,539,235CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,771,469CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,690,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,441,636CurrentTaxYearMinus1YearAmt
Current Tax Year$5,377,597CurrentTaxYearAmt
Total$22,820,787TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$22,820,787PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$208,331CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$236,453CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$218,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,966CurrentTaxYearMinus1YearAmt
Current Tax Year$369,813CurrentTaxYearAmt
Total$1,241,452TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$476,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$669,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,394,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,583,067CurrentTaxYearMinus1YearAmt
Current Tax Year$2,283,639CurrentTaxYearAmt
Total$6,407,400TotalAmt
FieldValueIRS element (for citing)
Total Support$30,469,639TotalSupportAmt
Gross Receipts Rltd Activities$30,010,701GrossReceiptsRltdActivitiesAmt
Public Support CY1700.74900PublicSupportCY170Pct
Public Support PY1700.79020PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$389,084OtherCostOrOtherBasisAmt
Book Value$389,084BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,004,256OtherCostOrOtherBasisAmt
Depreciation$3,131,589DepreciationAmt
Book Value$5,872,667BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,558,866OtherCostOrOtherBasisAmt
Depreciation$1,513,994DepreciationAmt
Book Value$44,872BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,306,623TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Certificates of Deposit$837,835F
Cash Equivalents$5,565,168F
FieldValueIRS element (for citing)
Total Book Value Securities$6,403,003TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,234,959TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,110,641NetUnrealizedGainsInvstAmt
Other Revenue$19,016OtherRevenueAmt
Revenue Not Reported-$1,091,625RevenueNotReportedAmt
Revenue Subtotal$14,326,584RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,326,584TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,252,718TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$19,016OtherExpensesIncludedAmt
Expenses Not Reported$19,016ExpensesNotReportedAmt
Expenses Subtotal$11,233,702ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,233,702TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Organization follows accounting principles generally accepted in the United States of America which sets a minimum threshold for financial statement recognition of the benefit of a tax position taken or expected to be taken in a tax return. Tax positions for the open tax years as of June 30, 2022 were reviewed, and it was determined that no provision for uncertain tax positions is required.
Part XI, Line 2d - Other Adjustments:Rental Expenses netted with Rental Income 19,016.
Part XII, Line 2d - Other Adjustments:Rental Expenses netted with Rental Income 19,016.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Dr Dora Ramos
Medical Director$333,871$0$0$0$0$0$13,000$0$0$0$346,871$0$0$0
Dr Gerard Tolentino
Physician$269,650$0$0$0$0$0$13,000$0$0$0$282,650$0$0$0
Dr Michael Murphy
Physician$269,000$0$0$0$0$0$13,000$0$0$0$282,000$0$0$0
Hwa Chen
Physician$250,250$0$0$0$0$0$13,000$0$0$0$263,250$0$0$0
Mastan Rao Indlamuri
Physician$246,981$0$0$0$0$0$9,750$0$0$0$256,731$0$0$0
Heather Burton
CEO$222,894$0$0$0$0$0$8,933$0$0$0$231,827$0$0$0
Bradley Buzzard
COO$212,764$0$0$0$0$0$13,000$0$0$0$225,764$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Bradley Buzzard (Chief Operating Officer) and Dr. Dora Ramos (Medical Director) are husband and wife.
Form 990, Part VI, Section B, line 11bThe Organization's Management reviews the Form 990 before it is filed.
Form 990, Part VI, Section B, line 12cThe Organization requires officers, directors, and key employees to disclose in writing all relationships that would potentially create a conflict of interest. The Organization requires the disclosures and updates to be made at least annually.
Form 990, Part VI, Section B, line 15Compensation for the CEO is determined by the Board of Directors annually and is based on a performance evaluation and the overall market conditions. Compensation for key employees is determined by annual reviews, which are completed by the CEO.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.