CARE FREE MEDICAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CARE FREE MEDICAL INC (EIN 14-1909938)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349307163
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T11:21:55-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382157642 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANER COSTERISAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2425 E GRAND RIVER SUITE 1 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 489123291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141909938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST 5 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FARHAN BHATTI | PersonNm |
| Person Title | EXCUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5178875922 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | FARHAN | PersonFirstNm |
| Person Last | BHATTI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRANDY L MIKULA CPA | PreparerPersonNm |
| PTIN | P00645694 | PTIN |
| Phone | 5173237500 | PhoneNum |
| Preparation | 2022-11-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL AND DENTAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FARHAN BHATTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST 5 | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,752,576 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAREFREEMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HEALTH SERVICES TO UNINSURED & UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MI AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 35 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $23,348 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $8,707 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $575,412 | PYContributionsGrantsAmt |
| CY Contributions Grants | $527,975 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,156,806 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,172,356 | CYProgramServiceRevenueAmt |
| PY Investment Income | $226 | PYInvestmentIncomeAmt |
| CY Investment Income | $308 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$5,755 | PYOtherRevenueAmt |
| CY Other Revenue | $18,410 | CYOtherRevenueAmt |
| PY Total Revenue | $1,726,689 | PYTotalRevenueAmt |
| CY Total Revenue | $1,719,049 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,149,999 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,152,101 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $588,883 | PYOtherExpensesAmt |
| CY Other Expenses | $615,050 | CYOtherExpensesAmt |
| PY Total Expenses | $1,738,882 | PYTotalExpensesAmt |
| CY Total Expenses | $1,767,151 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$12,193 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$48,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $564,064 | TotalAssetsBOYAmt |
| Total Assets EOY | $730,059 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $234,974 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $447,017 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $329,090 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $283,042 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FREE MEDICAL AND DENTAL PROVIDES HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MICHIGAN AREA. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,281,038 | ExpenseAmt |
| Revenue | $1,173,522 | RevenueAmt |
| Desc | THE MEDICAL, OPTICAL, AND DENTAL CLINICS HAD 13,097 PATIENT ENCOUNTERS IN 2021. | Desc |
| Total Program Service Expenses | $1,281,038 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 35 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIELLE HILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 W SAGINAW ST | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48915 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| FARHAN BHATTI | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $186,772 | $0 | $5,133 | ||
| MICHELLE LOUBERT | |||||||
| DOCTOR | 40.00 | $181,291 | $0 | $4,609 | Yes (X) | ||
| DOUGLAS EDEMA | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DAVID HOUSTON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| KEYONA JONES | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| MARIA MENDOZA JIMENEZ | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| ELNA VILLAREAL | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DEAN HOLLAND | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY WILSON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| AMANDA BOWMAN | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| RONNIE THORTON | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| ASHBY DAESEAN | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| DR ABDALMAJID KATRANJI MD | |||||||
| MEMBER | 0.25 | $0 | $0 | $0 | Yes (X) | ||
| JEAN YOUNG | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANGELA EPOLITO SPRECHER | |||||||
| SECRETARY | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAUL KENNEDY | |||||||
| CHAIR | 1.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $368,063 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $9,742 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $4,405 | FederatedCampaignsAmt |
| Fundraising | $15,973 | FundraisingAmt |
| Government Grants | $171,596 | GovernmentGrantsAmt |
| All Other Contributions | $336,001 | AllOtherContributionsAmt |
| Total Contributions | $527,975 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL CLINIC | 621110 | $1,076,133 | $1,076,133 |
| DENTAL CLINIC | 621300 | $55,293 | $55,293 |
| OPTOMETRY CLINIC | 621300 | $40,930 | $40,930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,172,356 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $308 | TotalRevenueColumnAmt |
| Exclusion | $308 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,424 | RealAmt |
| Personal | $5,625 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,701 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,723 | RealAmt |
| Personal | $5,625 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,348 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $23,348 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,722 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $15,973 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,826 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,104 | TotalRevenueColumnAmt |
| Exclusion | -$6,104 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,166 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,166 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,166 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,719,049 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,173,522 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $23,348 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$5,796 | ExclusionAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,905 | TotalAmt |
| Program Services | $175,718 | ProgramServicesAmt |
| Management And General | $16,187 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,733 | TotalAmt |
| Program Services | $783,055 | ProgramServicesAmt |
| Management And General | $71,678 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,659 | TotalAmt |
| Program Services | $25,773 | ProgramServicesAmt |
| Management And General | $2,886 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,804 | TotalAmt |
| Program Services | $68,274 | ProgramServicesAmt |
| Management And General | $8,530 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,805 | TotalAmt |
| Management And General | $51,805 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,461 | TotalAmt |
| Program Services | $31,036 | ProgramServicesAmt |
| Management And General | $8,425 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,326 | TotalAmt |
| Management And General | $1,326 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,620 | TotalAmt |
| Program Services | $82,179 | ProgramServicesAmt |
| Management And General | $19,441 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,415 | TotalAmt |
| Program Services | $34,263 | ProgramServicesAmt |
| Management And General | $8,152 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,179 | TotalAmt |
| Program Services | $1,741 | ProgramServicesAmt |
| Management And General | $197,438 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,640 | TotalAmt |
| Management And General | $50,640 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,546 | TotalAmt |
| Program Services | $34,639 | ProgramServicesAmt |
| Management And General | $20,907 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES AND SUBSCRIPTIONS | $28,878 | $3,855 | $25,023 |
| LAB FEES | $21,431 | $21,431 | |
| HEALTHY KID GRANT EXPEN | $13,423 | $13,423 | |
| BANK CARD FEES | $4,202 | $3,487 | $715 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,124 | TotalAmt |
| Program Services | $2,164 | ProgramServicesAmt |
| Management And General | $2,960 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,767,151 | TotalAmt |
| Program Services | $1,281,038 | ProgramServicesAmt |
| Management And General | $486,113 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,749 | BOYAmt |
| EOY | $194,804 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,509 | BOYAmt |
| EOY | $181,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $861,523 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $520,652 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,561 | BOYAmt |
| EOY | $340,871 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,245 | BOYAmt |
| EOY | $13,299 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,064 | BOYAmt |
| EOY | $730,059 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,339 | BOYAmt |
| EOY | $7,969 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,713 | BOYAmt |
| EOY | $106,748 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,922 | BOYAmt |
| EOY | $332,300 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,974 | BOYAmt |
| EOY | $447,017 | 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 | $329,090 | BOYAmt |
| EOY | $283,042 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,090 | BOYAmt |
| EOY | $283,042 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,064 | BOYAmt |
| EOY | $730,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$48,102 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,054 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $676,563 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $751,317 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $387,181 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $575,412 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $527,975 | CurrentTaxYearAmt |
| Total | $2,918,448 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,096,376 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $936,659 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $884,402 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,156,805 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,172,356 | CurrentTaxYearAmt |
| Total | $5,246,598 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,772,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,687,976 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,271,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,732,217 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,700,331 | CurrentTaxYearAmt |
| Total | $8,165,046 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $108,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $280,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,192 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $173,793 | CurrentTaxYearAmt |
| Total | $701,913 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $108,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $280,478 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,192 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,886 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $173,793 | CurrentTaxYearAmt |
| Total | $701,913 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,463,133 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,357 | CurrentTaxYearAmt |
| Total | $74,480 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,926 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,357 | CurrentTaxYearAmt |
| Total | $74,480 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,968 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,179 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,888 | CurrentTaxYearAmt |
| Total | $47,744 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,774,758 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,694,970 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,293,644 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,771,322 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,752,576 | CurrentTaxYearAmt |
| Total | $8,287,270 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.90060 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92380 | PublicSupportPY509Pct |
| Investment Income CY | 0.00900 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00340 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $165,692 | DepreciationAmt |
| Book Value | $251,716 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,351 | DepreciationAmt |
| Book Value | $56,948 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $289,315 | OtherCostOrOtherBasisAmt |
| Depreciation | $257,108 | DepreciationAmt |
| Book Value | $32,207 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,501 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $340,871 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED REVENUE | $115,787 |
| PPP LOAN PAYABLE | $216,513 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $332,300 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $19,695 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $15,973 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $3,722 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $5,826 | OtherDirectExpensesEvent1Amt |
| Event2 | WALL MURAL | Event2Nm |
| Other Direct Expenses Event2 | $4,000 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $19,695 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $15,973 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,722 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,826 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,826 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,104 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FARHAN BHATTI | ||||||||||||||
| EXECUTIVE DIRECTOR | $168,772 | $0 | $18,000 | $0 | $0 | $0 | $0 | $0 | $5,133 | $0 | $191,905 | $0 | $0 | $0 |
| MICHELLE LOUBERT | ||||||||||||||
| DOCTOR | $180,791 | $0 | $500 | $0 | $0 | $0 | $0 | $0 | $4,609 | $0 | $185,900 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE IN-HOUSE ACCOUNTANT AND EMAILED TO THE BOARD FOR REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | BY RECOMMENDATION OF THE EXECUTIVE BOARD AND FINANCE SUB-COMMITTEES AND APPROVAL BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 1 | THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE PREPARED USING THE MODIFIED CASH BASIS OF ACCOUNTING. |
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