CENTRAL COUNTIES HEALTH CENTERS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CENTRAL COUNTIES HEALTH CENTERS INC (EIN 37-1361916)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-12-10
IRS object ID
202103449349301000
Schema version
2020v4.1
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)
Return2021-12-10T09:07:01-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

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 Begin2020-07-01TaxPeriodBeginDt

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
Signature2021-12-06SignatureDt
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
Preparation2021-12-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$14,453,029GrossReceiptsAmt
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 Employee127TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$9,854TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,849NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,056,472PYContributionsGrantsAmt
CY Contributions Grants$6,441,636CYContributionsGrantsAmt
PY Program Service Revenue$6,141,609PYProgramServiceRevenueAmt
CY Program Service Revenue$6,220,360CYProgramServiceRevenueAmt
PY Investment Income$218,889PYInvestmentIncomeAmt
CY Investment Income$207,966CYInvestmentIncomeAmt
PY Other Revenue$1,376,123PYOtherRevenueAmt
CY Other Revenue$1,551,744CYOtherRevenueAmt
PY Total Revenue$12,793,093PYTotalRevenueAmt
CY Total Revenue$14,421,706CYTotalRevenueAmt
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$8,895,334PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,878,641CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$123,850CYTotalFundraisingExpenseAmt
PY Other Expenses$2,600,788PYOtherExpensesAmt
CY Other Expenses$2,325,106CYOtherExpensesAmt
PY Total Expenses$11,496,122PYTotalExpensesAmt
CY Total Expenses$11,203,747CYTotalExpensesAmt
PY Revenues Less Expenses$1,296,971PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,217,959CYRevenuesLessExpensesAmt
Total Assets BOY$15,974,220TotalAssetsBOYAmt
Total Assets EOY$19,334,746TotalAssetsEOYAmt
Total Liabilities BOY$2,336,736TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,746,462TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,637,484NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,588,284NetAssetsOrFundBalancesEOYAmt
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$8,906,308ExpenseAmt
Revenue$7,746,427RevenueAmt
DescProvide non-emergency health care, preventative health maintenance and health education to medically underserved citizens in the local community.Desc
Total Program Service Expenses$8,906,308TotalProgramServiceExpensesAmt
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
Employee127EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Julie Janssen
Chairman3.00Yes (X)Yes (X)$0$0$0
James Greenwald DDS
Secretary1.00Yes (X)Yes (X)$0$0$0
Sam Gaines
Treasurer3.00Yes (X)Yes (X)$0$0$0
Ida Jackson
Member1.00Yes (X)$0$0$0
Michael Myles
Member1.00Yes (X)$0$0$0
Judy Henderson
Vice Chair1.00Yes (X)Yes (X)$0$0$0
Misty Hall
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
Brad Buzzard
COO40.00Yes (X)$202,668$0$13,000
Heather Burton
CEO40.00Yes (X)$202,728$0$3,649
Jason Jones
CFO40.00Yes (X)$114,996$0$1,050
Angel MacGibbon
CFO40.00Yes (X)$46,692$0$0
Hwa Chen
Physician40.00$261,500$0$13,000Yes (X)
Dr Michael Murphy
Physician40.00$258,711$0$13,000Yes (X)
Dr Dora Ramos
Medical Director40.00$321,135$0$13,000Yes (X)
Dr Gerard Tolentino
Physician40.00$259,385$0$13,000Yes (X)
Mastan Rao Indlamuri
Physician40.00$243,736$0$9,750Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,911,551TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$79,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,957,117GovernmentGrantsAmt
All Other Contributions$484,519AllOtherContributionsAmt
Total Contributions$6,441,636TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient ServiceDesc
Business524114BusinessCd
Total Revenue Column$6,220,360TotalRevenueColumnAmt
Related Or Exempt Func Income$6,220,360RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,220,360TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,966TotalRevenueColumnAmt
Exclusion$207,966ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$57,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$31,323RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$25,677RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,677TotalRevenueColumnAmt
Unrelated Business Revenue$9,854UnrelatedBusinessRevenueAmt
Exclusion$15,823ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther RevenueDesc
Business900099BusinessCd
Total Revenue Column$1,526,067TotalRevenueColumnAmt
Related Or Exempt Func Income$1,526,067RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,526,067OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,421,706TotalRevenueColumnAmt
Related Or Exempt Func Income$7,746,427RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,854UnrelatedBusinessRevenueAmt
Exclusion$223,789ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$533,601TotalAmt
Program Services$426,881ProgramServicesAmt
Management And General$101,384ManagementAndGeneralAmt
Fundraising$5,336FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,699,314TotalAmt
Program Services$5,297,243ProgramServicesAmt
Management And General$1,306,969ManagementAndGeneralAmt
Fundraising$95,102FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$193,895TotalAmt
Program Services$155,116ProgramServicesAmt
Management And General$36,840ManagementAndGeneralAmt
Fundraising$1,939FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$978,511TotalAmt
Program Services$774,336ProgramServicesAmt
Management And General$189,941ManagementAndGeneralAmt
Fundraising$14,234FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$473,320TotalAmt
Program Services$374,585ProgramServicesAmt
Management And General$92,162ManagementAndGeneralAmt
Fundraising$6,573FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$16,761TotalAmt
Management And General$16,761ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,926TotalAmt
Management And General$32,926ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$167,989TotalAmt
Program Services$106,399ProgramServicesAmt
Management And General$61,590ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$797,682TotalAmt
Program Services$682,636ProgramServicesAmt
Management And General$115,046ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,296TotalAmt
Program Services$1,296ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,292TotalAmt
Management And General$13,292ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,095TotalAmt
Management And General$32,095ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$353,989TotalAmt
Program Services$308,973ProgramServicesAmt
Management And General$45,016ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,301TotalAmt
Program Services$40,716ProgramServicesAmt
Management And General$48,585ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UBIT$2,840$2,840
Medical Supplies$265,706$265,706
Contractual Services$222,159$29,949$192,210
Publicity, Promotion &$81,631$16,827$64,804

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$247,439TotalAmt
Program Services$215,407ProgramServicesAmt
Management And General$31,366ManagementAndGeneralAmt
Fundraising$666FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,203,747TotalAmt
Program Services$8,906,308ProgramServicesAmt
Management And General$2,173,589ManagementAndGeneralAmt
Fundraising$123,850FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,248,435BOYAmt
EOY$1,875,512EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$309,191BOYAmt
EOY$296,302EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$450,374BOYAmt
EOY$534,884EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,337BOYAmt
EOY$37,186EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,934,627LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,309,808LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,971,192BOYAmt
EOY$6,624,819EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,794,107BOYAmt
EOY$4,313,127EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,162,034BOYAmt
EOY$5,652,366EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,974,220BOYAmt
EOY$19,334,746EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$937,828BOYAmt
EOY$959,140EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,734BOYAmt
EOY$33,333EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,379,174BOYAmt
EOY$753,989EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,336,736BOYAmt
EOY$1,746,462EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,637,484BOYAmt
EOY$17,588,284EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,637,484BOYAmt
EOY$17,588,284EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,974,220BOYAmt
EOY$19,334,746EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,217,959ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$732,841NetUnrlzdGainsLossesInvstAmt
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$3,493,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,539,235CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,771,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,690,850CurrentTaxYearMinus1YearAmt
Current Tax Year$6,441,636CurrentTaxYearAmt
Total$20,936,930TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,493,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,539,235CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,771,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,690,850CurrentTaxYearMinus1YearAmt
Current Tax Year$6,441,636CurrentTaxYearAmt
Total$20,936,930TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,936,930PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$129,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$208,331CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$236,453CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$218,889CurrentTaxYearMinus1YearAmt
Current Tax Year$207,966CurrentTaxYearAmt
Total$1,001,283TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$435,234CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$476,744CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$669,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,394,506CurrentTaxYearMinus1YearAmt
Current Tax Year$1,583,067CurrentTaxYearAmt
Total$4,558,995TotalAmt
FieldValueIRS element (for citing)
Total Support$26,497,208TotalSupportAmt
Gross Receipts Rltd Activities$27,973,206GrossReceiptsRltdActivitiesAmt
Public Support CY1700.79020PublicSupportCY170Pct
Public Support PY1700.80700PublicSupportPY170Pct
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$9,004,257OtherCostOrOtherBasisAmt
Depreciation$2,831,448DepreciationAmt
Book Value$6,172,809BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,541,286OtherCostOrOtherBasisAmt
Depreciation$1,478,360DepreciationAmt
Book Value$62,926BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,624,819TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Certificates of Deposit$1,266,977F
Cash Equivalents$4,385,389F
FieldValueIRS element (for citing)
Total Book Value Securities$5,652,366TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,185,870TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$732,841NetUnrealizedGainsInvstAmt
Other Revenue$31,323OtherRevenueAmt
Revenue Not Reported$764,164RevenueNotReportedAmt
Revenue Subtotal$14,421,706RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,421,706TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,235,070TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$31,323OtherExpensesIncludedAmt
Expenses Not Reported$31,323ExpensesNotReportedAmt
Expenses Subtotal$11,203,747ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,203,747TotalExpensesPerForm990Amt

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, 2021 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
Part XII, Line 2d - Other Adjustments:Rental Expenses netted with Rental Income

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$321,135$0$0$0$0$0$13,000$0$0$0$334,135$0$0$0
Hwa Chen
Physician$261,500$0$0$0$0$0$13,000$0$0$0$274,500$0$0$0
Dr Gerard Tolentino
Physician$259,385$0$0$0$0$0$13,000$0$0$0$272,385$0$0$0
Dr Michael Murphy
Physician$258,711$0$0$0$0$0$13,000$0$0$0$271,711$0$0$0
Mastan Rao Indlamuri
Physician$243,736$0$0$0$0$0$9,750$0$0$0$253,486$0$0$0
Brad Buzzard
COO$202,668$0$0$0$0$0$13,000$0$0$0$215,668$0$0$0
Heather Burton
CEO$202,728$0$0$0$0$0$3,649$0$0$0$206,377$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.