FURP.ORG / PUBLIC DATA EXPLORER

REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
REGENESIS ORGANIZATION COMMUNITY HEALTH CENTER (EIN 57-1084051)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-04
IRS object ID
202141249349300609
Schema version
2019v5.2
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)
Return2021-05-04T07:10:58-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1227 WEST TRADE STREET SUITE 800AddressLine1Txt
CityCHARLOTTECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN571084051EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REGENESIS HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlREGEBusinessNameControlTxt
Phone8645822817PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1460 LANGDON STAddressLine1Txt
CitySPARTANBURGCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN KELBAUGHPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8645822817PhoneNum
Signature2021-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN NORMANPreparerPersonNm
PTINP01506766PTIN
Phone7049985200PhoneNum
Preparation2021-05-03PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARLON HUNTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1460 LANGDON STAddressLine1Txt
CitySPARTANBURGCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,516,383GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MYRHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTO ELIMINATE ECONOMIC, SOCIAL, RACIAL, GENDER, AND AGE BARRIERS TO WELLNESS IN OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee174TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,719,470PYContributionsGrantsAmt
CY Contributions Grants$4,040,521CYContributionsGrantsAmt
PY Program Service Revenue$6,751,193PYProgramServiceRevenueAmt
CY Program Service Revenue$8,324,952CYProgramServiceRevenueAmt
PY Investment Income$3,408PYInvestmentIncomeAmt
CY Investment Income$4,206CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$2,146,704CYOtherRevenueAmt
PY Total Revenue$10,474,071PYTotalRevenueAmt
CY Total Revenue$14,516,383CYTotalRevenueAmt
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$7,996,390PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,195,026CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,535,346PYOtherExpensesAmt
CY Other Expenses$4,524,344CYOtherExpensesAmt
PY Total Expenses$11,531,736PYTotalExpensesAmt
CY Total Expenses$12,719,370CYTotalExpensesAmt
PY Revenues Less Expenses-$1,057,665PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,797,013CYRevenuesLessExpensesAmt
Total Assets BOY$6,675,403TotalAssetsBOYAmt
Total Assets EOY$8,988,854TotalAssetsEOYAmt
Total Liabilities BOY$3,468,833TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,985,271TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,206,570NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,003,583NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE COMMITTED TO PROVIDING ACCESSIBLE, AFFORDABLE, HIGH QUALITY, AND CULTURALLY SENSITIVE HEALTH CARE TO THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,125,371ExpenseAmt
Revenue$8,324,952RevenueAmt
DescREGENESIS HEALTH CARE ("REGENESIS") BEGAN SERVING THE UPSTATE IN 2003 BY PROVIDING THE SAME HIGH-QUALITY, PATIENT-FOCUSED HEALTH CARE SERVICES THAT HAVE BECOME SYNONYMOUS WITH COMMUNITY HEALTH CENTERS. WITH A FOCUS ON PRIMARY CARE, PREVENTION, EDUCATION, AND CASE MANAGEMENT, REGENESIS HEALTH CARE AND REGENESIS HEALTH CARE FAMILY DENTISTRY MEET THE NEEDS OF THE COMMUNITY. WE ACCEPT MOST HEALTH INSURANCE PLANS INCLUDING MEDICARE AND MEDICAID AND FOR OUR PATIENTS WITHOUT INSURANCE, SERVICES ARE PROVIDED ON A SLIDING FEE SCALE BASED ON THE PATIENT'S INCOME LEVEL. REGENESIS IS ONE OF 19 FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS IN SOUTH CAROLINA AND THE ONLY CENTER OF ITS KIND IN SPARTANBURG AND CHEROKEE COUNTIES. REGENESIS PROVIDES COMPREHENSIVE, HIGH-QUALITY HEALTH CARE IN A CULTURALLY APPROPRIATE, PATIENT CENTERED MANNER, TO EVERYONE ACCORDING TO HIS OR HER ABILITY TO PAY. STAFF, PHYSICIANS, AND NURSES ARE CONTINUALLY WORKING TO MEET AND EXCEED HIGH STANDARDS OF SERVICES WITH REGARDS TO THE SERVICES THEY PROVIDE. DURING THE YEAR, THE ORGANIZATION PROVIDED OVER 50,405 HEALTHCARE VISITS TO MEMBERS OF THE COMMUNITIES IT SERVES.Desc
Total Program Service Expenses$9,125,371TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee174EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Rln0FamilyOrBusinessRlnInd
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 PolicyYes (1)WhistleblowerPolicyInd
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 FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN KELBAUGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8645822817PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1460 LANGDON STAddressLine1Txt
CitySPARTANBURGCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29302ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JEFFREY BALLENGER
CHAIR1.00Yes (X)Yes (X)$0$0$0
CHARLES MANN
1ST VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SUSIE ERICKSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
OMAR DANIELS
TREASURER1.00Yes (X)Yes (X)$0$0$0
STEPHANIE COLN
2ND TREASURER1.00Yes (X)Yes (X)$0$0$0
MARIA EDWARDS
BOARD MEMBER1.00Yes (X)$0$0$0
VALARIE SULLIVAN
BOARD MEMBER1.00Yes (X)$0$0$0
SUMMER TEBALT
BOARD MEMBER1.00Yes (X)$0$0$0
HOLLY ANN SAVAGE
BOARD MEMBER1.00Yes (X)$0$0$0
HUNTER DAWKINS
BOARD MEMBER1.00Yes (X)$0$0$0
ROYA FAYZAI
BOARD MEMBER1.00Yes (X)$0$0$0
COLE ALVERSON
BOARD MEMBER1.00Yes (X)$0$0$0
MATTHEW DELFINO
CMO40.00Yes (X)$204,261$0$41,579
MARLON HUNTER
CEO40.00Yes (X)$202,166$0$10,521
CRYSTAL WEEKS
COO40.00Yes (X)$92,875$0$12,252
JENNIFER YEAROUT
CFO40.00Yes (X)$88,115$0$4,406
JOSHUA HALL
PHYSICIAN40.00$169,180$0$38,347Yes (X)
AMY ARENDT
PHYSICIAN40.00$152,557$0$34,548Yes (X)
JAMI COKLEY
PHYSICIAN40.00$141,933$0$27,617Yes (X)
ANKITKUMAR PATEL
DIRECTOR OF PHARMACY40.00$140,468$0$36,773Yes (X)
SONIA KAKKAR
PHYSICIAN40.00$138,425$0$29,051Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,329,980TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$235,094TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRIORITY HEATING AND AIR LLC
PO BOX 161773BOILING SPRINGSSC29316HEATING AND AIR SERVICES$189,989
FRC LLC
PO BOX 507COLUMBIASC29202PHONE SERVICES$137,408
LABCORP
PO BOX 12140BURLINGTONNC27216LAB SERVICES$116,306
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$3,844,018GovernmentGrantsAmt
All Other Contributions$196,503AllOtherContributionsAmt
Total Contributions$4,040,521TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621990$6,868,720$6,868,720
PHARMACY REVENUE621990$868,504$868,504
OTHER PROGRAM REVENUE621990$587,728$587,728
FieldValueIRS element (for citing)
Total Program Service Revenue$8,324,952TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,206TotalRevenueColumnAmt
Exclusion$4,206ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PPP LOAN900099$1,323,632$1,323,632
MISCELLANEOUS REVENUE900099$823,072$823,072
FieldValueIRS element (for citing)
Other Revenue Total$2,146,704OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,516,383TotalRevenueColumnAmt
Related Or Exempt Func Income$8,324,952RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,150,910ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,594,252TotalAmt
Program Services$4,005,989ProgramServicesAmt
Management And General$2,588,263ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$228,989TotalAmt
Program Services$183,191ProgramServicesAmt
Management And General$45,798ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$838,490TotalAmt
Program Services$670,792ProgramServicesAmt
Management And General$167,698ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$533,295TotalAmt
Program Services$426,636ProgramServicesAmt
Management And General$106,659ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,524TotalAmt
Program Services$9,219ProgramServicesAmt
Management And General$2,305ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$85,283TotalAmt
Program Services$68,226ProgramServicesAmt
Management And General$17,057ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$833,462TotalAmt
Program Services$666,770ProgramServicesAmt
Management And General$166,692ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$78,651TotalAmt
Program Services$62,921ProgramServicesAmt
Management And General$15,730ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$257,718TotalAmt
Program Services$206,174ProgramServicesAmt
Management And General$51,544ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$386,514TotalAmt
Program Services$309,211ProgramServicesAmt
Management And General$77,303ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$270,455TotalAmt
Program Services$216,364ProgramServicesAmt
Management And General$54,091ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$48,222TotalAmt
Program Services$38,578ProgramServicesAmt
Management And General$9,644ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$24,010TotalAmt
Program Services$19,208ProgramServicesAmt
Management And General$4,802ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$154,903TotalAmt
Program Services$123,922ProgramServicesAmt
Management And General$30,981ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$413,248TotalAmt
Program Services$330,598ProgramServicesAmt
Management And General$82,650ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$65,632TotalAmt
Program Services$52,506ProgramServicesAmt
Management And General$13,126ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$885,475$819,516$65,959
BAD DEBTS$474,367$474,367
TRANSLATION SERVICES$125,815$100,652$25,163
MAINTEANCE AND REPAIRS$116,959$93,567$23,392

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$292,106TotalAmt
Program Services$246,964ProgramServicesAmt
Management And General$45,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,719,370TotalAmt
Program Services$9,125,371ProgramServicesAmt
Management And General$3,593,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$577,188BOYAmt
EOY$2,552,765EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,577BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$616,815EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$722,476BOYAmt
EOY$517,930EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,806BOYAmt
EOY$35,557EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$91,178BOYAmt
EOY$51,075EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,925,118LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,859,110LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,225,178BOYAmt
EOY$5,066,008EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$148,704EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,675,403BOYAmt
EOY$8,988,854EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$741,514BOYAmt
EOY$865,133EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY-$983,959EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,727,319BOYAmt
EOY$2,698,097EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,406,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,468,833BOYAmt
EOY$3,985,271EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,206,570BOYAmt
EOY$4,898,224EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$105,359EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,206,570BOYAmt
EOY$5,003,583EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,675,403BOYAmt
EOY$8,988,854EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,797,013ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$3,314,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,431,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,771,156CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,719,470CurrentTaxYearMinus1YearAmt
Current Tax Year$4,040,521CurrentTaxYearAmt
Total$18,276,673TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,314,441CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,431,085CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,771,156CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,719,470CurrentTaxYearMinus1YearAmt
Current Tax Year$4,040,521CurrentTaxYearAmt
Total$18,276,673TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,276,673PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,408CurrentTaxYearMinus1YearAmt
Current Tax Year$4,206CurrentTaxYearAmt
Total$24,287TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$2,146,704CurrentTaxYearAmt
Total$2,146,704TotalAmt
FieldValueIRS element (for citing)
Total Support$20,447,664TotalSupportAmt
Gross Receipts Rltd Activities$32,707,309GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89380PublicSupportCY170Pct
Public Support PY1700.99870PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$455,590OtherCostOrOtherBasisAmt
Book Value$455,590BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,107,962OtherCostOrOtherBasisAmt
Depreciation$1,039,210DepreciationAmt
Book Value$4,068,752BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,232OtherCostOrOtherBasisAmt
Depreciation$139,356DepreciationAmt
Book Value$53,876BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,146,905OtherCostOrOtherBasisAmt
Depreciation$1,680,544DepreciationAmt
Book Value$466,361BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,429OtherCostOrOtherBasisAmt
Book Value$21,429BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,066,008TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPPP LOANDesc
Amt$1,406,000Amt
FieldValueIRS element (for citing)
Total Liability$1,406,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,037,810TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$474,367OtherRevenueAmt
Revenue Not Reported-$474,367RevenueNotReportedAmt
Revenue Subtotal$14,512,177RevenueSubtotalAmt
Other Revenues Not Included$4,206OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,206RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,516,383TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,245,003TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,245,003ExpensesSubtotalAmt
Other Expenses Not Included$474,367OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$474,367ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,719,370TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OF OTHER TAXES. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO RECOGNIZE A TAX BENEFIT OR EXPENSE FROM UNCERTAIN TAX POSITION IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT BELIEVES THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2020 OR 2019.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE -474,367.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INTEREST INCOME 4,206.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 474,367.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
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
MATTHEW DELFINO
CMO$193,880$0$6,535$0$3,846$0$29,390$0$12,189$0$245,840$0$0$0
MARLON HUNTER
CEO$192,600$0$9,566$0$0$0$2,900$0$7,621$0$212,687$0$0$0
JOSHUA HALL
PHYSICIAN$165,981$0$0$0$3,199$0$26,158$0$12,189$0$207,527$0$0$0
AMY ARENDT
PHYSICIAN$146,080$0$1,154$0$5,323$0$29,511$0$5,037$0$187,105$0$0$0
JAMI COKLEY
PHYSICIAN$141,864$0$0$0$69$0$22,580$0$5,037$0$169,550$0$0$0
ANKITKUMAR PATEL
DIRECTOR OF PHARMACY$137,732$0$468$0$2,268$0$24,584$0$12,189$0$177,241$0$0$0
SONIA KAKKAR
PHYSICIAN$135,662$0$0$0$2,763$0$16,862$0$12,189$0$167,476$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE CFO AND THE FULL BOARD REVIEW THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD HAS ADOPTED AND WILL PERIODICLLY REVIEW ITS WRITTEN STANDARDS OF CONDUCT, WHICH PROHIBIT REAL OR APPARENT CONFLICTS OF INTEREST (INCLUDING THE DISCLOSURE OF CONFICTS OR POTENTIAL CONFLICTS AND RELATED RECUSALS) BY BOARD MEMBERS, EMPLOLYEES, CONTRACTORS, AND OTHERS PROVIDING SERVICES/GOODS TO THE ORGANIZATION. SUCH STANDARDS ALSO ESTABLISH POLICIES AND PROCEDURES REGARDING NEPOTISM, BRIBERY, AND THE OFFER OF GRATUITIES, AND SET FORTH A WRITTEN CORPORATE POLICY FOR MAINTAINING THE CONFIDENTIALITY OF PROPRIETARY AND OTHER CORPORATE INFORMATION. ANNUAL CONFLICT OF INTEREST STATEMENTS MUST BE SIGNED BY BOARD MEMBERS AND REVIEWED BY THE ENTIRE BOARD. ADDITIONALL, BOARD MEMBERS MUST, ON A REGULAR BASIS, REVEAL ANY CONFLICTS OF INTEREST THAT MAY ARISE AS ISSUES ARE BROUGHT BEFORE THE BOARD THAT MIGHT ENHANCE THE PROBABILITY THAT A BOARD MEMBER WOULD BENEFIT PERSONALLY. AFTER DISCLOSING THE POTENTIAL CONFLICT, THE BOARD MEMBER MAY PRESENT FACTS BUT MAY NOT OTHERWISE PARTICIPATE IN THE DISCUSSION OF THE POTENTIAL CONFLICT AND MAY NOT VOTE ON THE APPROVAL OF THE ISSUE BEING DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES A MARKET STUDY FROM A 3RD PARTY TO ESTABLISH THE FAIR MARKET VALUE SALARIES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS, COMPARING THE SALARIES OF COMPARABLE POSITIONS TO THOSE WITHIN THE ORGANIZATIONS PEER GROUP. THIS STUDY WAS MOST RECENTLY COMPLETED IN MARCH, 2021.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.