CENTERPLACE HEALTH INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CENTERPLACE HEALTH INC (EIN 20-2779327)
Tax period
2022-01-01 to 2022-12-31
Filed
2025-08-28
IRS object ID
202502409349300845
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-28T14:56:25-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454084437PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WARREN AVERETT LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1400 NORTH ASHLEY DRIVE SUITE 700AddressLine1Txt
CityTAMPACityNm
State AbbreviationFLStateAbbreviationCd
ZIP33602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202779327EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTERPLACE HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone9415290200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11750 17TH STREET BLDG NAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34234ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOB RODRIGUEZPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9415290200PhoneNum
Signature2025-08-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLATOSHA L WILLIAMS CPAPreparerPersonNm
PTINP01400636PTIN
Phone8132292321PhoneNum
Preparation2025-08-28PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerKARI ELLINGSTADPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11750 17TH STREET BLDG NAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34234ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,380,790GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://CENTERPLACEHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionA FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER), EMPLOYS MEDICAL & IDENTAL PROVIDERS SPECIALIZING IN QUALITY PRIMARY CARE SERVICES TO PATIENTS THAT ARE UNDERSERVED, UNDERINSURED, AND/OR UNINSURED.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee236TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,650,811PYContributionsGrantsAmt
CY Contributions Grants$6,907,801CYContributionsGrantsAmt
PY Program Service Revenue$11,581,893PYProgramServiceRevenueAmt
CY Program Service Revenue$10,465,794CYProgramServiceRevenueAmt
PY Investment Income$1,807PYInvestmentIncomeAmt
CY Investment Income$7,195CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$17,234,511PYTotalRevenueAmt
CY Total Revenue$17,380,790CYTotalRevenueAmt
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$11,205,225PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,339,929CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,375,438PYOtherExpensesAmt
CY Other Expenses$3,957,493CYOtherExpensesAmt
PY Total Expenses$16,580,663PYTotalExpensesAmt
CY Total Expenses$17,297,422CYTotalExpensesAmt
PY Revenues Less Expenses$653,848PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$83,368CYRevenuesLessExpensesAmt
Total Assets BOY$4,724,060TotalAssetsBOYAmt
Total Assets EOY$5,930,160TotalAssetsEOYAmt
Total Liabilities BOY$2,173,345TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,057,322TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,550,715NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,872,838NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCENTERPLACE HEALTH INC., AS A FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER), EMPLOYS MEDICAL AND DENTAL PROVIDERS SPECIALIZING IN QUALITY, EFFICIENT AND EFFECTIVE PRIMARY CARE SERVICES AND PREVENTABLE HEALTH EDUCATION TO PATIENTS THAT ARE AT RISK, VULNERABLE, UNDERSERVED, UNDERINSURED, AND/OR UNINSURED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,570,320ExpenseAmt
Revenue$10,465,794RevenueAmt
DescCENTERPLACE HEALTH INC., AS A FQHC (FEDERALLY QUALIFIED HEALTHCARE CENTER), EMPLOYS MEDICAL AND DENTAL PROVIDERS SPECIALIZING IN QUALITY, EFFICIENT AND EFFECTIVE PRIMARY CARE SERVICES AND PREVENTABLE HEALTH EDUCATION TO PATIENTS THAT ARE AT RISK, VULNERABLE, UNDERSERVED, UNDERINSURED, AND/OR UNINSURED.Desc
Total Program Service Expenses$11,570,320TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee236EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTINA GARAWAYPersonNm
Phone9415290249PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11750 17TH STREET BLDG NAddressLine1Txt
CitySARASOTACityNm
State AbbreviationFLStateAbbreviationCd
ZIP34234ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM LITTLE
CHAIR5.00Yes (X)$0$0$0
MARIA SOMERA RAMIREZ
VICE CHAIR5.00Yes (X)$0$0$0
HOWARD BERMAN
TREASURER5.00Yes (X)$0$0$0
ARNOLD DENNARD
SECRETARY5.00Yes (X)$0$0$0
IRENE FLESHNER
IMMEDIATE PAST CHAIR5.00Yes (X)$0$0$0
SCOTT BUSHWAY
DIRECTOR, AS OF 10/20225.00Yes (X)$0$0$0
MARYLEE GROSSO
DIRECTOR, AS OF 1/20235.00Yes (X)$0$0$0
MIKHAIL SCOTT
DIRECTOR, AS OF 10/20225.00Yes (X)$0$0$0
CRYSTAL BROOKS
DIRECTOR, AS OF 1/20235.00Yes (X)$0$0$0
MAUREEN O'BRIEN
DIRECTOR, AS OF 1/20235.00Yes (X)$0$0$0
MARIA DECARLO
DIRECTOR5.00Yes (X)$0$0$0
GLORIA DEHAVEN
DIRECTOR5.00Yes (X)$0$0$0
JAMES REID
CHIEF EXECUTIVE OFFICER40.00$171,186$0$21,867Yes (X)
MELISSA PARKER
CEO, UNTIL 6/202240.00$70,062$0$8,442Yes (X)
KARI ELLINGSTAD
CEO, UNTIL 9/202240.00$59,086$0$6,409Yes (X)
LISA GONZALEZ-ABELLO
CHIEF MARKETING OFFICER40.00$189,613$0$27,963Yes (X)
CHRISTINA TRUPIANO MD
PROVIDER40.00$310,780$0$23,983Yes (X)
JOSEPH SINGER MD
PROVIDER40.00$284,279$0$23,054Yes (X)
ANTHONY DORBU MD
PROVIDER40.00$252,615$0$21,443Yes (X)
MARCUS FOOS MD
PROVIDER40.00$174,835$0$21,830Yes (X)
SAHAR DOWIDAR MD
PROVIDER40.00$146,620$0$21,343Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,659,076TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$176,334TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
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
ARCH HEALTHCARE INC
3231 GULF GATE DR STE 202SARASOTAFL34231HEALTHCARE SERVICES$174,376
NURSECORE DEPT 41753
PO BOX 650823DALLASTX75265STAFFING SERVICES$161,846
CENTERSTONE OF FLORIDA INC
PO BOX 9478BRANDENTONFL34206HEALTHCARE SERVICES$147,478
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$6,152,239GovernmentGrantsAmt
All Other Contributions$755,562AllOtherContributionsAmt
Total Contributions$6,907,801TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID FEES624100$6,353,209$6,353,209
PHARMACY REVENUE624100$1,976,672$1,976,672
PATIENT FEES624100$1,781,389$1,781,389
MEDICARE FEES624100$354,524$354,524
FieldValueIRS element (for citing)
Total Program Service Revenue$10,465,794TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,195TotalRevenueColumnAmt
Exclusion$7,195ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,380,790TotalRevenueColumnAmt
Related Or Exempt Func Income$10,465,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,195ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$12,597,763TotalAmt
Program Services$8,815,872ProgramServicesAmt
Management And General$3,781,891ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$742,166TotalAmt
Program Services$101,314ProgramServicesAmt
Management And General$640,852ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$524,292TotalAmt
Program Services$393,855ProgramServicesAmt
Management And General$130,437ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,225TotalAmt
Program Services$945ProgramServicesAmt
Management And General$32,280ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,733TotalAmt
Program Services$15,132ProgramServicesAmt
Management And General$7,601ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,039TotalAmt
Management And General$2,039ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$150,426TotalAmt
Program Services$67,237ProgramServicesAmt
Management And General$83,189ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$104,761TotalAmt
Program Services$26,457ProgramServicesAmt
Management And General$78,304ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$593,305$593,047$258
MEDICAL SUPPLIES$468,195$357,876$110,319
OPERATING LEASE EXPENSE$391,916$206,297$185,619
DUES & SUBSCRIPTIONS$352,396$210,779$141,617

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,314,205TotalAmt
Program Services$781,509ProgramServicesAmt
Management And General$532,696ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,297,422TotalAmt
Program Services$11,570,320ProgramServicesAmt
Management And General$5,727,102ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,705BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,037,595BOYAmt
EOY$849,227EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,755,443BOYAmt
EOY$2,333,031EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$198,238BOYAmt
EOY$241,181EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$895,124LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$400,788LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$519,079BOYAmt
EOY$494,336EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,012,385EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,724,060BOYAmt
EOY$5,930,160EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,183,796BOYAmt
EOY$401,035EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$149,900BOYAmt
EOY$150,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$809,649BOYAmt
EOY$2,506,287EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,173,345BOYAmt
EOY$3,057,322EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,550,715BOYAmt
EOY$2,872,838EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,550,715BOYAmt
EOY$2,872,838EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,724,060BOYAmt
EOY$5,930,160EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$83,368ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$238,755DonatedServicesAndUseFcltsAmt
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 Committee0AuditCommitteeInd
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$4,278,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,876,798CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,985,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,650,810CurrentTaxYearMinus1YearAmt
Current Tax Year$6,907,801CurrentTaxYearAmt
Total$26,698,870TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,278,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,876,798CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,985,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,650,810CurrentTaxYearMinus1YearAmt
Current Tax Year$6,907,801CurrentTaxYearAmt
Total$26,698,870TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$26,698,870PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,807CurrentTaxYearMinus1YearAmt
Current Tax Year$7,195CurrentTaxYearAmt
Total$22,982TotalAmt
FieldValueIRS element (for citing)
Total Support$26,721,852TotalSupportAmt
Gross Receipts Rltd Activities$40,481,178GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99910PublicSupportCY170Pct
Public Support PY1700.94690PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,552OtherCostOrOtherBasisAmt
Depreciation$5,190DepreciationAmt
Book Value$16,362BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$815,947OtherCostOrOtherBasisAmt
Depreciation$381,319DepreciationAmt
Book Value$434,628BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,625OtherCostOrOtherBasisAmt
Depreciation$14,279DepreciationAmt
Book Value$43,346BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$494,336TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT OF USE ASSETDesc
Book Value$2,012,385BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,012,385TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED EXPENSES$392,506
OPERATING LEASE LIABILITY$2,113,781
FieldValueIRS element (for citing)
Total Liability$2,506,287TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,619,545TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$238,755DonatedServicesAndUseFcltsAmt
Revenue Not Reported$238,755RevenueNotReportedAmt
Revenue Subtotal$17,380,790RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,380,790TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,297,422TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,297,422ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,297,422TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME EARNED IN THE FURTHERANCE OF THE ORGANIZATION'S TAXEXEMPT PURPOSE IS EXEMPT FROM FEDERAL INCOME TAXES AND THE FINANCIAL STATEMENTS CONTAIN NO PROVISION OR LIABILITY FOR INCOME TAXES. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION'S RETURNS FOR THE PAST THREE YEARS ARE SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES AND MAY CHANGE UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED AND EVALUATED THE RELEVANT TECHNICAL MERITS OF EACH OF ITS TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS OF THE ORGANIZATION.ExplanationTxt

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
CHRISTINA TRUPIANO MD
PROVIDER$310,780$0$0$0$0$0$9,323$0$14,660$0$334,763$0$0$0
JOSEPH SINGER MD
PROVIDER$284,279$0$0$0$0$0$8,528$0$14,526$0$307,333$0$0$0
ANTHONY DORBU MD
PROVIDER$252,615$0$0$0$0$0$7,578$0$13,865$0$274,058$0$0$0
LISA GONZALEZ-ABELLO
CHIEF MARKETING OFFICER$189,613$0$0$0$0$0$6,378$0$21,585$0$217,576$0$0$0
MARCUS FOOS MD
PROVIDER$174,835$0$0$0$0$0$5,245$0$16,585$0$196,665$0$0$0
JAMES REID
CHIEF EXECUTIVE OFFICER$171,186$0$0$0$0$0$0$0$21,867$0$193,053$0$0$0
SAHAR DOWIDAR MD
PROVIDER$146,620$0$0$0$0$0$4,399$0$16,944$0$167,963$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1, LINE 3FormAndLineReferenceDesc
ExplanationCOMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION AMOUNTS ARE DETERMINDED BY AVAILABLE SALARY SURVERY DATA AND COMPENSATION PAID BY SIMILIAR ORGANIZATIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, LINE BTHIS FORM 990 IS BEING AMENDED DUE TO THE REISSUANCE OF THE ORGANIZATION'S FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS WERE REISSUED TO REFLECT SIGNIFICANT CHANGES IDENTIFIED AFTER THE ORIGINAL FILING, WHICH MATERIALLY IMPACTED THE FINANCIAL REPORTING. THESE CHANGES HAVE BEEN INCORPORATED INTO THIS AMENDED RETURN TO ENSURE CONSISTENCY AND ACCURACY BETWEEN THE TAX RETURN AND THE REVISED FINANCIAL STATEMENTS.
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION APPROVED CHANGES TO ITS BYLAWS ON 11/15/2022. SIGNIFICANT CHANGES INCLUDE THE FOLLOWING: SPECIFYING WHICH GRANT APPLICATIONS AND AMENDMENTS REQUIRE BOARD APPROVAL. ADDING LANGUAGE FOR LEAVE OF ABSENCE REQUESTS BY BOARD MEMBERS. REMOVAL OF THE RESPONSIBILITIES AND DUTIES OF A BOARD DIRECTOR' SECTION. UPDATING THE "GOVERNANCE COMMITTEE" LANGUAGE TO BE MORE SUCCINCT AND ACCURATE. RENAMING THE "CLINICAL COMMITEE" TO THE "QUALITY COMMITTE AND COMBINING WITH THE "COMPLIANCE COMMITTEE" TO CREATE THE "QUALITY AND COMPLIANCE COMMITTEE", AS WELL AS SIMPLIFYING THE LANGUAGE. DISBANDING THE "MARKETING AND COMMUNICATIONS COMMITTEE AND REMOVING THE RELATED SECTION. ADDING THE SECTION FOR THE "AUDIT COMMITTEE", WHICH IS COMPRISED OF BOARD MEMBERS AND WILL MEET AS NECESSARY TO REVIEW AND APPROVE THE ANNUAL INDEPENDENT FINANCIAL AUDIT AS WELL AS OTHER AUDITS AS OCCURRING. UPDATING THE FISCAL YEAR LANGUAGE FOR ACCURACY. ADDING LANGUAGE STATING THAT AN ADDITIONAL TERM OF OFFICE MAY BE EXTENDED TO A BOARD MEMBER IN EXCEPTIONAL CIRCUMSTANCES OR TO MEET THE NEEDS OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 DRAFT IS MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO ISSUANCE.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION AMOUNTS ARE DETERMINED BY AVAILABLE SALARY SURVEY DATA AND COMPENSATION PAID BY SIMILAR ORGANIZATIONS. COMPENSATION FOR THE CHIEF FINANCIAL OFFICER IS APPROVED BY THE CEO. COMPENSATION OF KEY EMPLOYEES IS APPROVED BY THE CHIEF FINANCIAL OFFICER. COMPENSATION AMOUNTS ARE DETERMINED BY AVAILABLE SALARY SURVEY DATA AND COMPENSATION PAID BY SIMILAR ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC BY REQUEST BY VISITING THE HEADQUARTERS OF THE ORGANIZATION WITH SUFFICIENT NOTICE GIVEN.
FORM 990, PART IX LINE 4THE ORGANIZATION APPROVED CHANGES TO ITS BYLAWS ON 11/15/2022. SIGNIFICANT CHANGES INCLUDE THE FOLLOWING: SPECIFYING WHICH GRANT APPLICATIONS AND AMENDMENTS REQUIRE BOARD APPROVAL. ADDING LANGUAGE FOR LEAVE OF ABSENCE REQUESTS BY BOARD MEMBERS. REMOVAL OF THE 'RESPONSIBILITIES AND DUTIES OF A BOARD DIRECTOR' SECTION. UPDATING THE 'GOVERNANCE COMMITTEE' LANGUAGE TO BE MORE SUCCINCT AND ACCURATE. RENAMING THE 'CLINICAL COMMITEE' TO THE 'QUALITY COMMITTE AND COMBINING WITH THE 'COMPLIANCE COMMITTEE' TO CREATE THE 'QUALITY AND COMPLIANCE COMMITTEE', AS WELL AS SIMPLIFYING THE LANGUAGE. DISBANDING THE 'MARKETING AND COMMUNICATIONS COMMITTEE AND REMOVING THE RELATED SECTION. ADDING THE SECTION FOR THE 'AUDIT COMMITTEE', WHICH IS COMPRISED OF BOARD MEMBERS AND WILL MEET AS NECESSARY TO REVIEW AND APPROVE THE ANNUAL INDEPENDENT FINANCIAL AUDIT AS WELL AS OTHER AUDITS AS OCCURRING. UPDATING THE FISCAL YEAR LANGUAGE FOR ACCURACY. ADDING LANGUAGE STATING THAT AN ADDITIONAL TERM OF OFFICE MAY BE EXTENDED TO A BOARD MEMBER IN EXCEPTIONAL CIRCUMSTANCES OR TO MEET THE NEEDS OF THE BOARD.

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