LAKELAND IMMEDIATE CARE CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
LAKELAND IMMEDIATE CARE CENTER (EIN 38-3082107)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-09-12
IRS object ID
202502559349300905
Schema version
2024v5.2
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)
Return2025-09-12T07:56:29-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382706146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1YEO & YEO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1710 E Milham AvenueAddressLine1Txt
CityKalamazooCityNm
State AbbreviationMIStateAbbreviationCd
ZIP490021494ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383082107EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lakeland Immediate Care CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone2694453874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCassopolisCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph GavanPersonNm
Person TitleCEOPersonTitleTxt
Phone2644453874PhoneNum
Signature2025-09-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian R DixonPreparerPersonNm
PTINP01321580PTIN
Phone2693297007PhoneNum
Preparation2025-09-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Cassopolis Family ClinicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJoseph GavanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCassopolisCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$34,346,756GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresscassfamilyclinic.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionOur mission is to provide necessary, compassionate healthcare to people in our communities.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee190TotalEmployeeCnt
Total Volunteers47TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,564,544PYContributionsGrantsAmt
CY Contributions Grants$3,190,112CYContributionsGrantsAmt
PY Program Service Revenue$12,118,039PYProgramServiceRevenueAmt
CY Program Service Revenue$11,627,354CYProgramServiceRevenueAmt
PY Investment Income$303,933PYInvestmentIncomeAmt
CY Investment Income$440,410CYInvestmentIncomeAmt
PY Other Revenue$6,640,368PYOtherRevenueAmt
CY Other Revenue$7,893,791CYOtherRevenueAmt
PY Total Revenue$22,626,884PYTotalRevenueAmt
CY Total Revenue$23,151,667CYTotalRevenueAmt
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$11,875,564PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,195,439CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,094,535PYOtherExpensesAmt
CY Other Expenses$6,039,907CYOtherExpensesAmt
PY Total Expenses$17,970,099PYTotalExpensesAmt
CY Total Expenses$20,235,346CYTotalExpensesAmt
PY Revenues Less Expenses$4,656,785PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,916,321CYRevenuesLessExpensesAmt
Total Assets BOY$36,741,350TotalAssetsBOYAmt
Total Assets EOY$39,839,833TotalAssetsEOYAmt
Total Liabilities BOY$7,295,566TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,076,802TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,445,784NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,763,031NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to provide necessary, compassionate healthcare to people in our community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,120,100ExpenseAmt
Revenue$11,627,354RevenueAmt
DescCassopolis Family Clinic provides medical services to low income patients from Cass and southwest Berrien counties. We provide preventive and primary care, including obstetrics, dental and behavioral health.Desc
Total Program Service Expenses$16,120,100TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee190EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kyleigh KrambBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2694453874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1261 M-62AddressLine1Txt
CityCassopolisCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49031ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Tracy Hertsel
President1.00Yes (X)Yes (X)$0$0$0
George Brossman
Vice President1.00Yes (X)Yes (X)$0$0$0
Joyce Bailey
Secretary1.00Yes (X)Yes (X)$0$0$0
Mary Foster
Board Member1.00Yes (X)$0$0$0
Adrienne Glover
Board Member1.00Yes (X)$0$0$0
Lisa M Green
Treasurer1.00Yes (X)Yes (X)$0$0$0
Barbara Hannon
Board Member1.00Yes (X)$0$0$0
Delores McNeary
Board Member1.00Yes (X)$0$0$0
Patricia Patano
Board Member1.00Yes (X)$0$0$0
Neil R See
Board Member1.00Yes (X)$0$0$0
Marcella Taylor
Board Member1.00Yes (X)$0$0$0
Jason Hamel
Board Member1.00Yes (X)$0$0$0
Jeanne Jourdan
Board Member1.00Yes (X)$0$0$0
Mary Middleton
Former CEO40.00Yes (X)$465,634$0$12,390
Tammy Howard
COO40.00Yes (X)$203,360$0$18,271
Kyleigh Kramb
CFO40.00Yes (X)$173,492$0$7,335
Joseph Gavan
CEO40.00Yes (X)$231,070$0$15,736
Matthew Pazderka
Physician40.00$303,125$0$33,393Yes (X)
Harris Shaikh
Physician40.00$282,823$0$33,395Yes (X)
John Zakhary
Physician40.00$271,295$0$20,365Yes (X)
Alexander Schneider
Physician40.00$264,818$0$33,436Yes (X)
Sabrina Cole
Physician40.00$273,469$0$30,835Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,469,086TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$205,156TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Lakeland Medical Providers
100 Michigan Street NEGrand RapidsMI49503OB Doctors$633,828
Mapletronics Computers
PO Box 136GoshenIN46527IT Services$512,979
Frederick Construction Inc
120 E Prairie St Suite CVicksburgMI49097Construction$490,587
Parata Systems LLC
106 Rouche DrDurhamNC27703Technology Solutions$324,719
Smith Haughey Rice Roegge
100 Monrow Center St NWGrand RapidsMI49503Legal Services$158,525
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$3,101,130GovernmentGrantsAmt
All Other Contributions$88,982AllOtherContributionsAmt
Noncash Contributions$144,598NoncashContributionsAmt
Total Contributions$3,190,112TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue621110$10,228,473$10,228,473
340B Rebate900099$774,008$774,008
Incentive Program621110$596,798$596,798
Other621300$28,075$28,075
FieldValueIRS element (for citing)
Total Program Service Revenue$11,627,354TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,012TotalRevenueColumnAmt
Exclusion$16,012ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,400,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,975,602SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$424,398SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$424,398TotalRevenueColumnAmt
Exclusion$424,398ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$17,113,278GrossSalesOfInventoryAmt
Cost Of Goods Sold$9,219,487CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,893,791TotalRevenueColumnAmt
Exclusion$7,893,791ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,151,667TotalRevenueColumnAmt
Related Or Exempt Func Income$11,627,354RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,334,201ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,127,288TotalAmt
Management And General$1,127,288ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,430,690TotalAmt
Program Services$9,449,179ProgramServicesAmt
Management And General$981,511ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$302,625TotalAmt
Program Services$276,825ProgramServicesAmt
Management And General$25,800ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,526,166TotalAmt
Program Services$1,324,159ProgramServicesAmt
Management And General$202,007ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$808,670TotalAmt
Program Services$673,126ProgramServicesAmt
Management And General$135,544ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$169,036TotalAmt
Program Services$32,885ProgramServicesAmt
Management And General$136,151ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,465TotalAmt
Management And General$57,465ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$908,365TotalAmt
Program Services$760,557ProgramServicesAmt
Management And General$147,808ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$902,089TotalAmt
Program Services$645,676ProgramServicesAmt
Management And General$256,413ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$557,360TotalAmt
Program Services$354,471ProgramServicesAmt
Management And General$202,889ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,403TotalAmt
Program Services$118,048ProgramServicesAmt
Management And General$37,355ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,329TotalAmt
Program Services$21,350ProgramServicesAmt
Management And General$33,979ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$383,238TotalAmt
Management And General$383,238ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$968,649TotalAmt
Program Services$783,778ProgramServicesAmt
Management And General$184,871ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$92,378TotalAmt
Program Services$58,649ProgramServicesAmt
Management And General$33,729ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,251,030$1,251,030
Repair and maintenance$218,774$165,441$53,333
Outreach$165,697$165,697
Recruiting$44,078$24,498$19,580

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$111,016TotalAmt
Program Services$14,731ProgramServicesAmt
Management And General$96,285ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,235,346TotalAmt
Program Services$16,120,100ProgramServicesAmt
Management And General$4,115,246ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,985,280BOYAmt
EOY$7,999,795EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,549,837BOYAmt
EOY$5,837,931EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,797,448BOYAmt
EOY$2,053,225EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$507,860BOYAmt
EOY$709,693EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$258,473BOYAmt
EOY$286,692EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,166,389LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,274,007LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,334,998BOYAmt
EOY$17,892,382EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$364,397BOYAmt
EOY$480,018EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,943,057BOYAmt
EOY$4,580,097EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,741,350BOYAmt
EOY$39,839,833EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,350,680BOYAmt
EOY$1,649,802EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,533,200BOYAmt
EOY$5,427,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$411,686BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,295,566BOYAmt
EOY$7,076,802EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,445,784BOYAmt
EOY$32,763,031EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,445,784BOYAmt
EOY$32,763,031EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,741,350BOYAmt
EOY$39,839,833EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,916,321ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$400,926NetUnrlzdGainsLossesInvstAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,993,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,219,019CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,156,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,564,544CurrentTaxYearMinus1YearAmt
Current Tax Year$3,190,112CurrentTaxYearAmt
Total$18,123,197TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,637,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,890,734CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,487,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,339,284CurrentTaxYearMinus1YearAmt
Current Tax Year$28,740,632CurrentTaxYearAmt
Total$101,095,416TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,630,751CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,109,753CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,643,537CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,903,828CurrentTaxYearMinus1YearAmt
Current Tax Year$31,930,744CurrentTaxYearAmt
Total$119,218,613TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$119,218,613PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,751CurrentTaxYearMinus1YearAmt
Current Tax Year$16,012CurrentTaxYearAmt
Total$220,863TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,508CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,751CurrentTaxYearMinus1YearAmt
Current Tax Year$16,012CurrentTaxYearAmt
Total$220,863TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,706,898CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,177,198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,697,045CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,911,579CurrentTaxYearMinus1YearAmt
Current Tax Year$31,946,756CurrentTaxYearAmt
Total$119,439,476TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99820PublicSupportCY509Pct
Public Support PY5090.99720PublicSupportPY509Pct
Investment Income CY0.00180InvestmentIncomeCYPct
Investment Income PY0.00280InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$183,710OtherCostOrOtherBasisAmt
Book Value$183,710BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,497,390OtherCostOrOtherBasisAmt
Depreciation$3,641,311DepreciationAmt
Book Value$15,856,079BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,269,057OtherCostOrOtherBasisAmt
Depreciation$2,632,696DepreciationAmt
Book Value$1,636,361BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,232OtherCostOrOtherBasisAmt
Book Value$216,232BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,892,382TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Third Party Cost Settlements$188,327
Assets Limited as to use - Other$4,391,770
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,580,097TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$32,772,080TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$400,926NetUnrealizedGainsInvstAmt
Other Revenue$9,219,487OtherRevenueAmt
Revenue Not Reported$9,620,413RevenueNotReportedAmt
Revenue Subtotal$23,151,667RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,151,667TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,454,833TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$9,219,487OtherExpensesIncludedAmt
Expenses Not Reported$9,219,487ExpensesNotReportedAmt
Expenses Subtotal$20,235,346ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,235,346TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:COGS 9,219,487.
Part XII, Line 2d - Other Adjustments:COGS 9,219,487.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 (9 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
Mary Middleton
Former CEO$300,008$0$27,813$0$137,813$0$9,058$0$3,332$0$478,024$0$0$0
Matthew Pazderka
Physician$285,630$0$17,495$0$0$0$10,550$0$22,843$0$336,518$0$0$0
Harris Shaikh
Physician$264,885$0$17,938$0$0$0$11,223$0$22,172$0$316,218$0$0$0
Sabrina Cole
Physician$246,719$0$26,750$0$0$0$8,009$0$22,826$0$304,304$0$0$0
Alexander Schneider
Physician$250,630$0$14,188$0$0$0$10,593$0$22,843$0$298,254$0$0$0
John Zakhary
Physician$253,295$0$18,000$0$0$0$10,755$0$9,610$0$291,660$0$0$0
Joseph Gavan
CEO$192,320$0$38,750$0$0$0$0$0$15,736$0$246,806$0$0$0
Tammy Howard
COO$189,610$0$13,750$0$0$0$8,064$0$10,207$0$221,631$0$0$0
Kyleigh Kramb
CFO$159,742$0$13,750$0$0$0$5,759$0$1,576$0$180,827$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1765ContributionCnt
Noncash Contributions Rpt F990$144,598NoncashContributionsRptF990Amt
Method Of Determining RevenuesDose AmountMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bForm 990 must be approved by the Board prior to filing
Form 990, Part VI, Section B, line 12cCassopolis Family Clinic provides the forms from the previous year at the Board of Directors Meeting. They inquire if there are updates and discuss any changes or issues of concern. Board members sign/re-sign the conflict of interest forms at the January board meeting. They must abstain from a vote if there is a conflict of interest.
Form 990, Part VI, Section B, line 15Cassopolis Family Clinic uses salary surveys, including medical group management association and Guidestar for Non-Profit for CEO and other officer/key employee salary comparisons. Directors and the Executive Director have annual contracts and all payroll increases and salary reviews are approved by the Board of Directors.
Form 990, Part VI, Section C, line 19Documents are open to public inspection upon request.

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