CENTRAL COUNTIES HEALTH CENTERS INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL COUNTIES HEALTH CENTERS INC (EIN 37-1361916)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-11-09
- IRS object ID
- 202013149349302116
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-09T11:35:28-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 371335003 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eck Schafer & Punke LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 South Seventh Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371361916 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Central Counties Health Centers Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 2177882300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 East Cook Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62703 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Heather Burton | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2177882300 | PhoneNum |
| Signature | 2020-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brent Leach | PreparerPersonNm |
| PTIN | P00331592 | PTIN |
| Phone | 2175251111 | PhoneNum |
| Preparation | 2020-11-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.73.101.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-04 | IPDt |
| IP Tm | 13:22:12 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 874586C382D7CCFD30E959851794FE525E5A9A23 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Heather Burton | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 East Cook Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,811,476 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.centralcounties.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To improve access to health care for low income patients. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 127 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $12,812 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $9,188 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,771,469 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,056,472 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,884,887 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,141,609 | CYProgramServiceRevenueAmt |
| PY Investment Income | $236,453 | PYInvestmentIncomeAmt |
| CY Investment Income | $218,889 | CYInvestmentIncomeAmt |
| PY Other Revenue | $669,444 | PYOtherRevenueAmt |
| CY Other Revenue | $1,376,123 | CYOtherRevenueAmt |
| PY Total Revenue | $10,562,253 | PYTotalRevenueAmt |
| CY Total Revenue | $12,793,093 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,431,744 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,895,334 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $112,967 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,267,149 | PYOtherExpensesAmt |
| CY Other Expenses | $2,600,788 | CYOtherExpensesAmt |
| PY Total Expenses | $10,698,893 | PYTotalExpensesAmt |
| CY Total Expenses | $11,496,122 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$136,640 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,296,971 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,241,673 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,974,220 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,922,281 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,336,736 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,319,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,637,484 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide access to quality, cost-effective health and oral (dental) care to the community, especially where there is a shortage, through the development and implementation of programs without regard to age, race, nationality, gender, sexual orientation, religion, political beliefs or ability to pay. We believe that all people have the right to quality health care and that such access will improve the health of the entire community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,082,424 | ExpenseAmt |
| Revenue | $7,504,920 | RevenueAmt |
| Desc | Provide non-emergency health care, preventative health maintenance and health education to medically underserved citizens in the local community. | Desc |
| Total Program Service Expenses | $9,082,424 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 127 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Angel MacGibbon | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2177882300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2239 East Cook Street | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62703 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Julie Janssen | |||||||
| Chairman | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| James Greenwald DDS | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sam Gaines | |||||||
| Treasurer | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Ida Jackson | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Myles | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Judy Henderson | |||||||
| Vice Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Misty Hall | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Mytar | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lois Davis | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Racine Freeman | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Sandra Yard | |||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Brad Buzzard | |||||||
| COO | 40.00 | Yes (X) | $196,656 | $0 | $12,500 | ||
| Heather Burton | |||||||
| CEO | 40.00 | Yes (X) | $184,265 | $0 | $4,009 | ||
| Jason Jones | |||||||
| CFO | 40.00 | Yes (X) | $137,058 | $0 | $4,500 | ||
| Hwa Chen | |||||||
| Physician | 40.00 | $261,532 | $0 | $25,000 | Yes (X) | ||
| Dr Michael Murphy | |||||||
| Physician | 40.00 | $248,590 | $0 | $25,000 | Yes (X) | ||
| Dr Dora Ramos | |||||||
| Medical Director | 40.00 | $308,782 | $0 | $25,000 | Yes (X) | ||
| Dr Gerard Tolentino | |||||||
| Physician | 40.00 | $250,031 | $0 | $25,000 | Yes (X) | ||
| Mastan Rao Indlamuri | |||||||
| Physician | 40.00 | $238,008 | $0 | $19,000 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,824,922 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $140,009 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,761,050 | GovernmentGrantsAmt |
| All Other Contributions | $295,422 | AllOtherContributionsAmt |
| Total Contributions | $5,056,472 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Service | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $6,141,609 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,141,609 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,141,609 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $218,889 | TotalRevenueColumnAmt |
| Exclusion | $218,889 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,195 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,383 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,812 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,812 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $12,812 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,363,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,363,311 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,363,311 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,793,093 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,504,920 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $12,812 | UnrelatedBusinessRevenueAmt |
| Exclusion | $218,889 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $567,536 | TotalAmt |
| Program Services | $454,029 | ProgramServicesAmt |
| Management And General | $107,832 | ManagementAndGeneralAmt |
| Fundraising | $5,675 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,662,715 | TotalAmt |
| Program Services | $5,261,138 | ProgramServicesAmt |
| Management And General | $1,316,187 | ManagementAndGeneralAmt |
| Fundraising | $85,390 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,269 | TotalAmt |
| Program Services | $170,615 | ProgramServicesAmt |
| Management And General | $40,521 | ManagementAndGeneralAmt |
| Fundraising | $2,133 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $983,830 | TotalAmt |
| Program Services | $775,634 | ProgramServicesAmt |
| Management And General | $195,251 | ManagementAndGeneralAmt |
| Fundraising | $12,945 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,984 | TotalAmt |
| Program Services | $369,919 | ProgramServicesAmt |
| Management And General | $92,171 | ManagementAndGeneralAmt |
| Fundraising | $5,894 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,498 | TotalAmt |
| Management And General | $27,498 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,394 | TotalAmt |
| Management And General | $32,394 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,477 | TotalAmt |
| Program Services | $109,668 | ProgramServicesAmt |
| Management And General | $80,809 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $879,879 | TotalAmt |
| Program Services | $749,382 | ProgramServicesAmt |
| Management And General | $130,497 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,061 | TotalAmt |
| Program Services | $3,061 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,658 | TotalAmt |
| Management And General | $29,658 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,532 | TotalAmt |
| Management And General | $42,532 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,695 | TotalAmt |
| Program Services | $311,464 | ProgramServicesAmt |
| Management And General | $48,231 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,215 | TotalAmt |
| Program Services | $48,896 | ProgramServicesAmt |
| Management And General | $44,319 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $273,952 | $273,952 | |
| Contractual Services | $211,646 | $161,817 | $49,829 |
| Publicity, Promotion & | $127,163 | $91,331 | $35,832 |
| Building & Equipment Le | $115,783 | $113,891 | $1,892 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,835 | TotalAmt |
| Program Services | $187,627 | ProgramServicesAmt |
| Management And General | $25,278 | ManagementAndGeneralAmt |
| Fundraising | $930 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,496,122 | TotalAmt |
| Program Services | $9,082,424 | ProgramServicesAmt |
| Management And General | $2,300,731 | ManagementAndGeneralAmt |
| Fundraising | $112,967 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550 | BOYAmt |
| EOY | $550 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $907,451 | BOYAmt |
| EOY | $2,248,435 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,414 | BOYAmt |
| EOY | $309,191 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,600 | BOYAmt |
| EOY | $450,374 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,584 | BOYAmt |
| EOY | $38,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,917,502 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,946,310 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,744,953 | BOYAmt |
| EOY | $6,971,192 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,675,788 | BOYAmt |
| EOY | $2,794,107 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,067,333 | BOYAmt |
| EOY | $3,162,034 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,241,673 | BOYAmt |
| EOY | $15,974,220 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $767,276 | BOYAmt |
| EOY | $937,828 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,750 | BOYAmt |
| EOY | $19,734 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,146,255 | BOYAmt |
| EOY | $1,379,174 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,922,281 | BOYAmt |
| EOY | $2,336,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,319,392 | BOYAmt |
| EOY | $13,637,484 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,319,392 | BOYAmt |
| EOY | $13,637,484 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,241,673 | BOYAmt |
| EOY | $15,974,220 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,296,971 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $11,121 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $10,000 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,967,177 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,493,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,539,235 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,771,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,690,850 | CurrentTaxYearAmt |
| Total | $17,462,471 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,967,177 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,493,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,539,235 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,771,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,690,850 | CurrentTaxYearAmt |
| Total | $17,462,471 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,462,471 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,484 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $129,644 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $208,331 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $236,453 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $218,889 | CurrentTaxYearAmt |
| Total | $927,801 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $273,073 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $435,234 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $476,744 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $669,444 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,394,506 | CurrentTaxYearAmt |
| Total | $3,249,001 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21,639,273 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $25,922,925 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.80700 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $389,083 | OtherCostOrOtherBasisAmt |
| Book Value | $389,083 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,004,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,531,306 | DepreciationAmt |
| Book Value | $6,472,951 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,524,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,415,004 | DepreciationAmt |
| Book Value | $109,158 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,971,192 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Certificates of Deposit | $2,330,630 | F |
| Cash Equivalents | $831,404 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,162,034 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $12,832,597 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $11,121 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $10,000 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $18,383 | OtherRevenueAmt |
| Revenue Not Reported | $39,504 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,793,093 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,793,093 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,514,505 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $18,383 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $18,383 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,496,122 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,496,122 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Organization follows accounting principles generally accepted in the United States of America which sets a minimum threshold for financial statement recognition of the benefit of a tax position taken or expected to be taken in a tax return. Tax positions for the open tax years as of June 30, 2020 were reviewed, and it was determined that no provision for uncertain tax positions is required. |
| Part XI, Line 2d - Other Adjustments: | Rental Expenses netted with Rental Income |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses netted with Rental Income |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brad Buzzard | ||||||||||||||
| COO | $196,656 | $0 | $0 | $0 | $0 | $0 | $12,500 | $0 | $0 | $0 | $209,156 | $0 | $0 | $0 |
| Heather Burton | ||||||||||||||
| CEO | $184,265 | $0 | $0 | $0 | $0 | $0 | $4,009 | $0 | $0 | $0 | $188,274 | $0 | $0 | $0 |
| Hwa Chen | ||||||||||||||
| Physician | $261,532 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $286,532 | $0 | $0 | $0 |
| Dr Michael Murphy | ||||||||||||||
| Physician | $248,590 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $273,590 | $0 | $0 | $0 |
| Dr Dora Ramos | ||||||||||||||
| Medical Director | $308,782 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $333,782 | $0 | $0 | $0 |
| Dr Gerard Tolentino | ||||||||||||||
| Physician | $250,031 | $0 | $0 | $0 | $0 | $0 | $25,000 | $0 | $0 | $0 | $275,031 | $0 | $0 | $0 |
| Mastan Rao Indlamuri | ||||||||||||||
| Physician | $238,008 | $0 | $0 | $0 | $0 | $0 | $19,000 | $0 | $0 | $0 | $257,008 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Bradley Buzzard (Chief Operating Officer) and Dr. Dora Ramos (Medical Director) are husband and wife. |
| Form 990, Part VI, Section B, line 11b | The Organization's Management reviews the Form 990 before it is filed. |
| Form 990, Part VI, Section B, line 12c | The Organization requires officers, directors, and key employees to disclose in writing all relationships that would potentially create a conflict of interest. The Organization requires the disclosures and updates to be made at least annually. |
| Form 990, Part VI, Section B, line 15 | Compensation for the CEO is determined by the Board of Directors annually and is based on a performance evaluation and the overall market conditions. Compensation for key employees is determined by annual reviews, which are completed by the CEO. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
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