CENTER FOR FAMILY HEALTH: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CENTER FOR FAMILY HEALTH (EIN 38-3251354)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-01-15
- IRS object ID
- 202020159349300202
- Schema version
- 2018v3.1
- 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 | 2020-01-15T06:33:45-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3275 | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383251354 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTER FOR FAMILY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 5177843950 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 505 NORTH JACKSON STREET | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MOLLY KASER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5177843950 | PhoneNum |
| Signature | 2020-01-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 9897939830 | PhoneNum |
| Preparation | 2020-01-03 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.34.166.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-01-15 | IPDt |
| IP Tm | 06:33:45 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2A887DCF3240B5BF4CF8A88CDB38FC91A74B3A56 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7484E3CD3963469E41B121541E5DE620EF83E074 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MOLLY KASER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 505 NORTH JACKSON | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,995,337 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CENTERFORFAMILYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE CENTER FOR FAMILY HEALTH IS OPENING THE DOOR TO HEALTH CARE FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 282 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,889,892 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,092,091 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,499,521 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,851,507 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$82,229 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,720 | CYInvestmentIncomeAmt |
| PY Other Revenue | $29,835 | PYOtherRevenueAmt |
| CY Other Revenue | $38,019 | CYOtherRevenueAmt |
| PY Total Revenue | $26,337,019 | PYTotalRevenueAmt |
| CY Total Revenue | $28,995,337 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,594,393 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,885,835 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,257,591 | PYOtherExpensesAmt |
| CY Other Expenses | $9,953,194 | CYOtherExpensesAmt |
| PY Total Expenses | $25,851,984 | PYTotalExpensesAmt |
| CY Total Expenses | $27,839,029 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $485,035 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,156,308 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,233,322 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,690,127 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,179,142 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,479,639 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,054,180 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,210,488 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF THE CENTER FOR FAMILY HEALTH IS OPENING THE DOOR TO HEALTH CARE FOR ALL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $21,717,852 | ExpenseAmt |
| Revenue | $24,851,507 | RevenueAmt |
| Desc | A FEDERALLY QUALIFIED HEALTH CENTER RECEIVING FUNDING UNDER SECTION 330/340B FROM THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. APPROXIMATE USERS TOTAL 30,000 AND PATIENT ENCOUNTERS WERE APPROXIMATELY 107,000. | Desc |
| Total Program Service Expenses | $21,717,852 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 282 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA SNOW | PersonNm |
| Phone | 5177843950 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 505 NORTH JACKSON | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|
| STEVEN HOGWOOD | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR WILLIAM PATTERSON | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RANDY TREACHER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LORI HEILER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TED HILLEARY | |||||||
| IMMED PAST C | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER WHITE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| R DALE MORETZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA PILGRIM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEE HAMPTON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIRK BALCOM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN BARRETT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JESSICA EMBURY | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ZOE LYONS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSE JOHNSON | |||||||
| CHIEF MED OF | 40.00 | Yes (X) | $272,605 | $0 | $22,465 | ||
| SHARON ROUSE | |||||||
| FORMER CMO | 40.00 | Yes (X) | $251,248 | $0 | $14,814 | ||
| MOLLY KASER | |||||||
| CEO | 40.00 | Yes (X) | $222,718 | $0 | $20,969 | ||
| DIANA ELLIS | |||||||
| LEAD DENTIST | 40.00 | Yes (X) | $152,701 | $0 | $20,545 | ||
| SARA BENEDETTO | |||||||
| COO | 40.00 | Yes (X) | $151,395 | $0 | $20,862 | ||
| REBECCA SNOW | |||||||
| CFO/HR DIREC | 40.00 | Yes (X) | $139,045 | $0 | $13,134 | ||
| KIMBERLY HINKLE | |||||||
| QLTY IMPROV | 40.00 | Yes (X) | $127,445 | $0 | $21,536 | ||
| TERRY LANGSTON | |||||||
| DEVELOPMENT | 40.00 | Yes (X) | $98,459 | $0 | $20,667 | ||
| RAUL ANDINO | |||||||
| PHYSICIAN | 40.00 | $287,076 | $0 | $32,057 | Yes (X) | ||
| MIRAFLOR REYES-GANZON | |||||||
| PHYSICIAN | 40.00 | $264,004 | $0 | $22,001 | Yes (X) | ||
| MONICA HILL | |||||||
| PHYSICIAN | 40.00 | $251,038 | $0 | $23,654 | Yes (X) | ||
| ELIEZER GOMEZ | |||||||
| PHYSICIAN | 40.00 | $238,207 | $0 | $17,981 | Yes (X) | ||
| MUHAMMAD ABDULLAH | |||||||
| PHYSICIAN | 40.00 | $232,274 | $0 | $21,523 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,688,215 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $272,208 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | STAFFING | $433,918 |
| HENRY FORD ALLEGIANCE HEALTH | |||||
| 205 N EAST AVE | JACKSON | MI | 49201 | STAFFING | $194,661 |
| C M ABSOLUTE CLEANING | |||||
| 950 W MONROE | JACKSON | MI | 49204 | HOUSEKEEPING | $152,020 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,993,783 | GovernmentGrantsAmt |
| All Other Contributions | $98,308 | AllOtherContributionsAmt |
| Total Contributions | $4,092,091 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE FEES | 621110 | $17,756,326 | $17,756,326 |
| PHARMACY SERVICES | 621110 | $5,487,919 | $5,487,919 |
| INCENTIVES | 621110 | $1,607,262 | $1,607,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,851,507 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,720 | TotalRevenueColumnAmt |
| Exclusion | $13,720 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $38,019 | TotalRevenueColumnAmt |
| Exclusion | $38,019 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,019 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,995,337 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,851,507 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $51,739 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,409,140 | TotalAmt |
| Program Services | $285,928 | ProgramServicesAmt |
| Management And General | $1,123,212 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,509,457 | TotalAmt |
| Program Services | $11,414,416 | ProgramServicesAmt |
| Management And General | $2,095,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,331 | TotalAmt |
| Program Services | $204,894 | ProgramServicesAmt |
| Management And General | $27,437 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,624,556 | TotalAmt |
| Program Services | $1,351,348 | ProgramServicesAmt |
| Management And General | $273,208 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,351 | TotalAmt |
| Program Services | $904,475 | ProgramServicesAmt |
| Management And General | $205,876 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,371 | TotalAmt |
| Management And General | $166,371 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,000 | TotalAmt |
| Management And General | $43,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,353,140 | TotalAmt |
| Program Services | $1,029,470 | ProgramServicesAmt |
| Management And General | $323,670 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,674 | TotalAmt |
| Program Services | $130,337 | ProgramServicesAmt |
| Management And General | $130,337 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $366,111 | TotalAmt |
| Program Services | $218,487 | ProgramServicesAmt |
| Management And General | $147,624 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,942 | TotalAmt |
| Program Services | $321,013 | ProgramServicesAmt |
| Management And General | $196,929 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,451 | TotalAmt |
| Program Services | $173,788 | ProgramServicesAmt |
| Management And General | $41,663 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,887 | TotalAmt |
| Program Services | $26,743 | ProgramServicesAmt |
| Management And General | $26,144 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,174 | TotalAmt |
| Program Services | $62,283 | ProgramServicesAmt |
| Management And General | $60,891 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $577,429 | TotalAmt |
| Management And General | $577,429 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,132 | TotalAmt |
| Program Services | $542,024 | ProgramServicesAmt |
| Management And General | $238,108 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,222 | TotalAmt |
| Management And General | $37,222 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES - PHARMACY | $2,180,684 | $2,180,684 | |
| CONSUMABLE SUPPLIES | $936,944 | $831,569 | $105,375 |
| VACCINES | $864,730 | $864,730 | |
| BAD DEBTS | $850,207 | $850,207 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,096 | TotalAmt |
| Program Services | $325,456 | ProgramServicesAmt |
| Management And General | $301,640 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,839,029 | TotalAmt |
| Program Services | $21,717,852 | ProgramServicesAmt |
| Management And General | $6,121,177 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,490 | BOYAmt |
| EOY | $484,579 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,271,604 | BOYAmt |
| EOY | $3,771,568 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,895 | BOYAmt |
| EOY | $774,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,885,222 | BOYAmt |
| EOY | $1,471,889 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,038 | BOYAmt |
| EOY | $122,276 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,523 | BOYAmt |
| EOY | $18,132 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $26,237,990 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,702,924 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,986,950 | BOYAmt |
| EOY | $20,535,066 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $978,600 | BOYAmt |
| EOY | $1,512,617 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,233,322 | BOYAmt |
| EOY | $28,690,127 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,619,919 | BOYAmt |
| EOY | $2,195,642 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,481,223 | BOYAmt |
| EOY | $9,283,997 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,078,000 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,179,142 | BOYAmt |
| EOY | $11,479,639 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,032,582 | BOYAmt |
| EOY | $17,188,890 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,598 | BOYAmt |
| EOY | $21,598 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,054,180 | BOYAmt |
| EOY | $17,210,488 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,233,322 | BOYAmt |
| EOY | $28,690,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,156,308 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,598 | BeginningYearBalanceAmt |
| End Year Balance | $21,598 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,598 | BeginningYearBalanceAmt |
| End Year Balance | $21,598 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,147 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $451 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $21,598 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,914 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,767 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $21,147 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,263 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,349 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $23,914 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,721,244 | OtherCostOrOtherBasisAmt |
| Book Value | $3,721,244 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,782,267 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,206,202 | DepreciationAmt |
| Book Value | $14,576,065 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,663,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $781,506 | DepreciationAmt |
| Book Value | $882,468 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,070,505 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,715,216 | DepreciationAmt |
| Book Value | $1,355,289 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,535,066 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID COST SETTLEMENT | Desc |
| Book Value | $1,512,617 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,512,617 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $29,120,341 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $125,004 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $125,004 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,995,337 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $28,995,337 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,964,033 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $125,004 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $125,004 | ExpensesNotReportedAmt |
| Expenses Subtotal | $27,839,029 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $27,839,029 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| ROSE JOHNSON | |||||
| CHIEF MED OFFICER | $272,547 | $58 | $8,178 | $14,287 | $295,070 |
| SHARON ROUSE | |||||
| FORMER CMO | $251,190 | $58 | $7,537 | $7,277 | $266,062 |
| MOLLY KASER | |||||
| CEO | $222,718 | $6,682 | $14,287 | $243,687 | |
| DIANA ELLIS | |||||
| LEAD DENTIST | $152,643 | $58 | $2,832 | $17,713 | $173,246 |
| SARA BENEDETTO | |||||
| COO | $151,337 | $58 | $4,542 | $16,320 | $172,257 |
| REBECCA SNOW | |||||
| CFO/HR DIRECTOR | $138,987 | $58 | $4,171 | $8,963 | $152,179 |
| RAUL ANDINO | |||||
| PHYSICIAN | $287,018 | $58 | $8,024 | $24,033 | $319,133 |
| MIRAFLOR REYES-GANZON | |||||
| PHYSICIAN | $263,946 | $58 | $7,920 | $14,081 | $286,005 |
| MONICA HILL | |||||
| PHYSICIAN | $250,980 | $58 | $7,334 | $16,320 | $274,692 |
| ELIEZER GOMEZ | |||||
| PHYSICIAN | $238,149 | $58 | $17,981 | $256,188 | |
| MUHAMMAD ABDULLAH | |||||
| PHYSICIAN | $232,216 | $58 | $6,968 | $14,555 | $253,797 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | 990 IS REVIEWED BY AUDITOR, CFO AND FINANCE COMMITTE PRIOR TO SUBMISSION AND RECOMMENDATION TO FILE REVIEWED FORM IS APPROVED BY BOARD. ENTIRE BOARD HAS THE OPPROTUNITY TO REVIEW FORM PRIOR TO SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANY CONFLICT OF INTEREST IS ADDRESSED AT BOARD MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION PHILOSOPHY WITH COMPENSATION OPPORTUNITIES SET AT THE MEDIAN OF THE COMPETITIVE LABOR MARKET DESCRIBED AS COMPARABLE FQHCS AND OTHER NOT FOR PROFIT HEALTH CARE ORGANIZATIONS, TYPICALLY THOSE IN THE STATE OF MICHIGAN AND MIDWEST. THE BOARD RETAINS THE SERVICES OF MERCES CONSULTING GROUP, INC., AN INDEPENDENT COMPENSATION CONSULTING FIRM, WHO COLLECTS, ANALYZES AND REPORTS DATA ON COMPETITIVE COMPARABLE ORGANIZATIONS FROM A VARIETY OF PUBLISHED SURVEYS. THESE INCLUDE THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND MICHIGAN PRIMARY CARE ASSOCIATION AS WELL AS INFORMATION REPORTED IN OTHER FQHC FORM 990S. EACH YEAR A SALARY RANGE IS ESTABLISHED WITH A MIDPOINT SET AT THE COMPETITIVE MARKET RATE. THE RANGE IS DIVIDED INTO SEGMENTS APPROPRIATE FOR VARIOUS LEVELS OF LONG-TERM PERFORMANCE. THE COMPENSATION COMMITTEE, CONSISTING OF DISINTERESTED DIRECTORS, COMPLETES THE PERFORMANCE APPRAISAL FOR THE CEO WITH INPUT FROM OTHER BOARD MEMBERS AND DETERMINES WHAT PART OF THE RANGE IS APPROPRIATE FOR THE CEO'S PERFORMANCE, AND WHAT INCREASE, IF ANY, IS WARRANTED. THE CONSULTANT'S REPORT, THE COMMITTEE'S REVIEW, AND RECOMMENDATIONS FOR AN INCREASE ARE SUBMITTED TO THE FULL BOARD FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD OF DIRECTORS HAS ESTABLISHED AN EXECUTIVE COMPENSATION PHILOSOPHY WITH COMPENSATION OPPORTUNITIES SET AT THE MEDIAN OF THE COMPETITIVE LABOR MARKET DESCRIBED AS COMPARABLE FQHCS AND OTHER NOT FOR PROFIT HEALTHCARE ORGANIZATIONS TYPICALLY THOSE OF THE STATE OF MICHIGAN AND THE MIDWEST. THE BOARD RETAINS THE SERVICES OF MERCES CONSULTING GROUP, INC, AN INDEPENDENT CONSULTING FIRM, WHO COLLECTS, ANALYZES, AND REPORTS DATA ON COMPETITIVE COMPARABLE ORGANIZATIONS FROM A VARIETY OF PUBLISHED SURVEYS. THESE INCLUDE THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND MICHIGAN PRIMARY CARE ASSOCIATION AS WELL AS INFORMATION REPORTED IN OTHER FQHC FORM 990S. EACH YEAR A SALARY RANGE IS ESTABLISHED WITH A MIDPOINT SET AT THE COMPETITIVE MARKET RATE. THE RANGE IS DIVIDED INTO SEGMENTS APPROPRIATE FOR VARIOUS LEVELS OF LONG-TERM PERFORMANCE. THE COMPENSATION COMMITTEE APPROVES THE RANGES THEN DELEGATES THE EVALUATION AND COMPENSATION DECISION MAKING AUTHORITY TO THE CEO WHO HAS AUTHORITY OVER THE OFFICER'S COMPENSATION. IN ADDITION, THE BOARD OF DIRECTORS APPROVES THE OFFICER COMPENSATION IN THE ANNUAL BUDGET APPROVAL PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE AT MICHIGAN DEPARTMENT OF COMMERCE OR AVAILABLE TO THE PUBLIC UPON REQUEST. |
Comments