COVENANT COMMUNITY CARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT COMMUNITY CARE INC (EIN 38-3533998)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201703199349306460
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T10:48:38-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363990892 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Capin Crouse LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 972 Emerson Parkway Ste A | AddressLine1Txt |
| City | Greenwood | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46143 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383533998 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Community Care Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 3135540485 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul Propson | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3135540485 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Daren Daiga | PreparerPersonNm |
| PTIN | P01074795 | PTIN |
| Phone | 3178852620 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.240.105.108 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 09:48:07 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 07C8E9B413635D0CD01D5E05E6F5D75574149F69 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E5D20CE9D76ECF41022D4F4DD4360158C2321DF4 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paul Propson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,973,013 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.covenantcommunitycare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | Providing integrated, affordable, and quality health care to those who need it most. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 187 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,348,865 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,146,794 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,323,957 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,796,257 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,693 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,035 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$24,145 | PYOtherRevenueAmt |
| CY Other Revenue | -$17,924 | CYOtherRevenueAmt |
| PY Total Revenue | $10,674,370 | PYTotalRevenueAmt |
| CY Total Revenue | $12,946,162 | 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 | $7,594,793 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,072,028 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $6,300 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $126,891 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,841,322 | PYOtherExpensesAmt |
| CY Other Expenses | $3,189,226 | CYOtherExpensesAmt |
| PY Total Expenses | $10,442,415 | PYTotalExpensesAmt |
| CY Total Expenses | $12,261,254 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $231,955 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $684,908 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,951,797 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,378,934 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $684,214 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $426,443 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,267,583 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,952,491 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Covenant Community Care is to show and share the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,219,773 | ExpenseAmt |
| Revenue | $5,274,509 | RevenueAmt |
| Desc | Covenant Community Care uses a patient-centered medical home service delivery model. We offer comprehensive primary medical, dental, and behavioral health care for people of all ages, regardless of their ability to pay. Our six clinical sites are spread across Metro Detroit in an effort to make our services accessible to a population with significant financial, health, and transportation challenges. Chronic conditions such as diabetes, hypertension, depression, asthma, heart disease, HIV, and many others are managed by a multi-disciplinary team of providers, nurses, patient advocates, and volunteers. All sites also have a Behavioral Health Counselor that functions to integrate the mental health services and lifestyle education needed by each patient to identify and help remedy obstacles to compliance, working in close association with community mental health agencies. Covenant's sixth site is a school-based clinic that provides critical health services year-round to the children and families of a Northwest Detroit school and the surrounding community. In 2016, Covenant served 13,572 medical patients through 38,973 visits across our six sites. Of these patients, 27% were without health insurance, creating great obstacles to healthy living and the management of chronic diseases. Our commitment to seek out, heal and strengthen "those who need it most" ensures that our percentage of uninsured patients remains substantial as we continue to grow. This can present a challenge as the sometimes transient and under-resourced characteristics of this group make medical compliance and follow-up, attainment of health goals, and access to services challenging goals. For this reason, we are always looking for new partners, like community mental health agencies and other social service organizations, and developing programs, such as our Homeless Outreach Team, to help us improve how we fulfill our mission of "showing and sharing the love of God, as seen in the good news of Jesus Christ, by providing integrated, affordable, and quality health care to those who need it most." Covenant continued to have positive growth in quality measures this past year. We had increases in our coronary artery disease (88%), colorectal (37%), HIV (100%), depression (60%), and asthma (97%) screening rates. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,665,603 | ExpenseAmt |
| Revenue | $2,787,550 | RevenueAmt |
| Desc | Covenant Community Care offers oral health services at all clinical sites and also through a mobile, school-based dental team. In 2016, we served 8,524 dental patients through 22,628 visits. According to Covenant's Chief Dental Officer Dr. Lynn Eickholt, Covenant clinics provide the same level of quality as private practice dentist offices. This approach to quality remains the same regardless of a patient's ability to pay for services. For example, Dr. Eickholt estimates that Covenant clinics are some of the only clinics in Detroit that are focused on preserving teeth despite the cost. Oftentimes, low-income Detroiters who do not have access to a community health center are not given options to save their teeth due to cost and must simply accept extractions indicated by the fact that over 25% of the Covenant's target population is dealing with six or more extractions. Covenant Michigan and Covenant Moross offer a full array of oral health services with state-of-the-art equipment including dental exams, x-rays, cleanings, fillings, sealants, root canals, extractions, crowns, fluoride treatments, scaling and root planning, dentures & partial dentures, and some orthodontics work. The Covenant School-Based Dental Team (SBDT) provides dental care to children aged 0-18 at Head Start, elementary, middle and high schools across Detroit as well as Covenant Newton, a school-based clinic in Northwest Detroit. The SBDT provides dental cleanings, x-rays, fluoride, sealants, and exams. If needed, students receive referrals for any additional care. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $687,871 | ExpenseAmt |
| Revenue | $168,411 | RevenueAmt |
| Desc | Covenant has a licensed chauffer to provide transportation assistance for patients to and from our clinics. Patients are informed of this service while scheduling their appointments and, if needed, arrangements are made at that time. All of our services are provided on a bilingual basis, in English and Spanish. Covenant has bilingual staff members at each of our sites and also provides translation services to support patient/provider/staff interactions. All forms, patient satisfaction surveys, educational materials, signage, waiting room reading material, and other administrative materials are produced in Spanish and English. In 2016, Covenant staff facilitated 168 patient education visits and had 11.4 full time equivalent staff members dedicated to enabling services. Our Homeless Outreach team provides care to about 50 people per week where they are (under highway overpasses, in broken down trailers, in abandoned buildings, and in hidden urban encampments), works with them to navigate the present day healthcare system, and dispels the obstacles of anxiety, fear and mistrust. The goal is to meet and treat people on the street, build relationship, eventually get them into our clinics to see Covenant providers in order to establish a primary care relationship, and simultaneously work with partners including a podiatrist, wound-care specialist, and an ophthalmologist in order to care for more acute need. In 2016, Covenant launched the MI Care Team, a pilot health-home program, that provides patients with a specialized care team to overcome barriers to a healthier life. Our Nurse Care Manager and patient advocate/community health worker offer routine check-ins, assistance with health goal development, consistent support and encouragement, and even home visits if that's what it takes. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $422,284 | ExpenseAmt |
| Revenue | $565,787 | RevenueAmt |
| Desc | Covenant Community Care's mental health counselors provided care to 2,525 patients through 5,489 visits in 2016. Our primary medical and behavioral health care services are provided through an integrated delivery model. To accomplish this, all patients are required to complete a one-page "Today's Visit" tool that identifies recent symptoms of depression. All of our medical providers receive training to ensure that they are able to effectively identify and successfully refer patients who need behavioral health consultations. The integration of behavioral health screenings into every patient encounter at Covenant improves service delivery and outcomes in several ways. By proactively screening our patients, we identify behavioral health needs earlier in their progression, allowing for early intervention by our Behavioral Health Counselor. We also believe that by making behavioral health screening a routine practice, it helps to remove the stigma often associated with receiving behavioral health services. The training provided to our medical providers and support staff enables our employees to effectively assess when a full behavioral consultation is warranted. This is important, because through this practice, our staff can act as a safety net to catch patients who may need a consultation even if they do not self-identify as needing behavioral health care on the Today's Visit tool. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $422,284 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $565,787 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,995,531 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 187 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | 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 | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Anna Griebel | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3135540485 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 559 W Grand Blvd | AddressLine1Txt |
| City | Detroit | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48216 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|
| James Russell | |||||||
| Chairman of the Board (part year) | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dorlester Sharp | |||||||
| Chairman of the Board | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Thomas Storen | |||||||
| Vice Chairman/Board Member | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Katherine Kayser | |||||||
| Treasurer (part year) | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kim Carlson | |||||||
| Treasurer (Aug-Dec)/CFO (Jan-July) | 12.00 | Yes (X) | Yes (X) | $30,367 | $0 | $405 | |
| Graciela Villalobos | |||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Martin Smith | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Leon Stevenson | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Jane Lubinski | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Samuel Spruill | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Zora Denson | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Semmeal Thomas | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Charissa Shawcross | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mark Lubienski | |||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Propson | |||||||
| Chief Executive Officer | 40.00 | Yes (X) | $157,836 | $0 | $19,252 | ||
| Anna Griebel | |||||||
| Chief Financial Officer | 40.00 | Yes (X) | $88,504 | $0 | $7,032 | ||
| Dr Lynn Quinn | |||||||
| Chief Dental Officer | 40.00 | $147,046 | $0 | $1,548 | Yes (X) | ||
| Dr Scott Stryd | |||||||
| Chief Medical Officer | 40.00 | $157,902 | $0 | $18,864 | Yes (X) | ||
| Dr Marisa Abbo | |||||||
| Medical Director | 40.00 | $154,371 | $0 | $18,864 | Yes (X) | ||
| Dr Kai Kinyell Palm | |||||||
| Physician | 40.00 | $144,791 | $0 | $817 | Yes (X) | ||
| Dr John Ebright | |||||||
| Medical Director | 40.00 | $129,248 | $0 | $540 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,010,065 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $67,322 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Henry Schein Dental | |||||
| 135 Duryea Rd | Melville | NY | 11747 | Dental supplies/equipment | $429,707 |
| Southwest Counseling Solutions | |||||
| 5716 Michigan Ave | Detroit | MI | 48210 | Counseling Services | $219,693 |
| BPI Information Systems | |||||
| 23875 Northwestern Hwy | Detroit | MI | 48075 | IT Services | $162,948 |
| HR Staffing Team | |||||
| 570 Kirts Blvd | Troy | MI | 48084 | HR Services | $123,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $70,965 | FundraisingAmt |
| Government Grants | $3,349,086 | GovernmentGrantsAmt |
| All Other Contributions | $726,743 | AllOtherContributionsAmt |
| Total Contributions | $4,146,794 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Fees | 621400 | $8,622,604 | $8,622,604 |
| Meaningful Use Incent. | 621400 | $170,000 | $170,000 |
| Other Revenue | 900099 | $3,653 | $3,653 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,796,257 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,035 | TotalRevenueColumnAmt |
| Exclusion | $21,035 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $8,927 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $70,965 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,851 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,924 | TotalRevenueColumnAmt |
| Exclusion | -$17,924 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,946,162 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,796,257 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,111 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,904 | TotalAmt |
| Management And General | $305,904 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,258,251 | TotalAmt |
| Program Services | $6,197,004 | ProgramServicesAmt |
| Management And General | $974,699 | ManagementAndGeneralAmt |
| Fundraising | $86,548 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $969,200 | TotalAmt |
| Program Services | $710,182 | ProgramServicesAmt |
| Management And General | $238,719 | ManagementAndGeneralAmt |
| Fundraising | $20,299 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,673 | TotalAmt |
| Program Services | $443,022 | ProgramServicesAmt |
| Management And General | $89,135 | ManagementAndGeneralAmt |
| Fundraising | $6,516 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,214 | TotalAmt |
| Management And General | $30,214 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,385 | TotalAmt |
| Management And General | $36,385 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,475 | TotalAmt |
| Program Services | $238,241 | ProgramServicesAmt |
| Management And General | $40,384 | ManagementAndGeneralAmt |
| Fundraising | $5,850 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,372 | TotalAmt |
| Program Services | $290,143 | ProgramServicesAmt |
| Management And General | $130,907 | ManagementAndGeneralAmt |
| Fundraising | $1,322 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,954 | TotalAmt |
| Program Services | $117,910 | ProgramServicesAmt |
| Management And General | $186,003 | ManagementAndGeneralAmt |
| Fundraising | $4,041 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,628 | TotalAmt |
| Program Services | $659,489 | ProgramServicesAmt |
| Management And General | $42,892 | ManagementAndGeneralAmt |
| Fundraising | $1,247 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,504 | TotalAmt |
| Program Services | $6,242 | ProgramServicesAmt |
| Management And General | $9,194 | ManagementAndGeneralAmt |
| Fundraising | $1,068 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,378 | TotalAmt |
| Program Services | $432,709 | ProgramServicesAmt |
| Management And General | $8,669 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,028 | TotalAmt |
| Program Services | $8,544 | ProgramServicesAmt |
| Management And General | $44,484 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Treatment | Desc |
| Total | $893,288 | TotalAmt |
| Program Services | $892,045 | ProgramServicesAmt |
| Management And General | $1,243 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,261,254 | TotalAmt |
| Program Services | $9,995,531 | ProgramServicesAmt |
| Management And General | $2,138,832 | ManagementAndGeneralAmt |
| Fundraising | $126,891 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,479 | BOYAmt |
| EOY | $186,906 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $951,861 | BOYAmt |
| EOY | $902,479 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,540 | BOYAmt |
| EOY | $356,968 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000,763 | BOYAmt |
| EOY | $2,055,176 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,510 | BOYAmt |
| EOY | $7,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,489,724 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,620,019 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,271,644 | BOYAmt |
| EOY | $1,869,705 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,951,797 | BOYAmt |
| EOY | $5,378,934 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $492,248 | BOYAmt |
| EOY | $392,909 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,966 | BOYAmt |
| EOY | $33,534 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,214 | BOYAmt |
| EOY | $426,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,257,583 | BOYAmt |
| EOY | $4,600,974 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $351,517 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,267,583 | BOYAmt |
| EOY | $4,952,491 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,951,797 | BOYAmt |
| EOY | $5,378,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $684,908 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,877,673 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,443,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,614,872 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,348,865 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,146,794 | CurrentTaxYearAmt |
| Total | $15,431,738 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,301,612 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,638,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,107,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,323,957 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,796,257 | CurrentTaxYearAmt |
| Total | $29,167,789 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,179,285 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,081,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,722,834 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,672,822 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,943,051 | CurrentTaxYearAmt |
| Total | $44,599,527 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,814 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,111 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,860 | CurrentTaxYearAmt |
| Total | $77,140 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,814 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,111 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,435 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,920 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,860 | CurrentTaxYearAmt |
| Total | $77,140 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,522,387 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,473 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,531 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,035 | CurrentTaxYearAmt |
| Total | $144,054 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,473 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,531 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,035 | CurrentTaxYearAmt |
| Total | $144,054 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,907 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,549 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,355 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,570 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,927 | CurrentTaxYearAmt |
| Total | $38,308 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,222,665 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,119,023 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,760,265 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,706,923 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,973,013 | CurrentTaxYearAmt |
| Total | $44,781,889 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99210 | PublicSupportPY509Pct |
| Investment Income CY | 0.00320 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00420 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Special Event Revenue - 2012 Amount: $ 8,907. 2013 Amount: $ 3,549. 2014 Amount: $ 7,355. 2015 Amount: $ 9,570. 2016 Amount: $ 8,927. | ExplanationTxt |
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 | $15,000 | OtherCostOrOtherBasisAmt |
| Book Value | $15,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $407,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $143,022 | DepreciationAmt |
| Book Value | $264,379 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,248,187 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,932,255 | DepreciationAmt |
| Book Value | $1,315,932 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $642,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $409,074 | DepreciationAmt |
| Book Value | $233,131 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $176,931 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,668 | DepreciationAmt |
| Book Value | $41,263 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,869,705 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,430,164 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $457,151 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $26,851 | OtherRevenueAmt |
| Revenue Not Reported | $484,002 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,946,162 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,946,162 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,745,256 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $457,151 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $26,851 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $484,002 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,261,254 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,261,254 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The financial statement effects of a tax position taken or expected to be taken are recognized in the financial statements when it is more likely than not, based on the technical merits, that the position will be sustained upon examination. Interest and penalties, if any, are included in expenses in the statements of activities. As of December 31, 2016, the Organization had no uncertain tax positions that qualify for recognition or disclosure in the financial statements. |
| Part XI, Line 2d - Other Adjustments: | Direct fundraising event expenses reported on Part VIII, Line 8b 26,851. |
| Part XII, Line 2d - Other Adjustments: | Direct fundraising event expenses reported on Part VIII, Line 8b 26,851. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Courage to Care | Event1Nm |
| Gross Receipts Event1 | $58,072 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $58,072 | CharitableContriEvent1Amt |
| Food And Beverage Event1 | $6,200 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $150 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,613 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Outing | Event2Nm |
| Gross Receipts Event2 | $21,820 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $12,893 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,927 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $438 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $100 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $12,275 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $32 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,043 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $79,892 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $70,965 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $8,927 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $438 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $100 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $12,275 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $6,232 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $150 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,656 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,851 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$17,924 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Paul Propson | ||||||||||||||
| Chief Executive Officer | $142,836 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $20,720 | $0 | $178,556 | $0 | $0 | $0 |
| Dr Lynn Quinn | ||||||||||||||
| Chief Dental Officer | $145,646 | $0 | $1,400 | $0 | $0 | $0 | $0 | $0 | $3,016 | $0 | $150,062 | $0 | $0 | $0 |
| Dr Scott Stryd | ||||||||||||||
| Chief Medical Officer | $157,422 | $0 | $480 | $0 | $0 | $0 | $0 | $0 | $20,332 | $0 | $178,234 | $0 | $0 | $0 |
| Dr Marisa Abbo | ||||||||||||||
| Medical Director | $153,851 | $0 | $520 | $0 | $0 | $0 | $0 | $0 | $20,332 | $0 | $174,703 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 1 | The Executive Committee consists of the Chairman of the Board, Vice-Chairman, Secretary, Treasurer and up to two other members of the Board who shall be appointed by the Board of Directors from time to time. The Executive Committee shall have and exercise the authority of the Board of Directors in the management of routine operation of the Corporation within the scope of established policy and general plans. |
| Form 990, Part VI, Section B, line 11b | Form 990 is prepared by an independent CPA firm and reviewed in detail by the Chief Financial Officer. The reviewed Form 990 is then provided to the board prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | The finance team monitors all transactions entered into by the organization and the board reviews the conflict of interest policy annually. Both officers and board members sign annual statements. Any potential conflicts of interest are brought to the board for review and approval. If an issue were to arise during the course of a board meeting, the board member with a conflict would excuse himself or herself from the decision making process and the board would vote on whether or not the transaction is in the best interest of the organization. |
| Form 990, Part VI, Section B, line 15 | Compensation of the CEO is determined by the Executive Committee and reviewed by the Board of Directors. The Executive Committee uses the MPCA Salary Survey for comparability data every year. This process is documented by memo and the decision is documented in the board minutes. The CEO determines compensation rates for all other Officers. The MPCA Salary Survey is used for comparability data. The approved compensation is documented by memo and retained with the organization's payroll and HR files. |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are all available upon request. |
| Form 990, Part XII, Line 2c | The organization's Audit Committee assumes responsibility for oversight of the audit of its financial statements and selection of its independent accountant. This process has not changed since the prior year. |
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