LEGACY MEDICAL CARE INC: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- LEGACY MEDICAL CARE INC (EIN 46-3256854)
- Tax period
- 2025-04-01 to 2026-03-31
- Filed
- 2026-09-16
- IRS object ID
- 202602599349301115
- Schema version
- 2025v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-09-16T11:57:51-05:00 | ReturnTs |
| Tax Period End | 2026-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2021 SPRING ROAD SUITE 200 | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463256854 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEGACY MEDICAL CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEGA | BusinessNameControlTxt |
| Phone | 8477492248 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3030 SALT CREEK LANE 200 | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELISSA D'ONORIO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8477492248 | PhoneNum |
| Signature | 2026-09-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MANDERFIELD | PreparerPersonNm |
| PTIN | P01238973 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Preparation | 2026-09-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MELISSA D'ONORIO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 S WILKE ROAD SUITE 600 | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,557,305 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEGACYMEDICALCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | LEGACY MEDICAL CARE WILL ALWAYS STRIVE TO BE THE MODEL FOR COMPREHENSIVE QUALITY HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 75 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $365,143 | PYContributionsGrantsAmt |
| CY Contributions Grants | $372,239 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,853,749 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,025,279 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,267 | PYInvestmentIncomeAmt |
| CY Investment Income | $159,787 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $7,220,159 | PYTotalRevenueAmt |
| CY Total Revenue | $7,557,305 | 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 | $5,705,003 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,306,406 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $6,064 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,256,089 | PYOtherExpensesAmt |
| CY Other Expenses | $2,572,607 | CYOtherExpensesAmt |
| PY Total Expenses | $8,961,092 | PYTotalExpensesAmt |
| CY Total Expenses | $7,879,013 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,740,933 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$321,708 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,194,849 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,087,397 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,347,764 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,575,968 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$152,915 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$488,571 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION STATEMENT - LEGACY MEDICAL CARE WILL ALWAYS STRIVE TO BE THE MODEL FOR COMPREHENSIVE QUALITY HEALTH CARE. VISION STATEMENT - OUR STAFF IS COMMITTED TO IMPROVING ACCESS TO CARE BY RESPONDING TO EVER CHANGING HEALTH CARE NEEDS THROUGH HEALTH EDUCATION AND PREVENTION PROGRAMS. VALUE STATEMENT - ALL PEOPLE HAVE A RIGHT TO HAVE ACCESS TO HIGH QUALITY HEALTHCARE. IN PURSUIT OF THIS VISION, LEGACY MEDICAL CARE LEADERSHIP, STAFF AND OTHER PHYSICIANS ARE GUIDED BY THE FOLLOWING: INTEGRITY, EXCELLENCE, TEAMWORK AND COLLABORATION, STEWARDSHIP, DIVERSITY, AND EMPATHY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,948,993 | ExpenseAmt |
| Revenue | $7,025,279 | RevenueAmt |
| Desc | HEALTHCARE SERVICES INCLUDING: WELL AND SICK VISITS, PHYSICALS, IMMUNIZATIONS, LABORATORY SERVICES, BLOOD PRESSURE/DIABETES SCREENINGS, FLU SHOTS, FEMALE HEALTHCARE, AND BEHAVIORAL HEALTH. | Desc |
| Total Program Service Expenses | $6,948,993 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 75 | 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 | 0 | QuidProQuoContributionsInd |
| 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 |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 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 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8477492248 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 S WILKE AVENUE SUITE 600 | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| KLAUS BOETTCHER | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ELISE JIMINEZ | |||||||
| SECRETARY | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DAWN GLASCOTT | |||||||
| CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| DIANE LEVY | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| YESENIA FERNANDEZ | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MARIA JULIA FERNANDEZ | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SHANE DUPKE | |||||||
| VICE CHAIR | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| EVELYN CORONA | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ANDY KAMMES | |||||||
| TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MELISSA D'ONORIO | |||||||
| CEO | 40.00 | $169,059 | $0 | $20,522 | Yes (X) | ||
| ADRIANA VIVANCO | |||||||
| FINANCE AND OPERATIONS DIRECTOR | 40.00 | $181,379 | $0 | $13,189 | Yes (X) | ||
| JENNIFER BIEL | |||||||
| PEDIATRICS PA | 40.00 | $146,385 | $0 | $20,522 | Yes (X) | ||
| RONALD ROXAS | |||||||
| PEDIATRICS NP | 40.00 | $196,442 | $0 | $19,002 | Yes (X) | ||
| NATALYA VERNOVSKY | |||||||
| PEDIATRICS MD | 40.00 | $152,278 | $0 | $10,822 | Yes (X) | ||
| SHAUNNA REPA | |||||||
| PEDIATRICS NP | 40.00 | $132,518 | $0 | $12,053 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $978,061 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $96,110 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY LINK CONSULTING | |||||
| 881 92ND ST S STE 111 | COTTAGE GROVE | MN | 55016 | CFO AND BILLING SERVICES | $644,586 |
| ERNEST NORA | |||||
| 9434 RIDGEWAY AVE | EVANSTON | IL | 60203 | PHYSICIAN SERVICES | $222,206 |
| CLIFTONLARSONALLEN LLP | |||||
| PO BOX 775967 | CHICAGO | IL | 60677 | AUDITING AND CONSULTING SERVICES | $217,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $372,239 | GovernmentGrantsAmt |
| Total Contributions | $372,239 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | $6,956,573 | $6,956,573 |
| MISCELLANEOUS REVENUE | 621110 | $68,706 | $68,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,025,279 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,787 | TotalRevenueColumnAmt |
| Exclusion | $159,787 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,557,305 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,025,279 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $159,787 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,059 | TotalAmt |
| Management And General | $169,059 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,329,467 | TotalAmt |
| Program Services | $4,185,379 | ProgramServicesAmt |
| Management And General | $142,402 | ManagementAndGeneralAmt |
| Fundraising | $1,686 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,806 | TotalAmt |
| Program Services | $459,432 | ProgramServicesAmt |
| Management And General | $34,189 | ManagementAndGeneralAmt |
| Fundraising | $185 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,074 | TotalAmt |
| Program Services | $292,210 | ProgramServicesAmt |
| Management And General | $21,746 | ManagementAndGeneralAmt |
| Fundraising | $118 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,835 | TotalAmt |
| Program Services | $633,547 | ProgramServicesAmt |
| Management And General | $232,704 | ManagementAndGeneralAmt |
| Fundraising | $584 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,107 | TotalAmt |
| Program Services | $182,354 | ProgramServicesAmt |
| Management And General | $32,576 | ManagementAndGeneralAmt |
| Fundraising | $177 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,409 | TotalAmt |
| Program Services | $40,901 | ProgramServicesAmt |
| Management And General | $45,468 | ManagementAndGeneralAmt |
| Fundraising | $40 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,087 | TotalAmt |
| Program Services | $10,247 | ProgramServicesAmt |
| Management And General | $1,830 | ManagementAndGeneralAmt |
| Fundraising | $10 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,279 | TotalAmt |
| Program Services | $560,599 | ProgramServicesAmt |
| Management And General | $100,136 | ManagementAndGeneralAmt |
| Fundraising | $544 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,765 | TotalAmt |
| Management And General | $50,765 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,079 | TotalAmt |
| Program Services | $8,079 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,715 | TotalAmt |
| Program Services | $255,307 | ProgramServicesAmt |
| Management And General | $11,347 | ManagementAndGeneralAmt |
| Fundraising | $61 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL AND OTHER SUPPL | $283,369 | $273,999 | $9,370 | |
| MISCELLANOUS | $88,534 | $13,511 | $72,364 | $2,659 |
| LABORATORY FEES | $33,428 | $33,428 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,879,013 | TotalAmt |
| Program Services | $6,948,993 | ProgramServicesAmt |
| Management And General | $923,956 | ManagementAndGeneralAmt |
| Fundraising | $6,064 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,034 | BOYAmt |
| EOY | $222,256 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,228,779 | BOYAmt |
| EOY | $527,691 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,426 | BOYAmt |
| EOY | $325,054 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,574 | BOYAmt |
| EOY | $252,424 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $212,195 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $51,643 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,414 | BOYAmt |
| EOY | $160,552 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,986,622 | BOYAmt |
| EOY | $2,599,420 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,194,849 | BOYAmt |
| EOY | $4,087,397 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,139,970 | BOYAmt |
| EOY | $1,180,126 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,120 | BOYAmt |
| EOY | $29,313 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,183 | BOYAmt |
| EOY | $229,387 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,340,491 | BOYAmt |
| EOY | $3,137,142 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,347,764 | BOYAmt |
| EOY | $4,575,968 | 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 | -$152,915 | BOYAmt |
| EOY | -$488,571 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$152,915 | BOYAmt |
| EOY | -$488,571 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,194,849 | BOYAmt |
| EOY | $4,087,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$321,708 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$13,948 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $2,189,213 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,899,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $866,223 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $365,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $372,239 | CurrentTaxYearAmt |
| Total | $6,692,374 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,735,075 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,544,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,609,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,853,749 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,025,279 | CurrentTaxYearAmt |
| Total | $33,767,331 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,924,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,443,784 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,475,223 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,218,892 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,397,518 | CurrentTaxYearAmt |
| Total | $40,459,705 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $40,459,705 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,787 | CurrentTaxYearAmt |
| Total | $161,827 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,787 | CurrentTaxYearAmt |
| Total | $161,827 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $678,394 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,483 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $35,615 | CurrentTaxYearMinus1YearAmt |
| Total | $722,492 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,603,001 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,452,514 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,475,430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,255,774 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,557,305 | CurrentTaxYearAmt |
| Total | $41,344,024 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98240 | PublicSupportPY509Pct |
| Investment Income CY | 0.00390 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | 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 | PPP REVENUE - 2021 AMOUNT: $ 678,194. INCENTIVE REVENUE - 2021 AMOUNT: $ 200. 2022 AMOUNT: $ 8,483. 2024 AMOUNT: $ 35,615. | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $212,195 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $51,643 | DepreciationAmt |
| Book Value | $160,552 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $160,552 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT OF USE ASSETS | Desc |
| Book Value | $2,599,420 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,599,420 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITY | $266,206 |
| OPERATING LEASE LIABILITY | $2,870,936 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,137,142 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RONALD ROXAS | ||||||||||||||
| PEDIATRICS NP | $196,442 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,002 | $0 | $215,444 | $0 | $0 | $0 |
| ADRIANA VIVANCO | ||||||||||||||
| FINANCE AND OPERATIONS DIRECTOR | $181,379 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,189 | $0 | $194,568 | $0 | $0 | $0 |
| MELISSA D'ONORIO | ||||||||||||||
| CEO | $169,059 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,522 | $0 | $189,581 | $0 | $0 | $0 |
| JENNIFER BIEL | ||||||||||||||
| PEDIATRICS PA | $146,385 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,522 | $0 | $166,907 | $0 | $0 | $0 |
| NATALYA VERNOVSKY | ||||||||||||||
| PEDIATRICS MD | $152,278 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,822 | $0 | $163,100 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES A DRAFT OF THE FORM 990 TO THE BOARD TO REVIEW IN ADVANCE OF FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO ANNUALLY DISCLOSE IN WRITING ALL BUSINESS AND FAMILY RELATIONSHIPS THAT MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES OF THE CEO, PHYSICIANS AND STAFF ARE APPROVED BY THE BOARD OF DIRECTORS USING PUBLISHED INDUSTRY AVERAGE COMPENSATION IN LINE WITH THE STANDARDS SET BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | MOST DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 608,520. MANAGEMENT AND GENERAL EXPENSES 214,408. FUNDRAISING EXPENSES 584. TOTAL EXPENSES 823,512. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 25,027. MANAGEMENT AND GENERAL EXPENSES 18,296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,323. |
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