KEYSTONE RURAL HEALTH CONSORTIA INC: Form 990, tax year 2025
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- Organization
- KEYSTONE RURAL HEALTH CONSORTIA INC (EIN 25-1299837)
- Tax period
- 2025-04-01 to 2026-03-31
- Filed
- 2026-09-23
- IRS object ID
- 202622669349301222
- 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 | 2026-09-23T14:10:14-05:00 | ReturnTs |
| Tax Period End | 2026-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY ADVISORY GROUP LP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | 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 | 251299837 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEYSTONE RURAL HEALTH CONSORTIA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KEYS | BusinessNameControlTxt |
| Phone | 8144861115 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 90 EAST SECOND STREET | AddressLine1Txt |
| City | EMPORIUM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15834 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRISTIE M LENZE | PersonNm |
| Person Title | CEO/CFO | PersonTitleTxt |
| Phone | 8144861115 | PhoneNum |
| Signature | 2026-09-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Preparation | 2026-09-23 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KRISTIE M LENZE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 90 EAST SECOND STREET | AddressLine1Txt |
| City | EMPORIUM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,924,293 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KEYSTONERURALHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE & COMPREHENSIVE HEALTH SERVICES TO THE COUNTIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 113 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,970,364 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,000,745 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,611,996 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,860,717 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,046 | PYInvestmentIncomeAmt |
| CY Investment Income | -$163,985 | CYInvestmentIncomeAmt |
| PY Other Revenue | $366,418 | PYOtherRevenueAmt |
| CY Other Revenue | $1,032,682 | CYOtherRevenueAmt |
| PY Total Revenue | $10,952,824 | PYTotalRevenueAmt |
| CY Total Revenue | $12,730,159 | 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 | $6,152,113 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,536,636 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,537,248 | PYOtherExpensesAmt |
| CY Other Expenses | $4,974,187 | CYOtherExpensesAmt |
| PY Total Expenses | $10,689,361 | PYTotalExpensesAmt |
| CY Total Expenses | $12,510,823 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $263,463 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $219,336 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,682,382 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,089,795 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,534,881 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,722,958 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,147,501 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,366,837 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE, AND COMPREHENSIVE HEALTH SERVICES TO THE COUNTIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,189,287 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,084,561 | RevenueAmt |
| Desc | OUR MEDICAL FACILITIES SEE APPROXIMATELY 5,370 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 17,121 VISITS. WE SEE ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN ADDITION TO ACCEPTING MOST INSURANCES, WE HAVE HARDSHIP APPLICATIONS, SLIDING FEE APPLICATIONS, AND PAYMENT PLANS AVAILABLE FOR ALL PATIENTS. OUR GOAL IS TO CONTINUALLY MEET THE NEEDS OF OUR PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,475,430 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,776,156 | RevenueAmt |
| Desc | OUR DENTAL FACILITIES SEE APPROXIMATELY 3,450 UNDUPLICATED PATIENTS ANNUALLY, RESULTING IN 6,675 VISITS. IN ADDITION TO ACCEPTING MOST INSURANCES, WE HAVE HARDSHIP APPLICATIONS, SLIDING FEE APPLICATIONS, AND PAYMENT PLANS AVAILABLE FOR ALL PATIENTS. OUR GOAL IS TO CONTINUALLY MEET THE NEEDS OF OUR PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $11,664,717 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 113 | 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 | 11 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE REED FINANCIAL CONTROLLER | PersonNm |
| Phone | 8144861115 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 90 EAST SECOND STREET | AddressLine1Txt |
| City | EMPORIUM | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15834 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TONIA HARTZELL | ||||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DERRICK GOODE | ||||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES CHORNEY | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LINDA SLYDER | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ERICA HEINDL | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SIDELINGER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN BENSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGELA CUNNINGHAM | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS NEAL | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE PERNESKI | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KORY FEDDER | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR LAHNOVYCH | ||||||||
| MEDICAL DIRECTOR/PHYSICIAN | 40.00 | 0.00 | Yes (X) | $324,551 | $0 | $60,693 | ||
| KRISTIE M LENZE | ||||||||
| CEO/CFO | 36.00 | 0.00 | Yes (X) | $258,275 | $0 | $53,139 | ||
| KATIE THORNE | ||||||||
| DENTAL DIRECTOR/DENTIST | 36.00 | 0.00 | Yes (X) | $207,009 | $0 | $8,723 | ||
| REBECCA MILLER | ||||||||
| PHYSICIAN | 36.00 | 0.00 | $266,308 | $0 | $32,643 | Yes (X) | ||
| CHLOE STORMER | ||||||||
| CHIROPRACTOR | 36.00 | 0.00 | $193,319 | $0 | $46,286 | Yes (X) | ||
| KELLY MYERS | ||||||||
| CRNP | 40.00 | 0.00 | $168,867 | $0 | $45,990 | Yes (X) | ||
| LAUREN SHAVER | ||||||||
| PHYSICIAN ASSISTANT | 37.50 | 0.00 | $148,802 | $0 | $36,915 | Yes (X) | ||
| STACY HEY | ||||||||
| DENTIST (UNTIL 10/25) | 40.00 | 0.00 | $177,704 | $0 | $19,049 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,744,835 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $303,438 | 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
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 200870 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75320 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING SERVICES | ServicesDesc |
| Compensation | $129,122 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,811,466 | GovernmentGrantsAmt |
| All Other Contributions | $189,279 | AllOtherContributionsAmt |
| Noncash Contributions | $189,279 | NoncashContributionsAmt |
| Total Contributions | $3,000,745 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV. | 621400 | $7,725,630 | $7,725,630 |
| CONTRACT PHARMACY REV. | 621400 | $1,132,867 | $1,132,867 |
| CAPITATION INCOME | 621110 | $2,220 | $2,220 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,860,717 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,960 | TotalRevenueColumnAmt |
| Exclusion | $24,960 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $188,945 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$188,945 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$188,945 | TotalRevenueColumnAmt |
| Exclusion | -$188,945 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $765 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $5,189 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,424 | TotalRevenueColumnAmt |
| Exclusion | -$4,424 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INSURANCE SETTLEMENT PROCEEDS | 900099 | $561,717 | $561,717 |
| INSURANCE INCENTIVES | 900099 | $466,923 | $466,923 |
| MEDICAL RECORDS REV. | 900099 | $5,594 | $5,594 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,872 | TotalRevenueColumnAmt |
| Exclusion | $2,872 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,037,106 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,730,159 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,860,717 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $868,697 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,914 | TotalAmt |
| Program Services | $855,802 | ProgramServicesAmt |
| Management And General | $55,112 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,409,615 | TotalAmt |
| Program Services | $5,071,497 | ProgramServicesAmt |
| Management And General | $338,118 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,315 | TotalAmt |
| Program Services | $66,743 | ProgramServicesAmt |
| Management And General | $2,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,674 | TotalAmt |
| Program Services | $596,677 | ProgramServicesAmt |
| Management And General | $22,997 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,118 | TotalAmt |
| Program Services | $494,171 | ProgramServicesAmt |
| Management And General | $32,947 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,238 | TotalAmt |
| Management And General | $5,238 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,319 | TotalAmt |
| Management And General | $204,319 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,228 | TotalAmt |
| Program Services | $219,228 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,864 | TotalAmt |
| Program Services | $140,864 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,972 | TotalAmt |
| Program Services | $89,363 | ProgramServicesAmt |
| Management And General | $170,609 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,848 | TotalAmt |
| Program Services | $538,848 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $548,361 | TotalAmt |
| Program Services | $548,361 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,318 | TotalAmt |
| Program Services | $36,318 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,117 | TotalAmt |
| Program Services | $38,117 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,976 | TotalAmt |
| Program Services | $13,976 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,881 | TotalAmt |
| Program Services | $241,187 | ProgramServicesAmt |
| Management And General | $12,694 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,203 | TotalAmt |
| Program Services | $39,203 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES & DRUG | $1,966,847 | $1,966,847 |
| BAD DEBT EXPENSE | $339,633 | $339,633 |
| DUES & SUBSCRIPTIONS | $205,033 | $205,033 |
| REPAIRS & MAINTENANCE | $88,099 | $88,099 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,750 | TotalAmt |
| Program Services | $74,750 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,510,823 | TotalAmt |
| Program Services | $11,664,717 | ProgramServicesAmt |
| Management And General | $846,106 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,195 | BOYAmt |
| EOY | $3,873 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,341,362 | BOYAmt |
| EOY | $2,024,564 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,252 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $744,290 | BOYAmt |
| EOY | $842,178 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,887 | BOYAmt |
| EOY | $159,932 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $299,554 | BOYAmt |
| EOY | $592,131 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,149,408 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,890,052 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,444,209 | BOYAmt |
| EOY | $2,259,356 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,590,633 | BOYAmt |
| EOY | $1,207,761 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,682,382 | BOYAmt |
| EOY | $7,089,795 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,253 | BOYAmt |
| EOY | $687,315 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,487 | BOYAmt |
| EOY | $239,175 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,850 | BOYAmt |
| EOY | $563,509 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,291 | BOYAmt |
| EOY | $1,232,959 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,534,881 | BOYAmt |
| EOY | $2,722,958 | 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 | $4,147,501 | BOYAmt |
| EOY | $4,366,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,147,501 | BOYAmt |
| EOY | $4,366,837 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,682,382 | BOYAmt |
| EOY | $7,089,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $219,336 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,500 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE PENNSYLVANIA ASSOCIATION OF COMMUNITY HEALTH CENTERS, AN ASSOCIATION DEDICATED TO ADVOCACY ON BEHALF OF HEALTHCARE PROVIDERS. A PORTION OF THE ORGANIZATION'S DUES IS ATTRIBUTABLE TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,389 | OtherCostOrOtherBasisAmt |
| Book Value | $59,389 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,145,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,136,203 | DepreciationAmt |
| Book Value | $2,009,348 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $758,934 | OtherCostOrOtherBasisAmt |
| Depreciation | $753,849 | DepreciationAmt |
| Book Value | $5,085 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,534 | OtherCostOrOtherBasisAmt |
| Book Value | $185,534 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,259,356 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE ASSET | Desc |
| Book Value | $1,207,761 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,207,761 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $1,232,959 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,232,959 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,147,550 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$776,743 | OtherRevenueAmt |
| Revenue Not Reported | -$776,743 | RevenueNotReportedAmt |
| Revenue Subtotal | $12,924,293 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$194,134 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$194,134 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,730,159 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,928,214 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $194,134 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $194,134 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,734,080 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $776,743 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $776,743 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,510,823 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS -243,714. OTHER LOSS NETTED AGAINST REVENUE ON FINANCIALS -533,029. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -5,189. LOSS ON DISPOSAL OF DAMAGED ASSETS -188,945. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 5,189. LOSS ON DISPOSAL OF DAMAGED ASSETS 188,945. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSES NETTED AGAINST REVENUE ON FINANCIALS 243,714. OTHER LOSS NETTED AGAINSTED REVENUE ON FINANCIALS 533,029. |
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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| VICTOR LAHNOVYCH | ||||||||||||||
| MEDICAL DIRECTOR/PHYSICIAN | $295,067 | $0 | $29,484 | $0 | $0 | $0 | $5,000 | $0 | $55,693 | $0 | $385,244 | $0 | $0 | $0 |
| KRISTIE M LENZE | ||||||||||||||
| CEO/CFO | $222,918 | $0 | $34,390 | $0 | $967 | $0 | $5,000 | $0 | $48,139 | $0 | $311,414 | $0 | $0 | $0 |
| REBECCA MILLER | ||||||||||||||
| PHYSICIAN | $257,419 | $0 | $8,889 | $0 | $0 | $0 | $4,962 | $0 | $27,681 | $0 | $298,951 | $0 | $0 | $0 |
| CHLOE STORMER | ||||||||||||||
| CHIROPRACTOR | $166,545 | $0 | $13,772 | $0 | $13,002 | $0 | $5,000 | $0 | $41,286 | $0 | $239,605 | $0 | $0 | $0 |
| KATIE THORNE | ||||||||||||||
| DENTAL DIRECTOR/DENTIST | $187,476 | $0 | $19,533 | $0 | $0 | $0 | $0 | $0 | $8,723 | $0 | $215,732 | $0 | $0 | $0 |
| KELLY MYERS | ||||||||||||||
| CRNP | $141,218 | $0 | $27,649 | $0 | $0 | $0 | $5,000 | $0 | $40,990 | $0 | $214,857 | $0 | $0 | $0 |
| STACY HEY | ||||||||||||||
| DENTIST (UNTIL 10/25) | $167,704 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $19,049 | $0 | $196,753 | $0 | $0 | $0 |
| LAUREN SHAVER | ||||||||||||||
| PHYSICIAN ASSISTANT | $129,698 | $0 | $19,104 | $0 | $0 | $0 | $4,545 | $0 | $32,370 | $0 | $185,717 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE CEO/CFO AND OTHER EMPLOYEES RECEIVED A BONUS DURING THE YEAR. BONUSES ARE AWARDED UPON MEETING INTERNAL QUALITY STANDARDS AND RECOGNITION FROM FEDERAL OVERSIGHT AGENCIES. THE BOARD OF DIRECTORS APPROVES ALL BONUSES. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $189,279 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER REPORTED IN COLUMN B OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM IS REVIEWED BY THE CEO AND AND IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING THE RETURN WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST EXISTS WHEN A BOARD MEMBER IS INVOLVED IN OTHER ACTIVITIES OF EITHER A PERSONAL OR BUSINESS NATURE, WHICH MAY BE DETRIMENTAL TO THE BEST INTEREST OF THE ORGANIZATION OR ADVANTAGEOUS FOR THE CONFLICTED INDIVIDUAL'S PERSONAL FINANCIAL GAIN. SUCH MEMBER(S) SHALL ABSTAIN FROM VOTING ON THE ISSUE CONCERNED. CONFLICTS OF INTEREST ARE EVALUATED ANNUALLY AT THE EMPLOYEE AND BOARD LEVEL. BOARD MEMBERS AND EMPLOYEES ARE TO LIST ANY AND ALL RELATIONSHIPS THAT MAY BE A CONFLICT. THE POLICY IS MONITORED AND ENFORCED BY THE CEO AND THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | DURING THE BUDGET PROCESS, THE BOARD OF DIRECTORS REVIEWS ALL THE EMPLOYEES' WAGES AND SALARIES. THE NACHC SALARY AND BENEFIT GUIDELINE IS USED TO ASSIST THE BOARD IN ESTABLISHING THE CEO'S SALARY. STATISTICAL VALUES ARE USED TO ENSURE EXECUTIVE COMPENSATION IS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. THESE ARE APPROVED BY THE BOARD THROUGH THE APPROVAL OF THE ORGANIZATION'S BUDGET AND DOCUMENTED IN THE EXECUTIVE SESSION MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
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