COMPASSION HEALTH TOLEDO: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
COMPASSION HEALTH TOLEDO (EIN 47-3197108)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-09-23
IRS object ID
202642669349300909
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

FieldValueIRS element (for citing)
Return2026-09-23T11:01:20-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382706146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1YEO & YEO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11450 Eisenhower PlaceAddressLine1Txt
CityAnn ArborCityNm
State AbbreviationMIStateAbbreviationCd
ZIP481083283ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473197108EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Compassion Health ToledoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMPBusinessNameControlTxt
Phone5616610565PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11638 Broadway StAddressLine1Txt
CityToledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43609ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJanelle PinskeyPersonNm
Person TitleCEOPersonTitleTxt
Phone5616610565PhoneNum
Signature2026-09-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian R DixonPreparerPersonNm
PTINP01321580PTIN
Phone7347691331PhoneNum
Preparation2026-09-10PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJanelle PinskeyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11638 Broadway StAddressLine1Txt
CityToledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43609ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,213,653GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.compassionhealthtoledo.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTo provide Christ centered integrated affordable and quality health care to those who need it.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee45TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,024,727PYContributionsGrantsAmt
CY Contributions Grants$898,204CYContributionsGrantsAmt
PY Program Service Revenue$1,141,595PYProgramServiceRevenueAmt
CY Program Service Revenue$2,297,483CYProgramServiceRevenueAmt
PY Investment Income$9,110PYInvestmentIncomeAmt
CY Investment Income$3,946CYInvestmentIncomeAmt
PY Other Revenue$25,429PYOtherRevenueAmt
CY Other Revenue$14,020CYOtherRevenueAmt
PY Total Revenue$2,200,861PYTotalRevenueAmt
CY Total Revenue$3,213,653CYTotalRevenueAmt
PY Grants And Similar Paid$14,973PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,591CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,703,024PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,030,199CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$682,516PYOtherExpensesAmt
CY Other Expenses$958,428CYOtherExpensesAmt
PY Total Expenses$2,400,513PYTotalExpensesAmt
CY Total Expenses$2,997,218CYTotalExpensesAmt
PY Revenues Less Expenses-$199,652PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$216,435CYRevenuesLessExpensesAmt
Total Assets BOY$3,076,637TotalAssetsBOYAmt
Total Assets EOY$3,332,572TotalAssetsEOYAmt
Total Liabilities BOY$140,806TotalLiabilitiesBOYAmt
Total Liabilities EOY$180,306TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,935,831NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,152,266NetAssetsOrFundBalancesEOYAmt
MissionProvide Christ centered integrated affordable and quality health care to those who need it.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,513,895ExpenseAmt
Grant$8,591GrantAmt
Revenue$2,297,483RevenueAmt
DescCompassion Health Toledo opened in July 2017. CHT provides Christ centered integrated affordable and quality health care to those who need it.Desc
Total Program Service Expenses$2,513,895TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee45EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Janelle PinskeyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5676610565PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11638 Broadway StAddressLine1Txt
CityToledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43609ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jacob Calhoun
Treasurer1.00Yes (X)Yes (X)$0$0$0
Kenetta Jones
Secretary1.00Yes (X)Yes (X)$0$0$0
Bill Rudolph
Chair1.00Yes (X)Yes (X)$0$0$0
Laura Rudolph
Trustee1.00Yes (X)$0$0$0
Keith Schlender
Trustee1.00Yes (X)$0$0$0
Calvin Sweeney
Trustee1.00Yes (X)$0$0$0
Lisa Lawrence
Trustee1.00Yes (X)$0$0$0
Jo Hines
Trustee1.00Yes (X)$0$0$0
Avery Cooper
Trustee1.00Yes (X)$0$0$0
Janet Robinson
Trustee1.00Yes (X)$0$0$0
Anne Ruch MD
CEO40.00Yes (X)$7,000$0$0
Jeffrey Remaklus
CMO40.00Yes (X)$40,682$0$0
Mark Jacoby
CFO40.00Yes (X)$5,235$0$0
Anne Bauman
COO40.00Yes (X)$99,233$0$5,044
Marianne Black
Doctor40.00$117,840$0$0Yes (X)
Amy Demarsh
Doctor40.00$148,387$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$418,377TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$5,044TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$527,218GovernmentGrantsAmt
All Other Contributions$370,986AllOtherContributionsAmt
Noncash Contributions$169,930NoncashContributionsAmt
Total Contributions$898,204TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMedical ServicesDesc
Business624100BusinessCd
Total Revenue Column$2,297,483TotalRevenueColumnAmt
Related Or Exempt Func Income$2,297,483RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,297,483TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,946TotalRevenueColumnAmt
Exclusion$3,946ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscDesc
Business900099BusinessCd
Total Revenue Column$14,020TotalRevenueColumnAmt
Exclusion$14,020ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$14,020OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,213,653TotalRevenueColumnAmt
Related Or Exempt Func Income$2,297,483RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,966ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,591TotalAmt
Program Services$8,591ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$157,194TotalAmt
Program Services$47,938ProgramServicesAmt
Management And General$109,256ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,607,391TotalAmt
Program Services$1,515,373ProgramServicesAmt
Management And General$92,018ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$132,203TotalAmt
Program Services$122,703ProgramServicesAmt
Management And General$9,500ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$133,411TotalAmt
Program Services$120,070ProgramServicesAmt
Management And General$13,341ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$78,776TotalAmt
Management And General$78,776ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,245TotalAmt
Program Services$3,934ProgramServicesAmt
Management And General$1,311ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,617TotalAmt
Management And General$30,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,611TotalAmt
Program Services$16,958ProgramServicesAmt
Management And General$5,653ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$166,889TotalAmt
Program Services$125,167ProgramServicesAmt
Management And General$41,722ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$491TotalAmt
Program Services$368ProgramServicesAmt
Management And General$123ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,389TotalAmt
Program Services$6,292ProgramServicesAmt
Management And General$2,097ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,041TotalAmt
Program Services$781ProgramServicesAmt
Management And General$260ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$84,043TotalAmt
Program Services$63,032ProgramServicesAmt
Management And General$21,011ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Program Services$30,000ProgramServicesAmt
Management And General$10,000ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pharmacy$249,780$249,780
Supplies$247,040$185,280$61,760
Dues and subscriptions$12,901$9,676$3,225
Misc$6,650$4,986$1,664

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,955TotalAmt
Program Services$2,966ProgramServicesAmt
Management And General$989ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,997,218TotalAmt
Program Services$2,513,895ProgramServicesAmt
Management And General$483,323ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$304,001BOYAmt
EOY$483,592EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,644BOYAmt
EOY$332,680EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$415,690BOYAmt
EOY$239,824EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$258,793BOYAmt
EOY$263,744EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$18,057EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,811BOYAmt
EOY$6,448EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,188,639LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$221,456LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,025,320BOYAmt
EOY$1,967,183EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$27,378BOYAmt
EOY$21,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,076,637BOYAmt
EOY$3,332,572EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$112,724BOYAmt
EOY$158,817EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$406BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,676BOYAmt
EOY$21,489EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,806BOYAmt
EOY$180,306EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,663,511BOYAmt
EOY$2,936,566EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$272,320BOYAmt
EOY$215,700EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,935,831BOYAmt
EOY$3,152,266EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,076,637BOYAmt
EOY$3,332,572EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$216,435ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$511,874CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,534,335CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,803,266CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,024,727CurrentTaxYearMinus1YearAmt
Current Tax Year$898,204CurrentTaxYearAmt
Total$5,772,406TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$378,470CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,004,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,107,866CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,141,595CurrentTaxYearMinus1YearAmt
Current Tax Year$2,297,483CurrentTaxYearAmt
Total$5,930,112TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$890,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,539,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,911,132CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,166,322CurrentTaxYearMinus1YearAmt
Current Tax Year$3,195,687CurrentTaxYearAmt
Total$11,702,518TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$35,000CurrentTaxYearMinus2YearsAmt
Total$35,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$35,000CurrentTaxYearMinus2YearsAmt
Total$35,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$11,667,518PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$560CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$9,110CurrentTaxYearMinus1YearAmt
Current Tax Year$3,946CurrentTaxYearAmt
Total$13,616TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$560CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$9,110CurrentTaxYearMinus1YearAmt
Current Tax Year$3,946CurrentTaxYearAmt
Total$13,616TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$37,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$25,429CurrentTaxYearMinus1YearAmt
Current Tax Year$14,020CurrentTaxYearAmt
Total$76,752TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$928,207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,539,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,911,132CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,200,861CurrentTaxYearMinus1YearAmt
Current Tax Year$3,213,653CurrentTaxYearAmt
Total$11,792,886TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98940PublicSupportCY509Pct
Public Support PY5090.98850PublicSupportPY509Pct
Investment Income CY0.00120InvestmentIncomeCYPct
Investment Income PY0.00110InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,841,319OtherCostOrOtherBasisAmt
Depreciation$67,515DepreciationAmt
Book Value$1,773,804BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$149,916OtherCostOrOtherBasisAmt
Depreciation$77,153DepreciationAmt
Book Value$72,763BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,404OtherCostOrOtherBasisAmt
Depreciation$76,788DepreciationAmt
Book Value$120,616BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,967,183TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFinance Lease ObligationDesc
Amt$21,489Amt
FieldValueIRS element (for citing)
Total Liability$21,489TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,450,936TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$237,283DonatedServicesAndUseFcltsAmt
Revenue Not Reported$237,283RevenueNotReportedAmt
Revenue Subtotal$3,213,653RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,213,653TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,234,501TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$237,283DonatedServicesUseFcltsAmt
Expenses Not Reported$237,283ExpensesNotReportedAmt
Expenses Subtotal$2,997,218ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,997,218TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeIndividuals AssistanceGrantTypeTxt
Recipient27RecipientCnt
Cash Grant$7,715CashGrantAmt
Non Cash Assistance$875NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceSuppliesNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2FormAndLineReferenceDesc
ExplanationThe Health Center shall maintain records that support the documentation essential to validate carrying out the functions of grant funding received. The Health Center's accounting and management systems shall be capable of recording, segragating, managing and reporting out data that support the Health Center's activities as mandated by the program requirements and funding conditions of each grant and contract.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1832ContributionCnt
Noncash Contributions Rpt F990$169,930NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Bill and Laura Rudolph - Board Members
Form 990, Part VI, Section B, line 11bThe full 990 is provided to each board member. It is then discussed and approved before filing.
Form 990, Part VI, Section B, line 12cThe board at the annual meeting sign a new COI for file and the CFO reviews. The form is for potential conflicts and it monitors those activities.
Form 990, Part VI, Section B, line 15Anne Ruch is a licensed OBGYN and donates her time to the center. Nominal compensation is there to provide compliance for insurance purposes. Wages for officers and key employees are approved at the beginning of the year at the finance committee meeting and then at the board meeting.
Form 990, Part VI, Section C, line 19Governing documents, financial statements, and all required documents are kept in a common place and inspection is allowed by appointment only.

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