COMMUNITY HEALTH IMPROVEMENT CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH IMPROVEMENT CENTER (EIN 37-0961830)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-14
- IRS object ID
- 202621349349307932
- Schema version
- 2024v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-05-14T13:46:53+00:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E St Louis 200 PO Box 1190 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370961830 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Improvement Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2178779117 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 E Central Avenue | AddressLine1Txt |
| City | Decatur | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62521 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE BRILLEY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2026-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2026-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crossing Healthcare | BusinessNameLine1Txt |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE BRILLEY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 E Central Avenue | AddressLine1Txt |
| City | Decatur | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62521 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,506,521 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | crossinghealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | THE CENTER'S MISSION IS TO STRIVE TO PROVIDE EXCEPTIONAL, COMPASSIONATE, AND COMPREHENSIVE HEALTH CARE TO THE UNDERSERVED OF CENTRAL ILLINOIS (see schedule O for additional information). | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 246 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,409,495 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,955,675 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,567,135 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,461,980 | CYProgramServiceRevenueAmt |
| PY Investment Income | $573 | PYInvestmentIncomeAmt |
| CY Investment Income | $285 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $88,581 | CYOtherRevenueAmt |
| PY Total Revenue | $13,977,203 | PYTotalRevenueAmt |
| CY Total Revenue | $14,506,521 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,846,229 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,454,877 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,065,678 | PYOtherExpensesAmt |
| CY Other Expenses | $4,630,683 | CYOtherExpensesAmt |
| PY Total Expenses | $15,911,907 | PYTotalExpensesAmt |
| CY Total Expenses | $16,085,560 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,934,704 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,579,039 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,758,346 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,932,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,928,335 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,200,859 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,830,011 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $31,731,623 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CENTER'S MISSION IS TO STRIVE TO PROVIDE EXCEPTIONAL, COMPASSIONATE, AND COMPREHENSIVE HEALTH CARE TO THE UNDERSERVED OF CENTRAL ILLINOIS WHILE ENCOURAGING PROFESSIONAL GROWTH, TEAMWORK, AND RESPECT TOWARD OUR COWORKERS IN THE CLINIC AND THROUGHOUT THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,907,634 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,111,885 | RevenueAmt |
| Desc | CLINIC SERVICES: PRIMARY MEDICAL CARE SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,407,916 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,133,992 | RevenueAmt |
| Desc | MENTAL HEALTH: COUNSELING, BEHAVIORAL HEALTH TESTING, REFERRAL SERVICE FOR SERIOUS MENTAL HEALTH DISORDERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $104,488 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,066,312 | RevenueAmt |
| Desc | PRENATAL SERVICES: COMPLETE PRENATAL SERVICES FOR MOMS-TO-BE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,045 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $149,791 | RevenueAmt |
| Desc | LAB SERVICES: CLINICAL LABORATORY SERVICES PROVIDED IN HOUSE AND BY OUTSIDE LAB SERVICE. SOCIAL SERVICES/HEALTH EDUCATION: DIETARY COUNSELING, HEALTH EDUCATION SESSIONS, PREVENTION AND AWARENESS ACTIVITIES RELATED TO CHRONIC HEALTH PROBLEMS OR DISEASES. DENTAL CLINIC SUBSIDY: CONTRACTUAL ARRANGEMENT WITH LOCAL HEALTH DEPARTMENT FOR EMERGENCY DENTAL SERVICES AND ROUTINE EXTRACTIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $21,045 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $149,791 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $12,441,083 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 246 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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 | Julie Brilley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2178779117 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 E Central Avenue | AddressLine1Txt |
| City | Decatur | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62521 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|---|
| April Ingram | ||||||||
| President | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Dan Martini | ||||||||
| Treasurer Beg 08/24 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Julie Fane | ||||||||
| Vice President/Secretary | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Heneghan | ||||||||
| Treasurer End/Board Member Beg 08/24 | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Alicia Marin | ||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Dr Stephen Huss | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Jonathon Keck | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Katrina Phillips-Gaines | ||||||||
| Board Member | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||
| Robert Tom Crawford | ||||||||
| Board Member | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Charmaine Robertson-Stoner | ||||||||
| CBHO | 40.0 | 0.0 | Yes (X) | $128,061 | $0 | $6,313 | ||
| Cindy Jenkins | ||||||||
| CCO | 40.0 | 0.0 | Yes (X) | $111,125 | $0 | $15,724 | ||
| Julie Brilley | ||||||||
| COO | 40.0 | 0.0 | Yes (X) | $153,704 | $0 | $25,811 | ||
| Lois Tanner | ||||||||
| CFO | 40.0 | 1.0 | Yes (X) | $148,945 | $0 | $7,632 | ||
| Michelle Senger | ||||||||
| CNO | 40.0 | 0.0 | Yes (X) | $102,013 | $0 | $32,507 | ||
| Shawna Karr | ||||||||
| CHRO | 40.0 | 0.0 | Yes (X) | $134,379 | $0 | $23,299 | ||
| Tanya Andricks | ||||||||
| CEO | 40.0 | 1.0 | Yes (X) | $253,322 | $0 | $23,809 | ||
| Jaime Cross | ||||||||
| NURSE PRACTITIONER | 40.0 | 0.0 | $151,890 | $0 | $0 | Yes (X) | ||
| Robert James LoBonc | ||||||||
| Pediatrician | 40.0 | 0.0 | $257,317 | $0 | $0 | Yes (X) | ||
| Rohidas Patil | ||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $380,650 | $0 | $13,338 | Yes (X) | ||
| Tricia Scerba | ||||||||
| Physician | 40.0 | 0.0 | $310,503 | $0 | $23,631 | Yes (X) | ||
| Vineeta Chandra | ||||||||
| Physician | 40.0 | 0.0 | $160,832 | $0 | $5,951 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,292,741 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $178,015 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 27 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| FQHC Health Network FHN Group | ||||||
| 319 South 7th Street | Monmouth | IL | 61462 | Medical EHR Software | $416,043 | |
| Health Management Associates | ||||||
| PO Box 7411071 | Chicago | IL | 606741071 | Consulting services including Revenue Cycle Management, etc | $289,819 | |
| Perfect Janitorial Services | ||||||
| 1220 E Pershing Road | Decatur | IL | 62526 | Janitorial Services | $270,617 | |
| KB Consulting | ||||||
| 510 E Apple Orchard Road | Springfield | IL | 62703 | Third party vendor or IT services | $136,787 | Suite 103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $18,161 | FederatedCampaignsAmt |
| Government Grants | $4,489,706 | GovernmentGrantsAmt |
| All Other Contributions | $447,808 | AllOtherContributionsAmt |
| Noncash Contributions | $11,050 | NoncashContributionsAmt |
| Total Contributions | $4,955,675 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $8,555,944 | $8,555,944 |
| 340B PHARMACY REVENUE | 456110 | $636,245 | $636,245 |
| LEASE REVENUE | 623000 | $181,500 | $181,500 |
| OTHER REVENUE | 900999 | $88,291 | $88,291 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,461,980 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $285 | TotalRevenueColumnAmt |
| Exclusion | $285 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $88,581 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $88,581 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,581 | TotalRevenueColumnAmt |
| Exclusion | $88,581 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,506,521 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,461,980 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $88,866 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,644 | TotalAmt |
| Program Services | $448,409 | ProgramServicesAmt |
| Management And General | $718,235 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,541,410 | TotalAmt |
| Program Services | $7,393,527 | ProgramServicesAmt |
| Management And General | $1,147,883 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,743 | TotalAmt |
| Program Services | $259,439 | ProgramServicesAmt |
| Management And General | $40,304 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,139 | TotalAmt |
| Program Services | $532,363 | ProgramServicesAmt |
| Management And General | $116,776 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,941 | TotalAmt |
| Program Services | $630,441 | ProgramServicesAmt |
| Management And General | $167,500 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,228 | TotalAmt |
| Management And General | $83,228 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,912 | TotalAmt |
| Program Services | $672,598 | ProgramServicesAmt |
| Management And General | $785,314 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,943 | TotalAmt |
| Program Services | $3,704 | ProgramServicesAmt |
| Management And General | $6,239 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,694 | TotalAmt |
| Program Services | $57,312 | ProgramServicesAmt |
| Management And General | $96,382 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,422 | TotalAmt |
| Program Services | $32,191 | ProgramServicesAmt |
| Management And General | $54,231 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,322 | TotalAmt |
| Program Services | $170,347 | ProgramServicesAmt |
| Management And General | $286,975 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,175 | TotalAmt |
| Program Services | $438 | ProgramServicesAmt |
| Management And General | $737 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,138 | TotalAmt |
| Program Services | $5,266 | ProgramServicesAmt |
| Management And General | $8,872 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,443 | TotalAmt |
| Program Services | $17,008 | ProgramServicesAmt |
| Management And General | $435 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,709,269 | TotalAmt |
| Program Services | $1,693,402 | ProgramServicesAmt |
| Management And General | $15,867 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,421 | TotalAmt |
| Program Services | $27,348 | ProgramServicesAmt |
| Management And General | $46,073 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND LAB SUPPLIES | $456,080 | $456,080 | |
| MAINTENANCE & REPAIRS | $55,358 | $20,620 | $34,738 |
| LICENSES, DUES, SUBSCRIPTIONS | $55,278 | $20,590 | $34,688 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,085,560 | TotalAmt |
| Program Services | $12,441,083 | ProgramServicesAmt |
| Management And General | $3,644,477 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
| EOY | $18,461 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,312,109 | BOYAmt |
| EOY | $735,419 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,977 | BOYAmt |
| EOY | $249,400 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,451 | BOYAmt |
| EOY | $591,967 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,612,031 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,449 | BOYAmt |
| EOY | $226,278 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,674,107 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,046,922 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,279,113 | BOYAmt |
| EOY | $25,627,185 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,016 | BOYAmt |
| EOY | $7,483,772 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,758,346 | BOYAmt |
| EOY | $34,932,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,905,579 | BOYAmt |
| EOY | $3,069,771 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,756 | BOYAmt |
| EOY | $2,336 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $128,752 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,928,335 | BOYAmt |
| EOY | $3,200,859 | 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 | $32,090,195 | BOYAmt |
| EOY | $31,249,459 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,739,816 | BOYAmt |
| EOY | $482,164 | EOYAmt |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,830,011 | BOYAmt |
| EOY | $31,731,623 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,758,346 | BOYAmt |
| EOY | $34,932,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,579,039 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$519,349 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,661,919 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,616,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,779,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,409,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,955,675 | CurrentTaxYearAmt |
| Total | $34,422,493 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,661,919 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,616,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,779,220 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,409,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,955,675 | CurrentTaxYearAmt |
| Total | $34,422,493 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $34,422,493 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,035 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,784 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $573 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,866 | CurrentTaxYearAmt |
| Total | $98,051 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $34,520,544 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $39,055,096 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99716 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96895 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,099,504 | OtherCostOrOtherBasisAmt |
| Book Value | $4,099,504 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,541,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,188,245 | DepreciationAmt |
| Book Value | $21,353,066 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,024 | DepreciationAmt |
| Book Value | $26,450 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,959,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,811,653 | DepreciationAmt |
| Book Value | $148,165 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,627,185 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $1,000,000 |
| ROU ASSET | $125,584 |
| DUE FROM RELATED PARTY | $6,356,188 |
| DUE FROM THIRD PARTY | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,483,772 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| ROU LIABILITY | $128,752 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $128,752 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Julie Brilley | ||||||||||||||
| COO | $153,704 | $0 | $0 | $0 | $0 | $0 | $7,838 | $0 | $17,973 | $0 | $179,515 | $0 | $0 | $0 |
| Lois Tanner | ||||||||||||||
| CFO | $148,945 | $0 | $0 | $0 | $0 | $0 | $7,632 | $0 | $0 | $0 | $156,577 | $0 | $0 | $0 |
| Shawna Karr | ||||||||||||||
| CHRO | $134,379 | $0 | $0 | $0 | $0 | $0 | $7,092 | $0 | $16,207 | $0 | $157,678 | $0 | $0 | $0 |
| Tanya Andricks | ||||||||||||||
| CEO | $253,322 | $0 | $0 | $0 | $0 | $0 | $13,039 | $0 | $10,770 | $0 | $277,131 | $0 | $0 | $0 |
| Robert James LoBonc | ||||||||||||||
| Pediatrician | $257,317 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $257,317 | $0 | $0 | $0 |
| Rohidas Patil | ||||||||||||||
| PSYCHIATRIST | $380,650 | $0 | $0 | $0 | $0 | $0 | $13,338 | $0 | $0 | $0 | $393,988 | $0 | $0 | $0 |
| Tricia Scerba | ||||||||||||||
| Physician | $310,503 | $0 | $0 | $0 | $0 | $0 | $9,552 | $0 | $14,079 | $0 | $334,134 | $0 | $0 | $0 |
| Vineeta Chandra | ||||||||||||||
| Physician | $160,832 | $0 | $0 | $0 | $0 | $0 | $5,166 | $0 | $785 | $0 | $166,783 | $0 | $0 | $0 |
| Jaime Cross | ||||||||||||||
| NURSE PRACTITIONER | $151,890 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $151,890 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1 ORGANIZATION'S MISSION | WHILE ENCOURAGING PROFESSIONAL GROWTH, TEAMWORK, AND RESPECT TOWARD OUR COWORKERS IN THE CLINIC AND THROUGHOUT THE COMMUNITY. |
| Form 990, Part III, Line 4a-4c Description of program services | (Expenses $ 21,045 including grants of $ 0)(Revenue $ 149,791) LAB SERVICES: CLINICAL LABORATORY SERVICES PROVIDED IN HOUSE AND BY OUTSIDE LAB SERVICE. SOCIAL SERVICES/HEALTH EDUCATION: DIETARY COUNSELING, HEALTH EDUCATION SESSIONS, PREVENTION AND AWARENESS ACTIVITIES RELATED TO CHRONIC HEALTH PROBLEMS OR DISEASES. DENTAL CLINIC SUBSIDY: CONTRACTUAL ARRANGEMENT WITH LOCAL HEALTH DEPARTMENT FOR EMERGENCY DENTAL SERVICES AND ROUTINE EXTRACTIONS. |
| Form 990, Part V, Line 1a & 2A - PAYROLL AGENT | THE RELATED ORGANIZATIONS, COMMUNITY HEALTH IMPROVEMENT CENTER AND CROSSING RECOVERY CENTER, FILE CONSOLIDATED PAYROLL FORMS AND REPORTS WITH THE IRS UNDER ITS EIN WHICH INCLUDE ITS TAX-EXEMPT SUBSIDIARIES. THIS INCLUDES FORM 941'S, W-2'S, 1099'S AND OTHER RELATED FILINGS. |
| Form 990, Part VI, Line 15a & 15B - COMPENSATION REVIEW POLICY | COMPENSATION FOR THE CENTER'S CEO IS DETERMINED BY THE BOARD'S REVIEW AND APPROVAL. COMPENSATION FOR THE CENTER'S OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE DIRECTOR'S REVIEW AND APPROVAL BASED ON CASH FLOW, THE BOARD'S APPROVAL AND THE CURRENT MARKET RATE FOR SALARIES. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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 CENTER'S EXECUTIVE DIRECTOR AND CFO REVIEW AND APPROVE THE 990 BEFORE IT IS FILED. |
| Form 990, Part VI, Line 12c Conflict of interest policy | BOARD MEMBERS ARE REQUIRED TO DECLARE ANY SUSPECTED OR ACTUAL DIRECT CONFLICT OF INTEREST. DIRECTORS WITH A CONFLICT OF INTEREST ARE REQUIRED TO ABSTAIN FROM VOTING ON RELATED MATTERS AND FROM INFLUENCING DECISIONS IN WHICH THEY HAVE A FINANCIAL INTEREST. THE BOARD MONITORS COMPLIANCE WITH THIS POLICY. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSING RECOVERY CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 320 E CENTRAL AVE | AddressLine1Txt |
| City | DECATUR | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62521 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833116299 | EIN |
| Primary Activities | SUBSTANCE ABUSE | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROSSING RECOVERY CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionTypeTxt |
| Involved | $181,500 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments