Civic Intelligence

Indian Stream Health Center Inc

EIN 20-0999212 • 501(c)3 • Colebrook, NH

Profile

To provide excellent preventive, acute, and wellness-focused health care to residents within the organziation's service area regardless of patient's ability to pay.We will focus our resources to maximize the quality of life of area residents in a cost-effective and efficient manner.

141 Corliss LaneColebrook, NH 03756

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2021

Liabilities / Revenue

10th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Net Margin

47th percentile

3.3%

Higher net margin than 47% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Top Officer Pay

81st percentile

$236,497

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 4.2% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Revenue Growth

28th percentile

-4.2%

Faster revenue growth than 28% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Assets

Down

$0

Down $2,959,451 (-100%) from 2020

Liabilities

Down

$0

Down $1,107,890 (-100%) from 2020

Net Assets

Down

$0

Down $1,851,561 (-100%) from 2020

Revenue

Down

$5,675,031

Down $251,115 (-4.2%) from 2020

Expenses

Down

$5,486,143

Down $450,724 (-7.6%) from 2020

Net Income

Up

$188,888

Up $199,609 (+1862%) from 2020

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$6.0M$4.0M$2.0M$0Assets 2010: $1,921,522Liabilities 2010: $1,100,955Net Assets 2010: $820,5672010Assets 2011: $1,936,860Liabilities 2011: $1,095,505Net Assets 2011: $841,3552011Assets 2012: $2,876,624Liabilities 2012: $1,212,717Net Assets 2012: $1,663,9072012Assets 2013: $3,307,252Liabilities 2013: $1,118,635Net Assets 2013: $2,188,6172013Assets 2014: $3,091,823Liabilities 2014: $937,945Net Assets 2014: $2,153,8782014Assets 2015: $3,941,396Liabilities 2015: $1,027,838Net Assets 2015: $2,913,5582015Assets 2016: $4,184,656Liabilities 2016: $752,275Net Assets 2016: $3,432,3812016Assets 2017: $2,976,804Liabilities 2017: $863,202Net Assets 2017: $2,113,6022017Assets 2018: $2,773,867Liabilities 2018: $942,515Net Assets 2018: $1,831,3522018Assets 2019: $2,707,833Liabilities 2019: $845,551Net Assets 2019: $1,862,2822019Assets 2020: $2,959,451Liabilities 2020: $1,107,890Net Assets 2020: $1,851,5612020Assets 2021: $0Liabilities 2021: $0Net Assets 2021: $02021

Highlighted filing

2021

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $3,111,0222010Expenses 2011: $3,002,5152011Expenses 2012: $3,407,2322012Revenue 2013: $4,368,004Expenses 2013: $3,842,102Net Income 2013: $525,9022013Revenue 2014: $4,583,791Expenses 2014: $4,618,530Net Income 2014: -$34,7392014Revenue 2015: $5,621,786Expenses 2015: $4,862,106Net Income 2015: $759,6802015Revenue 2016: $6,590,515Expenses 2016: $6,071,693Net Income 2016: $518,8222016Revenue 2017: $6,724,947Expenses 2017: $8,043,726Net Income 2017: -$1,318,7792017Revenue 2018: $6,156,647Expenses 2018: $6,438,897Net Income 2018: -$282,2502018Revenue 2019: $6,100,619Expenses 2019: $6,069,689Net Income 2019: $30,9302019Revenue 2020: $5,926,146Expenses 2020: $5,936,867Net Income 2020: -$10,7212020Revenue 2021: $5,675,031Expenses 2021: $5,486,143Net Income 2021: $188,8882021

Highlighted filing

2021

Revenue$5,675,031
Expenses$5,486,143
Net Income$188,888

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$5.68$5.49$0.19
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.96$1.11$1.85$5.93$5.94$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.71$0.85$1.86$6.10$6.07$0.03
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.77$0.94$1.83$6.16$6.44$0.28
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.98$0.86$2.11$6.72$8.04$1.32
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.18$0.75$3.43$6.59$6.07$0.52
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.94$1.03$2.91$5.62$4.86$0.76
2014Summary only. Only limited summary data is available for this year.$3.09$0.94$2.15$4.58$4.62$0.03
2013Detailed filing. Detailed filing data is available for this year.$3.31$1.12$2.19$4.37$3.84$0.53
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.88$1.21$1.66$3.41
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.94$1.10$0.84$3.00
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.92$1.10$0.82$3.11
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Aug 5, 2022
Return Version
2021v4.2
Gross Receipts
$5,675,031
Mission and Program Overview

Mission

To provide excellent preventive, acute, and wellness-focused health care to residents within the organziation's service area regardless of patient's ability to pay.We will focus our resources to maximize the quality of life of area residents in a cost-effective and efficient manner.

To provide excellent preventive, acute, and wellness-focused health care to residents within the organization's service area regardless of patient's ability to pay. We will focus our resources to maximize the quality of life of area residents in a cost-effective and efficient manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,076,200$0▼ $2,076,200
Savings and Temporary Cash Investments$251,561$0▼ $251,561
Accounts Receivable$245,071$0▼ $245,071
Cash and Non-Interest-Bearing Accounts$170,606$0▼ $170,606
Inventories for Sale or Use$107,672$0▼ $107,672
Pledges and Grants Receivable$56,653$0▼ $56,653
Prepaid Expenses and Deferred Charges$51,688$0▼ $51,688
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$2,959,451$0▼ $2,959,451
Other Assets Total-$0-
Liabilities
Mortgage Notes Payable Secured by Investment Property$656,598$0▼ $656,598
Accounts Payable and Accrued Expenses$245,512$0▼ $245,512
Unsecured Notes Loans Payable$171,694$0▼ $171,694
Grants Payable$34,086$0▼ $34,086
Total Liabilities$1,107,890$0▼ $1,107,890
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,851,561$0▼ $1,851,561
Total Net Assets Fund Balance$1,851,561$0▼ $1,851,561
Total Liabilities and Net Assets / Fund Balance$2,959,451$0▼ $2,959,451
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sergio ZullichCEOFT$172,591$63,906$236,497
Jose ZirenaPast CFOFT$90,068$13,810$103,878
Arthur NicholsInterim CFOPT$58,630$190$58,820
Greg CulleyPast CEOFT$23,239-$23,239

Board Members and Trustees

NameTitle
Gail FisherPresident
Suzanne PhinneyVice President
Frank SawickiDirector
Linda LomasneyDirector
Margaret FitzgeraldDirector
Myriam BeauchesneDirector
Sharon BellevilleDirector
Amber DodgePast Director
Mike BurtnickSecretary
David ThatcherTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sheenan Phinney Bass & Green PALegal Services28 State Street 22nd Floor, Boston, MA 02109$508,003
Locums TenensLocums Tenens ProvidersPO Box 405547, Atlanta, GA 30384-5547$270,048
EHRlang LLCIT Service Desk, Admin, and Application70 Saint Nicholas Ave, Worcester, MA 01606$161,280
Barton Associates IncLocums Tenens ProvidersPO Box 417844, Boston, MA 02241-7844$119,981
Revenue and Support

Revenue Composition

Contributions and Grants
$3,217,361
Program Service Revenue
$2,439,756
Investment Income
$689
Other Revenue
$17,225
Change in Net Assets
$188,888

Audited Revenue Reconciliation

Revenue per Audited Statements
$5,675,031
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$5,675,031
Total Revenue per Form 990
$5,675,031
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,810,121
Salaries, Compensation, and Employee Benefits$2,676,022
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,822,190$77,663-$1,899,853
Fees for Services Other$667,872$112,794-$780,666
Fees for Services Legal-$499,832-$499,832
Current Officers, Directors, Trustees, and Key Employees-$422,734-$422,734
Depreciation Depletion$171,548$42,887-$214,435
Occupancy$137,700$34,425-$172,125
Payroll Taxes$131,729$32,932-$164,661
Other Employee Benefits$152,377$828-$153,205
Information Technology$57,314$14,328-$71,642
Other Expenses$46,343$11,585-$57,928
Insurance$37,376$9,344-$46,720
Office Expenses$31,763$7,940-$39,703
Pension Plan Contributions$34,522$1,047-$35,569
Fees for Services Accounting-$30,316-$30,316
Advertising$12,412$3,104-$15,516
Interest$12,407$3,102-$15,509
Travel$5,785$1,446-$7,231
Total Functional Expenses$4,179,836$1,306,307$0$5,486,143

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$5,486,143
Total Expenses per Audited Statements$5,486,143
Total Expenses per Form 990$5,486,143
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

The form 990 has historically been reviewed by the finance committee before filing. Because Indian Stream Health Center (ISHC) was acquired by Upper Connecticut Valley Hospital (UCVH) and ceased operations on 12/31/21, the 2021 form 990 will be reviewed by the Interim Financial Analyst and Interim CFO of ISHC in place at ISHC as of 12/31/21 and by the CFO of North Country Health (parent organization of acquiring organization UCVH). The Form will be provided to the entire UCVH Board prior to filing.

Form 990, Part VI, Section B, line 12C

Indian Stream Health Center Inc. requires their board members to annually sign a form stating what other organizations they were involved in. The board members are not allowed to vote on issues if they pertain to another organization the board member is involved with.

Form 990, Part VI, Section B, line 15

Historically, the Board of Directors of Indian Stream Health Center, Inc. checked salary information from other FQHCs and review the Form 990s of the other nonprofits to obtain comparability information for the officers' salaries. The organization also participated in NACHC's salary survey. Because of the expected merger of ISHC into UCVH at year end, no new comparative surveys were conducted in 2021.

Form 990, Part VI, Section C, line 19

Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Indian Stream Health Center Inc
EIN
20-0999212
Phone
6032378336
Address
141 Corliss Lane, Colebrook, NH 03756

Signing Officer

Name
Matthew Streeter
Title
CFO
Phone
6033265610
Signed
2022-08-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Streeter
Formed
2005
Legal Domicile
Nh
Voting Board Members
9
Independent Board Members
9
Employees
61
Volunteers
10

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
1000 Elm Street 4th Floor, Manchester, NH 03101
Preparer
Barbara J McGuan CPA
Phone
6036697337
Supplemental Narrative

Additional Explanations

Form 990, Part III, line 3

On December 31, 2021, the Organization merged with and into Upper Connecticut Valley Hospital Association, Inc. (UCVH), upon which time the separate corporate existence of the Organization ceased and UCVH continued its corporate existence as the surviving corporation, with all of the estate, assets, property, rights, privileges, immunities, powers and franchises of the Organization vesting in UCVH as the surviving corporation, all pursuant to an Agreement and Plan of Merger agreed to by both parties and approved by the State of New Hampshire Department of Justice, Charitable Trust Unit.

Form 990, Part IX, line 11G

Other professional fees: Program service expenses 667,872. Management and general expenses 112,794. Fundraising expenses 0. Total expenses 780,666.

Form 990, Part XI, line 9:

Net Asset transfer to Upper Connecticut Valley Hospital -2,040,449.

Form 990, Part XII, line 2C

The health center has not changed its oversight process for the audit of its financial statements or its selection process of its independent accountant during the year, except that final audited financial statements were presented to the acquiring organization's (UCVH) board of directors.

Financial Statement Notes

Part X, Line 2:

The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code (Code). As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.

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IRS990/Form990PartVIISectionAGrp/PersonNm4Myriam Beauchesne
IRS990/Form990PartVIISectionAGrp/PersonNm5Sharon Belleville
IRS990/Form990PartVIISectionAGrp/PersonNm6Margaret Fitzgerald
IRS990/Form990PartVIISectionAGrp/PersonNm7Linda Lomasney
IRS990/Form990PartVIISectionAGrp/PersonNm8Frank Sawicki
IRS990/Form990PartVIISectionAGrp/PersonNm9Amber Dodge
IRS990/Form990PartVIISectionAGrp/PersonNm10Sergio Zullich
IRS990/Form990PartVIISectionAGrp/PersonNm11Arthur Nichols
IRS990/Form990PartVIISectionAGrp/PersonNm12Jose Zirena
IRS990/Form990PartVIISectionAGrp/PersonNm13Greg Culley
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10205647
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1158630
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1290068
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt1323239
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Past Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Interim CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt12Past CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt13Past CEO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/Form990TFiledInd01
IRS990/FormationYr02005
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt03217361
IRS990/GrantsPayableGrp/BOYAmt034086
IRS990/GrantsPayableGrp/EOYAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt05675031
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt01
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt014328
IRS990/InformationTechnologyGrp/ProgramServicesAmt057314
IRS990/InformationTechnologyGrp/TotalAmt071642
IRS990/InsuranceGrp/ManagementAndGeneralAmt09344
IRS990/InsuranceGrp/ProgramServicesAmt037376
IRS990/InsuranceGrp/TotalAmt046720
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/ManagementAndGeneralAmt03102
IRS990/InterestGrp/ProgramServicesAmt012407
IRS990/InterestGrp/TotalAmt015509
IRS990/InventoriesForSaleOrUseGrp/BOYAmt0107672
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt0689
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0689
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt07
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02076200
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LandBldgEquipCostOrOtherBssAmt00
IRS990/LegalDomicileStateCd0NH
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd01
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To provide excellent preventive, acute, and wellness-focused health care to residents within the organization's service area regardless of patient's ability to pay. We will focus our resources to maximize the quality of life of area residents in a cost-effective and efficient manner.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt0656598
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt00
IRS990/NetAssetsOrFundBalancesBOYAmt01851561
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt01851561
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt034425
IRS990/OccupancyGrp/ProgramServicesAmt0137700
IRS990/OccupancyGrp/TotalAmt0172125
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt07940
IRS990/OfficeExpensesGrp/ProgramServicesAmt031763
IRS990/OfficeExpensesGrp/TotalAmt039703
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt0-2040449
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0828
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0152377
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0153205
IRS990/OtherExpensesGrp/Desc0Pharmacy Costs
IRS990/OtherExpensesGrp/Desc1Other Expenses
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt011585
IRS990/OtherExpensesGrp/ProgramServicesAmt0858498
IRS990/OtherExpensesGrp/ProgramServicesAmt146343
IRS990/OtherExpensesGrp/TotalAmt0858498
IRS990/OtherExpensesGrp/TotalAmt157928
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0Other Income
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt017225
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt017225
IRS990/OtherRevenueTotalAmt017225
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt077663
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01822190
IRS990/OtherSalariesAndWagesGrp/TotalAmt01899853
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt032932
IRS990/PayrollTaxesGrp/ProgramServicesAmt0131729
IRS990/PayrollTaxesGrp/TotalAmt0164661
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01047
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt034522
IRS990/PensionPlanContributionsGrp/TotalAmt035569
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt056653
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliciesReferenceChaptersInd01
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt051688
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Matthew Streeter
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0624100
IRS990/ProgramServiceRevenueGrp/BusinessCd1624100
IRS990/ProgramServiceRevenueGrp/BusinessCd2624100
IRS990/ProgramServiceRevenueGrp/Desc0Pharmacy Revenue
IRS990/ProgramServiceRevenueGrp/Desc1Net Patient Service Re
IRS990/ProgramServiceRevenueGrp/Desc2Nursing Services
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01280295
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1966297
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2140834
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01332625
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1966297
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2140834
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt052330
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt03160613
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt01557
IRS990/PYOtherExpensesAmt02214790
IRS990/PYOtherRevenueAmt010725
IRS990/PYProgramServiceRevenueAmt02753251
IRS990/PYRevenuesLessExpensesAmt0-10721
IRS990/PYSalariesCompEmpBnftPaidAmt03722077
IRS990/PYTotalExpensesAmt05936867
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt05926146
IRS990/QuidProQuoContributionsInd00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0188888
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt02456981
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0251561
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Other Income - 2017 Amount: $ 71,870. 2018 Amount: $ 85,844. 2019 Amount: $ 14,015. 2021 Amount: $ 17,225.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III, Line 12, Explanation of Other Income:
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt03217361
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt03160613
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt02371856
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt02030828
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt02266573
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt013047231
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0689
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt010632
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt09150
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt0980
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt01706
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt023157
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02387426
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02692451
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt03719613
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt03912820
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt04386429
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt017098739
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0689
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt010632
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt09150
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0980
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt01706
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt023157

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