Civic Intelligence

Prototype Health Inc.

EIN 81-3389533 • 501(c)3 • Tempe, AZ

Pub. 78 Eligible

Profile

The organization provides conventional, alternative and complimentary medical services for newborn through geriatric patients at affordable rates determined on a sliding scale based on income.

2055 E Southern Ave Ste FTempe, AZ 85282

www.prototypehealthcare.org

Siviq Scores

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

Liabilities / Assets

100th percentile

190.69x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

1.27x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

20th percentile

-27%

Higher net margin than 20% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2024

Balance Sheet
Liabilities / Assets100th percentile

Assets

Down

$1,957

Down $56,147 (-97%) from 2023

Liabilities

Up

$373,173

Up $41,576 (+13%) from 2023

Net Assets

Down

-$371,216

Down $97,723 (-36%) from 2023

Operations
Liabilities / Revenue95th percentileNet Margin20th percentile

Revenue

Up

$293,852

Up $44,772 (+18%) from 2023

Expenses

Down

$373,574

Down $18,257 (-4.7%) from 2023

Net Income

Up

-$79,722

Up $63,029 (+44%) from 2023

Trend Graphs

Balance Sheet Trend

Asset GrowthScore unavailable

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

$400K$200K$0-$200K-$400KAssets 2016: $7,691Liabilities 2016: $11,9542016Assets 2017: $7,853Liabilities 2017: $11,2782017Assets 2022: $213,736Liabilities 2022: $344,474Net Assets 2022: -$130,7382022Assets 2023: $58,104Liabilities 2023: $331,597Net Assets 2023: -$273,4932023Assets 2024: $1,957Liabilities 2024: $373,173Net Assets 2024: -$371,2162024

Highlighted filing

2024

Assets$1,957
Liabilities$373,173
Net Assets-$371,216
Open 2024 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$400K$200K$0-$200KRevenue 2016: $23,708Expenses 2016: $27,971Net Income 2016: -$4,2632016Revenue 2017: $104,544Expenses 2017: $103,706Net Income 2017: $8382017Revenue 2022: $199,219Expenses 2022: $310,180Net Income 2022: -$110,9612022Revenue 2023: $249,080Expenses 2023: $391,831Net Income 2023: -$142,7512023Revenue 2024: $293,852Expenses 2024: $373,574Net Income 2024: -$79,7222024

Highlighted filing

2024

Revenue$293,852
Expenses$373,574
Net Income-$79,722
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,957
Liabilities
$373,173
Net assets
-$371,216
Revenue
$293,852
Expenses
$373,574
Net income
-$79,722
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.02$3.73$3.71$2.94$3.74$0.80
2023Detailed filing. Detailed filing data is available for this year.$0.58$3.32$2.73$2.49$3.92$1.43
2022Summary only. Only limited summary data is available for this year.$2.14$3.44$1.31$1.99$3.10$1.11
2017Summary only. Only limited summary data is available for this year.$0.08$0.11$1.05$1.04$0.01
2016Summary only. Only limited summary data is available for this year.$0.08$0.12$0.24$0.28$0.04
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$293,852
Mission and Program Overview

Mission

The organization provides conventional, alternative and complimentary medical services for newborn through geriatric patients at affordable rates determined on a sliding scale based on income.

Balance Sheet Detail
LineBeginningEndChange
Assets
Loans From Officers Directors$9,950$9,950→ $0
Cash and Non-Interest-Bearing Accounts$932$974▲ $42
Savings and Temporary Cash Investments$57,172$17▼ $57,155
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$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-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$58,104$1,957▼ $56,147
Other Assets Total-$966-
Liabilities
Other Liabilities$339,645$363,223▲ $23,578
Total Liabilities$349,595$373,173▲ $23,578
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-291,491$-371,216▼ $79,725
Total Net Assets Fund Balance$-291,491$-371,216▼ $79,725
Total Liabilities and Net Assets / Fund Balance$58,104$1,957▼ $56,147

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$3,900$3,900
Other Assets Org$966--
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseTotal
Dr Jami KuppermanExecutive DirectorFT$49,134$49,134

Board Members and Trustees

NameTitle
Chantelle OsmanPresident
Jonae HarrisonSecretary
Heather CookTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$293,825
Investment Income
$27
Other Revenue
$0
Change in Net Assets
$-79,722
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$204,855
Other Expenses$168,719
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$112,143$28,036-$140,179
Current Officers, Directors, Trustees, and Key Employees$39,307$9,827-$49,134
Occupancy$27,352$6,838-$34,190
Payroll Taxes$12,434$3,108-$15,542
Office Expenses$4,839$4,840-$9,679
Insurance$3,550$888-$4,438
All Other Expenses-$4,182-$4,182
Other Expenses$2,000--$2,000
Fees for Services Other$914$228-$1,142
Advertising-$284-$284
Total Functional Expenses$315,343$58,231$0$373,574
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
Loans from Officers, Directors, Trustees, and Key Employees$9,950$9,950→ $0
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Eidl Loan Payable$315,616
Square Loan$45,000
Payroll Liabilities$2,607
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
No
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
No
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

“Form 990 is reviewed by the organization's Executive Director before filing. It is available to other board members upon request.”

Form 990, Part VI, Section C, Line 19

“Documents are available upon request.”

Filing and Contact Details

Filer

Filer Name
Prototype Health Inc
EIN
81-3389533
Phone
4809991717
Address
2055 E SOUTHERN AVE STE F, TEMPE, AZ 85282

Signing Officer

Name
Dr Jami Kupperman
Title
Executive Director
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dr Jami Kupperman
Formed
2016
Legal Domicile
Az
Voting Board Members
4
Independent Board Members
0
Employees
7
Volunteers
5

Preparer

Firm
MetroTax Co
Address
3703 Taylorsville Rd Ste 205, Louisville, KY 40220
Preparer
Emily H Fangue
Phone
5022766693
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0238030
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0215495
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0901540
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt03900
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03900
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0966
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0SECURITY DEPOSIT
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0315616
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt12607
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt245000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0EIDL LOAN PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Payroll Liabilities
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2SQUARE LOAN
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0966
IRS990ScheduleD/TotalLiabilityAmt0363223
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Form 990 is reviewed by the organization's Executive Director before filing. It is available to other board members upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Documents are available upon request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt058104
IRS990/TotalAssetsEOYAmt01957
IRS990/TotalAssetsGrp/BOYAmt058104
IRS990/TotalAssetsGrp/EOYAmt01957
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt07
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt058231
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0315343
IRS990/TotalFunctionalExpensesGrp/TotalAmt0373574
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0349595
IRS990/TotalLiabilitiesEOYAmt0373173
IRS990/TotalLiabilitiesGrp/BOYAmt0349595
IRS990/TotalLiabilitiesGrp/EOYAmt0373173
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-291491
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-371216
IRS990/TotalProgramServiceExpensesAmt0315343
IRS990/TotalProgramServiceRevenueAmt0293825
IRS990/TotalReportableCompFromOrgAmt049134
IRS990/TotalRevenueGrp/ExclusionAmt027
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0293825
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0293852
IRS990/TotalVolunteersCnt05
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt058104
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01957
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02055 E SOUTHERN AVE STE F
IRS990/USAddress/CityNm0TEMPE
IRS990/USAddress/StateAbbreviationCd0AZ
IRS990/USAddress/ZIPCd085282
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0WWW.PROTOTYPEHEALTHCARE.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0DR JAMI KUPPERMAN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Dir.
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PROTOTYPE HEALTH INC
ReturnHeader/Filer/BusinessNameControlTxt0PROT
ReturnHeader/Filer/EIN0813389533
ReturnHeader/Filer/PhoneNum04809991717
ReturnHeader/Filer/USAddress/AddressLine1Txt02055 E SOUTHERN AVE STE F
ReturnHeader/Filer/USAddress/CityNm0TEMPE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0AZ
ReturnHeader/Filer/USAddress/ZIPCd085282
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0922127381
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MetroTax Co
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03703 Taylorsville Rd Ste 205
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Louisville
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd040220
ReturnHeader/PreparerPersonGrp/PhoneNum05022766693
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Emily H Fangue
ReturnHeader/ReturnTs02025-11-13T16:42:54-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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