2023-10-18T07:49:24-05:00 2022-12-31 204193611 Batts Morrison Wales & Lee PA 801 North Orange Avenue Suite 800 Orlando FL 32801 990 2022-01-01 261817966 Grace Medical Home Inc GRAC 4079362785 1417 E Concord Street Orlando FL 32803 Blake Hostetter Treasurer 4079362785 2023-10-02 1 Blake Hostetter 999009999 0 Kaylyn A Varnum P01691975 4077706000 2023-10-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Stephanie Garris 1417 E Concord Street Orlando FL 32803 4890177 0 X www.gracemedicalhome.org X 2008 FL To be a medical home reflecting the heart of Christ by offering the highest level of health care to those in our community who need it most. 19 19 45 707 0 0 5107909 4544641 129170 126879 570 1934 54026 182036 5291675 4855490 0 500000 0 0 2282153 2623998 0 24000 262244 2336461 1918032 4618614 5066030 673061 -210540 3647443 3439672 171861 174630 3475582 3265042 X To be a medical home reflecting the heart of Christ by offering the highest level of health care to those in our community who need it most. 0 0 4613380 500000 194434 Grace Medical Home serves as a vital link in Central Florida's healthcare safety net system by providing an exceptional medical practice to serve the ongoing, primary and preventive medical care, oral health and mental health needs of the low income, uninsured of Orange County, as well as comprehensive chronic disease management that demonstrate improved clinical outcomes. Grace is not just a clinic that provides comprehensive care to the uninsured for little or no cost, but a medical home providing continuous, comprehensive primary and preventive care. Patients have an ongoing and personal relationship with their provider and a place to turn to for their healthcare needs. It is precisely what the low-income, uninsured in Orange County are unable to access due to cost-barriers and insurance status. By God's grace, we extend hope, healing, and wholeness through meaningful relationships with our patients. Our services include primary and preventative care, in-house labs, digital x-ray, vaccinations, diabetes education, access to donated medications, treatment of acute and chronic illnesses, and on-site medical specialties including cardiology, mental health counseling, dental, endocrinology, ophthalmology, vascular, and more. In 2022, the Organization served 1,201 unduplicated patients. These patients had more than 15,867 patient encounters, received more than $12,078,267 million in value of care, including prescription medications obtained on behalf of specific patients or donated directly to our facility, and were offered 35 medical specialties on-site, including 1,751 Dental Center visits and 2,385 mental health or spiritual care visits. Also this year, we received a state legislative appropriation to purchase and equip a mobile medical van that can be used for patient outreach and medical appointments for low-income, uninsured patients. Transportation is a large barrier. More than 25% of our patients do not own a car and have to borrow one, take the bus, walk or ride a bike or pay someone to bring them to their medical appointments. Many appointments can be done in a mobile unit including follow-up visits, lab draws, vaccination, medication check-in or nurse visits. Roughly 60% of our patients work full-time in low-wage, service industries and a van would reduce the need for them to take off work for some appointments. 4613380 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 5 0 1 45 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X Stephanie Garris 4079362785 1417 E Concord Street Orlando FL 32803 Doug Starcher Immediate Past Chair/Governance Chair 2.00 0.00 X X 0 0 0 Michael Aitcheson Vice Chair 4.00 2.00 X X 0 0 0 Christine Stewart Chair 4.00 1.00 X X 0 0 0 Blake Hostetter Treasurer 4.00 2.00 X X 0 0 0 Michele Tynes Napier Recording Secretary 2.00 0.00 X X 0 0 0 Nick McKinney Member At Large 2.00 0.00 X X 0 0 0 Ritsy Carpenter Director 2.00 0.00 X 0 0 0 Sheryl Moorehead Director 2.00 0.00 X 0 0 0 Dianna Morgan Director 2.00 0.00 X 0 0 0 Ricky Vescovacci Director 2.00 0.00 X 0 0 0 Marilyn King Director 2.00 0.00 X 0 0 0 Ashley Kelly Director 2.00 0.00 X 0 0 0 Paul Scheck Director 2.00 0.00 X 0 0 0 W Bryce Hagedorn Director 2.00 0.00 X 0 0 0 Bethany Goodman Director 2.00 0.00 X 0 0 0 Yvonne Sweeney Director (began 1/22) 2.00 0.00 X 0 0 0 Sherry Magee Director (began 1/22) 2.00 0.00 X 0 0 0 Dr Marvin Hardy Medical Director/Trustee 40.00 0.00 X 94812 0 21812 Stephanie Garris CEO 40.00 4.00 X 139623 0 28609 Sherry Brooks Medical Director 40.00 0.00 X 160188 0 4106 394623 0 54527 2 0 1 0 0 79851 93729 677188 3693873 921734 4544641 Facility fee 621400 126879 126879 126879 1934 1934 57600 93729 34687 22913 22913 Employee Retention Cre 900099 91568 91568 Other revenue 900099 67555 67555 159123 4855490 194434 0 116415 500000 500000 449150 415504 16823 16823 1820154 1587643 84862 147649 195971 168086 13493 14392 158723 140396 7062 11265 14741 4878 9863 403 403 24000 24000 74634 72754 1475 405 5447 3102 2345 85761 65048 2599 18114 127839 115300 7830 4709 84692 73682 6775 4235 18279 16903 856 520 21488 18695 1719 1074 51447 44979 5419 1049 Medical supplies 1265179 1265179 Repairs & maintenance 80380 70273 6220 3887 Miscellaneous 58347 47452 8622 2273 Licenses & permits 17897 3506 14040 351 11498 11498 5066030 4613380 190406 262244 1827836 1799522 113109 188619 40000 20000 3883 2548 1360383 1188128 373392 208161 56489 165231 245743 75624 3647443 3439672 72746 95842 25400 73715 78788 171861 174630 X 2995357 2779162 480225 485880 3475582 3265042 3647443 3439672 -210540 0 X X 0 1 X 1 0 X 9905948 4265270 5707988 5107909 4544641 29531756 9905948 4265270 5707988 5107909 4544641 29531756 4316286 25215470 3854 4494 1546 570 1934 12398 54600 54600 29598754 891441 0.85190 0.86850 X Schedule A, Part II: The Organization is completing the 509(a)(1) Test at Schedule A, Part II, to allow it to qualify for the special rule for Schedule B reporting, in accordance with the Schedule A instructions. Part III, Section B, Line 10: Other income includes gross income from fundraising events. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 372492 207261 165231 900 900 0 165231 Payroll liabilities 78788 78788 X 1 J Wright & Co 3854 Gatlin Woods Drive Orlando FL 32812 Managing logistics for 2022 Spa Invitational event. 0 151329 24000 127329 151329 24000 127329 FL Spa Invitational 151329 93729 57600 19291 11551 3845 151329 93729 57600 19291 11551 3845 34687 22913 Schedule G, Part I, Line 2b, Column (v) The Organization entered into a contract with J. Wright & Co. which detailed certain expenses to be reimbursed such as parking, mileage, supplies, delivery, postage, and other mutually agreed upon items determined during pre-planning and the day of the event. 0 Grace Medical Home Foundation Inc 1417 E Concord Street Orlando FL 32803 471487930 501(c)(3) 500000 0 To support the Foundation's grant-making activities on behalf of GMH. 1 1 Part I, Line 2: Grace Medical Home Foundation, Inc. and GMH Property Holdings, Inc. are supporting organizations of Grace Medical Home, Inc. The Organization monitors the use of the grant funds by virtue of the fact that certain members of the Organization's Board of Directors serve on the Board of each recipient organization. In addition, control of the recipient organizations is vested in the same entity that controls the Organization, and the same persons that manage the recipient organizations also manage the Organization. No further grant monitoring is deemed necessary. X X X 0 0 0 0 0 0 0 0 0 Stephanie Garris CEO 138423 0 1200 0 0 0 2250 0 26359 0 168232 0 0 0 Sherry Brooks Medical Director 159038 0 1150 0 0 0 2329 0 1777 0 164294 0 0 0 X 3 7244 Fair market value X 465 914490 Fair market value 0 0 1 0 Part I, Column (b): The Organization is reporting in Part I, column (b), the number of contributions. Form 990, Part VI, Section A, line 6 The Organization's sole member is Grace Medical Nominating Trust. Form 990, Part VI, Section A, line 7a Directors are selected by the Organization's sole member, Grace Medical Nominating Trust. Form 990, Part VI, Section B, line 11b The Organization's top management official and top financial official each review the Form 990 prior to its filing with the IRS. A copy of the final Form 990 is also provided to the voting members of the Organization's governing body prior to its filing with the IRS. Form 990, Part VI, Section B, line 12c The Organization's conflict of interest policy is distributed to each member of the Organization's governing body, its officers, and its key employees on an annual basis. Each such individual provides an annual disclosure statement indicating that they have received, read, understood, and agreed to comply with the policy, and certifying that: (1) they have no relationships or interests that present a conflict of interest, (2) they have one or more conflicts of interest that have been fully disclosed as required by the policy and have been properly administered in conformity with the policy, or (3) they have previously undisclosed conflicts of interest and disclosing the details of such conflicts. Any disclosure statement with previously undisclosed conflicts of interest are forwarded to appropriate Organization officials to take appropriate actions as required by the policy. Form 990, Part VI, Section B, line 15 The Organization has adopted an executive compensation setting policy applicable to all disqualified persons, including the Organization's CEO, officers, and key employees. Under the policy, an independent committee of the Board of Directors annually reviews and approves the compensation levels of all individuals subject to the policy. The deliberations and decisions of the committee are contemporaneously substantiated. The committee utilizes comparability data in its deliberations; updated comparability data is generally obtained every two to three years. Form 990, Part VI, Section C, line 19 The Organization provides, upon request, copies of its Articles of Incorporation, bylaws, conflict of interest policy, and its audited financial statements. Form 990, Part XII, Line 2c: The Organization's Board of Directors, or a committee thereof, assumes responsibility for the oversight of the audit of its financial statements and the selection of an independent accountant. The organization is included in consolidated, independent audited financial statements for the tax year. Grace Medical Home Foundation Inc 1417 E Concord Street Orlando FL 32803 471487930 Support of Grace Medical Home, Inc. FL 501(c)(3) Line 12b, II Grace Medical Nominating Trust 1 GMH Property Holdings Inc 1417 E Concord Street Orlando FL 32803 821202430 Support of Grace Medical Home, Inc. FL 501(c)(3) Line 12b, II Grace Medical Nominating Trust 1 Grace Medical Nominating Trust 1417 E Concord Street Orlando FL 32803 Appointing and removing the filing Organization's board members FL N/A T 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Grace Medical Home Foundation Inc B 500000 Cash transferred