2023-10-04T08:04:32-05:00 2022-12-31 882730877 CHERRY BEKAERT ADVISORY LLC 1111 METROPOLITAN AVE STE 900 CHARLOTTE NC 28204 990 2022-01-01 471195624 AMITY MEDICAL GROUP INC AMIT 7042084134 6010 WT HARRIS BLVD CHARLOTTE NC 28215 OLIVIA BENTLEY EXECUTIVE DIRECTOR 7045501995 2023-09-25 1 OLIVIA BENTLEY 999009999 0 PAULA WENDLING P00536805 7043771678 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z OLIVIA BENTLEY 6010 WT HARRIS BLVD CHARLOTTE NC 28215 14124269 0 X WWW.AMITYMED.ORG X 2014 NC TO PROVIDE PATIENT-CENTERED TEAM-BASED CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS TO ALL DESPITE ANY BARRIERS, STIGMA, SOCIOECONOMIC OR HEALTH DISPARITY. 9 9 57 9 0 0 592581 562875 10318610 13561394 0 0 0 0 10911191 14124269 0 0 0 0 3267865 3919424 0 0 0 7557482 11065721 10825347 14985145 85844 -860876 3300228 3099578 590528 1250754 2709700 1848824 X TO PROVIDE PATIENT-CENTERED TEAM-BASED CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS TO ALL DESPITE ANY BARRIERS, STIGMA, SOCIOECONOMIC OR HEALTH DISPARITY. 0 0 3742392 2532819 OUTPATIENT AMBULATORY MEDICAL CARE SERVICES - WE PROVIDE MEDICAL CARE AND TREATMENT TO PATIENTS. WE PROVIDE PRIMARY CARE, HIV SPECIALTY CARE, ADDICTION AND SUBSTANCE USE DISORDERS, CHRONIC CARE MANAGEMENT, REMOTE PATIENT MONITORING AND MORE. THESE SERVICES ARE BILLED TO THIRD PARTY INSURANCE COMPANIES, GRANT-FUNDED (IF APPROPRIATED), SELF-PAY PATIENTS RESPONSIBILITY OR THROUGH OUR SLIDING SCALE DISCOUNT PROGRAM. HOWEVER, A MAJORITY OF THE FUNDS FOR MEDICAL CARE COMES FROM THIRD PARTY INSURANCE BILLING. 562875 GRANT-FUNDED PROGRAMS - WE HAD 3 GRANTS IN 2022: RYAN WHITE, MECKLENBURG COUNTY PREP PROGRAM, AND CARES ACT. RYAN WHITE GRANT IS FOR THE MEDICAL CARE AND TREATMENT OF HIV POSITIVE PATIENTS. PREP GRANT IS FOR THE MEDICAL CARE AND MEDICATIONS FOR THE PREVENTION OF HIV IN HIGH-RISK HIV-NEGATIVE PATIENTS. CARES ACT GRANT IS A COVID-19 RELATED GRANT TO HELP THE CLINIC AND THE PATIENTS GET THE PROPER PPE TO PREVENT THE SPREAD OF COVID-19 INFECTIONS. 10376434 11026100 340B PRESCRIPTION DRUG PROGRAM - AS A RYAN WHITE GRANT-FUNDED ENTITY, WE PROVIDE MEDICAL CARE SERVICES AND TREATMENT SUPPORT AT LITTLE TO NO COST TO UNDERSERVED, LOW-INCOME HIV POSITIVE INDIVIDUALS AND THEIR CAREGIVERS. ELIGIBLE 340B PRESCRIPTIONS ARE DISPENSED AT CONTRACTED PHARMACIES AND THE COST SAVINGS GENERATED BECOME OUR PROGRAM INCOME. THESE FUNDS ARE USED TO GENERATE MORE SERVICES AND ALLOW THE PROGRAM TO CONTINUE TO SERVE THE UNDERSERVED COMMUNITY. 2475 RESEARCH PROJECTS - SOME OF OUR PROVIDERS PARTICIPATE IN RESEARCH PROJECTS WITH SOME UNIVERSITIES OR DRUG MANUFACTURERS. 2475 14681701 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 0 1 57 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 NC X MOHAMED ELGOHARY 7045501995 6010 E WT HARRIS BLVD CHARLOTTE NC 28215 OLIVIA S BENTLEY EXECUTIVE DIRECTOR 40.00 X 177967 0 15501 MANDY OCCHIPINTI DIRECTOR OF QUALITY ASSURANCE 40.00 X 136435 0 5414 MOHAMED ELGOHARY DIRECTOR OF FINANCE 40.00 X 113196 0 6811 APRIL IMES CLINICAL MANAGER 40.00 X 83689 0 2462 MICHELLE MARQUEZ DIRECTOR OF HUMAN RESOURCES 40.00 X 83226 0 10053 ZACHARY RICHARDSON CHIEF ADMIN OFFICER 40.00 X 60306 0 6596 RICHARD T WYNN CMO 40.00 X 315567 0 20671 HEATHER MANOS MEDICAL DIRECTOR, ADDICTION MEDICATION 40.00 X 245000 0 10546 JOEL WESLEY THOMPSON MEDICAL DIRECTOR OF HIV 40.00 X 196368 0 7160 JERRY SAUNDERS PHYSICIAN 40.00 X 228800 0 11366 WILLIAM KREFT PHYSICIAN ASSISTANT 40.00 X 121576 0 10421 CHAD ELLIS PHYSICIAN ASSISTANT 40.00 X 119937 0 3486 JASON HARDIN RYAN WHITE PROG LEAD 40.00 X 108117 0 9356 DARYL HOLLNAGEL CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 MARSHALL VARNER SECRETARY 1.00 X X 0 0 0 THOMAS HOLLIDAY TREASURER 1.00 X X 0 0 0 JEANNETH VASQUEZ MEMBER 1.00 X 0 0 0 SASWAT KABISATPATHY MEMBER 1.00 X 0 0 0 JALIA DICKERSON MEMBER 1.00 X 0 0 0 DEMOND RICHARDSON MEMBER 1.00 X 0 0 0 KEITH YON MEMBER 1.00 X 0 0 0 CHANDRA MCCLOUD MEMBER 1.00 X 0 0 0 1990184 0 119843 13 0 1 0 0 562875 562875 PHARMACY PROGRAM 621990 11026100 11026100 PATIENT SERVICES 621400 2532819 2532819 MEDICAL RESEARCH 541700 2475 2475 13561394 14124269 13561394 0 0 1248637 1193939 54698 2307761 2206667 101094 46088 44069 2019 76911 73542 3369 240027 229512 10515 21690 20740 950 920250 879937 40313 23247 22229 1018 505468 483325 22143 500139 478230 21909 104702 100115 4587 66526 63612 2914 DRUG COSTS 8058194 8058194 0 BRIDGES TO ACCESS 415917 397697 18220 LAB SERVICES 289835 277138 12697 MEDICAL SUPPLIES 159141 152170 6971 612 585 27 14985145 14681701 303444 0 1600106 326177 75239 350370 1084825 1526241 62215 62215 1031383 286733 464634 744650 13209 89925 3300228 3099578 590528 1250754 590528 1250754 X 2709700 1848824 2709700 1848824 3300228 3099578 -860876 0 X 0 0 0 X 796350 254602 603068 592581 565350 2811951 796350 254602 603068 592581 565350 2811951 2811951 2811951 43479262 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1031383 286733 744650 744650 X X 0 0 0 0 0 0 0 1 0 OLIVIA S BENTLEY EXECUTIVE DIRECTOR 169896 0 2200 0 5871 0 7030 0 8471 0 193468 0 0 0 RICHARD T WYNN CMO 241367 0 2200 0 72000 0 12200 0 8471 0 336238 0 0 0 HEATHER MANOS MEDICAL DIRECTOR, ADDICTION MEDICATI 245000 0 0 0 0 0 4900 0 5646 0 255546 0 0 0 JOEL WESLEY THOMPSON MEDICAL DIRECTOR OF HIV 196368 0 0 0 0 0 6905 0 255 0 203528 0 0 0 JERRY SAUNDERS PHYSICIAN 228800 0 0 0 0 0 4576 0 6790 0 240166 0 0 0 PART I, LINE 7 BONUSES ARE DETERMINED, IN PART, BASED ON THE PERFORMANCE OF THE ORGANIZATION AS A WHOLE. IT IS CALCULATED BY THE HR MANAGER AND PRESENTED TO THE BOARD OF DIRECTORS FOR ADJUSTMENT AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE ORGANIZATION'S DIRECTOR OF FINANCE PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.