2024-09-03T15:49:11-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2022-01-01 141880824 PROMISE HEALTHCARE NFP PROM 2174035473 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 JENNIFER HENRY EXECUTIVE DIRECTOR 2174035401 2024-08-29 1 0 CHRIS MANDERFIELD P01238973 6305738600 2024-08-29 2022 2024-08-08 14:25:15Z X JENNIFER HENRY 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 11816438 0 X WWW.PROMISEHEALTH.ORG X 2003 IL PROMISE HEALTHCARE NFP IS A PRIMARY CARE MEDICAL, BEHAVIORAL HEALTH, AND DENTAL CLINIC DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH TREATMENT, PREVENTION, AND EDUCATION TO MEDICALLY UNDERSERVED PATIENTS. SMILEHEALTHY MOBILE, HEAD START, AND EDUCATION WORKS TO IMPROVE THE ORAL HEALTH OF THE UNDERSERVED IN GREATER CHAMPAIGN COUNTY IN PROVIDING PREVENTATIVE CARE, TREATMENT, AND EDUCATION. 10 10 131 10 0 0 5896462 4802549 7280279 7009290 454 925 34139 3674 13211334 11816438 0 0 0 0 5854225 6226808 0 0 0 4717343 4964648 10571568 11191456 2639766 624982 5494406 7294752 698873 1874237 4795533 5420515 X PROMISE HEALTHCARE IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITY THROUGH TREATMENT, PREVENTION, AND EDUCATION. WE DELIVER PRIMARY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES THROUGH FRANCES NELSON, SMILE HEALTHY DENTAL PROGRAMS, SATELLITES AND MOBILE PROGRAMS. 0 0 6137446 4922709 FRANCES NELSON MEDICAL CENTER PROVIDES HEALTH CARE TO UNDERSERVED PATIENTS FROM GREATER CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE SCALE DISCOUNT IS PROVIDED TO PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. MOST PATIENTS HAVE MEDICAID COVERAGE OR ARE UNINSURED. 1627353 1305264 MENTAL HEALTH PROVIDES MENTAL HEALTH SERVICES TO THE UNDERSERVED IN CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. 978696 784991 FRANCES NELSON DENTAL CENTER PROVIDES DENTAL EXAMS, CLEANINGS, AND TREATMENT TO UNDERSERVED PATIENTS FROM GREATER CHAMPAIGN COUNTY REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE DISCOUNT IS PROVIDED TO PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. 8743495 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 6 0 131 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JENNIFER HENRY 2174035401 819 BLOOMINGTON ROAD CHAMPAIGN IL 61820 SCOTT GREENLEE BOARD CHAIR 1.00 X X 0 0 0 KANDACE TURNER VICE CHAIR 1.00 X X 0 0 0 ASHLEY BUCKLEY SECRETARY 1.00 X X 0 0 0 BRIAN LAIRD TREASURER 1.00 X X 0 0 0 JULIANNA SELLETT DIRECTOR 1.00 X 0 0 0 SCOTT CLANIN DIRECTOR 1.00 X 0 0 0 PAM BIGLER DIRECTOR 1.00 X 0 0 0 PAULETTE COLEMON PEEPLES DIRECTOR 1.00 X 0 0 0 ROBERT LEWIS DIRECTOR 1.00 X 0 0 0 CLAUDIA LENNHOFF DIRECTOR 1.00 X 0 0 0 JENNIFER HENRY EXECUTIVE DIRECTOR 40.00 X 149274 0 10940 JAMIE DAHLMAN CFO (STARTED AUG. 2022) 40.00 X 56075 0 5470 MELONIE RICHARDSON MEDICAL DIRECTOR 40.00 X 130352 0 14869 HAYNG SUNG YANG PSYCHIATRIST 40.00 X 285266 0 18831 SONJA HANSEN PHYSICIAN 40.00 X 178162 0 15508 799129 0 65618 4 0 1 0 WIPFLI 10000 W INNOVATION DR SUITE 250 MILWAUKEE WI 53226 OUTSOURCED FINANCE AND ACCOUNTING 921965 CARLE FOUNDATION HOSPITAL 611 W PARK ST URBANA IL 61801 SPACE RENTAL 274642 COMMERCIAL BUILDERS INC 2710 HUNDMAN DRIVE CHAMPAIGN IL 61822 CONSTRUCTION 109713 3 134000 3392679 1275870 335346 4802549 PATIENT SERVICE REVENUE 621400 4687871 4687871 340B REVENUE 900099 2321419 2321419 7009290 925 925 OTHER INCOME 621400 3674 3674 3674 11816438 7012964 0 925 205349 164279 41070 4896418 4036578 859840 743321 612058 131263 381720 314332 67388 4120 4120 857957 857957 376471 287646 88825 174780 73327 101453 437025 390273 46752 337463 324233 13230 60485 18322 42163 78997 34819 44178 82071 82071 PHARMACY SUPPLIES 1534400 1534400 0 IN-KIND SERVICES AND SU 335346 335346 DENTAL AND MEDICAL SUPP 259162 259162 0 LAB FEES 18155 18155 0 408216 340565 67651 11191456 8743495 2447961 0 511478 1422661 2691649 1320236 610177 2510398 1029062 467635 46271 60498 686164 187252 286960 498912 318809 1014412 5494406 7294752 678256 1143211 20617 0 0 731026 698873 1874237 X 4776158 5420515 19375 0 4795533 5420515 5494406 7294752 624982 0 X X 0 1 X 1 1 1 X 1931942 2261726 3898609 5896462 4802549 18791288 1931942 2261726 3898609 5896462 4802549 18791288 18791288 13579 10628 5799 454 925 31385 32730 3674 36404 18859077 0.99640 0.99520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 32,730. 2022 AMOUNT: $ 3,674. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 193290 141343 51947 318515 29552 288963 174359 16357 158002 498912 SHORT-TERM LEASE LIABILITY 137168 LONG-TERM LEASE LIABILITY 593858 731026 X 11816438 0 11816438 0 11816438 11191456 0 11191456 0 11191456 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON AN EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX EXEMPT STATUS OF THE ORGANIZATION, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED BY THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE ORGANIZATION WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. X X 0 0 0 0 0 0 0 0 0 HAYNG SUNG YANG PSYCHIATRIST 285266 0 0 0 0 0 7891 0 10940 0 304097 0 0 0 SONJA HANSEN PHYSICIAN 177312 0 850 0 0 0 5378 0 10130 0 193670 0 0 0 JENNIFER HENRY EXECUTIVE DIRECTOR 139304 0 9970 0 0 0 0 0 10940 0 160214 0 0 0 X 3452 335346 FAIR VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND THE BOARD RECEIVE A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR. IN ADDITION, THE BOARD REVIEWED THE CONFLICT OF INTEREST POLICY DURING A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS INCLUDES ALL OF THESE ELEMENTS: (1) REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION; (2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE MAIN OFFICE (819 BLOOMINGTON ROAD, CHAMPAIGN, IL 61820) UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PART 1, SECTION B 1 FORM 990, PAGE 2, PART III, LINE 4A EXPENSES ORIGINAL AMOUNT 5,181,740.00 AMENDED AMOUNT 6,137,446.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4A REVENUES ORIGINAL AMOUNT 5,537,695.00 AMENDED AMOUNT 4,923,7090.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4B EXPENSES ORIGINAL AMOUNT 822,620.00 AMENDED AMOUNT 1,627,353.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4B REVENUES ORIGINAL AMOUNT 596,151.00 AMENDED AMOUNT 1,305,264.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4C EXPENSES ORIGINAL AMOUNT 786,011.00 AMENDED AMOUNT 978,696.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4C REVENUES ORIGINAL AMOUNT 569,620.00 AMENDED AMOUNT 784,991.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 2, PART III, LINE 4E TOTAL PROGRAM SERVICE EXPENSES ORIGINAL AMOUNT 6,790,371.00 AMENDED AMOUNT 8,743,495.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 2 FORM 990, PAGE 9, PART VIII, LINE 1A FEDERATED CAMPAIGNS ORIGINAL AMOUNT 149,818.00 AMENDED AMOUNT 134,000.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 1E GOVERNMENT GRANTS (CONTRIBUTIONS) ORIGINAL AMOUNT 3,539,059.00 AMENDED AMOUNT 3,392,679.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 1F ALL OTHER CONTRIBUTIONS ORIGINAL AMOUNT 1,124,407.00 AMENDED AMOUNT 1,275,870.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 1H TOTAL, ADD LINES 1A-1F ORIGINAL AMOUNT 4,813,284.00 AMENDED AMOUNT 4,802,549.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 2A COLUMNS (A) AND (B) PATIENT SERVICE REVENUE ORIGINAL AMOUNT 4,920,964.00 AMENDED AMOUNT 4,687,871.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 2B COLUMNS (A) AND (B) 340B REVENUE ORIGINAL AMOUNT 1,770,462.00 AMENDED AMOUNT 2,321,419.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 2G TOTAL, ADD LINES 2A-2F ORIGINAL AMOUNT 6,691,426.00 AMENDED AMOUNT 7,009,290.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 11A COLUMNS (A) AND (B) OTHER INCOME ORIGINAL AMOUNT 12,040.00 AMENDED AMOUNT 3,674.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 11E TOTAL, ADD LINES 11A-11D ORIGINAL AMOUNT 12,040.00 AMENDED AMOUNT 3,674.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 12 COLUMN (A) TOTAL REVENUE ORIGINAL AMOUNT 11,517,675.00 AMENDED AMOUNT 11,816,438.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 9, PART VIII, LINE 12 COLUMN (B) TOTAL RELATED OR EXEMPT FUNCTION REVENUE ORIGINAL AMOUNT 6,703,466.00 AMENDED AMOUNT 7,012,964.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 3 FORM 990, PAGE 10, PART IX, LINE 6 COLUMN (A) TOTAL COMPENSATION NOT INCLUDED ABOVE TO DISQUALIFIED PERSONS ORIGINAL AMOUNT 4,645,505.00 AMENDED AMOUNT 4,896,418.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 6 COLUMN (B) PROGRAM COMPENSATION NOT INCLUDED ABOVE TO DISQUALIFIED PERSONS ORIGINAL AMOUNT 3,708,416.00 AMENDED AMOUNT 4,036,578.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 6 COLUMN (C) M&G COMPENSATION NOT INCLUDED ABOVE TO DISQUALIFIED PERSONS ORIGINAL AMOUNT 937,089.00 AMENDED AMOUNT 859,840.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 8 COLUMN (A) TOTAL PENSION PLAN ACCRUALS AND CONTRIBUTIONS ORIGINAL AMOUNT 465,310.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 8 COLUMN (B) PROGRAM PENSION PLAN ACCRUALS AND CONTRIBUTIONS ORIGINAL AMOUNT 299,308.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 8 COLUMN (C) M&G PENSION PLAN ACCRUALS AND CONTRIBUTIONS ORIGINAL AMOUNT 166,002.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 9 COLUMN (A) TOTAL OTHER EMPLOYEE BENEFITS ORIGINAL AMOUNT 305,755.00 AMENDED AMOUNT 743,321.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 9 COLUMN (B) PROGRAM OTHER EMPLOYEE BENEFITS ORIGINAL AMOUNT 130,410.00 AMENDED AMOUNT 612,058.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 9 COLUMN (C) M&G OTHER EMPLOYEE BENEFITS ORIGINAL AMOUNT 175,345.00 AMENDED AMOUNT 131,263.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 10 COLUMN (A) TOTAL PAYROLL TAXES ORIGINAL AMOUNT 568,656.00 AMENDED AMOUNT 381,720.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 10 COLUMN (B) PROGRAM PAYROLL TAXES ORIGINAL AMOUNT 413,885.00 AMENDED AMOUNT 314,332.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 10 COLUMN (C) M&G PAYROLL TAXES ORIGINAL AMOUNT 154,771.00 AMENDED AMOUNT 67,388.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11B COLUMN (B) PROGRAM LEGAL FEES ORIGINAL AMOUNT 580.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11B COLUMN (C) M&G LEGAL FEES ORIGINAL AMOUNT 3,540.00 AMENDED AMOUNT 4,120.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11C, COLUMN (A) TOTAL ACCOUNTING FEES ORIGINAL AMOUNT 857,957.00 AMENDED AMOUNT 857,957.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11C COLUMN (B) PROGRAM ACCOUNTING FEES ORIGINAL AMOUNT 6,875.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11C COLUMN (C) M&G ACCOUNTING EXPENSES ORIGINAL AMOUNT 851,082.00 AMENDED AMOUNT 857,957.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11G COLUMN (A) TOTAL OTHER FEES FOR SERVICES ORIGINAL AMOUNT 286,945.00 AMENDED AMOUNT 376,471.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11G COLUMN (B) PROGRAM OTHER FEES FOR SERVICES ORIGINAL AMOUNT 31,264.00 AMENDED AMOUNT 287,646 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 11G COLUMN (C) M&G OTHER FEES FOR SERVICES ORIGINAL AMOUNT 255,681.00 AMENDED AMOUNT 88,825.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 12 COLUMN (A) TOTAL ADVERTISING AND PROMOTION ORIGINAL AMOUNT 118,301.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 12 COLUMN (B) PROGRAM ADVERTISING AND PROMOTION ORIGINAL AMOUNT 420.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 12 COLUMN (C) M&G ADVERTISING AND PROMOTION ORIGINAL AMOUNT 117,881.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 13 COLUMN (A) TOTAL OFFICE EXPENSES ORIGINAL AMOUNT 89,313.00 AMENDED AMOUNT 174,780.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 13 COLUMN (B) PROGRAM OFFICE EXPENSES ORIGINAL AMOUNT 14,872.00 AMENDED AMOUNT 73,327.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 13 COLUMN (C) M&G OFFICE EXPENSES ORIGINAL AMOUNT 74,441.00 AMENDED AMOUNT 101,453.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 14 COLUMN (A) TOTAL INFORMATION TECHNOLOGY ORIGINAL AMOUNT 425,628.00 AMENDED AMOUNT 437,025.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 14 COLUMN (B) PROGRAM INFORMATION TECHNOLOGY ORIGINAL AMOUNT 156,546.00 AMENDED AMOUNT 390,273.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 14 COLUMN (C) M&G INFORMATION TECHNOLOGY ORIGINAL AMOUNT 269,082.00 AMENDED AMOUNT 46,752.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 16 COLUMN (A) TOTAL OCCUPANCY ORIGINAL AMOUNT 390,231.00 AMENDED AMOUNT 337,463.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 16 COLUMN (B) PROGRAM OCCUPANCY ORIGINAL AMOUNT 29,832.00 AMENDED AMOUNT 324,233.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 16 COLUMN (C) M&G OCCUPANCY ORIGINAL AMOUNT 360,399.00 AMENDED AMOUNT 13,230.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 17 COLUMN (A) TOTAL TRAVEL ORIGINAL AMOUNT 36,639.00 AMENDED AMOUNT 60,485.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 17 COLUMN (B) PROGRAM TRAVEL ORIGINAL AMOUNT 12,495.00 AMENDED AMOUNT 18,322.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 17 COLUMN (C) M&G TRAVEL ORIGINAL AMOUNT 24,144.00 AMENDED AMOUNT 42,163.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 19 COLUMN (A) TOTAL CONFERENCES, CONVENTIONS, AND MEETINGS ORIGINAL AMOUNT 23,846.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, PART 1, SECTION B (CONTINUED) FORM 990, PAGE 10, PART IX, LINE 19 COLUMN (B) PROGRAM CONFERENCES, CONVENTIONS, AND MEETINGS ORIGINAL AMOUNT 6,322.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 19 COLUMN (C) M&G CONFERENCES, CONVENTIONS, AND MEETINGS ORIGINAL AMOUNT 17,524.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 20 COLUMN (A) TOTAL INTEREST ORIGINAL AMOUNT 941.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 20 COLUMN (B) PROGRAM INTEREST ORIGINAL AMOUNT 4.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 20 COLUMN (C) M&G INTEREST ORIGINAL AMOUNT 937.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 22 COLUMN (A) TOTAL DEPRECIATION, DEPLETION, AND AMORTIZATION ORIGINAL AMOUNT 78,996.00 AMENDED AMOUNT 78,997.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 22 COLUMN (B) PROGRAM DEPRECIATION, DEPLETION, AND AMORTIZATION ORIGINAL AMOUNT 63,124.00 AMENDED AMOUNT 34,819.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 22 COLUMN (C) M&G DEPRECIATION, DEPLETION, AND AMORTIZATION ORIGINAL AMOUNT 15,872.00 AMENDED AMOUNT 44,178.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 23 COLUMN (A) TOTAL INSURANCE ORIGINAL AMOUNT 74,155.00 AMENDED AMOUNT 82,071.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 23 COLUMN (C) M&G INSURANCE ORIGINAL AMOUNT 74,155.00 AMENDED AMOUNT 82,071.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24A COLUMN (A) TOTAL PHARMACY SUPPLIES ORIGINAL AMOUNT 1,081,050.00 AMENDED AMOUNT 1,534,400.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24A COLUMN (B) PROGRAM PHARMACY SUPPLIES ORIGINAL AMOUNT 1,069,093.00 AMENDED AMOUNT 1,534,400.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24A COLUMN (C) M&G PHARMACY SUPPLIES ORIGINAL AMOUNT 11,957.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24C COLUMN (A) TOTAL DENTAL AND MEDICAL SUPPLIES ORIGINAL AMOUNT 292,102.00 AMENDED AMOUNT 259,162.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24C COLUMN (B) PROGRAM DENTAL AND MEDICAL SUPPLIES ORIGINAL AMOUNT 292,606.00 AMENDED AMOUNT 259,162.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24C COLUMN (C) M&G DENTAL AND MEDICAL SUPPLIES ORIGINAL AMOUNT -504.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24D COLUMN (B) PROGRAM LAB FEES ORIGINAL AMOUNT 16,923.00 AMENDED AMOUNT 18,155.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24D COLUMN (C) M&G LAB FEES ORIGINAL AMOUNT 1,232.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24E COLUMN (A) TOTAL ALL OTHER EXPENSES ORIGINAL AMOUNT 249,179.00 AMENDED AMOUNT 408,216.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24E COLUMN (B) PROGRAM ALL OTHER EXPENSES ORIGINAL AMOUNT 37,771.00 AMENDED AMOUNT 340,565.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 24E COLUMN (C) M&G ALL OTHER EXPENSES ORIGINAL AMOUNT 211,408.00 AMENDED AMOUNT 67,651.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 25 COLUMN (A) TOTAL TOTAL FUNCTIONAL EXPENSES ORIGINAL AMOUNT 10,553,479.00 AMENDED AMOUNT 11,191,456.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 25 COLUMN (B) PROGRAM TOTAL FUNCTIONAL EXPENSES ORIGINAL AMOUNT 6,790,371.00 AMENDED AMOUNT 8,743,495.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 10, PART IX, LINE 25 COLUMN (C) M&G TOTAL FUNCTIONAL EXPENSES ORIGINAL AMOUNT 3,763,108.00 AMENDED AMOUNT 2,447,961.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 4 FORM 990, PAGE 11, PART X, LINE 1 CASH - NON-INTEREST BEARING ORIGINAL AMOUNT 501,184.00 AMENDED AMOUNT 1,422,661.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 2 SAVINGS AND TEMPORARY CASH INVESTMENTS ORIGINAL AMOUNT 2,223,989.00 AMENDED AMOUNT 1,320,236.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 3 PLEDGES AND GRANTS RECEIVABLE, NET ORIGINAL AMOUNT 2,640,517.00 AMENDED AMOUNT 2,510,398.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 4 ACCOUNTS RECEIVABLE, NET ORIGINAL AMOUNT 503,663.00 AMENDED AMOUNT 467,635.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 9 PREPAID EXPENSES AND DEFERRED CHARGES ORIGINAL AMOUNT 64,510.00 AMENDED AMOUNT 60,498.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 10A LAND, BUILDINGS, AND EQUIPMENT ORIGINAL AMOUNT 790,178.00 AMENDED AMOUNT 686,164.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 10C LAND, BUILDINGS, AND EQUIPMENT, NET ORIGINAL AMOUNT 602,926.00 AMENDED AMOUNT 498,912.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 14 INTANGIBLE ASSETS ORIGINAL AMOUNT 283,386.00 AMENDED AMOUNT 1,014,412.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 16 TOTAL ASSETS ORIGINAL AMOUNT 6,820,175.00 AMENDED AMOUNT 7,294,752.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 17 ACCOUNTS PAYABLE AND ACCRUED EXPENSES ORIGINAL AMOUNT 1,020,550.00 AMENDED AMOUNT 1,143,211.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 19 DEFERRED REVENUE ORIGINAL AMOUNT 39,896.00 AMENDED AMOUNT 0.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 25 OTHER LIABILITIES ORIGINAL AMOUNT 0.00 AMENDED AMOUNT 731,026.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 26 TOTAL LIABILITIES ORIGINAL AMOUNT 1,060,446.00 AMENDED AMOUNT 1,874,237.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 27 NET ASSETS WITHOUT DONOR RESTRICTIONS ORIGINAL AMOUNT 5,759,729.00 AMENDED AMOUNT 5,420,515.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 32 TOTAL NET ASSETS OR FUND BALANCES ORIGINAL AMOUNT 5,59,729.00 AMENDED AMOUNT 5,420,515.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 11, PART X, LINE 33 TOTAL LIABILITIES AND NET ASSETS/FUND BALANCES ORIGINAL AMOUNT 6,820,175.00 AMENDED AMOUNT 7,294,752.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 5 FORM 990, PAGE 12, PART XI, LINE 1 TOTAL REVENUE ORIGINAL AMOUNT 11,517,675.00 AMENDED AMOUNT 11,816,438.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 12, PART XI, LINE 2 TOTAL EXPENSES ORIGINAL AMOUNT 10,553,479.00 AMENDED AMOUNT 11,191,456.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 12, PART XI, LINE 3 REVENUE LESS EXPENSES ORIGINAL AMOUNT 964,196.00 AMENDED AMOUNT 624,982.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, FORM 990, PAGE 12, PART XI, LINE 10 NET ASSETS OR FUND BALANCES AT YEAR END ORIGINAL AMOUNT 5,759,729.00 AMENDED AMOUNT 5,420,515.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 6 SCHEDULE A PART II, SECTION A, COUMN (E), LINE 1, LINE 4, & SECTION B LINES 7 GIFTS, GRANTS, CONTRIBUTIONS, AND MEMBERSHIP FEES RECEIVED ORIGINAL AMOUNT 4,875,786.00 AMENDED AMOUNT 4,802,549.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE A PART II, SECTION B, COLUMN (E), LINE 10 OTHER INCOME ORIGINAL AMOUNT 12,040.00 AMENDED AMOUNT 3,674.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE A PART II, SECTION B, COLUMN (E), LINE 11 TOTAL SUPPORT ORIGINAL AMOUNT 18,940,680.00 AMENDED AMOUNT 18,859,077.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE A PART II, SECTION C, LINE 14 PUBLIC SUPPORT PERCENTAGE FOR 2022 (LINE 6, COLUMN (F), DIVIDED BY LINE 11, COLUMN (F)) ORIGINAL AMOUNT 99.60% AMENDED AMOUNT 99.64% WITH CHANGE AT LINE 6, COLUMN (F) AND LINE 11, COLUMN (F), CALCULATION CHANGED. 7 SCHEDULE D PART VI, LINE C COLUMN (C) ACCUMULATED DEPRECIATION - LEASEHOLD IMPROVEMENTS ORIGINAL AMOUNT 132,814.00 AMENDED AMOUNT 141,343.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART VI, LINE C COLUMN (D) BOOK VALUE 0 LEASEHOLD IMPROVEMENTS ORIGINAL AMOUNT 60,476.00 AMENDED AMOUNT 51,947.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART VI, LINE D COLUMN (B) COST OR OTHER BASIS - EQUIPMENT ORIGINAL AMOUNT 326,279.00 AMENDED AMOUNT 318,515.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART VI, LINE D COLUMN (C) ACCUMULATED DEPRECIATION - EQUIPMENT ORIGINAL AMOUNT 38,081.00 AMENDED AMOUNT 29,552.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART VI, LINE D COLUMN (D) BOOK VALUE - EQUIPMENT ORIGINAL AMOUNT 288,198.00 AMENDED AMOUNT 288,963.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, PART 1, SECTION B (CONTINUED) SCHEDULE D PART VI, LINE E COLUMN (B) COST OR OTHER BASIS - OTHER ORIGINAL AMOUNT 270,609.00 AMENDED AMOUNT 174,359.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART VI, LINE E COLUMN (D) BOOK VALUE - OTHER ORIGINAL AMOUNT 254,252.00 AMENDED AMOUNT 158,002.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, 8 SCHEDULE D PART X SHORT-TERM LEASE LIABILITY ORIGINAL AMOUNT 0.00 AMENDED AMOUNT 137,168.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D PART X LONG-TERM LEASE LIABILITY ORIGINAL AMOUNT 0.00 AMENDED AMOUNT 593,858.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS. 9 SCHEDULE D, PART XI LINE 1 , LINE 3, AND LINE 5, TOTAL REVENUE, GAINS, AND OTHER SUPPORT ORIGINAL AMOUNT 11,517,675.00 AMENDED AMOUNT 11,816,438.00 ADJUSTED AGREE TO FINAL AUDIT NUMBERS, SCHEDULE D, PART XII LINE 1, LINES 3, AND LINE 5, TOTAL EXPENSES AND LOSSES ORIGINAL AMOUNT 10,553,479.00 AMENDED AMOUNT 11,191,456.00