Forsyth Community Pcc Llc
- Assets
- $1.0m
- Revenue
- $349.9k
- Investments
- $0.0
- Employees
- 0
- Location
- Winston Salem, NC
- Founding
- 05/2019
- Data as of
- 12/2023
- EIN
- 81-5300614
Organization Overview
Forsyth Community Pcc Llc, operating under the name Highland Avenue Primary Care Clinic, is located in Winston Salem, NC. The organization was established in 2019. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Highland Avenue Primary Care Clinic is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
For the year ending 12/2023, Highland Avenue Primary Care Clinic generated $349.9k in total revenue. All expenses for the organization totaled $1.1m during the year ending 12/2023. While expenses have increased by 26.3% per year over the past 6 years. They've been increasing with an increasing level of total revenue. You can explore the organizations financials more deeply in the financial statements section below.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2023
Describe the Organization's Mission:
Part 3 - Line 1
TO PROVIDE HEALTHCARE SERVICES TO AN UNDERSERVED COMMUNITY IN FORSYTH COUNTY, NORTH CAROLINA.
Describe the Organization's Program Activity:
Part 3 - Line 4a
THE ORGANIZATION IS A JOINT VENTURE BETWEEN FORSYTH MEMORIAL HOSPITAL, INC. AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER TO PROVIDE HEALTHCARE SERVICES IN FORSYTH COUNTY, NC. THE ORGANIZATION OPERATES A COMMUNITY CARE CLINIC, LOCATED IN A HISTORICALLY UNDERSERVED COMMUNITY, PROVIDING HEALTHCARE SERVICES AT NOMINAL FEES. DURING 2023, THE CLINIC HAD 21,018 OUTPATIENT ENCOUNTERS.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Amanda Burton Treas | OfficerTrustee | 0.2 | $0 |
Christopher Prouty Trustee | Trustee | 0.2 | $0 |
John Mann MD Vice Chair (to 12/31/23) | OfficerTrustee | 0.2 | $0 |
Joyce Mounce Secr (to 12/31/23) | OfficerTrustee | 0.2 | $0 |
Lia Erickson MD Trustee (to 12/31/23) | Trustee | 0.2 | $0 |
Paula Bird Trustee (to 12/31/23) | Trustee | 0.2 | $0 |
Outside Vendors & Contractors
| Vendor Name (Service) | Service Year | Compensation |
|---|---|---|
Wake Forest University Baptist Medical C Physician Services | 12/30/23 | $399,978 |
Novant Medical Group Inc Mgmt & Admin Services | 12/30/23 | $349,329 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $144,816 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $144,816 |
| Total Program Service Revenue | $198,773 |
| Investment income | $6,348 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $349,937 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $10,385 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $732,600 |
| Advertising and promotion | $1,188 |
| Office expenses | $43,092 |
| Information technology | $13,091 |
| Royalties | $0 |
| Occupancy | $81,218 |
| Travel | $1,771 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $0 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $107,924 |
| Insurance | $17,402 |
| All other expenses | $5,158 |
| Total functional expenses | $1,050,475 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $745,535 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $41,479 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $216,324 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $1,396 |
| Total assets | $1,004,734 |
| Accounts payable and accrued expenses | $287,492 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $915 |
| Total liabilities | $288,407 |
| Net assets without donor restrictions | $716,327 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $1,004,734 |