EIN 81-3389533

Prototype Health

IRS 501(c) type
501(c)(3)
Num. employees
8
City
State
Year formed
2016
Most recent tax filings
2023-12-01
Description
Prototype Health delivers conventional, alternative, and complementary medical services for patients ranging from newborns to geriatrics. The organization ensures affordable rates by implementing a sliding scale based on income. Prototype Health prioritizes high-quality, cost-effective, integrated primary health care for uninsured, underinsured, and needy individuals.
Total revenues
$249,080
2023
Total expenses
$391,831
2023
Total assets
$58,104
2023
Num. employees
8
2023

Program areas at Prototype Health

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.

Personnel at Prototype Health

NameTitleCompensation
Jami KuppermanExecutive Director$78,000
Jonae HarrisonSecretary$0
Heather CookTreasurer$0
Chantelle OsmanPresident$0

Financials for Prototype Health

RevenuesFYE 12/2023
Total grants, contributions, etc.$15,723
Program services$232,070
Investment income and dividends$1,287
Tax-exempt bond proceeds$0
Royalty revenue$0
Net rental income$0
Net gain from sale of non-inventory assets$0
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous revenues$0
Total revenues$249,080

Form 990s for Prototype Health

Fiscal year endingDate received by IRSFormPDF link
2023-122024-11-14990View PDF
2016-122018-02-06990EZView PDF

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Data update history
January 25, 2025
Posted financials
Added Form 990 for fiscal year 2023
January 16, 2025
Updated personnel
Identified 4 new personnel
January 11, 2025
Used new vendors
Identified 1 new vendor, including
February 6, 2018
Posted financials
Added Form 990EZ for fiscal year 2016
Nonprofit Types
ClinicsHealth organizations
Issues
Health
Characteristics
Partially liquidatedReceives government fundingTax deductible donationsAccepts online donations
General information
Address
2055 E Southern Ave Ste F
Tempe, AZ 85282
Metro area
Phoenix-Mesa-Chandler, AZ
County
Maricopa County, AZ
Website URL
prototypehealthcare.org/ 
Phone
(480) 999-1717
IRS details
EIN
81-3389533
Fiscal year end
December
Taxreturn type
Form 990
Year formed
2016
Eligible to receive tax-deductible contributions (Pub 78)
Yes
Categorization
NTEE code, primary
E32: Ambulatory Health Center, Community Clinic
NAICS code, primary
621: Outpatient Health Care Practitioners and Facilities
Parent/child status
Independent
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