2022-09-15T18:22:24-05:00 2021-12-31 621114363 HENDERSON HUTCHERSON & MCCULLOUGH PLLC 1755 KIRBY PARKWAY SUITE 200 MEMPHIS TN 38120 990 2021-01-01 463313048 GOOD SHEPHERD MEDICATION MANAGEMENT GOOD 8775216337 266 S CLEVELAND STREET SUITE 202 MEMPHIS TN 38104 DR PHILIP J BAKER CEO 8775216337 2022-09-02 1 DR PHILIP J BAKER 999009999 JASON MARTIN CPA P01522122 9016834234 2022-08-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z PHARMACY DR PHILIP J BAKER 266 S CLEVELAND STREET SUITE 202 MEMPHIS TN 38104 1862836 0 X HTTPS://WWW.GOODSHEPHEALTH.COM X 2014 TN GOOD SHEPHERD MEDICATION MANAGEMENT IS A COMMUNITY PHARMACY THAT STORES, PREPARES, AND DISPENSES MEDICINAL PREPARATIONS AND/OR PRESCRIPTIONS FOR A LOCAL PATIENT POPULATION IN ACCORDANCE WITH FEDERAL AND STATE LAW; COUNSEL PATIENTS AND CAREGIVERS (SOMETIMES INDEPENDENT OF THE DISPENSING PROCESS); ADMINISTER VACCINATIONS; AND PROVIDE OTHER PROFESSIONAL SERVICES ASSOCIATED WITH PHARMACEUTICAL CARE SUCH AS HEALTH SCREENINGS, CONSULTATIVE SERVICES WITH OTHER HEALTH CARE PROVIDERS, COLLABORATIVE PRACTICE, DISEASE STATE MANAGEMENT, AND EDUCATION CLASSES. 6 6 0 0 0 0 2040294 1446589 518748 416247 0 0 0 0 2559042 1862836 4372417 2073344 0 0 115303 250991 0 0 73046 250323 282935 4738043 2607270 -2179001 -744434 2325879 1363068 511257 292880 1814622 1070188 GOOD SHEPHERD MEDICATION MANAGEMENT EXISTS TO GLORIFY GOD BY IMPROVING THE LIVES OF OUR MEMBERS THROUGH AFFORDABLE PHARMACY SERVICES FOR THE UNINSURED. 0 0 2469500 2073344 416247 THE PRESCRIPTION REPOSITORY PROGRAM ACCEPTS DONATED PRESCRIPTION MEDICATIONS FROM HOSPITALS, NURSING HOMES, AND INDIVIDUALS AND PROPERLY REDISPENSES MEDICATIONS TO UNINSURED INDIVIDUALS FOR A MONTHLY SUBSCRIPTION FEE OR FREE. 2469500 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 1 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 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 TN X THE ORGANIZATION 8775216337 266 S CLEVELAND STREET SUITE 202 MEMPHIS TN 38104 RICK TALLEY CHAIRMAN/SECRETARY 16.00 X 0 0 0 LIZ ROBINSON DIRECTOR 0.00 X 0 0 0 SACHIE STOVER DIRECTOR 0.00 X 0 0 0 MICHELLE ZULU DIRECTOR 0.00 X 0 0 0 AYILE ARNETT DIRECTOR 0.00 X 0 0 0 CARMON HEILMAN DIRECTOR 0.00 X 0 0 0 DR PHILIP J BAKER CEO/PRESIDENT 40.00 X 47500 0 0 47500 0 0 0 0 0 0 0 59177 1387412 940198 1446589 MEMBERSHIP FEES 621300 404847 404847 PRECEPTOR FEES 621300 11400 11400 416247 1862836 416247 0 0 2073344 2073344 47500 23750 23750 185800 185800 17691 14069 1811 1811 6621 5297 1324 24582 19665 4917 47485 47485 70943 49791 21152 23627 20083 3544 27504 24799 2705 9176 9176 25470 25470 816 816 INTERNET AND TELEPHONE 23720 23720 LICENSES 15177 15177 MEALS AND TRAVEL 6901 1380 5521 OTHER 913 913 2607270 2469500 64724 73046 116732 19936 1079 0 2080299 1240833 178292 75993 127769 102299 2325879 1363068 5560 1680 116106 93200 250000 150000 139591 48000 511257 292880 X 1814622 1070188 1814622 1070188 2325879 1363068 -744434 0 X X 0 0 0 X 5086134 5653516 4487293 2060094 1446589 18733626 438852 496689 479750 498948 416247 2330486 5524986 6150205 4967043 2559042 1862836 21064112 0 0 0 21064112 23 5 0 0 0 28 23 5 28 5525009 6150210 4967043 2559042 1862836 21064140 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 160741 68889 91852 17551 7104 10447 102299 OTHER LIABILITIES 48000 48000 X 1862836 0 1862836 0 1862836 2607270 0 2607270 0 2607270 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES. BASED ON ITS EVALUATION, THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN ITS FINANCIAL STATEMENTS. THE ORGANIZATION'S EVALUATION WAS PERFORMED FOR THE TAX YEARS ENDED DECEMBER 31, 2018 THROUGH DECEMBER 31, 2021, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS AS OF THE YEAR ENDED DECEMBER 31, 2021. 1 PRESCRIPTION MEDICATIONS RETAIL VALUE OF SIMILAR MEDICATIONS PRESCRIPTION MEDICATION DISTRIBUTED TO QUALIFED AND ELIGIBLE MEMBERS PART I, LINE 2: GOOD SHEPHERD MEDICATION MANAGEMENT GENERALLY RECEIVES PRESCRIPTION MEDICATIONS DONATED FROM HOSPITALS, NURSING HOMES AND OTHER SOURCES IN ORDER TO PROPERLY REDISPENSE THE MEDICATIONS TO UNINSURED INDIVIDUALS. ALTHOUGH GOOD SHEPHERD MEDICATION MANAGEMENT RECEIVED A MONTHLY SUBSCRIPTION FEE FROM THE INDIVIDUALS, THE ORGANIZATION MONITORS MEMBERS' FINANCIAL RESOURCES IN ORDER TO INSURE THE MEMBER IS QUALIFIED. X 1 940198 CURRENT MARKET 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO BOARD OF DIRECTORS FOR REVIEW, COMMENTS AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REGULARLY REMINDED OF THE CONFLICT OF INTEREST POLICIES AND ISSUES ARE RESOLVED TIMELY AT REGULAR BOARD MEETINGS IF NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWED SIMILAR PROFESSIONAL POSITIONS AND APPROVED THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL OTHER POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION HAS ALL REQUIRED DOCUMENTS FOR PUBLIC DISCLOSURE IN A SEPERATE BINDER AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS OF SELECTING THE INDEPENDENT ACCOUNTING FIRM HAS NOT CHANGED.