GOOD NEIGHBOR COMMUNITY HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- GOOD NEIGHBOR COMMUNITY HEALTH CENTER (EIN 13-4249732)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-30
- IRS object ID
- 202313039349301766
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-30T13:12:57-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134249732 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD NEIGHBOR COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 4025628961 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 41ST AVENUE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI FORD-WOLFGRAM | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4025628961 | PhoneNum |
| Signature | 2023-10-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRI | PersonFirstNm |
| Person Last | FORD-WOLFGRAM | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2023-10-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERRI FORD-WOLFGRAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 41ST AVENUE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,940,808 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GOODNEIGHBORCOMMUNITYHEALTHCENTER.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,888,325 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,653,098 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,547,914 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,255,222 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$33,758 | PYInvestmentIncomeAmt |
| CY Investment Income | -$29,008 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,096 | PYOtherRevenueAmt |
| CY Other Revenue | $22,188 | CYOtherRevenueAmt |
| PY Total Revenue | $11,406,577 | PYTotalRevenueAmt |
| CY Total Revenue | $10,901,500 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $16,520 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,567,035 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,309,884 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,173,156 | PYOtherExpensesAmt |
| CY Other Expenses | $4,072,231 | CYOtherExpensesAmt |
| PY Total Expenses | $9,740,191 | PYTotalExpensesAmt |
| CY Total Expenses | $10,398,635 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,666,386 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $502,865 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,785,700 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,706,932 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $533,266 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $706,629 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,252,434 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,000,303 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,507,270 | ExpenseAmt |
| Grant | $16,520 | GrantAmt |
| Revenue | $5,255,222 | RevenueAmt |
| Desc | COLLABORATION WITH FEDERAL, STATE AND COMMUNITY PARTNERS TO PROVIDE AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY RESPECTFUL, APPROPRIATE, COST-EFFECTIVE, QUALITY PRIMARY MEDICAL HEALTH CARE, DENTAL SERVICES AND BEHAVIORAL HEALTH SERVICES WITH SPECIAL ATTENTION TO THE UNDERSERVED. | Desc |
| Total Program Service Expenses | $8,507,270 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI FORD-WOLFGRAM | PersonNm |
| Phone | 4025628961 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 41ST AVENUE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| TERRI FORD-WOLFGRAM | |||||||
| CEO | 32.00 | 8.00 | Yes (X) | $0 | $123,077 | $21,675 | |
| STEVEN CLARK | |||||||
| INTERIM CEO (THROUGH FEB 2022) | 32.00 | 8.00 | Yes (X) | $0 | $66,957 | $117 | |
| ED WEMHOFF | |||||||
| CHAIR & VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| WENDY RAMAEKERS | |||||||
| DIRECTOR & CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CONNIE PETERS | |||||||
| VICE CHAIR & SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MICHELLE STEPHAN | |||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TORIBIO CHAVARRIA | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| TROY FISHER | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MARIA GONZALEZ | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| RALPH HORACEK | |||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| STACY LEU | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| DAWN MILLER | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| LIZ RODRIGUEZ | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MARY STAUB | |||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $190,034 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $21,792 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY LINK CONSULTING INC | |||||
| PO BOX 276 | NEWMAN LAKE | WA | 99025 | MEDICAL BILLING & ICFO CONSUTLING | $289,905 |
| GREENWAY HEALTH | |||||
| PO BOX 203658 | DALLAS | TX | 753203658 | SOFTWARE SUPPORT & STAFF TRAINING | $236,037 |
| ELKHORN WEST CONSTRUCTION | |||||
| 17904 STORAGE ROAD | OMAHA | NE | 68136 | CONSTRUCTION | $160,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,558,832 | GovernmentGrantsAmt |
| All Other Contributions | $94,266 | AllOtherContributionsAmt |
| Total Contributions | $5,653,098 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $4,683,001 | $4,683,001 |
| PHARMACY INCOME | 456110 | $572,221 | $572,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,255,222 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,300 | TotalRevenueColumnAmt |
| Exclusion | $10,300 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $39,308 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$39,308 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$39,308 | TotalRevenueColumnAmt |
| Exclusion | -$39,308 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $22,188 | TotalRevenueColumnAmt |
| Exclusion | $22,188 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,188 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,901,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,255,222 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$6,820 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,520 | TotalAmt |
| Program Services | $16,520 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,035,717 | TotalAmt |
| Program Services | $4,569,151 | ProgramServicesAmt |
| Management And General | $466,566 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,977 | TotalAmt |
| Program Services | $70,035 | ProgramServicesAmt |
| Management And General | $3,942 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,027 | TotalAmt |
| Program Services | $791,289 | ProgramServicesAmt |
| Management And General | $46,738 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,163 | TotalAmt |
| Program Services | $323,229 | ProgramServicesAmt |
| Management And General | $38,934 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,722 | TotalAmt |
| Management And General | $7,722 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,740 | TotalAmt |
| Management And General | $33,740 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $951,265 | TotalAmt |
| Program Services | $380,300 | ProgramServicesAmt |
| Management And General | $570,965 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,842 | TotalAmt |
| Program Services | $6,547 | ProgramServicesAmt |
| Management And General | $30,295 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,769 | TotalAmt |
| Program Services | $3,852 | ProgramServicesAmt |
| Management And General | $85,917 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,731 | TotalAmt |
| Management And General | $85,731 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,801 | TotalAmt |
| Program Services | $624,832 | ProgramServicesAmt |
| Management And General | $147,969 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,655 | TotalAmt |
| Program Services | $9,664 | ProgramServicesAmt |
| Management And General | $24,991 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,669 | TotalAmt |
| Management And General | $8,669 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,022 | TotalAmt |
| Program Services | $64,960 | ProgramServicesAmt |
| Management And General | $49,062 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,546 | TotalAmt |
| Program Services | $4,939 | ProgramServicesAmt |
| Management And General | $6,607 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INDIRECT COST ALLOC. | $1,018,497 | $1,018,497 | |
| MEDICAL SUPPLIES | $663,559 | $612,632 | $50,927 |
| OTHER EXPENSES | $163,481 | $158 | $163,323 |
| REPAIRS & MAINTENANCE | $79,932 | $10,665 | $69,267 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,398,635 | TotalAmt |
| Program Services | $8,507,270 | ProgramServicesAmt |
| Management And General | $1,891,365 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $948,822 | BOYAmt |
| EOY | $1,004,185 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $798,446 | BOYAmt |
| EOY | $283,473 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,409 | BOYAmt |
| EOY | $153,652 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,101 | BOYAmt |
| EOY | $12,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,503,665 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,250,801 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,603,863 | BOYAmt |
| EOY | $2,252,864 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,785,700 | BOYAmt |
| EOY | $3,706,932 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,426 | BOYAmt |
| EOY | $535,467 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,840 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $171,162 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,266 | BOYAmt |
| EOY | $706,629 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252,434 | BOYAmt |
| EOY | $3,000,303 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,252,434 | BOYAmt |
| EOY | $3,000,303 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,785,700 | BOYAmt |
| EOY | $3,706,932 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $502,865 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$754,996 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $583,116 | OtherCostOrOtherBasisAmt |
| Book Value | $583,116 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,433,522 | OtherCostOrOtherBasisAmt |
| Depreciation | $123,234 | DepreciationAmt |
| Book Value | $1,310,288 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,110,682 | OtherCostOrOtherBasisAmt |
| Depreciation | $762,524 | DepreciationAmt |
| Book Value | $348,158 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $376,345 | OtherCostOrOtherBasisAmt |
| Depreciation | $365,043 | DepreciationAmt |
| Book Value | $11,302 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,252,864 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED ORGANIZATION | Desc |
| Amt | $171,162 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $171,162 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,940,808 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $39,308 | OtherRevenueAmt |
| Revenue Not Reported | $39,308 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,901,500 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,901,500 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,067,584 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $812,736 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $812,736 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,254,848 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $1,143,787 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,143,787 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,398,635 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS 39,308. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CAPITAL OUTLAYS 812,736. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES 11,268. INDIRECT COST RATE ALLOCATION 1,018,497. DEPRECIATION EXPENSE 114,022. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | TRANSPORTATION ASSISTANCE | GrantTypeTxt |
| Recipient | 1224 | RecipientCnt |
| Non Cash Assistance | $16,520 | NonCashAssistanceAmt |
| Valuation Method Used | COST | ValuationMethodUsedDesc |
| Non Cash Assistance | VEHICLE AND LABOR COSTS | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PROVIDES TRANSPORTATION ASSISTANCE TO CUSTOMERS IN NEED. NO FUNDS ARE GIVEN TO INDIVIDUALS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF GOOD NEIGHBOR COMMUNITY HEALTH CENTER IS EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, A POLITICAL SUBDIVISION OF THE STATE OF NEBRASKA. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBER HAS THE POWER TO (A) APPROVE THE ORGANIZATION'S COMMUNITY HEALTH CENTER RENEWAL APPLICATION, ANNUAL BUDGET, BUDGETS FOR OPERATIONS, CAPITAL EXPENDITURES, AND CASH FLOW; (B) REVIEW AND APPROVE THE ORGANIZATION'S SERVICES AND HOURS WHEN SERVICES ARE PROVIDED, LOCATIONS, AND MODE OF DELIVERY; (C) APPROVE THE ORGANIZATION'S MERGER, CONSOLIDATION OR DISSOLUTION; (D) APPROVE ANY CHANGE IN THE ORGANIZATION'S PURPOSE, PHILOSOPHY OR OBJECTIVES; (E) APPROVE THE PURCHASE, SALE, LEASE, TRANSFER OR ENCUMBERANCE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY; (F) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; AND (G) APPOINT AND REMOVE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO BEING FILED, THE FORM 990 WAS REVIEWED BY THE CFO AND CEO, WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE, AND WAS PROVIDED TO ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND EMPLOYEES. WHEN AN EMPLOYEE HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THEY NOTIFY THE CEO, WHO DETERMINES WHETHER A CONFLICT EXISTS AND THE APPROPRIATE RESPONSE. WHEN THE CEO OR A BOARD MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN REGARDS TO A TRANSACTION, THEY NOTIFY THE BOARD AND PROVIDE RELEVANT INFORMATION, AFTER WHICH THEY LEAVE THE MEETING FOR FURTHER DISCUSSIONS AND VOTES ON THE MATTER. IF IT ISN'T CLEAR WHETHER A CONFLICT EXISTS, THE REMAINING BOARD MEMBERS MAKE THE DETERMINATION. THE BOARD MAY EVALUATE WHETHER THE ORGANIZATION CAN ENTER AN AGREEMENT THAT IS EQUALLY ADVANTAGEOUS TO THE ORGANIZATION AND DOES NOT INVOLVE A CONFLICT OF INTEREST. IF THE BOARD BELIEVES A PERSON HAS FAILED TO IDENTIFY A CONFLICT OF INTEREST, THE INDIVIDUAL IS NOTIFIED AND GIVEN A CHANCE TO RESPOND, AFTER WHICH THE BOARD DETERMINES WHETHER ANY DISCIPLINARY OR CORRECTIVE ACTIONS ARE REQUIRED. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE CEO'S COMPENSATION IS EVALUATED BY THE H.R. DEPARTMENT OF EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, BASED ON MULTIPLE SALARY SURVEYS, WITH A RECOMMENDATION BEING MADE TO EAST-CENTRAL DISTRICT HEALTH DEPARTMENT'S BOARD OF TRUSTEES AND GOOD NEIGHBOR COMMUNITY HEALTH CENTER'S BOARD OF DIRECTORS, WHO THEN REVIEW AND APPROVE THE COMPENSATION RECOMMENDATION. THIS PROCESS IS CONDUCTED ANNUALLY. THE CFO'S COMPENSATION IS EVALUATED BY THE H.R. DEPARTMENT OF EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, BASED ON MULTIPLE SALARY SURVEYS, WITH A RECOMMENDATION BEING MADE TO THE CEO, WHO THEN REVIEWS AND APPROVES THE COMPENSATION RECOMMENDATION. THIS PROCESS IS CONDUCTED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE AUTHORITY AND PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST-CENTRAL DISTRICT HEALTH DEPARTMENT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4321 41ST AVENUE | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470835183 | EIN |
| Primary Activities | INTER-COUNTY HEALTH DEPARTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |