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GOOD NEIGHBOR COMMUNITY HEALTH CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GOOD NEIGHBOR COMMUNITY HEALTH CENTER (EIN 13-4249732)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-03
IRS object ID
202223079349301602
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-11-03T09:38:44-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN134249732EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD NEIGHBOR COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone4025628951PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 41ST AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRI FORD-WOLFGRAMPersonNm
Person TitleCEOPersonTitleTxt
Phone4025628951PhoneNum
Signature2022-10-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTERRIPersonFirstNm
Person LastFORD-WOLFGRAMPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2022-10-27PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRI FORD-WOLFGRAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 41ST AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,441,396GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GOODNEIGHBORCOMMUNITYHEALTHCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionWORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,475,396PYContributionsGrantsAmt
CY Contributions Grants$5,888,325CYContributionsGrantsAmt
PY Program Service Revenue$4,051,484PYProgramServiceRevenueAmt
CY Program Service Revenue$5,547,914CYProgramServiceRevenueAmt
PY Investment Income$1,263PYInvestmentIncomeAmt
CY Investment Income-$33,758CYInvestmentIncomeAmt
PY Other Revenue$338,745PYOtherRevenueAmt
CY Other Revenue$4,096CYOtherRevenueAmt
PY Total Revenue$8,866,888PYTotalRevenueAmt
CY Total Revenue$11,406,577CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,592,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,567,035CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,999,528PYOtherExpensesAmt
CY Other Expenses$3,173,156CYOtherExpensesAmt
PY Total Expenses$7,591,557PYTotalExpensesAmt
CY Total Expenses$9,740,191CYTotalExpensesAmt
PY Revenues Less Expenses$1,275,331PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,666,386CYRevenuesLessExpensesAmt
Total Assets BOY$2,009,038TotalAssetsBOYAmt
Total Assets EOY$3,785,700TotalAssetsEOYAmt
Total Liabilities BOY$422,990TotalLiabilitiesBOYAmt
Total Liabilities EOY$533,266TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,586,048NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,252,434NetAssetsOrFundBalancesEOYAmt
MissionWORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,716,602ExpenseAmt
Grant$0GrantAmt
Revenue$5,547,914RevenueAmt
DescCOLLABORATION 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$8,716,602TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTERRI FORD-WOLFGRAMPersonNm
Phone4025628951PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 41ST AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ED WEMHOFF
CHAIR1.001.00Yes (X)Yes (X)$0$0$0
CONNIE PETERS
SECRETARY & VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
LIZ RODRIGUEZ
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
MARIA GONZALEZ
TREASURER & DIRECTOR1.000.00Yes (X)Yes (X)$0$0$0
MICHELLE STEPHAN
DIRECTOR & TREASURER1.000.00Yes (X)Yes (X)$0$0$0
TORIBIO CHAVARRIA
DIRECTOR1.000.00Yes (X)$0$0$0
TROY FISHER
DIRECTOR1.000.00Yes (X)$0$0$0
STACY LEU
DIRECTOR1.000.00Yes (X)$0$0$0
DAWN MILLER
DIRECTOR1.000.00Yes (X)$0$0$0
PATRICK PEER
CEO (THRU OCTOBER 2021)32.008.00Yes (X)$0$161,084$972
BETH WEWEL
CFO (THRU JUNE 2021)32.008.00Yes (X)$0$65,516$12,835
STEVEN CLARK
INTERIM CEO32.008.00Yes (X)$0$35,000$6
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$261,600TotReportableCompRltdOrgAmt
Total Other Compensation$13,813TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HAUSMANN CONSTRUCTION INC
8885 EXECUTIVE WOODS DRIVELINCOLNNE68512CONSTRUCTION$193,738
GREENWAY HEALTH
PO BOX 203658DALLASTX753203658SOFTWARE SUPPORT & STAFF TRAINING$134,398
ACCESS TECHNOLOGIES INC
PO BOX 8366DES MOINESIA50301IT SUPPORT$102,066
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$5,634,076GovernmentGrantsAmt
All Other Contributions$254,249AllOtherContributionsAmt
Total Contributions$5,888,325TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$4,917,543$4,917,543
PHARMACY INCOME446110$630,371$630,371
FieldValueIRS element (for citing)
Total Program Service Revenue$5,547,914TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,061TotalRevenueColumnAmt
Exclusion$1,061ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$34,819OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$34,819OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$34,819TotalRevenueColumnAmt
Exclusion-$34,819ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$4,096TotalRevenueColumnAmt
Exclusion$4,096ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,096OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,406,577TotalRevenueColumnAmt
Related Or Exempt Func Income$5,547,914RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$29,662ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,181,705TotalAmt
Program Services$4,543,889ProgramServicesAmt
Management And General$637,816ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$65,557TotalAmt
Program Services$59,653ProgramServicesAmt
Management And General$5,904ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$947,460TotalAmt
Program Services$844,195ProgramServicesAmt
Management And General$103,265ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$372,313TotalAmt
Program Services$325,878ProgramServicesAmt
Management And General$46,435ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,780TotalAmt
Program Services$18,542ProgramServicesAmt
Management And General$3,238ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,080TotalAmt
Management And General$4,080ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$681,435TotalAmt
Program Services$498,917ProgramServicesAmt
Management And General$182,518ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$36,635TotalAmt
Program Services$35,264ProgramServicesAmt
Management And General$1,371ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,257TotalAmt
Program Services$80,814ProgramServicesAmt
Management And General$18,443ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$113,922TotalAmt
Program Services$113,483ProgramServicesAmt
Management And General$439ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$570,879TotalAmt
Program Services$559,827ProgramServicesAmt
Management And General$11,052ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,106TotalAmt
Program Services$18,055ProgramServicesAmt
Management And General$6,051ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,055TotalAmt
Program Services$11,329ProgramServicesAmt
Management And General$726ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$374TotalAmt
Program Services$153ProgramServicesAmt
Management And General$221ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$111,342TotalAmt
Program Services$111,342ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$368TotalAmt
Program Services$368ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INDIRECT COST ALLOC.$726,555$726,555
MEDICAL SUPPLIES$646,436$646,226$210
OTHER EXPENSES$73,152$71,557$1,595
REPAIRS & MAINTENANCE$50,780$50,555$225

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,740,191TotalAmt
Program Services$8,716,602ProgramServicesAmt
Management And General$1,023,589ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$602,317BOYAmt
EOY$948,822EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$35,638BOYAmt
EOY$798,446EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$270,046BOYAmt
EOY$343,409EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$59EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,298BOYAmt
EOY$91,101EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,740,642LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,136,779LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,094,739BOYAmt
EOY$1,603,863EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,009,038BOYAmt
EOY$3,785,700EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$422,990BOYAmt
EOY$500,426EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$32,840EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$422,990BOYAmt
EOY$533,266EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,586,048BOYAmt
EOY$3,252,434EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,586,048BOYAmt
EOY$3,252,434EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,009,038BOYAmt
EOY$3,785,700EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,666,386ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,372OtherCostOrOtherBasisAmt
Book Value$112,372BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,224,457OtherCostOrOtherBasisAmt
Depreciation$91,300DepreciationAmt
Book Value$1,133,157BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,027,468OtherCostOrOtherBasisAmt
Depreciation$688,195DepreciationAmt
Book Value$339,273BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$376,345OtherCostOrOtherBasisAmt
Depreciation$357,284DepreciationAmt
Book Value$19,061BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,603,863TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,451,880TotalRevEtcAuditedFinclStmtAmt
Other Revenue$45,303OtherRevenueAmt
Revenue Not Reported$45,303RevenueNotReportedAmt
Revenue Subtotal$11,406,577RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,406,577TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,554,385TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$552,925OtherExpensesIncludedAmt
Expenses Not Reported$552,925ExpensesNotReportedAmt
Expenses Subtotal$9,001,460ExpensesSubtotalAmt
Other Expenses Not Included$738,731OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$738,731ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,740,191TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 34,819. MISCELLANEOUS REVENUES 10,484.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FIXED ASSETS 34,819. CAPITAL OUTLAY 518,106.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSE 12,176. INDIRECT COST RATE ALLOCATION 726,555.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonPATRICK PEERPersonNm
TitleCEO (THRU OCTOBER 2021)TitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$138,316CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$22,768OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$972NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$162,056TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE CEO'S COMPENSATION REVIEW IS LED BY EAST-CENTRAL DISTRICT HEALTH DEPARTMENT'S HUMAN RESOURCES AND BOARD OF TRUSTEES, ALTHOUGH IT IS ALSO REVIEWED AND APPROVED BY GOOD NEIGHBOR COMMUNITY HEALTH CENTER'S BOARD OF DIRECTORS. THE FOLLOWING HAVE BEEN USED IN THE REVIEW AND APPROVAL OF THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. WRITTEN EMPLOYMENT CONTRACT 3. COMPENSATION SURVEY OR STUDY 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4APATRICK PEER RECIEVED A SEVERANCE PAYMENT OF $22,768 IN 2021.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7BTHE 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 11BPRIOR 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 12CTHE 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 15ATHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EAST-CENTRAL DISTRICT HEALTH DEPARTMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14321 41ST AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd
FieldValueIRS element (for citing)
EIN470835183EIN
Primary ActivitiesINTER-COUNTY HEALTH DEPARTMENTPrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd