2021-11-11T09:56:07-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2020-01-01 571092940 AFFINITY HEALTH CENTER AFFI 8039096363 455 LAKESHORE PARKWAY ROCK HILL SC 29730 ANITA CASE EXECUTIVE DIRECTOR 8039096363 2021-11-10 1 ANITA CASE 999009999 JOHN NORMAN P01506766 7049985200 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANITA CASE 455 LAKESHORE PARKWAY ROCK HILL SC 29730 19001038 0 X AFFINITYHEALTHCENTER.ORG X 2000 SC TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT. 13 13 102 41 0 0 3892903 5823703 11775416 13079570 -17 269 12615 89904 15680917 18993446 1057460 1108174 0 0 4420503 5258069 0 0 62421 10142095 12246686 15620058 18612929 60859 380517 19636702 20811428 3808230 4215216 15828472 16596212 TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING ACCESS TO HIGH-QUALITY, COMPREHENSIVE CARE WITH COMPASSION, DIGNITY AND RESPECT. 0 0 16101795 1065047 13132273 MEDICAL CARE IS PROVIDED IN A DIGNIFIED, COMPASSIONATE MANNER. WITH THE ACCESS TO QUALITY CARE, PATIENTS CAN LIVE LONGER AND HEALTHIER LIVES. MEDICAL SERVICES AT AFFINITY HEALTH CENTER INCLUDE 1) PRIMARY CARE, 2) HIV SPECIALTY CARE, 3) ORAL HEALTH CARE, 4) BEHAVIORAL HEALTH SERVICES, 5) PHLEBOTOMY/LABORATORY SERVICES, AND 6) SPECIALTY CARE REFERRALS. AHC MEDICAL SERVICES ARE PROVIDED WITHOUT REGARD FOR ABILITY TO PAY, AND CHARGES ARE BASED ON A SLIDING FEE SCALE. 1187856 42558 SUPPORT SERVICES ARE INTENDED TO HELP PATIENTS ENGAGE IN AND REMAIN ENGAGED IN MEDICAL TREATMENT AND TO ASSIST THEM WITH REDUCING ANY BARRIERS TO CARE. SERVICES INCLUDE 1) MEDICAL CASE MANAGEMENT, 2) HEALTH EDUCATION, 3) OUTREACH TO THOSE OUT OF CARE, 4) EDUCATIONAL AND THERAPEUTIC SUPPORT GROUPS, 5) REFERRAL SERVICES AND ASSISTANCE WITH ACCESSING PUBLIC BENEFITS, 6) HOUSING SERVICES, 7) TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS, AND 8) INTERPRETING SERVICES. ALL SUPPORT SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. 411662 569 AFFINITY HEALTH CENTER PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY WHICH INCLUDE INFORMATION ABOUT HIV AND OTHER SEXUALLY TRANSMITTED DISEASES. ADDITIONALLY, AFFINITY HEALTH CENTER HAS A PEER PROGRAM THAT UTILIZES PEOPLE LIVING WITH HIV/AIDS TO PROVIDE SUPPORT TO OTHERS LIVING WITH THIS DISEASE, HIV/STD TESTING, COUNSELING SERVICES, AND PRE-EXPOSURE PROPHYLAXIS FOR HIV (PREP) SUPPORT. ALL PREVENTION SERVICES ARE PROVIDED AT NO COST TO THE RECIPIENT. 17701313 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 47 0 102 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X X BRYAN C MARTIN 8039099718 455 LAKESHORE PARKWAY ROCK HILL SC 29730 JENNIFER MCDANIEL DIRECTOR 1.00 X 0 0 0 DWIGHT BURNS BOARD CHAIR 1.00 X X 0 0 0 SUZANNE WRIGHT DIRECTOR 1.00 X 0 0 0 JARVIS HAMLIN BOARD SECRETARY 1.00 X X 0 0 0 LECLAIR BOONE DIRECTOR 1.00 X 0 0 0 SALLY BAKER BOARD TREASURER 1.00 X X 0 0 0 JOE TERRIOUS NEAL DIRECTOR 1.00 X 0 0 0 STEPHEN COOLEY DIRECTOR 1.00 X 0 0 0 RONNIE DUNCAN BOARD VICECHAIR 1.00 X X 0 0 0 NINA FEEMSTER DIRECTOR 1.00 X 0 0 0 ANTHONY HILL DIRECTOR 1.00 X 0 0 0 AMY NEWTON DIRECTOR 1.00 X 0 0 0 NAOMI OTANO DIRECTOR 1.00 X 0 0 0 ANITA CASE EXECUTIVE DIRECTOR 40.00 X 136001 0 6245 BRYAN MARTIN FINANCE DIRECTOR 40.00 X 97663 0 7461 J CRAIG CHARLES MEDICAL DIRECTOR 40.00 X 226174 0 11179 SUSAN COLLINS DENTIST 40.00 X 168298 0 6414 RHONNIE SONG MEDICAL DOCTOR 40.00 X 158349 0 3808 BRITTANY WATSON MEDICAL DOCTOR 40.00 X 198820 0 4628 KWANITA HUNTSCOTT PHYSICIANS ASSISTANT 40.00 X 109682 0 2793 1094987 0 42528 6 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 2270 BURLINGTON NC 27216 MEDICAL LAB SERVICES 328644 SERVCOM USA LLC 3284 LAKE WYLIE DRIVE ROCK HILL SC 29730 INFORMATION TECHNOLOGY SERVICES 128193 FISHER CONSULTING GROUP 18264 LAKE HARBOR LANE PRAIRIEVILLE LA 70769 REVENUE CYCLE CONSULTING 103755 3 5401664 422039 40026 5823703 340B PHARMACY REV 624100 12403894 12403894 PATIENT SERVICE REV 624100 675676 675676 13079570 469 469 34593 0 34593 34593 34593 200 -200 -200 -200 10000 7392 2608 2608 MISC. REVENUE 900099 52703 52703 52703 18993446 13132273 0 37470 1108174 1108174 233665 200621 32629 415 4209657 3784713 396073 28871 490487 440092 47176 3219 324260 290697 31402 2161 28720 23064 5656 320022 262423 57509 90 16419 1251 59 15109 32279 29177 3002 100 287984 263039 22782 2163 230649 200441 28867 1341 9038 7352 1686 42767 32183 10516 68 89216 76208 12470 538 435624 341644 93189 791 71326 59679 11262 385 PHARMACEUTICALS 7080969 7080969 340B PROGRAM SERVICES 2020651 2020651 SUPPLIES 1009296 948317 54162 6817 LAB SERVICES 417959 417959 153767 112659 40755 353 18612929 17701313 849195 62421 5647410 6254096 645207 1019079 946337 1022058 110665 115779 109128 112710 8663288 1101967 7810372 7561321 4367583 4726385 19636702 20811428 1362383 1662626 36499 534025 2409348 2018565 3808230 4215216 X 15828472 16596212 15828472 16596212 19636702 20811428 380517 387223 0 X X 0 1 X 1 1 1 X 3403356 3786577 3769554 3906068 5823703 20689258 20550 18738 21600 21600 22950 105438 3423906 3805315 3791154 3927668 5846653 20794696 20794696 637 697 22787 38515 35062 97698 3248 7738 3981 52703 67670 20960064 48164706 0.99210 0.99530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 284126 284126 7200084 509863 6690221 65772 22289 43483 1113306 569815 543491 7561321 X 19018021 71950 71950 18946071 47375 47375 18993446 18684879 71950 71950 18612929 0 18612929 PART X, LINE 2: AFFINITY HEALTH CENTER IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AFFINITY HEALTH CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OF OTHER TAXES. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO RECOGNIZE A TAX BENEFIT OR EXPENSE FROM UNCERTAIN TAX POSITION IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT BELIEVES THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 OR 2019. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON ASSET DISPOSAL -200. MISCELLANEOUS INCOME 47,106. INTEREST INCOME 469. 1 OFF-SITE SPECIALTY CARE VISITS 473 56810 FMV MEDICATIONS 406 35143 FMV INSURANCE PREMIUMS/COPAYS 314 933863 FMV MEDICAL SUPPLIES 107 19692 FMV HOUSING 25 16023 FMV TRANSPORTATION 293 16484 FMV FOOD ASSISTANCE, TRANSLATOR SERVICES, OTHER ASSISTANCE 373 30159 FMV PART I, LINE 2: AFFINITY HEALTH CENTER PROVIDES ASSISTANCE TO CLIENTS BASED ON NEED FOR EXPENSES SUCH AS SPECIALTY CARE, MEDICATIONS, HOUSING, INSURANCE PREMIUMS, EMERGENCY FOOD, AND TRANSPORTATION TO MEDICAL APPOINTMENTS. PAYMENTS ARE MADE DIRECTLY TO OUTSIDE SERVICE PROVIDERS RATHER THAN TO CLIENTS. AHC REQUIRES SUPERVISORY APPROVAL OF ALL PAYMENT REQUESTS. THE FINANCE DEPARTMENT VERIFIES APPROPRIATE DOCUMENTATION IS SUBMITTED FOR EXPENDITURES. PRIOR TO SIGNING CHECKS, THE EXECUTIVE DIRECTOR REVIEWS ALL DOCUMENTATION TO ENSURE APPROPRIATE USE OF FUNDS. AN OFFICER OF THE BOARD OF DIRECTORS SIGNS OFF ON ANY PAYMENTS OVER $5,000. X X X 0 0 0 0 0 0 0 0 0 J CRAIG CHARLES MEDICAL DIRECTOR 218075 0 8099 0 0 0 0 0 11179 0 237353 0 0 0 BRITTANY WATSON MEDICAL DOCTOR 183924 0 14896 0 0 0 0 0 4628 0 203448 0 0 0 SUSAN COLLINS DENTIST 167912 0 386 0 0 0 0 0 6414 0 174712 0 0 0 RHONNIE SONG MEDICAL DOCTOR 143255 0 15094 0 0 0 0 0 3808 0 162157 0 0 0 X PROGRAM SUPPLIES 8 40026 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S FORM 990 IS GIVEN ANNUALLY TO THE ENTIRE BOARD FOLLOWING REVIEW BY MANAGEMENT IN ITS ENTIRETY FOR FULL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C AFFINITY HEALTH CENTER (AHC) HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED WITH NEW BOARD MEMBERS DURING BOARD ORIENTATION. AT THAT TIME BOARD MEMBERS INDICATE IN WRITING ANY CONFLICTS OF INTEREST WITH AHC. OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AFFINITY HEALTH CENTER (AHC) HIRED AN INDEPENDENT HUMAN RESOURCES CONSULTANT IN 2020 TO CONDUCT A SALARY SURVEY AND RECOMMEND SALARY RANGES FOR ALL POSITIONS INCLUDING THE EXECUTIVE DIRECTOR. IN 2020 AHC'S BOARD OF DIRECTORS APPROVED THE REVISED RANGES. THE ANNUAL PERFORMANCE REVIEWS FOR OTHER OFFICERS OR KEY EMPLOYEES IS CONDUCTED IN ACCORDANCE WITH AHC POLICY BY APPROPRIATE SUPERVISOR. DETERMINATION OF ANNUAL COMPENSATION ADJUSTMENTS WITHIN APPROVED RANGES IS DETERMINED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 AFFINITY HEALTH CENTER PROVIDES THESE DOCUMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.