2020-11-04T13:45:00-06:00 2019-12-31 721202445 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2019-01-01 562439708 JEFFERSON COMMUNITY HEALTH CARE CENTERS INC JEFF 5047628931 PO BOX 2490 MARRERO LA 70073 DR SHONDRA WILLIAMS CEO 5047628931 2020-10-28 1 GINA RACHEL P01216293 5048375990 206.124.204.139 2020-10-28 10:58:33 CD P 6ECEF810B24A6CB2EC29BDA86F878531FFE79535 176BF11DD30912A97C67E3F01856CF7792CC9989 2019 2021-01-29 14:40:06Z INCLUSIVCARE DR SHONDRA WILLIAMS 4028 US HIGHWAY 90 W AVONDALE LA 70094 20845728 0 X WWW.JCHCC.ORG X 2004 LA TO ASSURE THAT QUALITY HEALTHCARE IS ACCESSIBLE AND AFFORDABLE TO THE MEDICALLY UNDERSERVED, UNINSURED, UNDER-INSURED, AND LOW TO MODERATE INCOME RESIDENTS. 12 12 90 12 0 0 6807252 4146943 2964201 15425099 14892 57900 573476 733506 10359821 20363448 0 0 0 0 4872781 5172488 0 0 0 4473307 11662857 9346088 16835345 1013733 3528103 6515592 8885350 4465268 3437229 2050324 5448121 TO ASSURE THAT QUALITY HEALTHCARE IS ACCESSIBLE AND AFFORDABLE TO THE MEDICALLY UNDERSERVED, UNINSURED, UNDER-INSURED, AND LOW TO MODERATE INCOME RESIDENTS. 0 0 14363243 0 15614454 PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, PODIATRY, AND OB-GYN TO 8,854 UNIQUE PATIENTS; 19,285 MEDICAL AND 4,445 DENTAL VISITS WERE PROVIDED IN 2019, OF WHICH 11% WERE COMMERCIALLY INSURED/MANAGED CARE/OTHER, 56% HAD MEDICAID, 10% HAD MEDICARE, AND 23% WERE PRIVATE PAY. 14363243 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 90 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LISA MORRISON 5047628931 4028 US HIGHWAY 90 W AVONDALE LA 70094 JEREMY DUMAS CHIEF MEDICAL DIRECTOR 40.00 X 233583 0 24575 SHONDRA WILLIAMS CHIEF EXECUTIVE OFFICER 40.00 X 212228 0 31667 KIMBERLY RAYFORD CHIEF DENTAL OFFICER 40.00 X 159810 0 27976 RENETTA ALLEN DEPUTY MEDICAL DIRECTOR 40.00 X 135991 0 14188 GENELLE PRICE PHYSICIAN 40.00 X 168189 0 16079 MARITZA SALGADO E HEUAY FNP 40.00 X 160452 0 30438 JOHNNIE BREAUX DENTIST 40.00 X 152419 0 13102 CANDICE ST ETIENNE-TAYLOR DENTIST 40.00 X 130675 0 2901 WANDA ROSE CHIEF FINANCIAL OFFICER 40.00 X 132577 0 10377 MARSHALL SMITH BOARD MEMBER 1.00 X 0 0 0 AUDREY PARKER BOARD MEMBER 1.00 X 0 0 0 OLGA ANDERSON BOARD MEMBER 1.00 X 0 0 0 CYNTHIA BUTLER MCINTYRE BOARD MEMBER 1.00 X 0 0 0 WILLIE KERNER BOARD MEMBER 1.00 X 0 0 0 SHONE WEBB BOARD MEMBER 1.00 X 0 0 0 ASHLEY IRVIN BOARD MEMBER 1.00 X 0 0 0 BRANDON BOYD BOARD MEMBER 1.00 X 0 0 0 THADDEUS VALENTINE BOARD CHAIR 1.00 X X 0 0 0 GWYN MEREDITH SECRETARY 1.00 X X 0 0 0 LLOYD CLARK VICE CHAIR 1.00 X X 0 0 0 BRIAN DAVIS TREASURER 1.00 X X 0 0 0 1485924 0 171303 14 0 1 0 DIGESTIVE HEALTH GROUP 840 TCHOUPITOULAS STREET UNIT 319 NEW ORLEANS LA 70130 CONTRACTED - PROVIDERS 3639475 LSUHSC - NEW ORLEANS 433 BOLIVAR STREET NEW ORLEANS LA 70112 CONTRACTED - PROVIDERS 258209 RON AUSTIN & ASSOCIATES LLC 400 MANHATTAN BLVD HARVEY LA 70058 LEGAL SERVICES 135825 THE ADMINISTRATORS OF THE TULANE EDUCATI 1430 TULANE AVENUE ROOM 4536 NEW ORLEANS LA 70112 CONTRACTED - PROVIDERS 110221 HUSBANDS FOR HIRE CONSTRUCTION LLC 168 WINNONA DRIVE AVONDALE LA 70094 CONTRACTED - CONSTRUCTION COMPANY 101752 5 19720 4113543 13680 4146943 340B DRUG PRICING PROGRAM 621110 12617562 12617562 PATIENT SERVICE REVENUE 621110 2731090 2731090 DENTAL MOBILE UNIT INCOME 621110 37284 37284 EXTENDED HOURS INCOME 621110 26050 26050 MEDICAL RECORDS INCOME 621110 10489 10489 2624 2624 15425099 58112 58112 464007 464219 -212 -212 -212 23232 19720 18061 5171 5171 DEEPWATER HORIZON SETTLEMENT 621110 538980 538980 INCENTIVE PAYMENTS 621110 149674 149674 REFUNDS/REIMBURSEMENTS 621110 39681 39681 728335 20363448 15614454 0 602051 X 832793 445944 386849 3700235 3103751 596484 72647 59906 12741 238626 216074 22552 328187 263965 64222 161914 48035 113879 107576 31915 75661 2595 2595 4559157 4327667 231490 294121 423 293698 148308 118311 29997 153137 103930 49207 601749 431420 170329 70488 6254 64234 48684 4319 44365 221691 221691 168404 148196 20208 61108 35778 25330 MEDICAL/DENTAL/PHARMACY 4809035 4809035 EQUIPMENT RENT 97909 87562 10347 SERVICE CHARGES AND FEE 57057 40001 17056 BAD DEBT EXPENSE 52987 52987 46937 27770 19167 16835345 14363243 2472102 0 268279 1446452 586550 1258456 695162 727625 275220 271952 4488 68198 5910058 2498532 3196377 3411526 1470806 1682431 18710 18710 6515592 8885350 1375714 1344048 55386 171688 3034168 1921493 4465268 3437229 X 2050324 5448121 2050324 5448121 6515592 8885350 3528103 47107 -177413 0 X X 0 1 X 1 1 1 X 4329620 5230167 4325211 6807252 4146943 24839193 4329620 5230167 4325211 6807252 4146943 24839193 24839193 11456 14570 44863 24772 58112 153773 12908 27334 34214 563596 544151 1182203 26175169 28589893 0.94900 0.99780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2015 AMOUNT: $ 12,908. 2016 AMOUNT: $ 27,334. 2017 AMOUNT: $ 18,245. 2018 AMOUNT: $ 523,479. SPECIAL EVENTS - 2017 AMOUNT: $ 15,969. 2018 AMOUNT: $ 40,117. 2019 AMOUNT: $ 5,171. DEEPWATER HORIZON SETTLEMENT - 2019 AMOUNT: $ 538,980. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 418750 418750 2786070 419498 2366572 579489 570427 9062 1574973 1336501 238472 550776 172106 378670 3411526 US CORPORATE BONDS 1031077 F CERTIFICATES OF DEPOSIT 651354 F 1682431 X 20239804 47107 18061 65168 20174636 188812 188812 20363448 16664594 18061 18061 16646533 188812 188812 16835345 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA. IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS ALSO EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S.47:121(5). THE ORGANIZATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS OR LIABILITIES THAT HAVE A GREATER THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS A RESULT OF IMPLEMENTING THIS APPROACH, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING, OR RETROACTIVE TAX POSITIONS WITH MORE THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 18,061. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 52,987. LEGAL EXPENSE INCLUDED IN REVENUE ON AUDITED FINANCIALS 135,825. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 18,061. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 52,987. LEGAL EXPENSE INCLUDED IN REVENUE ON AUDITED FINANCIALS 135,825. FALL FOODIES AND FESTIVITIES 42952 19720 23232 5064 4200 4014 4783 42952 19720 23232 5064 4200 4014 4783 18061 5171 X X X X 0 0 0 0 0 0 0 1 0 JEREMY DUMAS CHIEF MEDICAL DIRECTOR 228583 0 5000 0 0 0 0 0 24575 0 258158 0 0 0 SHONDRA WILLIAMS CHIEF EXECUTIVE OFFICER 194228 0 18000 0 0 0 0 0 31667 0 243895 0 0 0 KIMBERLY RAYFORD CHIEF DENTAL OFFICER 156310 0 3500 0 0 0 3126 0 24850 0 187786 0 0 0 RENETTA ALLEN DEPUTY MEDICAL DIRECTOR 129241 0 6750 0 0 0 2886 0 11302 0 150179 0 0 0 GENELLE PRICE PHYSICIAN 166189 0 2000 0 0 0 6728 0 9351 0 184268 0 0 0 MARITZA SALGADO E HEUAY FNP 149952 0 10500 0 0 0 4754 0 25684 0 190890 0 0 0 JOHNNIE BREAUX DENTIST 150419 0 2000 0 0 0 0 0 13102 0 165521 0 0 0 PART I, LINE 7 STAFF HAVE BEEN PROVIDED WITH YEAR-END BONUSES FOR THEIR YEARS OF SERVICE. EACH YEAR WE INTEND TO INCENTIVIZE PRODUCTION, HOWEVER, THE VALUE OFTEN OUTWEIGHS THE QUANTITY. PROVIDER RETENTION IS ON AVERAGE EIGHT YEARS. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION, FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE WHO THEN MAKES RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD REVIEWS THE COMMITTEE REPORT AND ACCEPTS FORM 990 FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE STATEMENTS ARE COMPLETED. AT THE ANNUAL MEETING, ANY EVENT WHERE A CONFLICT MAY BE SUSPECTED IS IMMEDIATELY ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 OUTSIDE DATA IS COMPILED WITH SALARY COMPARISONS, ALONG WITH REVIEWS OF OTHER ENTITIES' FORM 990 AND COMPARISON WITH LIKE-SIZED AND FUNDED COMMUNITY HEALTH CENTERS FOR THE BOARD'S CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DENTAL/MEDICAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,113,875. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,113,875. CONSULTING: PROGRAM SERVICE EXPENSES 16,495. MANAGEMENT AND GENERAL EXPENSES 39,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,599. LAB FEES: PROGRAM SERVICE EXPENSES 63,233. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,233. OPERATIONS: PROGRAM SERVICE EXPENSES 77,379. MANAGEMENT AND GENERAL EXPENSES 183,445. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 260,824. UNIFORMS/LINEN: PROGRAM SERVICE EXPENSES 52,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,913. INTERPRETATIONS: PROGRAM SERVICE EXPENSES 2,124. MANAGEMENT AND GENERAL EXPENSES 5,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,158. HR SCREENING: PROGRAM SERVICE EXPENSES 1,648. MANAGEMENT AND GENERAL EXPENSES 3,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,555. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES.