2020-11-13T15:49:15-06:00 2019-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2019-01-01 430817642 Affinia Healthcare % AFFINIA HEALTHCARE AFFI 3148148571 PO BOX 551 ST LOUIS MO 631880551 JANET VOSS CFO 3148981700 2020-11-15 true Donna J Larson P00043751 3142315544 2020-11-15 167.68.126.162 43032820203185000009 2020-11-13 P AEB02BD67E247D29FAD4580EF1A53771DE7546FD ABECA8FE88DF08A23907C85B1DBE4B3094C64B1B 2019 2021-01-29 14:40:06Z DR ALAN O FREEMAN PO BOX 551 SAINT LOUIS MO 631880551 41553529 false X WWW.AFFINIAHEALTHCARE.ORG X 1906 MO TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES. 19 19 492 100 0 0 11216652 11963616 29168791 29456972 9553 125058 0 0 40394996 41545646 0 0 0 0 27010703 27956344 0 0 0 13171894 11110305 40182597 39066649 212399 2478997 25271877 26762562 22061636 21026847 3210241 5735715 X TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES. false false 20023209 20248225 PRIMARY MEDICAL CARE PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, SUBSTANCE ABUSE, AUDIOLOGY AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 35,576 7826637 5796828 HEALTH CARE FOR THE HOMELESS PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, SUBSTANCE ABUSE AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 4,416 3292381 2268324 PUBLIC HOUSING HEALTH PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 3,756 1146188 1143595 WIC (WOMEN, INFANTS, AND CHILDREN) PROGRAM PROVIDES NUTRITIONAL ASSISTANCE 1146188 1143595 32288415 true true false false false false false false false true true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 22 0 true 492 true false false false false false false false false false false false false X 19 19 false false false false false false false true true false false true true true true true true true true true true X AFFINIA HEALTHCARE 3148148513 PO BOX 551 SAINT LOUIS MO 63188 ALAN O FREEMAN PRESIDENT & CEO 40.0 0.0 X 312214 0 22744 MELISSA TEPE VP -CHIEF MEDICAL OFFICER 40.0 0.0 X 264548 0 5005 MARGARET BAUM OB/GYN PHYSICIAN 40.0 0.0 X 240124 0 13614 JUEE PHALAK CHILD PSYCHIATRIST 40.0 0.0 X 222438 0 10626 THOMAS KUCIEJCZYK-KERN FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 220993 0 10677 MICAELA ONEIL-CALLAHAN OB/GYN PHYSICIAN 40.0 0.0 X 220005 0 10677 MARY KEEGAN OB/GYN PHYSICIAN 40.0 0.0 X 216786 0 5484 KENDRA HOLMES VP & COO 40.0 0.0 X 195488 0 5109 JANET VOSS VP & CFO 40.0 0.0 X 181830 0 12463 JAMES P ANDERSON VP & CHIEF INFORMATION OFFICER 40.0 0.0 X 143290 0 20256 YVONNE BUHLINGER VP & DEVELOPMENT & COM. RELATI 40.0 0.0 X 131695 0 11445 DAVID WALTERS CHAIR 2.0 0.0 X X 0 0 0 LAURAL TINSLEY VICE CHAIR 2.0 0.0 X X 0 0 0 ROBERT JACOBSON TREASURER 2.0 0.0 X X 0 0 0 GILBERT PEOPLES SECRETARY 2.0 0.0 X X 0 0 0 JOAN D'AMBROSE DIRECTOR 2.0 0.0 X 0 0 0 HARRY DENGLER DIRECTOR 2.0 0.0 X 0 0 0 RIISA EASLEY DIRECTOR 2.0 0.0 X 0 0 0 JEAN FRAZEE DIRECTOR 2.0 0.0 X 0 0 0 FORBES MCMULLIN DIRECTOR 2.0 0.0 X 0 0 0 KIMBALL MCMULLIN DIRECTOR 2.0 0.0 X 0 0 0 PAMELA BARSH DIRECTOR 2.0 0.0 X 0 0 0 ELIZABETH COLEMAN DIRECTOR 2.0 0.0 X 0 0 0 TONDALERIA CURRY DIRECTOR 2.0 0.0 X 0 0 0 PAULA DAVIS DIRECTOR 2.0 0.0 X 0 0 0 KEVIN HACHEGECHOG DIRECTOR 2.0 0.0 X 0 0 0 DEBRA LEONARD DIRECTOR 2.0 0.0 X 0 0 0 GWENDOLYN HALL DIRECTOR 2.0 0.0 X 0 0 0 GEORGIA HARRIS DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM VAN LUVEN DIRECTOR 2.0 0.0 X 0 0 0 2349411 0 128100 29 false true false ALL ACCESS INTERPRETERS LLC 8460 WATSON ROAD SUITE 220 SAINT LOUIS MO 63119 INTERPRETATION 563999 MB HOLDINGS LLC 1736 WESTPARK CENTER DRIVE FENTON MO 63026 JANITORIAL 475948 WASHINGTON UNIV SCHOOL OF MEDICINE 600 S EUCLID SAINT LOUIS MO 63110 CONTRACT PHYSICIANS 236253 FIELDS DATA RECOVERY 1010 MARKET ST SUITE 590 SAINT LOUIS MO 63101 DATA RECOVERY 235132 ST PATRICK CENTER 800 N TUCKER BLVD SAINT LOUIS MO 63101 HOMELESS SERVICE 222888 6 10226179 1737437 11963616 MEDICARE/CAID REIMBURSEMENTS 621110 19256011 19256011 PROGRAM SERVICE FEES 621110 10200961 10200961 29456972 22941 22941 0 0 0 0 0 110000 7883 102117 102117 102117 0 0 0 0 0 0 0 0 0 0 41545646 29456972 125058 0 0 0 0 1306087 269553 1036534 0 21953411 20121674 1831737 681667 385777 295890 2432440 2185453 246987 1582739 1394470 188269 0 73554 73554 240780 240780 0 0 0 3018328 2367947 650381 0 3124620 2694747 429873 720638 720638 0 1881803 1686008 195795 91461 57100 34361 0 132878 86248 46630 257703 257703 0 871478 740756 130722 161900 17783 144117 ORGANIZATION DUES 136369 44680 91689 REPAIRS AND MAINTENANCE 118249 86685 31564 MISCELLANEOUS 280544 149534 131010 39066649 32288415 6778234 0 3493722 2085740 0 0 556284 710222 3740458 3088835 0 0 0 0 0 0 0 0 91596 120390 25149438 12849195 12805883 12300243 0 0 0 0 0 0 0 0 4583934 8457132 25271877 26762562 10622077 9928609 0 0 0 0 0 0 0 0 0 0 5855437 5399030 0 0 5584122 5699208 22061636 21026847 X 3116969 5735715 93272 0 3210241 5735715 25271877 26762562 X 2478997 46477 X false true X true true true X 10022004 11798740 12046682 11216652 11963615 57047693 0 0 10022004 11798740 12046682 11216652 11963615 57047693 0 57047693 168 147 47 18642 22941 41945 0 0 57089638 139234297 0.99926 0.99964 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 287468 194196 93272 246403 235536 194471 287468 168949 183427 105973 246403 58299 178874 68224 168949 1.00000 false false 368949 368949 15365595 5499764 9865831 1477038 381102 1095936 5773076 5114608 658468 2164780 1853721 311059 12300243 INVESTMENT IN EQUITY INVESTEES 787132 EST AMOUNTS DUE FROM MEDICAID 7670000 8457132 0 ACCRUED PENSION COSTS 5699208 5699208 46801536 5351588 93272 5444860 41356676 188970 188970 41545646 44316120 5351588 5351588 38964532 102117 102117 39066649 SCHEDULE D, PART V, LINE 4 USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S VARIOUS HEALTH CARE PROGRAMS SUCH AS THE DIABETES PROGRAM, BREAST CANCER PROGRAM, AND BEHAVIORAL HEALTH PROGRAM. SCHEDULE D, PART X, LINE 2 ASC 740 DISCLOSURE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990: NET ASSETS RELEASED FROM RESTRICTION 93,272 SCHEDULE D, PART XI, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: GAIN ON SALE OF FIXED ASSETS 102,117 GRANT FROM AFFINIA FOUNDATION + 86,853 ------------- TOTAL 188,970 SCHEDULE D, PART XII, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: GAIN ON SALE OF FIXED ASSETS 102,117 X X X X X false false false false false false false false false ALAN O FREEMAN PRESIDENT & CEO 307794 0 0 0 4420 0 5496 0 17248 0 334958 0 MELISSA TEPE VP -CHIEF MEDICAL OFFICER 264029 0 0 0 519 0 3805 0 1200 0 269553 0 KENDRA HOLMES VP & COO 195096 0 0 0 392 0 3909 0 1200 0 200597 0 JANET VOSS VP & CFO 180242 0 0 0 1588 0 3729 0 8734 0 194293 0 JAMES P ANDERSON VP & CHIEF INFORMATION OFFICER 141407 0 0 0 1883 0 3008 0 17248 0 163546 0 MARGARET BAUM OB/GYN PHYSICIAN 239642 0 0 0 482 0 4880 0 8734 0 253738 0 JUEE PHALAK CHILD PSYCHIATRIST 222065 0 0 0 373 0 4496 0 6130 0 233064 0 THOMAS KUCIEJCZYK-KERNAN FAMILY PRACTICE PHYSICIAN 220624 0 0 0 369 0 4454 0 6223 0 231670 0 MICAELA ONEIL-CALLAHAN OB/GYN PHYSICIAN 219636 0 0 0 369 0 4454 0 6223 0 230682 0 MARY KEEGAN OB/GYN PHYSICIAN 216430 0 0 0 356 0 4297 0 1187 0 222270 0 FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED FOR REVIEWING FORM 990: THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C PROCESS OF MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST: ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT NOTING FULL COMPLIANCE OR ANY EXCEPTIONS. ANY EXCEPTIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE BOARD COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING CEO COMPENSATION: CEO COMPENSATION WAS DETERMINED IN JUNE OF 2018 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON PERFORMANCE INDICATORS AND SURVEYS PROVIDED BY AN INDEPENDENT CONSULTING FIRM AND THE MISSOURI PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATION: A BI-ANNUAL SALARY SURVEY PROVIDED BY THE MISSOURI PRIMARY CARE ASSOCIATION IS USED IN CONJUNCTION WITH A SURVEY FROM AAIM TO DETERMINE RANGES FOR ALL KEY POSITIONS AND DETERMINE WHETHER SALARIES ARE COMPETITIVE. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AS REQUIRED BY FEDERAL REGULATION THAT APPLIES TO COMMUNITY HEALTH CENTERS. FORM 990, PART XI, LINE 9 OTHER CHANGE IN NET ASSETS OR FUND BALANCES: CHANGE IN DEFINED BENEFIT PLAN 46,477.