2019-11-14T16:10:54-06:00 2018-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2018-01-01 430817642 Affinia Healthcare % AFFINIA HEALTHCARE AFFI 3148148571 PO BOX 551 ST LOUIS MO 631880551 JANET VOSS CFO 3148981700 2019-11-14 true Donna J Larson P00043751 3142315544 2019-11-11 167.68.126.162 43032820193185000001 2019-11-14 P 10F8C644CB536D1F4FBF67ACA4A1CCF4657457E2 B60A4EE9D24CBCA4447F2481469D084F848E2D39 2018 2020-04-17 16:48:07Z DR ALAN O FREEMAN PO BOX 551 SAINT LOUIS MO 631880551 40542838 false X WWW.AFFINIAHEALTHCARE.ORG X 1906 MO TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES. 19 19 511 105 0 12860 12046682 11216652 28332659 29168791 3264 9553 3356 0 40385961 40394996 0 0 0 0 26033874 27010703 0 0 0 14244037 13171894 40277911 40182597 108050 212399 22082770 25271877 18960628 22061636 3122142 3210241 X TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES. false false 22292952 19827930 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: 35,917 7394551 5969794 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: 4,401 3076612 2250696 PUBLIC HOUSING HEALTH PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 3,359 1169306 1120372 WIC (WOMEN, INFANTS, AND CHILDREN) PROGRAM PROVIDES NUTRITIONAL ASSISTANCE 1169306 1120372 33933421 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 true false false false false false false false false true 23 0 true 511 true true true 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 X JOAN D'AMBROSE DIRECTOR 2.0 0.0 X 0 0 0 SREENU DANDAMUDI 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 ROBERT JACOBSON TREASURER 2.0 0.0 X X 0 0 0 KIMBALL MCMULLIN DIRECTOR 2.0 0.0 X 0 0 0 LAUREL TINSLEY VICE CHAIR 2.0 0.0 X X 0 0 0 WILLIAM VAN LUVEN DIRECTOR 2.0 0.0 X 0 0 0 JAN VEST DIRECTOR 2.0 0.0 X 0 0 0 DAVID WALTERS CHAIR 2.0 0.0 X 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 KEVIN HACHEGCHOG 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 DEBRA LEONARD DIRECTOR 2.0 0.0 X 0 0 0 VICKIE LOMAX 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 GILBERT PEOPLES SECRETARY 2.0 0.0 X X 0 0 0 ALEXIS SLEET DIRECTOR 2.0 0.0 X 0 0 0 ALAN O FREEMAN PRESIDENT & CEO 40.0 0.0 X 310594 0 28453 MELISSA TEPE MD VP CHIEF MEDICAL OFFICER 40.0 0.0 X 258747 0 8135 KENDRA HOLMES VP & CHIEF OPERATING OFFICER 40.0 0.0 X 196322 0 7800 JANET VOSS CPA VP OF FINANCE & CFO 40.0 0.0 X 184904 0 15682 JAMES ANDERSON VP CHIEF INFORMATION OFFICER 40.0 0.0 X 143615 0 21868 YVONNE BUHLINGER VP DEVELOPMENT 40.0 0.0 X 132362 0 15489 MARGARET BAUM MD OB/GYN PHYSICIAN 40.0 0.0 X 250048 0 19571 THOMAS KUCIEJCZYK-KERNAN FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 216671 0 19597 JUEE PHALAK PSYCHIATRIST 40.0 0.0 X 211993 0 14916 MICAELA O'NEIL-CALLAHAN MD OB/GYN PHYSICIAN 40.0 0.0 X 221785 0 20408 TIMOTHY MCCANN MD PHYSICIAN 40.0 0.0 X 209756 0 7301 2336797 0 179220 34 false true false ALL ACCESS INTERPRETERS 8460 WATSON RD SAINT LOUIS MO 63119 INTERPRETATION 586663 MB HOLDINGS 1736 WESTPARK CENTER DRIVE FENTON MO 63026 JANITORIAL 308721 BKD LLP 211 N BROADWAY 600 SAINT LOUIS MO 63102 ACCTG & TAXATION 152796 SAINT LOUIS UNIVERSITY 1438 SO GRAND BLVD TM 107 SAINT LOUIS MO 63102 CONTRACT PHYSICIANS 152225 ST PATRICK CENTER 800 N TUCKER SAINT LOUIS MO 63102 HOMELESS SERVICE 124302 6 9528617 1688035 78913 11216652 MEDICARE/CAID REIMBURSEMENTS 621110 18534997 18534997 PROGRAM SERVICE FEES 621110 10633794 10633794 29168791 18642 18642 0 0 0 0 0 138753 147842 -9089 -9089 -9089 0 0 0 0 0 0 0 0 0 0 40394996 29168791 9553 0 0 0 0 1323971 266882 1057089 0 21217911 19229690 1988221 534653 424501 110152 2410548 2143055 267493 1523620 1330804 192816 0 54585 54585 233728 233728 0 0 0 3567161 3179469 387692 0 3252409 2864263 388146 494587 494587 0 2271251 2021151 250100 88834 52809 36025 0 158947 97016 61931 278010 278010 0 1012719 866285 146434 56523 11260 45263 PROVISION FOR BAD DEBT 1159068 1159068 0 0 ORGANIZATION DUES 116580 31226 85354 0 REPAIRS AND MAINTENANCE 169897 142285 27612 0 MISCELLANEOUS 257595 113657 143938 0 40182597 33933421 6249176 0 3341813 3493722 0 0 841935 556284 3506480 3740458 0 0 0 0 0 0 0 0 221207 91596 25390798 12584915 13678398 12805883 0 0 0 0 0 0 0 0 492937 4583934 22082770 25271877 7184124 10622077 0 0 2000 0 0 0 0 0 0 0 6296538 5855437 0 0 5477966 5584122 18960628 22061636 X 2834674 3116969 287468 93272 0 0 3122142 3210241 22082770 25271877 X 212399 -124300 X false true X true true true X 8822553 10022004 11798740 12046682 11216652 53906631 0 0 8822553 10022004 11798740 12046682 11216652 53906631 0 53906631 232 168 147 47 18642 19236 0 0 53925867 133816112 0.99964 0.99997 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 287468 194196 93272 246403 235536 194471 287468 168949 183427 105973 246403 58299 178874 68224 168949 269280 63553 274534 58299 1.00000 false false 368949 368949 15222137 4990429 10231708 1477038 334492 1142546 5919824 5254208 665616 2402850 2005785 397064 12805883 INVESTMENT IN EQUITY INVESTEES 448934 EST AMOUNTS DUE FROM MEDICAID 4135000 4583934 0 ACCRUED PENSION COSTS 5584122 5584122 44827171 5387958 194196 5582154 39245017 1149979 1149979 40394996 44420576 5387958 5387958 39032618 1149979 1149979 40182597 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 FIN 48 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 194,196 SCHEDULE D, PART XII, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: BAD DEBT EXPENSE 1,159,068 LOSS ON SALE OF FIXED ASSETS -9,089 --------- TOTAL 1,149,979 SCHEDULE D, PART XI, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: BAD DEBT EXPENSE 1,159,068 LOSS ON SALE OF FIXED ASSETS -9,089 ---------- TOTAL 1,149,979 X X X X X false false false false false false false false false ALAN O FREEMAN PRESIDENT & CEO 307210 0 0 3384 0 9882 0 18571 0 339047 0 MELISSA TEPE MD VP CHIEF MEDICAL OFFICER 252685 0 5500 0 562 0 6615 0 1520 0 266882 0 KENDRA HOLMES VP & CHIEF OPERATING OFFICER 188397 0 7500 0 425 0 6071 0 1729 0 204122 0 JANET VOSS CPA VP OF FINANCE & CFO 176685 0 6500 0 1719 0 6071 0 9611 0 200586 0 JAMES ANDERSON VP CHIEF INFORMATION OFFICER 136579 0 5000 0 2036 0 4737 0 17131 0 165483 0 MARGARET BAUM MD OB/GYN PHYSICIAN 239889 0 9442 0 717 0 7940 0 11631 0 269619 0 THOMAS KUCIEJCZYK-KERNAN FAMILY PRACTICE PHYSICIAN 210453 0 3274 0 2944 0 7866 0 11731 0 236268 0 JUEE PHALAK PSYCHIATRIST 202589 0 9000 0 404 0 5737 0 9179 0 226909 0 MICAELA O'NEIL-CALLAHAN MD OB/GYN PHYSICIAN 212006 0 9290 0 489 0 6459 0 13949 0 242193 0 TIMOTHY MCCANN MD PHYSICIAN 201832 0 3675 0 4249 0 5781 0 1520 0 217057 0 X 245 78913 FMV false false false PART I, COLUMN B THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B. 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 CAREASSOCIATION. 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 (124,300).