2016-07-13T09:18:55-05:00 2015-08-31 430765316 RUBINBROWN LLP ONE NORTH BRENTWOOD SAINT LOUIS MO 63105 990 2014-09-01 203288245 ST LOUIS INTEGRATED HEALTH NETWORK STLO 3146571483 1520 MARKET STREET NO 4034 ST LOUIS MO 631032625 ANGELA ARCHIBALD-CLABON TREASURER 3146571483 2016-06-02 1 KIMBERLY A RYAN P00829977 3142903300 2014 2016-09-27 15:27:22Z ANGELA ARCHIBALD-CLAYB 1520 MARKET STREET SUITE 4034 ST LOUIS MO 63103 1093932 0 X WWW.STLOUISIHN.ORG X 2004 MO THE ORGANIZATION IS A PARTNERSHIP OF SAFETY NET HEALTHCARE ORGANIZATIONS IN ST. LOUIS CITY AND COUNTY. THE GOAL OF THE ORGANIZATION IS TO ENSURE ACCESS TO HEALTH CARE FOR UNINSURED AND UNDERINSURED ADULTS AND CHILDREN THROUGH INCREASED INTEGRATION AND COORDINATION OF A SAFETY NET FOR HEALTH CARE. 9 9 16 30 0 0 631328 427079 511538 666533 302 320 200 0 1143368 1093932 0 0 0 0 770740 804693 0 0 9780 317214 294641 1087954 1099334 55414 -5402 923967 930907 86319 98661 837648 832246 X THE ORGANIZATION IS A PARTNERSHIP OF PRIMARY AND SPECIALTY MEDICAL CARE PROVIDERS IN ST LOUIS CITY AND COUNTY. THE GOAL OF THE ORGANIZATION IS TO ENSURE ACCESS TO HEALTH CARE FOR UNINSURED AND UNDERINSURED CHILDREN AND ADULTS THROUGH INCREASED INTEGRATION AND COORDINATION OF A SAFETY NET FOR HEALTH CARE. THE ORGANIZATION'S PROVIDERS SERVE 200,000 INDIVIDUALS IN THE ST. LOUIS REGION EACH YEAR FOR PRIMARY CARE THROUGH MORE THAN 400,000 ENCOUNTERS. 0 0 756284 666533 THE COMMUNITY REFERRAL COORDINATOR PROGRAM UTILIZES REFERRAL COORDINATORS TO CONNECT NON-EMERGENCY EMERGENCY DEPARTMENT PATIENTS WITH A PRIMARY CARE PROVIDER FOR FOLLOW-UP AND PREVENTATIVE CARE. IN PARTICULAR, THE PROGRAM FOCUSES ON SERVING MEDICAID AND UNINSURED PATIENTS. THE PROGRAM IS ALSO FOCUSING EFFORTS ON PATIENTS WITH CHRONIC CARE NEEDS TO INCREASE THE UTLIIZATION OF PREVENTATIVE CARE SERVICES AVAILABLE IN THE COMMUNITY. 116608 EFFORTS TO OUTCOMES (ETO) - IHN PROVIDES AN OUTCOMES MANAGEMENT SERVICE THAT UTILIZES THE ETO SOFTWARE AS A TOOL TO ASSIST HEALTH CENTERS, HOSPITALS, AND ORGANIZATIONS. ETO IS A METRICS DRIVEN PLATFORM DESIGNED TO PROVIDE QUALITY INDICATORS AND PERFORMANCE MEASUREMENTS, AS WELL AS INITIATE QUALITY IMPROVEMENT EFFORTS. THE ETO SOFTWARE IS CUSTOMIZABLE TO MANAGE DATA IN ORDER TO TRACK EFFECTIVENESS AND IMPROVE OUTCOMES FOR CLIENTS. 90946 A PARTNERSHIP ENTITLED "STUDENTS AS COACHES: NAVIGATING THE ST. LOUIS SAFETY-NET HEALTH CARE SYSTEM" BETWEEN THE ORGANIZATION AND SAINT LOUIS UNIVERSITY (SLU) SCHOOL OF MEDICINE, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE. THE GOAL OF THE PROGRAM IS TO DEVELOP A SERVICE AND ADVOCACY LEARNING COMMUNITY ELECTIVE AND INTEREST GROUP WITH MEDICAL STUDENTS THAT CREATES A LEARNING COMMUNITY FOCUSED ON CLINICAL AND LEADERSHIP OPPORTUNITIES AND PATIENT ADVOCACY WITHIN THE SAFETY-NET HEALTHCARE SYSTEM. 963838 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 16 1 0 0 0 0 0 0 0 1 1 0 X 9 9 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X ANGELA ARCHIBALD-CLAYBON 3146571483 1520 MARKET STREET SUITE 4034 ST LOUIS MO 631032625 ROBERT MASSIE CHAIR 1.00 X X 0 0 0 ALAN FREEMAN DIRECTOR 1.00 X 0 0 0 JAMES P CRANE DIRECTOR 1.00 X 0 0 0 DWAYNE BUTLER DIRECTOR 1.00 X 0 0 0 MELBA MOORE DIRECTOR 1.00 X 0 0 0 DR DAVID SCHNEIDER DIRECTOR 1.00 X 0 0 0 BETHANY JOHNSON-JAVOIS EXECUTIVE DIRECTOR 40.00 X X 150942 0 12118 ANGELA ARCHIBALD-CLABON TREASURER 1.00 X 0 0 0 DR FAISAL KAHN DIRECTOR 1.00 X 0 0 0 150942 0 12118 1 0 1 0 0 220000 206479 600 427079 REFERRAL COORDINATOR 621400 666533 666533 666533 320 320 1093932 666533 0 320 80053 54570 22094 3389 574734 558650 15738 346 8231 8231 84614 79547 4878 189 57061 52796 4082 183 13232 10572 2660 59880 40827 16059 2994 98193 60882 35433 1878 30 30 31036 21525 9085 426 6624 4516 1942 166 4854 2414 2440 10919 3844 7075 1273 1048 219 6 4062 678 3185 199 TAXES AND LICENSING FEE 48251 48038 209 4 BAD DEBT 7500 7500 WORKER'S COMPENSATION 4325 4381 -56 OTHER MISCELLANEOUS EXP 2802 2689 113 1660 1100 560 1099334 963838 125716 9780 24693 28088 843180 788033 45614 108381 6624 0 20387 13982 3856 6405 923967 930907 78819 98661 7500 0 86319 98661 X 499777 534422 337871 297824 837648 832246 923967 930907 -5402 0 X X 0 1 X 1 0 X 2212707 1878973 1153300 631328 427079 6303387 2212707 1878973 1153300 631328 427079 6303387 105210 6198177 272 263 226 302 320 1383 6304770 0.98310 0.99460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20387 13982 6405 6405 1214853 120921 120921 1093932 0 1093932 1220255 120921 120921 1099334 0 1099334 X 0 0 0 0 0 0 0 0 0 BETHANY JOHNSON-JAVOIS EXECUTIVE DIRECTOR 150942 0 0 0 0 0 0 0 12118 0 163060 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS OUTSOURCED THE ACCOUNTING FUNCTION AND THE OFFICE OF THE CONTROLLER TO A PROFESSIONAL SERVICES FIRM - ROI BUSINESS SOLUTIONS, INC. THE ACCOUNTING ACTIVITY AND RESPONSIBILITIES OF THE CONTROLLER ARE SUPERVISED BY THE CEO AND THE TREASURER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION ON A PERIODIC BASIS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT CURRENTLY HAVE ANY FORMAL COMMITTEES OF THE BOARD OF DIRECTORS THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM, REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO THE FORM BEING FILED WITH THE IRS BY MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION COLLECTS CONFLICT OF INTEREST STATEMENTS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION AND THE CHAIRMAN OF THE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST IS PRESENT, THE APPLICABLE BOARD MEMBER(S) IS/ARE EXCUSED FROM ANY DECISIONS MADE BY THE ORGANIZATION AS RELATED TO THE NOTED CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR HIGHLY COMPENSATED EMPLOYEES OTHER THAN THE CEO. THE BOARD OF DIRECTORS APPROVED THE SALARY OF THE ORGANIZATION'S CEO BASED ON COMPARISONS FOR SIMILAR POSITIONS IN SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE COMPARATIVE INFORMATION WAS ACCUMULATED BY THE ORGANIZATION DURING THE SEARCH FOR A NEW CEO DURING A PREVIOUS FISCAL YEAR. ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE TO DETERMINE IF A CHANGE IN COMPENSATION IS WARRANTED. FORM 990, PART VI, SECTION C, LINE 19 THE VARIOUS DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST ADDRESSED TO THE ORGANIZATION'S OFFICE. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.