PRIMARY CARE HEALTH SERVICES: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PRIMARY CARE HEALTH SERVICES (EIN 25-1300356)
- Tax period
- 2013-11-01 to 2014-10-31
- Filed
- 2015-09-15
- IRS object ID
- 201512589349301236
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-15T19:43:47-05:00 | ReturnTs |
| Tax Period End | 2014-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 STANWIX STREET SUITE 800 | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15222 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251300356 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIMARY CARE HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PRIM | BusinessNameControlTxt |
| Phone | 4122444700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7227 HAMILTON AVENUE | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15208 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHELSEY SIRMONS III | PersonNm |
| Person Title | FINANCE DIRECTOR | PersonTitleTxt |
| Phone | 4122444700 | PhoneNum |
| Signature | 2015-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R LENART EA | PreparerPersonNm |
| PTIN | P00289136 | PTIN |
| Phone | 4126976400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHELSEY SIRMONS III | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7227 HAMILTON AVENUE | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,453,878 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PCHSPITT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PRIMARY AND PREVENTIVE HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 180 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,356,951 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,280,512 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,586,211 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,867,194 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$575,889 | PYInvestmentIncomeAmt |
| CY Investment Income | -$119,962 | CYInvestmentIncomeAmt |
| PY Other Revenue | $487,595 | PYOtherRevenueAmt |
| CY Other Revenue | $305,974 | CYOtherRevenueAmt |
| PY Total Revenue | $11,854,868 | PYTotalRevenueAmt |
| CY Total Revenue | $12,333,718 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $941,105 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,229 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,149,283 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,774,567 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,712,724 | PYOtherExpensesAmt |
| CY Other Expenses | $5,491,248 | CYOtherExpensesAmt |
| PY Total Expenses | $12,803,112 | PYTotalExpensesAmt |
| CY Total Expenses | $13,277,044 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$948,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$943,326 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,543,905 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,970,481 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,901,213 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,271,115 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,642,692 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,699,366 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDING PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO MEDICALLY UNDERSERVED AND INDIGENT POPULATIONS IN ALLEGHENY COUNTY REGARDLESS OF ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,728,160 | ExpenseAmt |
| Revenue | $3,996,628 | RevenueAmt |
| Desc | TO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES FOR PEOPLE LIVING IN THE MEDICALLY UNDERSERVED COMMUNITIES AND INDIGENT POPULATIONS RESIDING IN ALLEGHENY COUNTY WITHOUT REGARD TO AN INDIVIDUAL'S ABILITY TO PAY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $890,492 | ExpenseAmt |
| Revenue | $528,965 | RevenueAmt |
| Desc | TO PROVIDE HEALTH CARE TO THE HOMELESS POPULATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $395,774 | ExpenseAmt |
| Revenue | $235,096 | RevenueAmt |
| Desc | TO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES FOR POPULATIONS RESIDING IN PUBLIC HOUSING. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,879,927 | ExpenseAmt |
| Revenue | $1,116,705 | RevenueAmt |
| Desc | TO ADDRESS THE PROBLEM OF INADEQUATE READINESS FOR SCHOOL FOR CHILDREN ENTERING PRIMARY-LEVEL SCHOOLING FOR 135 FAMILIES IN THE WILKINSBURG AREA AND TO PROVIDE TRANSITIONAL SUPPORTIVE HOUSING FOR AT-RISK INDIVIDUALS OTHER SOCIAL SERVICES PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,879,927 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,116,705 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,894,353 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 180 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHELSEY SIRMONS III | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4122444974 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7227 HAMILTON AVENUE | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15208 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICHARD ADAMS JR | ||||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SAMUEL THOMPSON | ||||||||
| VICE PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CAROLYN CALLAHAN | ||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONALD NORRINGTON | ||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TAWNYA FARRIS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOTTIE REED | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHAWN THOMAS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLARENCE MATTHEWS | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RONALD THORNHILL | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES WILLIAMS III | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL BARNETT | ||||||||
| MEDICAL DIRECTOR | 40.00 | 1.00 | Yes (X) | $80,000 | $0 | $30,505 | ||
| EVERETT BLANTON | ||||||||
| TECHNICAL DIRECTOR | 40.00 | 1.00 | Yes (X) | $92,664 | $0 | $17,503 | ||
| WILFORD PAYNE | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 1.00 | Yes (X) | $126,982 | $0 | $14,441 | ||
| ELIZABETH QUINN | ||||||||
| DIRECTOR OF OPERATIONS | 40.00 | 1.00 | Yes (X) | $87,464 | $0 | $17,014 | ||
| CHELSEY SIRMONS III | ||||||||
| FINANCE DIRECTOR | 40.00 | 1.00 | Yes (X) | $93,181 | $0 | $29,127 | ||
| DEEPTHI KOTIHAL | ||||||||
| PHYSICIAN | 40.00 | $116,004 | $0 | $12,431 | Yes (X) | |||
| ROBIN SIMS | ||||||||
| PHYSICIAN | 40.00 | $123,065 | $0 | $20,843 | Yes (X) | |||
| DANIEL LAPP | ||||||||
| PHYSICIAN | 40.00 | $122,828 | $0 | $35,070 | Yes (X) | |||
| SHIRLEY KENNEDY | ||||||||
| PHYSICIAN | 40.00 | $114,400 | $0 | $19,942 | Yes (X) | |||
| FELICIA YOUNG | ||||||||
| PHYSICIAN | 40.00 | $114,400 | $0 | $19,942 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,070,988 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,818 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEGAPATH DBA GTT COMMUNICATIONS INC | |||||
| DEPARTMENT 111023 PO BOX 150421 | HARTFORD | CT | 06115 | COMPUTER INTERNET AND NETWORKING SERVICE | $130,907 |
| QUEST DIAGNOSTICS | |||||
| 16410 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | REFERENCE LABORATORY SERVICES | $120,322 |
| WPIC OF UPMC PRESBYTERIAN | |||||
| 3811 OHARA STREET | PITTSBURGH | PA | 15213 | PROVIDES MENTAL HEALTH AND SUBSTANCE ABU | $114,345 |
| UNIVERSITY OF PITTSBURGH | |||||
| PO BOX 371220 | PITTSBURGH | PA | 15251 | PROVIDES MEDICAL SERVICES | $109,419 |
| HONEYWELL INTERNATIONAL INC | |||||
| 12490 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HEATING AND AIR CONDITIONING | $101,167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,513,540 | GovernmentGrantsAmt |
| All Other Contributions | $766,972 | AllOtherContributionsAmt |
| Total Contributions | $6,280,512 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $2,784,604 | $2,784,604 |
| PHARMACY | 621400 | $1,934,161 | $1,934,161 |
| PREMIUM REVENUE | 621400 | $762,357 | $762,357 |
| MEDICARE/MEDICAID COST REIMBURSEM | 621400 | $386,072 | $386,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,867,194 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198 | TotalRevenueColumnAmt |
| Exclusion | $198 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,200 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,200 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $120,160 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$120,160 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$120,160 | TotalRevenueColumnAmt |
| Exclusion | -$120,160 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $295,774 | TotalRevenueColumnAmt |
| Exclusion | $295,774 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $295,774 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,333,718 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,877,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $175,812 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,229 | TotalAmt |
| Program Services | $11,229 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,881 | TotalAmt |
| Program Services | $471,105 | ProgramServicesAmt |
| Management And General | $117,776 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,235,516 | TotalAmt |
| Program Services | $3,843,988 | ProgramServicesAmt |
| Management And General | $1,391,528 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,871 | TotalAmt |
| Management And General | $9,871 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,522,020 | TotalAmt |
| Program Services | $985,074 | ProgramServicesAmt |
| Management And General | $536,946 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,279 | TotalAmt |
| Program Services | $316,542 | ProgramServicesAmt |
| Management And General | $101,737 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,335 | TotalAmt |
| Program Services | $4,950 | ProgramServicesAmt |
| Management And General | $56,385 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,303,395 | TotalAmt |
| Program Services | $832,837 | ProgramServicesAmt |
| Management And General | $470,558 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,338 | TotalAmt |
| Program Services | $124,058 | ProgramServicesAmt |
| Management And General | $323,280 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,716 | TotalAmt |
| Program Services | $428,716 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,950 | TotalAmt |
| Program Services | $4,606 | ProgramServicesAmt |
| Management And General | $33,344 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,979 | TotalAmt |
| Management And General | $18,979 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,379 | TotalAmt |
| Program Services | $193,513 | ProgramServicesAmt |
| Management And General | $18,866 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,664 | TotalAmt |
| Program Services | $61,427 | ProgramServicesAmt |
| Management And General | $161,237 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT SUPPLIES | $1,861,477 | $1,792,217 | $69,260 |
| BAD DEBT | $784,817 | $784,817 | |
| EQUIPMENT & MAINTENANCE | $75,022 | $18,999 | $56,023 |
| TRAINING & RECRUITMENT | $34,334 | $17,433 | $16,901 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,842 | TotalAmt |
| Program Services | $2,842 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,277,044 | TotalAmt |
| Program Services | $9,894,353 | ProgramServicesAmt |
| Management And General | $3,382,691 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,330 | BOYAmt |
| EOY | $7,329 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,946 | BOYAmt |
| EOY | $1,126,223 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,348,337 | BOYAmt |
| EOY | $709,373 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,129,624 | BOYAmt |
| EOY | $701,238 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,011 | BOYAmt |
| EOY | $75,542 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $26,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,050,360 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,886,503 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,486,853 | BOYAmt |
| EOY | $2,163,857 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,804 | BOYAmt |
| EOY | $160,672 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,543,905 | BOYAmt |
| EOY | $4,970,481 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,402,859 | BOYAmt |
| EOY | $1,653,638 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,354 | BOYAmt |
| EOY | $617,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,901,213 | BOYAmt |
| EOY | $2,271,115 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,205,489 | BOYAmt |
| EOY | $2,385,263 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,203 | BOYAmt |
| EOY | $314,103 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,642,692 | BOYAmt |
| EOY | $2,699,366 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,543,905 | BOYAmt |
| EOY | $4,970,481 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$943,326 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,063,881 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,698,054 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,602,242 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,356,951 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,280,512 | CurrentTaxYearAmt |
| Total | $38,001,640 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,970,814 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,843,591 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,353,387 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,586,211 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,867,194 | CurrentTaxYearAmt |
| Total | $24,621,197 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,034,695 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,541,645 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,955,629 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,943,162 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,147,706 | CurrentTaxYearAmt |
| Total | $62,622,837 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $62,622,837 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,585 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,398 | CurrentTaxYearAmt |
| Total | $168,305 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,585 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,398 | CurrentTaxYearAmt |
| Total | $168,305 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $450,070 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,405,874 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,214,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $526,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $295,774 | CurrentTaxYearAmt |
| Total | $3,892,763 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,540,106 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,995,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,200,229 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,494,469 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,453,878 | CurrentTaxYearAmt |
| Total | $66,683,905 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93910 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93850 | PublicSupportPY509Pct |
| Investment Income CY | 0.00250 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00330 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,801 | OtherCostOrOtherBasisAmt |
| Book Value | $200,801 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,661,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,394,061 | DepreciationAmt |
| Book Value | $1,267,011 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $334,439 | OtherCostOrOtherBasisAmt |
| Depreciation | $285,115 | DepreciationAmt |
| Book Value | $49,324 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,854,048 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,207,327 | DepreciationAmt |
| Book Value | $646,721 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,163,857 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. THE CORPORATION'S FEDERAL INCOME TAX RETURNS FOR ALL YEARS SUBSEQUENT TO THE YEAR ENDED OCTOBER 31, 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL LAPP | PersonNm |
| Title | PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $122,828 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $35,070 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $157,898 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS EXAMINED SUBSEQUENT TO FILING BY THE DIRECTOR OF FINANCE WHO PRESENTS THE FILING TO THE BOARD OF DIRECTORS DURING THE MONTHLY MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS PERSONNEL COMMITTEE SCRUTINIZES ALL NEW HIRES AND REVIEWS ON ANNUAL BASIS ALL AREAS THAT COULD GENERATE A CONFLICT OF INTEREST. A BOARD MEMBERS SIGNATURE IS REQUIRED ON ALL CHECKS WRITTEN BY PRIMARY CARE HEALTH SERVICES, INC. WHICH PROVIDES AN AVENUE FOR MONITORING CONFLICTS OF INTEREST ON A WEEKLY BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES AND WAGES OF DIRECTORS, DOCTORS AND OTHER TOP OFFICIALS ARE BASED ON MARKET. THAT IS THE PERSONNEL MANAGER RESEARCHES SALARIES AND WAGES PAID BY OTHER INSTITUTIONS OF A LIKE OR SIMILAR NATURE AND MAKES RECOMMENDATIONS ACCORDINGLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THRU FILING ANNUAL FINANCIAL STATEMENTS WITH THE FEDERAL AND ALLEGHENY COUNTY ARE AVAILABLE UPON REQUEST. |
| FROM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST END HEALTH CENTER INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 S MAIN STREET | AddressLine1 |
| City | PITTSBURGH | City |
| State | PA | State |
| ZIP Code | 15220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251263887 | EIN |
| Primary Activities | FEDERALLY QUALIFIED HEALTH CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 9 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |