2014-03-31T09:39:57-05:00 2013-08-31 430765316 RUBINBROWN LLP ONE NORTH BRENTWOOD SAINT LOUIS MO 63105 990 2012-09-01 203288245 ST LOUIS INTEGRATED HEALTH NETWORK STLO 3146571483 1520 MARKET STREET NO 4034 ST LOUIS MO 631032625 BETHANY JOHNSON-JAVIOS 3146571483 2014-03-31 1 BRENT W STEVENS P01291820 3142903300 2012 2015-11-30 17:44:51Z BETHANY JOHNSON-JAVOIS 1520 MARKET STREET SUITE 4034 ST LOUIS MO 63103 1264454 0 X WWW.STLOUISIHN.ORG X 2004 MO THE ORGANIZATION IS A PARTNERSHIP OF MEDICAL CARE PROVIDERS IN ST. LOUIS CITY AND COUNTY. THE ORGANIZATION'S GOAL IS TO ENSURE ACCESS TO HEALTH CARE FOR UNINSURED AND UNDERINSURED CHILDREN AND ADULTS. 9 9 12 30 0 0 1878973 1153300 48531 110928 263 226 0 0 1927767 1264454 0 0 0 0 809191 803097 0 0 91479 893070 325374 1702261 1128471 225506 135983 825788 884754 179537 102520 646251 782234 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. 1 0 844806 110928 THE REFERRAL COORDINATOR PROGRAM UTILIZES REFERRAL COORDINATORSTO CONNECT NON-EMERGENCY EMERGENCY DEPARTMENT PATIENTS WITH APRIMARY CARE PROVIDER FOR FOLLOW-UP AND PREVENTATIVE CARE. INPARTICULAR, THE PROGRAM FOCUSES ON SERVING MEDICAID AND UNINSUREDPATIENTS. THE PROGRAM IS ALSO FOCUSING EFFORTS ON PATIENTS WITHCHRONIC CARE NEEDS TO INCREASE THE UTLIIZATION OF PREVENTATIVECARE SERVICES AVAILABLE IN THE COMMUNITY. 139347 0 PROJECT NETWORK CONNECT - AN INITIATIVE TO BUILD AND EXPAND SECURE HEALTH INFORMATION DATA ELEMENTS RANGING FROM INSURANCE INFORMATION TO CLINICAL INDICATORS WAREHOUSED BY THE MISSOURI PRIMARY CARE ASSOCIATION. THIS ROBUST DATA REPOSITORY WILL BE VALUABLE FOR FUTURE QUALITY REPORTING INITIATIVES AND WILL POSITION ST. LOUIS REGION SAFETY-NET PROVIDERS TO PARTICIPATE IN ANY FUTURE REGIONAL OR STATE HEALTH INFORMATION EXCHANGE (HIE) DEVELOPMENTS. 16046 0 THE ORGANIZATION UNDERTOOK 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. 10700 SAFETY NET MARKETING IS A CAMPAIGN FOCUSED ON PRODUCING MARKETING MATERIALS TO INCREASE PUBLIC AWARENESS OF AVAILABLE HEALTH RESOURCES AND THE WAY TO NAVIGATE THESE RESOURCES. THE OBJECTIVES OF THE CAMPAIGN ARE TO INFORM CONSUMERS ON HOW TO NAVIGATE BETWEEN PRIMARY CARE, URGENT CARE, PREVENTATIVE, SPECIALTY AND EMERGENCY CARE, BRAND HEALTH CARE PROVIDERS AS A SINGLE NETWORK, AND TO RAISE AWARENESS OF THE LOCAL HEALTH CARE NETWORK. 10700 1010899 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 12 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 0 1 1 0 0 X BETHANY JOHNSON-JAVOIS CEO 3146571483 1520 MARKET STREET SUITE 4034 ST LOUIS MO 631032625 ROBERT MASSIE 1.00 X X 0 0 0 MELODY ESKRIDGE 1.00 X X 0 0 0 DOLORES GUNN 1.00 X X 0 0 0 ALAN FREEMAN 1.00 X 0 0 0 JAMES P CRANE 1.00 X 0 0 0 DWAYNE BUTLER 1.00 X 0 0 0 KARL WILSON 1.00 X 0 0 0 KATE BECKER 1.00 X 0 0 0 ANGELA ARCHIBALD-CLABON 1.00 X 0 0 0 BETHANY JOHNSON-JAVOIS 40.00 X 123738 0 9515 123738 0 9515 1 0 0 0 MISSOURI COALITION FOR PRIMARY HEALTHCAR 3325 EMERALD LANE JEFFERSON CITY MO 65109 DATA COLLECTION AND REPORTING 120900 1 235000 917740 560 1153300 REFERRAL COORDINATOR 621400 110928 110928 110928 226 226 1264454 110928 0 226 X 138377 85623 13355 39399 531402 531985 -583 13363 13403 -40 57793 55402 756 1635 62162 58515 949 2698 2239 1337 902 63880 31090 8686 24104 192311 179395 1089 11827 37283 30072 692 6519 6966 5141 488 1337 516 222 294 4372 2950 1422 1579 944 635 4127 3593 534 LICENSING FEES 4915 4915 WORKER'S COMPENSATION 3985 3680 78 227 OTHER MISCELLANEOUS EXP 2651 2632 19 MEMBERSHIP DUES 550 550 1128471 1010899 26093 91479 2502 80392 794140 761162 25966 41598 12971 11369 3180 1602 825788 884754 116011 71092 63526 31428 179537 102520 X 302464 405665 343787 376569 646251 782234 825788 884754 135983 0 X 0 1 X 1 1 1 X 2278167 1417599 2212707 1878973 1153300 8940746 2278167 1417599 2212707 1878973 1153300 8940746 111118 8829628 2254 340 272 263 226 3355 8944101 265227 0.98720 0.96700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12971 11369 1602 1602 1294694 30240 30240 1264454 0 1264454 1158711 30240 30240 1128471 0 1128471 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE ORGANIZATION UNDERTOOK 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. 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 CURRENT 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 THE PRIOR 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. OTHER FEES FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 179,395. MANAGEMENT AND GENERAL EXPENSES 1,089. FUNDRAISING EXPENSES 11,827. TOTAL EXPENSES 192,311.