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AFFINIA HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AFFINIA HEALTHCARE (EIN 43-0817642)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201313189349303406
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-14T11:43:26-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1
CityST LOUISCity
StateMOState
ZIP Code631022733ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430817642EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Grace Hill Health Centers IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% GRACE HILL HEALTH CENTERSInCareOfName
Name ControlGRACNameControl
Phone3148148571Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 BIDDLE STREETAddressLine1
Address Line2SuiteAddressLine2
CityST LOUISCity
StateMOState
ZIP Code63106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANET VOSSName
TitleVICE-PRESIDENT & CFOTitle
Phone3148148571Phone
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDonna J LarsonName
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALAN O FREEMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11717 BIDDLE STREETAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34342234GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.gracehill.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1906YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees425TotalNbrEmployees
Total Nbr Volunteers88TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year9797266ContributionsGrantsPriorYear
Contributions Grants Current Year11205724ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22154971ProgramServiceRevenuePriorYear
Program Service Revenue CY23134139ProgramServiceRevenueCY
Investment Income Prior Year7687InvestmentIncomePriorYear
Investment Income Current Year-205839InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year31959924TotalRevenuePriorYear
Total Revenue Current Year34134024TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22527476SalariesEtcPriorYear
Salaries Etc Current Year21312239SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11470184OtherExpensePriorYear
Other Expenses Current Year13038714OtherExpensesCurrentYear
Total Expenses Prior Year33997660TotalExpensesPriorYear
Total Expenses Current Year34350953TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2037736RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-216929RevenuesLessExpensesCY
Total Assets BOY21569545TotalAssetsBOY
Total Assets EOY24118648TotalAssetsEOY
Total Liabilities BOY15878340TotalLiabilitiesBOY
Total Liabilities EOY18644372TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5691205NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5474276NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense20011625Expense
Revenue16215434Revenue
DescriptionPRIMARY MEDICAL CARE PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES , INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 36,374Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4189239Expense
Revenue3230292Revenue
DescriptionHEALTH CARE FOR THE HOMELESS PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES , INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, SUBSTANCE ABUSE AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 5607Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3047553Expense
Revenue2532739Revenue
DescriptionPUBLIC HOUSING HEALTH PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES , INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 4713Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
97454201155675WIC (WOMEN, INFANTS, & CHILDREN)
PROVIDES NUTRITION ASSISTANCE
FieldValueIRS element (for citing)
Total Of Other Program Service Exp974542TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev1155675TotalOfOtherProgramServiceRev
Total Program Service Expense28222959TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees425NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGRACE HILL HEALTH CENTERSNamePerson
Telephone Number3148148571TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11717 BIDDLE STREETAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63106ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KIMBALL MCMULLIN
AT-LARGE1.5X000
THOMAS BOUDINET
AT-LARGE1.5X000
VICKIE LOMAX
CONSUMER/SECRETARY1.5X000X
PETER BUNCE
VICE CHAIR1.5X000X
MITCHELL BARIS
AT-LARGE1.5X000
ELIZABETH COLEMAN
CONSUMER1.5X000
TONDALERIA CURRY
CONSUMER1.5X000
HARRY DENGLER
AT-LARGE1.5X000
SR BETTY BRUCKER
AT-LARGE1.5X000
DEBRA FOX
CONSUMER1.5X000
JOHN LYNCH MD
AT-LARGE1.5X000
ROBERT JACOBSON
AT-LARGE1.5X000
SANDRA MAHR
CONSUMER1.5X000
JOAN D'AMBROSE
CHAIR1.5X000X
GWENDOLYN HALL
CONSUMER1.5X000
DEBRA JONES
CONSUMER1.5X000
GILBERT PEOPLES
CONSUMER1.5X000
SHERRY YOUNG
CONSUMER1.5X000
JANNELLY VILLEGAS
CONSUMER1.5X000
ALEXIS SLEET
CONSUMER1.5X000
JEAN FRAZEE
TREASURER1.5X000X
ALAN O FREEMAN FACHE
PRESIDENT & CEO40.0241567016375X
JANET VOSS CPA
VP & CFO40.0159640020494X
BARBARA BAILEY RN
VP & COO40.0142628018415X
JAMES ANDERSON
VP & CIO40.09431303883X
YVONNE BUHLINGER
VP COMMUNITY HEALTH SERVICES40.0116578016153X
YOLETTE BROWN MD
VP & CMO40.0205099027717X
VERONICA RICHARDSON
VP QUALITY IMPROVEMENT40.0110584013823X
ALICE BOON
VP HUMAN RESOURCES40.011943211779X
MARGARET BAUM MD
OB/GYN PHYSICIAN40.0209568012759X
AMY RAVIN MD
OB/GYN PHYSICIAN35.0191144013613X
SHULAMIT M PORTNOY MD
PEDIATRIC NEUROLOGIST40.0196411024455X
BRIDGET K RUTLEDGE MD
OB/GYN PHYSICIAN40.0187920014006X
MELISSA TEPE MD
OB/GYN PHYSICIAN40.019356608206X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2168450TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation201678TotalOtherCompensation
Number Individuals GT100 K33NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
P O BOX 14730ST LOUISMO63150LAB TESTS1455893
CENTAUR BUILDING SERVICES
PO BOX 66726ST LOUISMO63166JANITORIAL SERVICES282393
WASHINGTON UNIVERSITY SCHOOL OF MED
276 NORTH SKINKER BOULEVARDST LOUISMO63130CONTRACT CLNCL SVCS623199
INTERNATIONAL LANGUAGE CENTER
1416 S BIG BEND BLVDST LOUISMO63117LANG TRANSLATION SVC409177
MUSICK CONSTRUCTION CO
254 HANLEY INDUSTRIAL CTST LOUISMO63144CONSTRUCTION1859511
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants9538123GovernmentGrants
All Other Contributions1667601AllOtherContributions
Noncash Contributions1466906NoncashContributions
Total Contributions11205724TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/CAID REIMBURSEMENTS6211101577407015774070
PROGRAM SERVICE FEES62111073600697360069
FieldValueIRS element (for citing)
Total Program Service Revenue23134139TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2371TotalRevenueColumn
Exclusion$2,371ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other208210Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-208210Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-208210TotalRevenueColumn
Exclusion-$208,210ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34134024TotalRevenueColumn
Related Or Exempt Function Income23134139RelatedOrExemptFunctionIncome
Exclusion-$205,839ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1318479Total
Program Services526589ProgramServices
Management And General791890ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15884264Total
Program Services13994673ProgramServices
Management And General1889591ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1397837Total
Program Services1211163ProgramServices
Management And General186674ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1510448Total
Program Services1280060ProgramServices
Management And General230388ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1201211Total
Program Services1021346ProgramServices
Management And General179865ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total23992Total
Management And General23992ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total129488Total
Management And General129488ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4100239Total
Program Services3449568ProgramServices
Management And General650671ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4071986Total
Program Services3782488ProgramServices
Management And General289498ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2052784Total
Program Services1599353ProgramServices
Management And General453431ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total104980Total
Program Services67896ProgramServices
Management And General37084ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total120213Total
Program Services71784ProgramServices
Management And General48429ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total258722Total
Management And General258722ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1339598Total
Program Services670748ProgramServices
Management And General668850ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26529Total
Program Services6435ProgramServices
Management And General20094ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT225104225104
ORGANIZATION DUES16273948632114107
REPAIRS AND MAINTENANCE464622999016472
MISCELLANEOUS375878237130138748

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34350953Total
Program Services28222959ProgramServices
Management And General6127994ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY433761BOY
EOY849699EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3776505BOY
EOY215480EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1027471BOY
EOY764080EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2481338BOY
EOY4302642EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY75980BOY
EOY38938EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY245730BOY
EOY259192EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23123899LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5632651LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13528760BOY
EOY17491248EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY197369EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21569545BOY
EOY24118648EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5187879BOY
EOY5021359EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY10192BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4849688BOY
EOY7517719EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5830581BOY
EOY6105294EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15878340BOY
EOY18644372EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5238217BOY
EOY5084787EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY452988BOY
EOY389489EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5691205BOY
EOY5474276EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21569545BOY
EOY24118648EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-216929ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11026848CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12563724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10164639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9797266CurrentTaxYearMinus1Year
Current Tax Year11205994CurrentTaxYear
Total54758471Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11026848CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12563724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10164639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9797266CurrentTaxYearMinus1Year
Current Tax Year11205994CurrentTaxYear
Total54758471Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17054758471PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114838CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1042CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3900CurrentTaxYearMinus1Year
Current Tax Year2371CurrentTaxYear
Total153771Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support54912242TotalSupport
Gross Receipts From Admissions Etc105087060GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99720PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99277PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance452988BeginningOfYearBalance
Contributions63796Contributions
Other Expenditures127295OtherExpenditures
End Of Year Balance389489EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance102776BeginningOfYearBalance
Contributions432757Contributions
Other Expenditures82545OtherExpenditures
End Of Year Balance452988EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance259101BeginningOfYearBalance
Contributions151672Contributions
Other Expenditures307997OtherExpenditures
End Of Year Balance102776EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance566920BeginningOfYearBalance
Contributions59700Contributions
Other Expenditures367519OtherExpenditures
End Of Year Balance259101EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance903385BeginningOfYearBalance
Contributions69753Contributions
Other Expenditures406218OtherExpenditures
End Of Year Balance566920EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis202816OtherCostOrOtherBasis
Book Value202816BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14461408OtherCostOrOtherBasis
Depreciation2030761Depreciation
Book Value12430647BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1457778OtherCostOrOtherBasis
Depreciation98799Depreciation
Book Value1358979BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4775689OtherCostOrOtherBasis
Depreciation2737607Depreciation
Book Value2038082BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2226208OtherCostOrOtherBasis
Depreciation765484Depreciation
Book Value1460724BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17491248TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COSTS$6,094,017
DUE TO AFFILIATED AGENCY$11,277
FieldValueIRS element (for citing)
Total Of Amounts6105294TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt34822533TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities641904DonatedSrvcAndUseOfFacilities
Other Revenues335505OtherRevenues
Revenue Not Rptd F990977409RevenueNotRptdF990
Revenue Subtotal33845124RevenueSubtotal
Other Revenues Not Included288900OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt288900RevenueNotRptdOnFinStmt
Total Revenue Per Form99034134024TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34975963TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities641904DonatedServicesUseOfFacilities
Other Expenses Included208210OtherExpensesIncluded
Expenses Not Rptd F990850114ExpensesNotRptdF990
Expenses Subtotal34125849ExpensesSubtotal
Other Expenses Not Included225104OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt225104ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034350953TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART XII LINE 2DOTHERLOSS ON SALE OF ASSETS 208,210 NET ASSETS RETURNED TO DONOR 10,963 NET ASSETS RELEASED FROM RESTRICTION 116,332 - - - - TOTAL 335,505
PART XIII, LINE 2DLOSS ON SALE OF ASSETS 208,210
PART V, LINE 4USE OF ENDOWMENT FUNDSENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S VARIOUS HEALTH CARE PROGRAMS SUCH AS THE DIABETES PROGRAM, BREAST CANCER PROGRAM, AND BEHAVIORAL HEALTH PROGRAM.
PART X, LINE 2FIN 48 DISCLOSUREMANAGEMENT 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.
PART XII, LINE 4BTEMPORARILY RESTRICTED CONTRIBUTIONS 63,796 BAD DEBT EXPENSE 225,104 - - - - TOTAL 288,900
PART XIII, LINE 4BBAD DEBT EXPENSE 225,104

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN O FREEMAN FACHE
PRESIDENT & CEO23156701000000014791015840257942000
JANET VOSS CPA
VP & CFO1521400750000012121083730180134000
BARBARA BAILEY RN
VP & COO1358780675000010198082170161043000
YOLETTE BROWN MD
VP & CMO1985990650000021675060420232816000
MARGARET BAUM MD
OB/GYN PHYSICIAN2004070916100011196015630222327000
AMY RAVIN MD
OB/GYN PHYSICIAN1862520489200012131014820204757000
SHULAMIT M PORTNOY MD
PEDIATRIC NEUROLOGIST1874110900000015169092860220866000
BRIDGET K RUTLEDGE MD
OB/GYN PHYSICIAN183732041880008000060060201926000
MELISSA TEPE MD
OB/GYN PHYSICIAN184897086690006697015090201772000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9904887NoncashContribsRptdF990
Method Of Determining RevenuesSTOCK QUOTEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9901462019NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
THIRD PARTIES SOLICITORS OF NONCASH CONTRIBUTIONSPart I, Line 32BSTOCK CONTRIBUTIONS ARE SOLD BY A BROKERAGE FIRM.
PART I, COLUMN BTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROCESS USED FOR REVIEWING FORM 990PART VI, SECTION B, LINE 11THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM.
PROCESS OF MONITORING & ENFORCING COMPLIANCE WITH CONFLICT OF INTERESTPART VI, SECTION B, LINE 12CALL 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.
PROCESS FOR DETERMINING CEO COMPENSATIONPART VI, SECTION B, LINE 15ACEO COMPENSATION WAS DETERMINED IN THE FIRST QUARTER OF 2012 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.
PROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATIONPART VI, SECTION B, LINE 15BA BI-ANNUALLY 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.
PUBLIC AVAILABILITY OF CERTAIN DOCUMENTSPART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AS REQUIRED BY FEDERAL REGULATION THAT APPLIES TO COMMUNITY HEALTH CENTERS.
FEES FOR SERVICES DETAILPART IX, LINE 11GLAB SERVICES 1,354,405 CONTRACTED & TEMPORARY STAFF 820,314 DELIVERY SERVICES 244,977 OTHER FEES FOR SERVICES 1,680,543 - - - - - - TOTAL FEES FOR SERVICES 4,100,239