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ADVOCATES FOR A HEALTHY COMMUNITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ADVOCATES FOR A HEALTHY COMMUNITY INC (EIN 43-1602701)
Tax period
2011-06-01 to 2012-05-31
Filed
2013-01-14
IRS object ID
201340149349300834
Schema version
2011v1.5
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)
Timestamp2013-01-14T14:21:34-06:00Timestamp
Tax Period End Date2012-05-31TaxPeriodEndDate

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 Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN431602701EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ADVOCATES FOR A HEALTHY COMMUNITY INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% LISA ODOMInCareOfName
Name ControlADVONameControl
Phone4178310150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1440 E TAMPA STAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658061131ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameK BROOKS MILLERName
TitlePRESIDENT/CEOTitle
Date Signed2013-01-04DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary V GarwitzName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JORDAN VALLEY COMMUNITY HLTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonK BROOKS MILLERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1440 E TAMPA STAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658061131ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22733968GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.JORDANVALLEY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SVCS, AND TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY MEDICAL, DENTAL, AND MENTAL HEALTH CARE SVCS TO SPGF, MO AND SURROUNDING AREAS.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees322TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3935735ContributionsGrantsPriorYear
Contributions Grants Current Year4029433ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16309953ProgramServiceRevenuePriorYear
Program Service Revenue CY18577239ProgramServiceRevenueCY
Investment Income Prior Year10861InvestmentIncomePriorYear
Investment Income Current Year15207InvestmentIncomeCurrentYear
Other Revenue Prior Year-24590OtherRevenuePriorYear
Other Revenue Current Year1991OtherRevenueCurrentYear
Total Revenue Prior Year20231959TotalRevenuePriorYear
Total Revenue Current Year22623870TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year16754GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY26162GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12238052SalariesEtcPriorYear
Salaries Etc Current Year13231445SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7323921OtherExpensePriorYear
Other Expenses Current Year8742040OtherExpensesCurrentYear
Total Expenses Prior Year19578727TotalExpensesPriorYear
Total Expenses Current Year21999647TotalExpensesCurrentYear
Revenues Less Expenses Prior Year653232RevenuesLessExpensesPriorYear
Revenues Less Expenses CY624223RevenuesLessExpensesCY
Total Assets BOY25637380TotalAssetsBOY
Total Assets EOY32067797TotalAssetsEOY
Total Liabilities BOY6662219TotalLiabilitiesBOY
Total Liabilities EOY12468413TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18975161NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19599384NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SERVICES AND IMPROVE THE HEALTH OF OUR COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8896815Expense
Revenue8666970Revenue
DescriptionPROVIDE PRIMARY CARE MEDICAL SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. MEDICAL SERVICES WERE PROVIDED TO APPROXIMATELY 21,657 PATIENTS THIS YEAR. OUR MEDICAL PROGRAM IS FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO NOT ONLY TREAT ILLNESSES, BUT ALSO TO KEEP PATIENTS WELL. OUR STAFF ENSURES PATIENTS WILL RECEIVE THE COMPASSIONATE AND EXPERT CARE THEY DESERVE. THE MANY SERVICES WE OFFER MAKE IT EASIER FOR THEM TO ACCESS THE CARE THEY NEED. WE ALSO HAVE COMMUNITY PROGRAMS ALLOWING FOR MORE FOCUSED CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6565354Expense
Revenue7503867Revenue
DescriptionPROVIDE DENTAL SERVICES TO THE COMMUNITY OF SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREA. DENTAL SERVICES WERE PROVIDED TO APPROXIMATELY 18,699 PATIENTS THIS YEAR. OUR COMPREHENSIVE DENTAL PROGRAM PROVIDES NOT ONLY PREVENTATIVE CARE, BUT ALSO SPECIALTY CARE FOR A VARIETY OF DENTAL ISSUES. OUR STAFF IS HIGHLY TRAINED AND PROVIDES PATIENTS WITH THE EXPERT CARE AND RESPECT THEY DESERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1791494Expense
Revenue2406402Revenue
DescriptionOPERATE A PHARMACY WITHIN THE MEDICAL CLINIC IN SPRINGFIELD, MISSOURI. THE PHARMACY FILLED APPROXIMATELY 84,843 PRESCRIPTIONS IN FISCAL YEAR 2012.Description
FieldValueIRS element (for citing)
Total Program Service Expense17253663TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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 OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees322NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLISA ODOMNamePerson
Telephone Number4178511551TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1440 E TAMPA STAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658061131ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MARY KAY MEEK
BOARD MEMBER1.0X000
KEVIN GIPSON
CHAIRMAN1.0X000X
JEAN GRABEEL
BOARD MEMBER1.0X000
LYNNE MEYERKORD
BOARD MEMBER1.0X000
HAROLD BENGSCH
BOARD MEMBER1.0X000
KYLE MCCLURE
VICE CHAIRMAN1.0X000X
MARY PILANT
BOARD MEMBER1.0X000
RHONDA RIDINGER
MEMBER-AT-LARGE1.0X000X
JOHN RUSH
BOARD MEMBER1.0X000
CR CLARK
BOARD MEMBER1.0X000
PAUL FITE
BOARD MEMBER1.0X000
JEFF GROVES
SECRETARY/TREASURER1.0X000X
BOB HAMMERSCHMIDT
MEMBER-AT-LARGE1.0X000X
LESLIE PECK
BOARD MEMBER1.0X000
JOHN TWITTY
BOARD MEMBER1.0X000
K BROOKS MILLER
PRESIDENT/CEO40.0205342019411X
LISA ODOM
CFO BEGINNING 6/201140.09400009937X
DR KECIA LEARY
DENTAL DIRECTOR40.0258870028741X
DR NICK PFANNENSTIEL
DENTAL DIRECTOR BEGINNING 6/1140.0182733011047X
DR DEREK SMITH
DENTAL DIRECTOR BEGINNING 6/1140.0164678029342X
DR MATTHEW STINSON
MEDICAL DIRECTOR, BEG. 6/1140.0158826025487X
DR WILLIAM WOODS
ORAL SURGEON16.026032000X
DR JEFFREY ROCKWOOD
DDS40.017244409169X
DR LAUREL PRICHARD
DDS40.015932008199X
DR REBECCA WOTHERSPOON
PEDIATRICIAN40.015633108513X
DR CHRISTOPHER SPINELLI
PEDIATRICIAN40.015336107680X
DR CHAN REYES
MEDICAL DIRECTOR40.0133402023991X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2099627TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation181517TotalOtherCompensation
Number Individuals GT100 K23NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
OZARK ANESTHESIA ASSOCIATES
DENTAL SERVICES234500
DR FRANK CORNELLA
DENTAL SERVICES176027
MERCY CLINICS
MEDICAL SERVICES196904
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events3955FundraisingEvents
Government Grants3330663GovernmentGrants
All Other Contributions694815AllOtherContributions
Noncash Contributions793382NoncashContributions
Total Contributions4029433TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6214001821788318217883
OTHER621400359356359356
FieldValueIRS element (for citing)
Total Program Service Revenue18577239TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4815TotalRevenueColumn
Exclusion$4,815ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real100133Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real95643Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4490Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4490TotalRevenueColumn
Exclusion$4,490ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other18000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other7608Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other10392Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10392TotalRevenueColumn
Exclusion$10,392ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events4348GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events3955CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses6847FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-2499TotalRevenueColumn
Exclusion-$2,499ExclusionAmount

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 Column22623870TotalRevenueColumn
Related Or Exempt Function Income18577239RelatedOrExemptFunctionIncome
Exclusion$17,198ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total26162Total
Program Services26162ProgramServices

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)
Total1251113Total
Program Services857753ProgramServices
Management And General393360ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total196016Total
Program Services196016ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9996344Total
Program Services8436689ProgramServices
Management And General1559655ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total207208Total
Program Services141066ProgramServices
Management And General66142ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total773569Total
Program Services549712ProgramServices
Management And General223857ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total807195Total
Program Services579272ProgramServices
Management And General227923ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16998Total
Management And General16998ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total129440Total
Management And General129440ManagementAndGeneral

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)
Total1402379Total
Program Services1057516ProgramServices
Management And General344863ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total59920Total
Management And General59920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total615406Total
Program Services239130ProgramServices
Management And General376276ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total443938Total
Program Services256058ProgramServices
Management And General187880ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total532916Total
Program Services349033ProgramServices
Management And General183883ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total166174Total
Program Services1269ProgramServices
Management And General164905ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total160750Total
Program Services112084ProgramServices
Management And General48666ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total48773Total
Program Services23401ProgramServices
Management And General25372ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1424191Total
Program Services934865ProgramServices
Management And General489326ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total152507Total
Management And General152507ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT256587256587
MEDICAL SUPPLIES & DRUGS31599963159996
LICENSES, DUES, SUBSCRIPTIONS9501195011
MISCELLANEOUS7705477054

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21999647Total
Program Services17253663ProgramServices
Management And General4745984ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2153BOY
EOY4637511EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6267740BOY
EOY7625000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY374421BOY
EOY541460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1517439BOY
EOY2058719EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY401998BOY
EOY563668EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY110135BOY
EOY151255EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21859521LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5509140LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY16963494BOY
EOY16350381EOY

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
EOY139803EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25637380BOY
EOY32067797EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1489560BOY
EOY1786299EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY31607BOY
EOY403898EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1752052BOY
EOY1604185EOY

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)
BOY319000BOY
EOY702427EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3070000BOY
EOY7971604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6662219BOY
EOY12468413EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18590073BOY
EOY19135614EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY385088BOY
EOY463770EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18975161BOY
EOY19599384EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25637380BOY
EOY32067797EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses624223ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years5031511CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10069255CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6969915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3935735CurrentTaxYearMinus1Year
Current Tax Year4029433CurrentTaxYear
Total30035849Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5031511CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10069255CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6969915CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3935735CurrentTaxYearMinus1Year
Current Tax Year4029433CurrentTaxYear
Total30035849Total
FieldValueIRS element (for citing)
Public Support Total17030035849PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years164655CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years72441CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70718CurrentTaxYearMinus1Year
Current Tax Year104948CurrentTaxYear
Total478945Total
FieldValueIRS element (for citing)
Total Support30514794TotalSupport
Gross Receipts From Admissions Etc64775960GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98430PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98307PublicSupportPertcentPriorYear
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING EXPENSEIdentifier
Return ReferenceSCHEDULE C, PART II-B, QUESTION 1IReturnReference
ExplanationTHE ORGANIZATION PAYS ANNUAL DUES TO NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), A PORTION OF WHICH MAY BE ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1334422OtherCostOrOtherBasis
Book Value1334422BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16395747OtherCostOrOtherBasis
Depreciation3485987Depreciation
Book Value12909760BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis85740OtherCostOrOtherBasis
Depreciation14737Depreciation
Book Value71003BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3992934OtherCostOrOtherBasis
Depreciation2008416Depreciation
Book Value1984518BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50678OtherCostOrOtherBasis
Book Value50678BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16350381TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST DUE TO 3RD PARTIESDescription
Amount$7,971,604Amount
FieldValueIRS element (for citing)
Total Of Amounts7971604TotalOfAmounts
Total Revenue22623870TotalRevenue
Total Expenses21999647TotalExpenses
Excess Or Deficit For Year624223ExcessOrDeficitForYear
Excess Or Deficit Per FS624223ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22715968TotRevenueEtcAuditedFinclStmt
Revenue Subtotal22715968RevenueSubtotal
Other Revenues Not Included-92098OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-92098RevenueNotRptdOnFinStmt
Total Revenue Per Form99022623870TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22091745TotExpensesEtcAuditedFinclStmt
Other Expenses Included92098OtherExpensesIncluded
Expenses Not Rptd F99092098ExpensesNotRptdF990
Expenses Subtotal21999647ExpensesSubtotal
Total Expenses Per Form99021999647TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B(6,847) SPECIAL EVENT EXPENSE RECLASSED (95,643) RENT EXPENSE 10,392 GAIN ON FIXED ASSETS -------- (92,098) TOTAL
AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2D6,847 SPECIAL EVENT EXPENSE RECLASSED 95,643 RENT EXPENSE (10,392) GAIN ON FIXED ASSETS -------- 92,098 TOTAL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN Q HAMMONS FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 JOHN Q HAMMONS PARKWAYAddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code65806ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient431521852EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant5300AmountOfCashGrant
Purpose Of GrantCHARITIES - CHILDRENPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationJORDAN VALLEY GIVES UNRESTRICTED DONATIONS TO ORGANIZATIONS WITH A PROVEN HISTORY OF BENEFITING THE COMMUNITY IN A MANNER CONSISTENT WITH OUR OWN MISSION STATEMENT. ALL DONATIONS ARE APPROVED BY THE CEO. ANY LARGE DONATIONS WOULD ALSO NEED BOARD APPROVAL. DONATIONS TO THE JOHN Q. HAMMONS FOUNDATION ARE MONITORED BY THE ORGANIZATION THROUGH ITS EMPLOYEES WHO PARTICIPATE IN FUNDRAISING EVENTS HELD BY THE FOUNDATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base 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 OrgsTotalCompensationRelatedOrgs
K BROOKS MILLER
180342025000000852801088302247530
DR KECIA LEARY
2304930283770001200601673502876110
DR NICK PFANNENSTIEL
15471902801400055380550901937800
DR DEREK SMITH
140182024496000767302166901940200
DR MATTHEW STINSON
1583260500000818301730401843130
DR CHAN REYES
1329020500000713901685201573930
DR WILLIAM WOODS
2603200000000002603200
DR JEFFREY ROCKWOOD
14630202614200073430182701816140
DR LAUREL PRICHARD
13871302060700069360126301675190
DR REBECCA WOTHERSPOON
155831050000000851301648440
DR CHRISTOPHER SPINELLI
152861050000033320434801610410

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNON-FIXED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 7ReturnReference
ExplanationCOMPENSATION PAYMENTS WERE PAID OUT TO CERTAIN PROVIDERS AND KEY EMPLOYEES FOR PERFORMANCE OF THE LAST YEAR, HOWEVER, THIS PAYMENT WAS NOT BASED UPON EARNINGS, REVENUES OR PERFORMANCES OF THE ORGANIZATION.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1THE INDUSTRIAL DEVELOPMENT AUTH OF GREENE CO MOBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN431284357IssuerEIN
Date Issued2005-11-03DateIssued
Issue Price2200000IssuePrice
Description Of PurposeCAPITAL PROJECTSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds2200000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds17700IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures2182300CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2005YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
RENDI PFANNENSTIEL DDS
SPOUSE OF N. PFANNENSTIEL158563COMPENSATIONfalse
LINDSEY SMITH
SPOUSE OF DEREK SMITH22633COMPENSATIONfalse
ROBERT HAMMERSCHMIDT
SON OF BOB HAMMERSCHMIDT14820COMPENSATIONfalse

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 TradedSecuritiesPubliclyTraded
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 Contributions1NumberOfContributions
Noncash Contribs Rptd F990793382NoncashContribsRptdF990
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 UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNON-CASH CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE M, PART I, LINE 20ReturnReference
ExplanationALL VACCINE CONTRIBUTIONS WERE FROM ONE DONOR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSIONFORM 990, PART III, LINE 1ADVOCATES FOR A HEALTHY COMMUNITY, INC. EXISTS TO PROVIDE COMPREHENSIVE PRIMARY HEALTHCARE SERVICES, AND TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING THE HIGHEST QUALITY MEDICAL, DENTAL AND MENTAL HEALTH CARE SERVICES TO SPRINGFIELD, MISSOURI, AND THE SURROUNDING AREAS. BY PROVIDING PEOPLE A PATIENT CENTERED HEALTH HOME (PCHH), WE CAN MORE EFFECTIVELY IMPROVE THE HEALTH OF OUR PATIENTS AND THE COMMUNITY. A PCHH PROVIDES A MULTITUDE OF HEALTH SERVICES WITHIN ONE CENTRALIZED LOCATION. IT'S A ONE-STOP-SHOP FOR HEALTHCARE THAT WORKS WITH PATIENTS TO IMPROVE HEALTH OUTCOMES. A PCHH ALLOWS QUICK, CONVENIENT ACCESS TO THE CARE THEY NEED. WE HOLD IN HIGH REGARD OUR FIVE CORE VALUES: *TO ASSURE YOU OF A CLEAN AND COMFORTABLE ENVIRONMENT *TO PROMOTE DIVERSITY AND RESPECT FOR ALL HUMAN DIFFERENCES *TO PROVIDE PROMPT, FRIENDLY AND COURTEOUS SERVICE BY A KNOWLEDGEABLE, HIGHLY TRAINED AND COMPASSIONATE STAFF *TO RESPOND IN A RAPID, SENSITIVE AND NON-CONFRONTATIONAL MANNER THAT WILL ENHANCE YOUR HEALTHCARE EXPERIENCE *TO PARTNER WITH AND EMPOWER YOU TO TAKE AN ACTIVE ROLE TO IMPROVE YOUR HEALTH.
PROGRAM SERVICE DETAILFORM 990, PART III, LINES 4A-BMEDICAL SERVICES: MEDICAL PROGRAM SERVICES INCLUDE: FAMILY MEDICINE, PEDIATRIC CARE, INTERNAL MEDICINE, GERIATRIC CARE, PRIMARY & PREVENTIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH (INCLUDING SHOW ME HEALTHY WOMEN), PRENATAL CARE, IN-PATIENT SERVICES FOR NEWBORNS, NURSERY CARE, OUTPATIENT PROCEDURES (CIRCUMCISIONS, COLPOSCOPY, SPIROMETRY, ENDOMETRIAL BIOPSY, EKG & STRESS TESTING, IMPLANON, VASECTOMY, MINOR SKIN PROCEDURES, JOINT INJECTIONS.), DIABETES EDUCATION, DIETARY COUNSELING, WEIGHT MANAGEMENT SUPPORT, IN-SCHOOL PRIMARY CARE, LAB SERVICES, X-RAY AND OPTOMETRY. DENTAL: DENTAL PROGRAM SERVICES INCLUDE: GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, URGENT DENTAL CARE, ORAL SURGERY, DENTURES AND PARTIALS, MOBILE DENTAL CARE AND IN-SCHOOL PREVENTIVE SERVICES.
SIGNIFICANT CHANGES TO BYLAWSFORM 990, PART VI, SECTION A, LINE 4DURING FISCAL YEAR 2012, THE BOARD OF DIRECTORS AMENDED THE ORGANIZATION'S BYLAWS BASED ON RECOMMENDATIONS FROM HRSA FOR THE FOLLOWING AREAS: DESCRIPTION OF PRIMARY CONSUMER WAS MODIFIED TO "ANYONE WHO PRESENTS TO THE CENTER FOR SERVICE." THE DUTY OF PERFORMING AN ANNUAL EVALUATION OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER WAS ADDED TO THE BOARD OF DIRECTORS LIST OF DUTIES. THE DEFINITION OF A USER OF THE HEALTH CENTER IN REGARDS TO BOARD MEMBER USERS WAS EXPANDED TO INCLUDE BOARD MEMBER DEPENDENTS, BOTH CHILDREN AND ADULTS, WITH WHOM THE MEMBER IS A LEGAL GUARDIAN AND IMMIGRANTS WITH WHOM THE MEMBER IS A LEGAL SPONSOR. ADDED CRITERIA TO BE A BOARD MEMBER: NO VOTING MEMBER OF THE BOARD OR AN IMMEDIATE FAMILY MEMBER OF THE VOTING BOARD MEMBER MAY BE AN EMPLOYEE OF THE HEALTH CENTER. THE FOLLOWING WAS ADDED IN THE ELIGIBILITY FOR BOARD OF DIRECTOR SECTION: THE EXECUTIVE DIRECTOR OF THE SPRINGFIELD/GREENE COUNTY HEALTH DEPARTMENT SHALL SERVE ON THE BOARD AS AN EX-OFFICIO NON-VOTING MEMBER.
990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A DRAFT OF THE 990 IS FIRST REVIEWED BY SENIOR MANAGEMENT. AFTER ANY CHANGES ARE MADE, A FINAL DRAFT IS PRESENTED BY THE CFO TO THE BOARD OF DIRECTORS AT A MONTHLY BOARD MEETING.
CONFLICT OF INTEREST POLICY REVIEWFORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS EVALUATED WITH ALL EMPLOYEES UPON HIRE AND ON A YEARLY BASIS WITH ALL EMPLOYEES AND BOARD MEMBERS IN CONJUNCTION WITH CORPORATE COMPLIANCE TRAINING. A COPY OF THE CONFLICT OF INTEREST STATEMENT SHALL BE PROVIDED ANNUALLY TO EACH DIRECTOR AND OFFICER TO SIGN FOR THE PURPOSE OF IDENTIFYING POTENTIAL CONFLICTS OF INTEREST. A CONFLICT OF INTEREST SHALL BE CONSIDERED TO ARISE WHEN ANY MATTER UNDER CONSIDERATION BY THE BOARD OF DIRECTORS INVOLVES THE POTENTIAL FOR A SIGNIFICANT OR MATERIAL BENEFIT; OR A COMPENSATION ARRANGEMENT EXISTS TO A DIRECTOR OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY TO ANY BUSINESS, FINANCIAL, OR PROFESSIONAL ORGANIZATION OF WHICH THE DIRECTOR OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, MEMBER, OWNER, OR EMPLOYEE WHENEVER ANY MATTER COMES BEFORE THE BOARD OF DIRECTORS WHICH ANY DIRECTOR RECOGNIZES MAY GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL NOT APPROVE ANY ACTION OR TRANSACTION BEARING UPON THE CONFLICT UNLESS THE FOLLOWING PROCEDURES ARE OBSERVED: A) THE AFFECTED DIRECTOR OR OTHER DIRECTOR(S) SHALL MAKE KNOWN THAT A CONFLICT EXISTS AND THE AFFECTED DIRECTOR SHALL WITHDRAW FROM THE MEETING FOR AS LONG AS THE MATTER REMAINS UNDER CONSIDERATION. SHOULD THE MATTER BE BROUGHT TO A VOTE OF THE DIRECTORS, THE AFFECTED DIRECTOR SHALL NEITHER BE PRESENT NOR CAST A VOTE. B) IF THE WITHDRAWAL OF THE AFFECTED DIRECTOR RESULTS IN THE ABSENCE OF A QUORUM, NO ACTION SHALL BE TAKEN ON THE MATTER UNTIL A QUORUM OF DISINTERESTED DIRECTORS IS PRESENT. C) IF A) AND B) DO NOT OCCUR, THE BOARD OF DIRECTORS SHALL NOT GO FORWARD WITH A TRANSACTION OR ARRANGEMENT IN WHICH AN AFFECTED DIRECTOR ACKNOWLEDGES THAT A CONFLICT OF INTEREST EXISTS, OR OTHER DIRECTORS DETERMINE THAT A CONFLICT OF INTEREST EXISTS.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15AANNUALLY, THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS EVALUATED AND VOTED ON BY THE BOARD OF DIRECTORS AFTER REVIEWING PERFORMANCE AND COMPARABILITY DATA OF CEO'S/EXECUTIVE DIRECTORS AT LIKE HEALTH CARE FACILITIES. THE OCCURRENCE OF THIS REVIEW IS DOCUMENTED IN THE EXECUTIVE COMMITTEE BOARD MINUTES.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS, ARE AVAILABLE BY WRITTEN REQUEST AND MAY BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORMER KEY EMPLOYEEFORM 990, PART VIIDURING THE FISCAL YEAR 2012, DR. CHAN REYES WAS ON A LEAVE OF ABSENCE WHICH CAUSED HER REPORTABLE COMPENSATION TO DROP BELOW THE $150,000 THRESHOLD IN DETERMINING A KEY EMPLOYEE. SINCE DR. REYES REPORTABLE COMPENSATION WAS GREATER THAN $100,000 AND SHE WAS REPORTED AS A KEY EMPLOYEE ON AT LEAST ONE OF THE LAST FIVE PRIOR YEAR FORM 990'S SHE HAS BEEN MARKED FORMER ON THE CURRENT YEAR FORM 990.