UNITED NEIGHBORHOOD HEALTH SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- UNITED NEIGHBORHOOD HEALTH SERVICES INC (EIN 62-1032792)
- Tax period
- 2011-02-01 to 2012-01-31
- Filed
- 2012-06-15
- IRS object ID
- 201211679349300231
- Schema version
- 2011v1.2
- Note
- A later return for the same period supersedes this one.
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-15T12:40:14-05:00 | Timestamp |
| Tax Period End Date | 2012-01-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621404815 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATHENEY STEES & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6136 SHALLOWFORD ROAD SUITE 101 | AddressLine1 |
| City | CHATTANOOGA | City |
| State | TN | State |
| ZIP Code | 374217214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-02-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621032792 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED NEIGHBORHOOD HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UNIT | NameControl |
| Phone | 6152888902 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MAIN STREET | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37206 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARY BUFWACK | Name |
| Title | CEO | Title |
| Phone | 6152888902 | Phone |
| Date Signed | 2012-06-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM C MATHENEY | Name |
| PTIN | P00439757 | PTIN |
| Phone | 4238947400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARY BUFWACK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 MAIN STREET | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11604629 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.UNITEDNEIGHBORHOOD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | TN | StateLegalDomicile |
| Activity Or Mission Description | UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES HEALTH CARE CENTERS LOCATED IN THE STATE OF TENNESSEE IN THE COUNTIES OF DAVIDSON AND TROUSDALE. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 210 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2140271 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 931251 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12132082 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10415340 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2043 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1235 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 28559 | OtherRevenuePriorYear |
| Other Revenue Current Year | 256803 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14302955 | TotalRevenuePriorYear |
| Total Revenue Current Year | 11604629 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8999292 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7529805 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6249026 | OtherExpensePriorYear |
| Other Expenses Current Year | 4131667 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15248318 | TotalExpensesPriorYear |
| Total Expenses Current Year | 11661472 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -945363 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -56843 | RevenuesLessExpensesCY |
| Total Assets BOY | 8675138 | TotalAssetsBOY |
| Total Assets EOY | 8661857 | TotalAssetsEOY |
| Total Liabilities BOY | 1267600 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1311162 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7407538 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7350695 | NetAssetsOrFundBalancesEOY |
| Mission Description | UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES HEALTH CARE CENTERS LOCATED IN THE STATE OF TENNESSEE IN THE COUNTIES OF DAVIDSON AND TROUSDALE. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8288741 | Expense |
| Revenue | 10672143 | Revenue |
| Description | UNITED NEIGHBORHOOD HEALTH SERVICES, INC. OPERATES A COMMUNITY BASED HEALTHCARE CLINIC PROVIDING HEALTHCARE SERVICES. DURING THE YEAR ENDED 1/31/2012, THE COMPANY PROVIDED APPROXIMATELY 69,000 CLINIC VISITS. | Description |
| Total Program Service Expense | 8288741 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 210 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARY BUFWACK | NamePerson |
| Telephone Number | 6152288902 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 617 SOUTH 8TH STREET | AddressLine1 |
| City | NASHVILLE | City |
| State | TN | State |
| ZIP Code | 37206 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SHIRLEY MCCLENDON | |||||||
| BOARD PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| GLENN HUNTER | |||||||
| BOARD VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 | |
| BRENDA MARROW | |||||||
| BOARD SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| SCOTT MERTIE | |||||||
| BOARD TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| RON ADDLESTONE MD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| DENISE ALPER | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| MARY ROBERTSON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JENNIFER HAMILTON RN | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| MARC HILL | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| ROBERT MASON | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KEN MCNIGHT | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| MARY E OWENS | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KATHERINE POWELL | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| BARBARA RANDOLPH | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| HARVEY SPERLING | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| RONNIE STEINE | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KATHRYN WOODARD | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| KEITH JUNIOR MD | |||||||
| CMO | 35.00 | 191760 | 0 | 5200 | X | ||
| MARY BUFWACK | |||||||
| CEO | 35.00 | 132520 | 0 | 10145 | X | ||
| SUZETTE KELLY | |||||||
| PHYSICIAN | 35.00 | 141223 | 0 | 0 | X | ||
| SMITA BAJPAI | |||||||
| PHYSICIAN | 35.00 | 120298 | 0 | 16500 | X | ||
| NATASHA SIFFRARD | |||||||
| PHYSICIAN | 35.00 | 135295 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 721096 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31845 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 475635 | GovernmentGrants |
| All Other Contributions | 455616 | AllOtherContributions |
| Noncash Contributions | 183707 | NoncashContributions |
| Total Contributions | 931251 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| DEPARTMENT OF HEALTH A | 900099 | 5937451 | 5937451 |
| MEDICAID MANAGED CARE | 900099 | 1404127 | 1404127 |
| TENNCARE MANAGED CARE | 900099 | 1056897 | 1056897 |
| TENNESSEE DEPARTMENT O | 900099 | 540472 | 540472 |
| METROPOLITAN DEPT OF N | 900099 | 415385 | 415385 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1061008 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1061008 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10415340 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1235 | TotalRevenueColumn |
| Exclusion | $1,235 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER REVENUE | 900099 | 236584 | 236584 |
| MEDICAL RECORDS | 900099 | 20219 | 20219 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 256803 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11604629 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10672143 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,235 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5989896 | Total |
| Program Services | 4010626 | ProgramServices |
| Management And General | 1979270 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 543988 | Total |
| Program Services | 198962 | ProgramServices |
| Management And General | 345026 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 995921 | Total |
| Program Services | 832161 | ProgramServices |
| Management And General | 163760 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2002 | Total |
| Management And General | 2002 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295927 | Total |
| Program Services | 182076 | ProgramServices |
| Management And General | 113851 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43775 | Total |
| Program Services | 43775 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15442 | Total |
| Program Services | 1261 | ProgramServices |
| Management And General | 14181 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68071 | Total |
| Program Services | 17593 | ProgramServices |
| Management And General | 50478 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246619 | Total |
| Program Services | 220558 | ProgramServices |
| Management And General | 26061 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60081 | Total |
| Program Services | 38206 | ProgramServices |
| Management And General | 21875 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47703 | Total |
| Program Services | 680 | ProgramServices |
| Management And General | 47023 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16434 | Total |
| Program Services | 16434 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 485567 | Total |
| Program Services | 445459 | ProgramServices |
| Management And General | 40108 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54587 | Total |
| Program Services | 34712 | ProgramServices |
| Management And General | 19875 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTUAL SERVICES | 969722 | 705217 | 264505 |
| PHARMACEUTICALS | 437737 | 437737 | |
| OTHER EXPENSE | 405755 | 354257 | 51498 |
| LABORATORY | 294012 | 294012 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 688233 | Total |
| Program Services | 455015 | ProgramServices |
| Management And General | 233218 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11661472 | Total |
| Program Services | 8288741 | ProgramServices |
| Management And General | 3372731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129289 | BOY |
| EOY | 164176 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500124 | BOY |
| EOY | 521357 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 863242 | BOY |
| EOY | 700695 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 696122 | BOY |
| EOY | 774939 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43071 | BOY |
| EOY | 63548 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9886526 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3499684 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6431850 | BOY |
| EOY | 6386842 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11440 | BOY |
| EOY | 50300 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8675138 | BOY |
| EOY | 8661857 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 812397 | BOY |
| EOY | 848141 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 263049 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 455203 | BOY |
| EOY | 199972 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1267600 | BOY |
| EOY | 1311162 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7407538 | BOY |
| EOY | 7350695 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7407538 | BOY |
| EOY | 7350695 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8675138 | BOY |
| EOY | 8661857 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -56843 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5158898 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5705734 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7847210 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2005296 | CurrentTaxYearMinus1Year |
| Current Tax Year | 784808 | CurrentTaxYear |
| Total | 21501946 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3936816 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5056016 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6518227 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12132082 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11602174 | CurrentTaxYear |
| Total | 39245315 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 134975 | CurrentTaxYearMinus1Year |
| Current Tax Year | 252593 | CurrentTaxYear |
| Total | 387568 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9095714 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10761750 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14365437 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14272353 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12639575 | CurrentTaxYear |
| Total | 61134829 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 61134829 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44572 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5519 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2043 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1235 | CurrentTaxYear |
| Total | 63454 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 44572 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5519 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2043 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1235 | CurrentTaxYear |
| Total | 63454 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 34304 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7407 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13582 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28559 | CurrentTaxYearMinus1Year |
| Current Tax Year | 256803 | CurrentTaxYear |
| Total | 340655 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9174590 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10779242 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14384538 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14302955 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12897613 | CurrentTaxYear |
| Total | 61538938 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99340 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99650 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00100 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00160 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 749417 | OtherCostOrOtherBasis |
| Book Value | 749417 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5363765 | OtherCostOrOtherBasis |
| Depreciation | 1401781 | Depreciation |
| Book Value | 3961984 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 213355 | OtherCostOrOtherBasis |
| Depreciation | 159601 | Depreciation |
| Book Value | 53754 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1100754 | OtherCostOrOtherBasis |
| Depreciation | 839981 | Depreciation |
| Book Value | 260773 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2459235 | OtherCostOrOtherBasis |
| Depreciation | 1098321 | Depreciation |
| Book Value | 1360914 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6386842 | TotalOfBookValueLandBuildings |
| Total Revenue | 11604629 | TotalRevenue |
| Total Expenses | 11661472 | TotalExpenses |
| Excess Or Deficit For Year | -56843 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -56843 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 11673515 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 68886 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 68886 | RevenueNotRptdF990 |
| Revenue Subtotal | 11604629 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 11604629 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11730358 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 68886 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 68886 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11661472 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 11661472 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEITH JUNIOR MD | NamePerson |
| Base Compensation Filing Org | 191760 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 5200 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 196960 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 183707 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | BEFORE FORM 990 IS FILED, IT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE CHIEF EXECUTIVE OFFICER. IF ERRORS OR QUESTIONS ARISE, THESE ARE RESOLVED BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY FOR ALL STAFF. FORMS ARE COMPLETED ANNUALLY BY BOARD MEMBERS. PROVIDERS HAVE CLAUSES IN CONTRACT THAT REQUIRE REPORTING. ALL CONTRACTS ARE REVIEWED FOR ANY CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE CEO AND TOP MANAGEMENT STAFF IS DETERMINED THROUGH COMPARISON WITH NATIONAL INFORMATION ON COMPENSATION FOR OTHER COMMUNITY HEALTH CENTERS. EFFORTS ARE MADE TO HAVE THIS LEVEL AT THE MEDIAN LEVEL. THE CEO AND MANAGEMENT OFFICIALS SALARIES ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND REVISED IF NEEDED, DEPENDING UPON THE FINANCIAL POSITION OF THE ORGANIZATION. BENEFITS FOR THE CEO AND TOP MANAGEMENT OFFICIALS ARE DONE EXACTLY LIKE THOSE OF OTHER EXEMPT STAFF. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN TWO WAYS. THESE DOCUMENTS MAY BE REQUESTED FROM THE ORGANIZATION'S BUSINESS OFFICE AND CAN BE OBTAINED WITHIN 5 BUSINESS DAYS. INFORMATION IS ALSO AVAILABLE ON A WEBSITE FOR NON-PROFITS: GIVINGMATTERS.COM |