STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

AFFINIA HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AFFINIA HEALTHCARE (EIN 43-0817642)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-09
IRS object ID
201223149349300412
Schema version
2011v1.3
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)
Timestamp2012-11-09T08:34:01-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
CityST LOUISCity
StateMOState
ZIP Code63106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANET VOSSName
TitleVICE-PRESIDENT & CFOTitle
Date Signed2012-11-01DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDonna J LarsonName
Phone3142315544Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
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 Receipts31959924GrossReceipts
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 Employees402TotalNbrEmployees
Total Nbr Volunteers108TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10164639ContributionsGrantsPriorYear
Contributions Grants Current Year9797266ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19684784ProgramServiceRevenuePriorYear
Program Service Revenue CY22154971ProgramServiceRevenueCY
Investment Income Prior Year-28422InvestmentIncomePriorYear
Investment Income Current Year7687InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29821001TotalRevenuePriorYear
Total Revenue Current Year31959924TotalRevenueCurrentYear
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 Year19179250SalariesEtcPriorYear
Salaries Etc Current Year22527476SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10969416OtherExpensePriorYear
Other Expenses Current Year11470184OtherExpensesCurrentYear
Total Expenses Prior Year30148666TotalExpensesPriorYear
Total Expenses Current Year33997660TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-327665RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2037736RevenuesLessExpensesCY
Total Assets BOY20403065TotalAssetsBOY
Total Assets EOY21569545TotalAssetsEOY
Total Liabilities BOY12674124TotalLiabilitiesBOY
Total Liabilities EOY15878340TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7728941NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5691205NetAssetsOrFundBalancesEOY
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
Expense19536003Expense
Grants0Grants
Revenue14636823Revenue
DescriptionPRIMARY MEDICAL CARE PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES TO INDIVIDUALS IN OUR ST. LOUIS SERVICE AREA. APPROXIMATE PERSONS BENEFITED: 36,616Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4320811Expense
Grants0Grants
Revenue3059296Revenue
DescriptionHEALTH CARE FOR THE HOMELESS PROVIDING PRIMARY CARE, HEALTH, AND SUBSTANCE ABUSE SERVICES TO THE HOMELESS IN THE ST. LOUIS AREA. APPROXIMATE PERSONS BENEFITED: 5,943Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3097435Expense
Grants0Grants
Revenue3839609Revenue
DescriptionPUBLIC HOUSING PROVIDING HEALTH SERVICES FOR RESIDENTS OF PUBLIC HOUSING IN THE ST. LOUIS AREA. APPROXIMATE PERSONS BENEFITED: 5,113Description

Activity Other ActivityOther (2 entries)

DescriptionDescriptionExpenseExpenseGrantsGrantsRevenueRevenue
WIC (WOMEN, INFANTS, & CHILDREN)
PROVIDES NUTRITION ASSISTANCE6940180619243
FieldValueIRS element (for citing)
Total Of Other Program Service Exp694018TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev619243TotalOfOtherProgramServiceRev
Total Program Service Expense27648267TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109620NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees402NumberOfEmployees
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 VenturefalseInvestmentInJointVenture
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
CONSUMER1.5X000
PETER BUNCE
AT-LARGE1.5X000
WILLIAM CAMPBELL MD
AT-LARGE1.5X000
ELIZABETH COLEMAN
CONSUMER1.5X000
TONDALERIA CURRY
CONSUMER1.5X000
HARRY DENGLER
AT-LARGE1.5X000
RONALD S EVANS
AT-LARGE1.5X000
DEBRA FOX
CONSUMER1.5X000
JESSELLA FULSOM
CONSUMER1.5X000
ROBERT JACOBSON
AT-LARGE1.5X000
SANDRA MAHR
CONSUMER1.5X000
JOAN D'AMBROSE
AT-LARGE1.5X
GWENDOLYN HALL
CONSUMER1.5X
DEBRA JONES
CONSUMER1.5X
GILBERT PEOPLES
CONSUMER1.5X
SHERRY YOUNG
CONSUMER1.5X
JANNELLY VILLEGAS
CONSUMER1.5X
ALEXIS SLEET
CONSUMER1.5X
WILLIAM VAN LUVEN
AT-LARGE1.5X
ALAN O FREEMAN FACHE
PRESIDENT & CEO40.0226363016101X
JANET VOSS CPA
VP & CFO40.0155168019123X
BARBARA BAILEY RN
VP & COO40.0135330015169X
CRAIG GLOVER
VP & CIO40.0122262010842X
YVONNE BUHLINGER
VP COMMUNITY HEALTH SERVICES40.0114267013449X
YOLETTE BROWN MD
VP & CMO40.0200898028436X
VERONICA RICHARDSON
VP QUALITY IMPROVEMENT40.098174010733X
ALICE BOON
VP HUMAN RESOURCES40.011153106140X
MARGARET BAUM MD
OB/GYN PHYSICIAN40.0204441010270X
AMY RAVIN MD
OB/GYN PHYSICIAN35.0188673013727X
SHULAMIT M PORTNOY MD
PEDIATRIC NEUROLOGIST40.0192133020191X
BRIDGET K RUTLEDGE MD
OB/GYN PHYSICIAN40.0178939013005X
MELISSA TEPE
OB/GYN PHYSICIAN40.017936406077X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2107543TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation183263TotalOtherCompensation
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 TESTS1061512
ARCTURIS
720 OLIVE STREET SUITE 200ST LOUISMO63101ARCHITECTS296646
WASHINGTON UNIVERSITY SCHOOL OF MED
276 NORTH SKINKER BOULEVARDST LOUISMO63130CONTRACT CLNCL SVCS434730
INTERNATIONAL LANGUAGE CENTER
1416 S BIG BEND BLVDST LOUISMO63117LANG TRANSLATION SVC243557
SERVICE MASTER ORIGINAL
3772 GREENMOOR GARDENS CTFLORISSANTMO63034JANITORIAL223143
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants7701040GovernmentGrants
All Other Contributions2096226AllOtherContributions
Noncash Contributions1462761NoncashContributions
Total Contributions9797266TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/CAID REIMBUREMENTS6211101438738014387380
PROGRAM SERVICE FEES62111077675917767591
FieldValueIRS element (for citing)
Total Program Service Revenue22154971TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3900TotalRevenueColumn
Exclusion$3,900ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3787Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other3787Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3787TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,787ExclusionAmount

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 Column31959924TotalRevenueColumn
Related Or Exempt Function Income22154971RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,687ExclusionAmount

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)
Total1283985Total
Program Services507550ProgramServices
Management And General776435ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15354233Total
Program Services13618435ProgramServices
Management And General1735798ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3412479Total
Program Services2934334ProgramServices
Management And General478145ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1336540Total
Program Services1034762ProgramServices
Management And General301778ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1140239Total
Program Services977221ProgramServices
Management And General163018ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31581Total
Management And General31581ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total122260Total
Management And General122260ManagementAndGeneral

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)
Total3413716Total
Program Services2660919ProgramServices
Management And General752797ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3795571Total
Program Services3422827ProgramServices
Management And General372744ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1931263Total
Program Services1631096ProgramServices
Management And General300167ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total154676Total
Program Services117395ProgramServices
Management And General37281ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total129549Total
Program Services70643ProgramServices
Management And General58906ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total286062Total
Management And General286062ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1216518Total
Program Services522800ProgramServices
Management And General693718ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total27042Total
Program Services5674ProgramServices
Management And General21368ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS3195731957
ORGANIZATION DUES15568051079104601
REPAIRS AND MAINTENANCE38285322006085
ANNUAL EVENTS21900021900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total114124Total
Program Services29375ProgramServices
Management And General84749ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33997660Total
Program Services27648267ProgramServices
Management And General6349393ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY699181BOY
EOY433761EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2903336BOY
EOY3776505EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY647156BOY
EOY1027471EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2235874BOY
EOY2481338EOY

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)
BOY111220BOY
EOY75980EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY247762BOY
EOY245730EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18289642LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4760882LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13558536BOY
EOY13528760EOY

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
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20403065BOY
EOY21569545EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4013172BOY
EOY5187879EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12500BOY
EOY10192EOY

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)
BOY5086171BOY
EOY4849688EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3562281BOY
EOY5830581EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12674124BOY
EOY15878340EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7626165BOY
EOY5238217EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY102776BOY
EOY452988EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7728941BOY
EOY5691205EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20403065BOY
EOY21569545EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2037736ReconcilationRevenueExpenses
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 Years11564524CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11026848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12563724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10164639CurrentTaxYearMinus1Year
Current Tax Year9797266CurrentTaxYear
Total55117001Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11564524CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11026848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12563724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10164639CurrentTaxYearMinus1Year
Current Tax Year9797266CurrentTaxYear
Total55117001Total
FieldValueIRS element (for citing)
Public Support Total17055117001PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years250232CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31620CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1042CurrentTaxYearMinus1Year
Current Tax Year3900CurrentTaxYear
Total401632Total
FieldValueIRS element (for citing)
Total Support55518633TotalSupport
Gross Receipts From Admissions Etc99866263GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99277PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98939PublicSupportPertcentPriorYear
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 Balance102776BeginningOfYearBalance
Contributions432757Contributions
Other Expenditures82545OtherExpenditures
End Of Year Balance452988EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Basis10607434OtherCostOrOtherBasis
Depreciation1909974Depreciation
Book Value8697460BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1488277OtherCostOrOtherBasis
Depreciation90018Depreciation
Book Value1398259BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4296508OtherCostOrOtherBasis
Depreciation2090821Depreciation
Book Value2205687BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1694607OtherCostOrOtherBasis
Depreciation670069Depreciation
Book Value1024538BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13528760TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionACCRUED PENSION COSTSDescription
Amount$5,830,581Amount
FieldValueIRS element (for citing)
Total Of Amounts5830581TotalOfAmounts
Total Revenue31959924TotalRevenue
Total Expenses33997660TotalExpenses
Excess Or Deficit For Year-2037736ExcessOrDeficitForYear
Excess Or Deficit Per FS-2037736ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32427262TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities821339DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990821339RevenueNotRptdF990
Revenue Subtotal31605923RevenueSubtotal
Other Revenues Not Included354001OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt354001RevenueNotRptdOnFinStmt
Total Revenue Per Form99031959924TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt34815212TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities821339DonatedServicesUseOfFacilities
Expenses Not Rptd F990821339ExpensesNotRptdF990
Expenses Subtotal33993873ExpensesSubtotal
Other Expenses Not Included3787OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3787ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033997660TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART XII LINE 4BOTHERGAIN ON SALE OF ASSETS 3,787 TEMPORARILY RESTRICTED CONTRIBUTIONS 432,757 NET ASSETS RELEASED FROM RESTRICTION -82,545 ROUNDING 2 - - - - TOTAL 354,001
PART XIII, LINE 4BGAIN ON SALE OF ASSETS 3,787
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.

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)

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 OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALAN O FREEMAN FACHE
21286301350000014517015840242464000
JANET VOSS CPA
1479180725000011646074770174291000
BARBARA BAILEY RN
128580067500009384057850150499000
YOLETTE BROWN MD
1943980650000022267061690229334000
MARGARET BAUM MD
1923360121050008739015310214711000
AMY RAVIN MD
1845060416700012244014830202400000
SHULAMIT M PORTNOY MD
1822870984600013052071390212324000
BRIDGET K RUTLEDGE MD
175431035080007888051170191944000
MELISSA TEPE
175527038370004596014810185441000

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 F9905369NoncashContribsRptdF990
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 Contributions5NumberOfContributions
Noncash Contribs Rptd F9901457392NoncashContribsRptdF990
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 (5 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 2011 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 15BAN INDEPENDENT CONSULTING FIRM PROVIDED SALARY RANGES FOR ALL KEY EMPLOYEES IN THE FOURTH QUARTER OF 2010 TO DETERMINE SALARIES FOR 2011. THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS APPROVED ALL RANGES.
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.