NEIGHBORHOOD HEALTH CLINICS INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD HEALTH CLINICS INC (EIN 35-1922483)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-07-09
- IRS object ID
- 202421919349301412
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-07-09T12:17:43+00:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Forvis Mazars LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 E Wayne Street Suite 600 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351922483 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Neighborhood Health Clinics Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEIG | BusinessNameControlTxt |
| Phone | 2604582641 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1717 SOUTH CALHOUN STREET | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANGELA M ZAEGEL | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 2604582648 | PhoneNum |
| Signature | 2024-07-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANGELA | PersonFirstNm |
| Person Last | ZAEGEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ASHLEY WHITMAN | PreparerPersonNm |
| PTIN | P01883404 | PTIN |
| Phone | 2604604000 | PhoneNum |
| Preparation | 2024-07-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA M ZAEGEL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 EAST LUDWIG ROAD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46825 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,105,552 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYNHFW.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S MISSION IS TO IDENTIFY NEEDS AND PROVIDE ACCESS TO QUALITY HEALTHCARE SERVICES WHERE EVERYONE IS CARED FOR WITH COMPASSION AND RESPECT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 248 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,619,002 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,637,177 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,969,319 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,373,167 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,263 | PYInvestmentIncomeAmt |
| CY Investment Income | $60,173 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,487 | PYOtherRevenueAmt |
| CY Other Revenue | $35,035 | CYOtherRevenueAmt |
| PY Total Revenue | $18,609,071 | PYTotalRevenueAmt |
| CY Total Revenue | $25,105,552 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,987,082 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,895,706 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $48,574 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $206,135 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,734,755 | PYOtherExpensesAmt |
| CY Other Expenses | $7,793,500 | CYOtherExpensesAmt |
| PY Total Expenses | $18,721,837 | PYTotalExpensesAmt |
| CY Total Expenses | $21,737,780 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$112,766 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,367,772 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,503,453 | TotalAssetsBOYAmt |
| Total Assets EOY | $29,282,050 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,123,424 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,108,916 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,380,029 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,173,134 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,720,776 | ExpenseAmt |
| Revenue | $1,638,066 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,698,281 | ExpenseAmt |
| Revenue | $3,364,493 | RevenueAmt |
| Desc | DENTAL: NEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES DENTAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDERSERVED AREA WHERE VERY FEW OTHER DENTAL SERVICES ARE AVAILABLE. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. NHCI'S DENTAL SERVICES INCLUDE FULL FAMILY DENTAL CARE (PEDIATRIC DENTAL PATIENTS STARTING AT AGE 3); CAVITY TREATMENT; DENTAL X-RAYS; EXTRACTIONS; CROWNS; DENTURES; AND PROTECTIVE SEALANTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,818,514 | ExpenseAmt |
| Revenue | $2,297,832 | RevenueAmt |
| Desc | WIC: NHCI ALSO PARTICIPATES IN THE WIC PROGRAM. A NUTRITION EDUCATION PROGRAM OFFERING HEALTHY FOODS AND OTHER SERVICES FREE OF CHARGE. THE WIC PROGRAM HELPS MANY FAMILIES (SINGLE PARENTS, MARRIED, WORKING, NOT WORKING, AND FOSTER PARENTS). EACH MONTH, FAMILIES RECEIVE NUTRITION COUNSELING, BREASTFEEDING EDUCATION, BREASTFEEDING PUMP ASSISTANCE, AND SUPPLEMENTAL BENEFITS FOR NUTRITIOUS FOOD FROM NHCI'S WIC PROGRAM IN ALLEN, DEKALB, AND NOBLE COUNTIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,213,912 | ExpenseAmt |
| Revenue | $1,107,811 | RevenueAmt |
| Desc | OPTOMETRY, BEHAVIORAL HEALTH, AND CHIROPRACTIC SERVICES: NEIGHBORHOOD HEALTH CLINICS (NHCI) OPERATES A FULL-SERVICE OPTOMETRY PRACTICE TO PROVIDE OPTOMETRY SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO TRADITIONAL OPTOMETRY SERVICES. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED AREA WHERE FEW OTHER OPTOMETRY SERVICES ARE AVAILABLE. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. NEIGHBORHOOD HEALTH CLINICS (NH) OFFER BEHAVIORAL HEALTH SERVICES (BH) TO OUR PATIENTS. LICENSED CLINICAL SOCIAL WORKERS (LCSW) WERE MADE AVAILABLE TO OUR PATIENTS DURING THEIR MEDICAL VISITS IF THE PATIENT NEEDED HELP WITH MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. NHCI TREATS PATIENTS WITH ANXIETY, DEPRESSION, ABUSE, PTSD, SMOKING CESSATION, AND ALCOHOL AND DRUG ABUSE. NEIGHBORHOOD HEALTH CLINICS (NH) OFFER CHIROPRACTIC SERVICES TO OUR PATIENTS. OUR CALHOUN CHIROPRACTIC CLINIC USES A VARIETY OF ADVANCED, CUTTING-EDGE TECHNIQUES AND SERVICES TO PROVIDE RELIEF FOR OUR PATIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,213,912 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,107,811 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $18,451,483 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 248 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK G HAMILTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2604582648 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 EAST LUDWIG ROAD | AddressLine1Txt |
| City | FORT WAYNE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46825 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Ben Eisbart | |||||||||
| 1st Vice Chair | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Cynthia Villanueva | |||||||||
| Secretary | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Heidi Fowler | |||||||||
| 2nd Vice Chair | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Matthew Sprunger MD | |||||||||
| Treasurer | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Melissa Bradberry | |||||||||
| Chair | 2.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Aaron Robles | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Brian Zehr MD | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Brooke Southivong | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Christine Brandenburg | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Denita Washington | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Katherine LaPierre | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Marcella Jackson | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Nyein Chan | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Messman | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Raylene Rospond | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Wayne Walker DDS | |||||||||
| Board Member | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Angela Marie Zaegel | |||||||||
| President/CEO | 40.0 | 1.0 | Yes (X) | $225,478 | $0 | $12,618 | |||
| Mark Hamilton | |||||||||
| VP/Chief Financial Officer | 40.0 | 2.0 | Yes (X) | $181,503 | $0 | $0 | |||
| Sharon Singleton | |||||||||
| VP/Chief Medical Officer | 32.0 | 0.0 | $269,959 | $0 | $13,243 | Yes (X) | |||
| Tyler J Kimmel | |||||||||
| Chief Dental Officer | 40.5 | 0.0 | $247,095 | $0 | $12,521 | Yes (X) | |||
| Cynthia A Geisman | |||||||||
| COO-VP/Chief Operations Officer | 40.8 | 0.0 | $146,742 | $0 | $3,472 | Yes (X) | |||
| Goldy B Carbunaru | |||||||||
| Pediatrician | 30.0 | 0.0 | $206,434 | $0 | $24,533 | Yes (X) | |||
| Jaspreet Kaur | |||||||||
| Dentist | 40.0 | 0.0 | $159,144 | $0 | $6,957 | Yes (X) | |||
| John S Mohrman | |||||||||
| Family Practice Physician | 24.9 | 0.0 | $180,977 | $0 | $0 | Yes (X) | |||
| Miriva Magar | |||||||||
| Pediatrician | 24.0 | 0.0 | $157,921 | $0 | $3,309 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,775,253 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $76,653 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 22 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Troy Properties Inc | |||||
| PO Box 776885 | Fort Wayne | IN | 60677 | Rent & Building Maintenance | $918,180 |
| Witwer Construction Inc | |||||
| 3636 South Maplecrest Road | Fort Wayne | IN | 46885 | Construction | $619,044 |
| MainStay Solutions Inc | |||||
| PO Box 15562 | Fort Wayne | IN | 46885 | IT Support and Equipment | $588,714 |
| Aston Carter Inc | |||||
| 3689 Collection Center Drive | Chicago | IL | 60693 | Contract Personnel | $291,232 |
| Voyce Inc | |||||
| 1301 International Pkwy | Sunrise | FL | 33323 | Translation Services | $230,444 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $10,341,378 | GovernmentGrantsAmt |
| All Other Contributions | $6,295,799 | AllOtherContributionsAmt |
| Noncash Contributions | $577,399 | NoncashContributionsAmt |
| Total Contributions | $16,637,177 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 623000 | $8,099,988 | $8,099,988 |
| PHARMACY CO-PAY | 623000 | $273,179 | $273,179 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,373,167 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,173 | TotalRevenueColumnAmt |
| Exclusion | $60,173 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $35,035 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,035 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $35,035 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,105,552 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,408,202 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,173 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $962,417 | TotalAmt |
| Program Services | $818,054 | ProgramServicesAmt |
| Management And General | $135,797 | ManagementAndGeneralAmt |
| Fundraising | $8,566 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,776,700 | TotalAmt |
| Program Services | $9,160,195 | ProgramServicesAmt |
| Management And General | $1,520,592 | ManagementAndGeneralAmt |
| Fundraising | $95,913 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,915 | TotalAmt |
| Program Services | $104,478 | ProgramServicesAmt |
| Management And General | $17,208 | ManagementAndGeneralAmt |
| Fundraising | $1,229 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,243 | TotalAmt |
| Program Services | $1,000,657 | ProgramServicesAmt |
| Management And General | $164,814 | ManagementAndGeneralAmt |
| Fundraising | $11,772 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,431 | TotalAmt |
| Program Services | $727,967 | ProgramServicesAmt |
| Management And General | $119,900 | ManagementAndGeneralAmt |
| Fundraising | $8,564 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,423 | TotalAmt |
| Management And General | $135,423 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,124 | TotalAmt |
| Management And General | $91,124 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,574 | TotalAmt |
| Fundraising | $48,574 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,084,678 | TotalAmt |
| Program Services | $1,771,977 | ProgramServicesAmt |
| Management And General | $312,701 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,882 | TotalAmt |
| Program Services | $533,700 | ProgramServicesAmt |
| Management And General | $87,903 | ManagementAndGeneralAmt |
| Fundraising | $6,279 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,880 | TotalAmt |
| Program Services | $577,898 | ProgramServicesAmt |
| Management And General | $95,183 | ManagementAndGeneralAmt |
| Fundraising | $6,799 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,137 | TotalAmt |
| Program Services | $1,272,567 | ProgramServicesAmt |
| Management And General | $209,599 | ManagementAndGeneralAmt |
| Fundraising | $14,971 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,380 | TotalAmt |
| Program Services | $168,623 | ProgramServicesAmt |
| Management And General | $27,773 | ManagementAndGeneralAmt |
| Fundraising | $1,984 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,106 | TotalAmt |
| Program Services | $92,740 | ProgramServicesAmt |
| Management And General | $16,366 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,424 | TotalAmt |
| Program Services | $449,160 | ProgramServicesAmt |
| Management And General | $79,264 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,651 | TotalAmt |
| Program Services | $79,603 | ProgramServicesAmt |
| Management And General | $14,048 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $1,388,154 | $1,388,154 | ||
| DUES & SUBSCIPTIONS | $211,342 | $179,641 | $31,701 | |
| OTHER | $148,319 | $126,069 | $20,766 | $1,484 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,737,780 | TotalAmt |
| Program Services | $18,451,483 | ProgramServicesAmt |
| Management And General | $3,080,162 | ManagementAndGeneralAmt |
| Fundraising | $206,135 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,757 | BOYAmt |
| EOY | $2,060 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,957,040 | BOYAmt |
| EOY | $988,439 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,858 | BOYAmt |
| EOY | $1,881,641 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,875 | BOYAmt |
| EOY | $717,887 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $13,744,950 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,891 | BOYAmt |
| EOY | $290,556 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,130,916 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,423,600 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,285,486 | BOYAmt |
| EOY | $7,707,316 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,864,546 | BOYAmt |
| EOY | $3,949,201 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,503,453 | BOYAmt |
| EOY | $29,282,050 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,260 | BOYAmt |
| EOY | $1,857,356 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $780,740 | BOYAmt |
| EOY | $8,287,681 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,875,424 | BOYAmt |
| EOY | $3,963,879 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,123,424 | BOYAmt |
| EOY | $14,108,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,127,083 | BOYAmt |
| EOY | $15,003,134 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,946 | BOYAmt |
| EOY | $170,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,380,029 | BOYAmt |
| EOY | $15,173,134 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,503,453 | BOYAmt |
| EOY | $29,282,050 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,367,772 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $7,771 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$582,438 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,070,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,751,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,475,407 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,619,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,637,177 | CurrentTaxYearAmt |
| Total | $55,552,819 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,070,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,751,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,475,407 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,619,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,637,177 | CurrentTaxYearAmt |
| Total | $55,552,819 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $55,552,819 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,532 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,173 | CurrentTaxYearAmt |
| Total | $114,929 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,957 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,313 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,035 | CurrentTaxYearAmt |
| Total | $60,775 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $55,728,523 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $35,552,719 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.9968 | PublicSupportCY170Pct |
| Public Support PY170 | 0.9977 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - MISCELLANEOUS INCOME, COLUMN A - 2957.0, COLUMN B - 3313.0, COLUMN C - 7983.0, COLUMN D - 11487.0, COLUMN E - 35035.0, COLUMN F - 60775.0; | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $907 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $907 | AdministrativeExpensesAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $65 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $65 | AdministrativeExpensesAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $24 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $24 | AdministrativeExpensesAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $48 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $48 | AdministrativeExpensesAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $270 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $270 | AdministrativeExpensesAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,100 | OtherCostOrOtherBasisAmt |
| Book Value | $174,100 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,609,849 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,065,821 | DepreciationAmt |
| Book Value | $5,544,028 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,192,048 | OtherCostOrOtherBasisAmt |
| Depreciation | $974,417 | DepreciationAmt |
| Book Value | $1,217,631 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,028,413 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,343,762 | DepreciationAmt |
| Book Value | $684,651 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,600 | DepreciationAmt |
| Book Value | $86,906 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,707,316 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RIGHT OF USE ASSETS - FINANCING | $30,537 |
| RIGHT OF USE ASSETS - OPERATING | $3,918,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,949,201 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FINANCING LEASE LIABILITIES | $30,949 |
| OPERATING LEASE LIABILITIES | $3,932,930 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,963,879 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $25,113,323 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $7,771 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $7,771 | RevenueNotReportedAmt |
| Revenue Subtotal | $25,105,552 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $25,105,552 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,737,780 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,737,780 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,737,780 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part I, Line 4(a) | THE EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR ADMINISTRATIVE EXPENSES. |
| Schedule D, Part X | MANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS 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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Timothy Group INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1663 Sutherland Dr SE | AddressLine1Txt |
| City | Grand Rapids | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 49508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Capital Campaign Consultants | ActivityTxt |
| Fundraiser Control Of Funds | false | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $48,574 | RetainedByContractorAmt |
| Net To Organization | -$48,574 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $0 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $48,574 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$48,574 | TotalNetToOrganizationAmt |
| Licensed States | IN | LicensedStatesCd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule G, Part I, Line 2b(v) payment of fees or payment of expenses | FormAndLineReferenceDesc |
| Explanation | TIMOTHY GROUP, INC.-THE TIMOTHY GROUP ACCOUNT SERVICE FEE FOR THIS PACKAGE IS $66,000. THE FEE MAY BE PAID IN FULL WITH THE SIGNING OF THE CONTRACT OR IN ELEVEN (11) EQUAL PAYMENTS AS FOLLOWS $6,000 WITH THE SIGNING OF THE CONTRACT. $6,000 EACH MONTH FOR THE NEXT TEN (10) CONSECUTIVE MONTHS. PAYMENT IS DUE THE FIFTEENTH {15TH) OF EACH MONTH. IN ADDITION TO ACCOUNT SERVICE FEES, THE CLIENT MAY INCUR EXPENSES INCLUDING, BUT NOT LIMITED TO: PRINTING/PHOTOCOPYING, POSTAGE, GRAPHIC DESIGN, AND ANY OTHER MATERIALS REQUIRED TO ACCOMPLISH THE SERVICE. ANY EXPENSES INCURRED FOR THESE ITEMS WILL BE AT THE SPECIFIC REQUEST OF THE CLIENT AND WILL BE APPROVED IN ADVANCE. THE CLIENT IS RESPONSIBLE FOR ALL TRAVEL EXPENSES (E.G., AIRFARE, MEALS, CAR RENTAL, MILEAGE, AND LODGING), WHICH WILL BE BILLED AS INCURRED EACH MONTH, IN ADDITION TO THE ACCOUNT SERVICE FEE.; | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Angela Marie Zaegel | ||||||||||||||
| President/CEO | $223,277 | $0 | $2,201 | $0 | $0 | $0 | $5,373 | $0 | $7,245 | $0 | $238,096 | $0 | $0 | $0 |
| Mark Hamilton | ||||||||||||||
| VP/Chief Financial Officer | $179,710 | $0 | $1,793 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $181,503 | $0 | $0 | $0 |
| Tyler J Kimmel | ||||||||||||||
| Chief Dental Officer | $229,753 | $0 | $17,342 | $0 | $0 | $0 | $5,276 | $0 | $7,245 | $0 | $259,616 | $0 | $0 | $0 |
| Sharon Singleton | ||||||||||||||
| VP/Chief Medical Officer | $249,472 | $0 | $20,487 | $0 | $0 | $0 | $5,998 | $0 | $7,245 | $0 | $283,202 | $0 | $0 | $0 |
| Jaspreet Kaur | ||||||||||||||
| Dentist | $144,733 | $0 | $14,411 | $0 | $0 | $0 | $0 | $0 | $6,957 | $0 | $166,101 | $0 | $0 | $0 |
| John S Mohrman | ||||||||||||||
| Family Practice Physician | $167,804 | $0 | $13,173 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $180,977 | $0 | $0 | $0 |
| Goldy B Carbunaru | ||||||||||||||
| Pediatrician | $189,981 | $0 | $16,453 | $0 | $0 | $0 | $4,600 | $0 | $19,933 | $0 | $230,967 | $0 | $0 | $0 |
| Miriva Magar | ||||||||||||||
| Pediatrician | $145,941 | $0 | $11,980 | $0 | $0 | $0 | $3,309 | $0 | $0 | $0 | $161,230 | $0 | $0 | $0 |
| Cynthia A Geisman | ||||||||||||||
| COO-VP/Chief Operations Officer | $145,327 | $0 | $1,415 | $0 | $0 | $0 | $3,472 | $0 | $0 | $0 | $150,214 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $577,399 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Other - Cost-Packing Slip | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Vaccines | FormAndLineReferenceDesc |
| Explanation | DRUGS AND MEDICAL SUPPLIES: NUMBER OF CONTRIBUTORS. VACCINES FOR CHILDREN IS A STATE-BASED PROGRAM THAT PROVIDES FREE VACCINES FOR KIDS. WE RECORD THE VALUE PER SHIPPING DOCUMENT WHEN THE SUPPLIES ARE RECEIVED FROM THE PROGRAM. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4a | MEDICAL: NEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES MEDICAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDER-SERVED AREA WHERE FEW OTHER MEDICAL SERVICES ARE AVAILABLE. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY.NHCI'S MEDICAL SERVICES INCLUDE: -FAMILY MEDICINE - PREVENTATIVE MEDICINE AND SCREENING; ACUTE AND CHRONIC MANAGEMENT OF GENERAL DISEASE; -PEDIATRICS - WELL-CHILD CARE; ACUTE AND CHRONIC CARE OF GENERAL PEDIATRIC DISEASE; -PRENATAL - FREE PREGNANCY TESTS; GENERAL PRENATAL CARE AND DELIVERY SERVICES; POST-PARTUM CARE; AND -WOMEN'S HEALTH - PREVENTATIVE AND WELL CARE; CONTRACEPTION; GYNECOLOGICAL SCREENING; ACUTE AND CHRONIC GYNECOLOGICAL CARE |
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 1,213,912 including grants of $)(Revenue $ 1,107,811) OPTOMETRY, BEHAVIORAL HEALTH, AND CHIROPRACTIC SERVICES: NEIGHBORHOOD HEALTH CLINICS (NHCI) OPERATES A FULL-SERVICE OPTOMETRY PRACTICE TO PROVIDE OPTOMETRY SERVICES TO PATIENTS WHO DO NOT HAVE ACCESS TO TRADITIONAL OPTOMETRY SERVICES. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED AREA WHERE FEW OTHER OPTOMETRY SERVICES ARE AVAILABLE. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. NEIGHBORHOOD HEALTH CLINICS (NH) OFFER BEHAVIORAL HEALTH SERVICES (BH) TO OUR PATIENTS. LICENSED CLINICAL SOCIAL WORKERS (LCSW) WERE MADE AVAILABLE TO OUR PATIENTS DURING THEIR MEDICAL VISITS IF THE PATIENT NEEDED HELP WITH MENTAL HEALTH OR SUBSTANCE ABUSE ISSUES. NHCI TREATS PATIENTS WITH ANXIETY, DEPRESSION, ABUSE, PTSD, SMOKING CESSATION, AND ALCOHOL AND DRUG ABUSE. NEIGHBORHOOD HEALTH CLINICS (NH) OFFER CHIROPRACTIC SERVICES TO OUR PATIENTS. OUR CALHOUN CHIROPRACTIC CLINIC USES A VARIETY OF ADVANCED, CUTTING-EDGE TECHNIQUES AND SERVICES TO PROVIDE RELIEF FOR OUR PATIENTS. |
| Form 990, Part VI, Line 15a | AT LEAST EVERY THREE YEARS, HR PERFORMS A SALARY ANALYSIS THAT COVERS ALL POSITIONS WITH THE ORGANIZATION; THE BOARD EXECUTIVE COMMITTEE DOES THE CEO PERFORMANCE REVIEW IN OCTOBER OF EACH YEAR. THE SALARY ANALYSIS IS BASED ON SALARY SURVEYS INCLUDING LIKE ORGANIZATIONS AND THE LOCAL WAGES PAID IN THE FORT WAYNE AREA. THE DATA FROM THE SALARY SURVEY IS THEN USED BY THE BOARD OF DIRECTORS TO DETERMINE SALARY RANGES FOR ALL POSITIONS WITHIN THE ORGANIZATION UNTIL ANOTHER SALARY SURVEY IS COMPLETED, USUALLY WITHIN THREE YEARS. THE BOARD REVIEWS AND APPROVES THE SALARY RANGES FOR ALL POSITIONS, AND DOCUMENTS THEIR FINDINGS IN THE BOARD MEETING MINUTES. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE ORGANIZATION'S FINANCE COMMITTEE REVIEWS THE FULL FORM 990 IN DETAIL PRIOR TO IT BEING FINALIZED AND FILED. THEN A COPY OF THE FORM 990 IS MADE AVAILABLE TO EACH MEMBER OF THE FULL BOARD OF DIRECTORS BEFORE FILING. FINALLY, FORM 990 IS ALSO REVIEWED BY AN INDEPENDENT CPA FIRM BEFORE SUBMISSION TO THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | A POSSIBLE CONFLICT OF INTEREST EXISTS IF THE DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER HAS, EITHER DIRECTLY OR THROUGH FAMILY: (A) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH NHCI HAS A TRANSACTION OR ARRANGEMENT. (B) A COMPENSATION ARRANGEMENT WITH NHCI OR WITH ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI HAS A TRANSACTION OR ARRANGEMENT, OR (C) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI IS NEGOTIATING A TRANSACTION ARRANGEMENT. COMPENSATION INCLUDES DIRECT OR INDIRECT REMUNERATION, AS WELL AS GIFTS OR FAVORS THAT ARE CONSIDERED SUBSTANTIAL. THE ORGANIZATION'S BOARD MEMBERS AND OFFICERS SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT AND COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE ORGANIZATION'S PRESIDENT/CEO AND BOARD CHAIR REVIEW THE RESPONSES TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. WHERE ANY OF THE ABOVE EXISTS FOR ANY POSSIBLE TRANSACTION, THE PERSON HAS A DUTY TO DISCLOSE THE EXISTENCE OF THE RELATIONSHIP AND ALL MATERIAL FACTS OF THE RELATIONSHIP TO THE BOARD OF DIRECTORS OR COMMITTEE. AFTER FULL DISCLOSURE, THE BOARD OR COMMITTEE WILL DETERMINE IF A CONFLICT EXISTS. ANYONE WITH A CONFLICT OF INTEREST MUST EXCUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND/OR VOTE FOR ANY CONFLICTING ISSUES. IN ADDITION, IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD OR COMMITTEE MAY: (A) DETERMINE IF NHCI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT DOES NOT RESULT IN A CONFLICT OF INTEREST, OR (B) DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NHCI'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE AND ENTER INTO THE TRANSACTION OR ARRANGEMENT. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE RANGE OF ANY RAISES FOR THE ORGANIZATION'S PRESIDENT/CEO AND OTHER OFFICERS ANNUALLY IN JANUARY WHEN THE ORGANIZATION'S BUDGET IS REVIEWED AND APPROVED, WHICH IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE PRESIDENT/CEO COMPLETES THE PERFORMANCE REVIEWS FOR ALL OTHER OFFICERS. ANY RAISES APPROVED BY THE BOARD ARE SET AS A PERCENTAGE, WHICH IS BASED ON THE OUTCOME OF THE PERFORMANCE REVIEW. TOTAL COMPENSATION MUST STAY WITHIN THE COMPENSATION RANGE SET BY THE MOST RECENT HR SALARY ANALYSIS. |
| Form 990, Part VI, Line 19 Required documents available to the public | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | EQUITY TRANSFER TO RELATED ORGANIZATION - -582438; |
| FORM 990, PART VI, LINE 1A Executive Committee | THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION. THE OFFICERS OF THE CORPORATION SHALL BE MEMBERS OF THE BOARD OF DIRECTORS AND CONSIST OF A CHAIR, VICE CHAIR, A SECOND VICE CHAIR, A SECRETARY, AND A TREASURER. ONLY THE OFFICES OF THE SECRETARY AND TREASURER MAY BE HELD BY THE SAME PERSON. THE BOARD OF DIRECTORS MAY, BY RESOLUTION OR RESOLUTIONS PASSED BY A MAJORITY OF THE WHOLE BOARD, EMPOWER THE EXECUTIVE COMMITTEE TO ACT FOR AND ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD AND TO HAVE AND EXERCISE ALL OF THE POWER OF THE BOARD IN ACCORDANCE WITH THE GENERAL POLICY OF THE BOARD. WHEN ACTING FOR OR ON BEHALF OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL KEEP DUE RECORD OF ALL MEETINGS AND ACTIONS OF THE COMMITTEE AND SUCH RECORDS SHALL AT ALL TIMES BE OPEN TO THE INSPECTION OF ANY DIRECTOR AND FROM TIME TO TIME SHALL BE FILED WITH THE BOARD OF DIRECTORS AT THE MEETINGS THEREOF. SUCH RECORDS AND ALL ACTIONS OF THE COMMITTEE RECORDED THEREIN, SHALL BE SUBJECT TO THE SUPERVISION AND RATIFICATION OF THE BOARD. NOTWITHSTANDING THE FOREGOING, THE DESIGNATION OF SUCH AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OR ANY MEMBER THEREOF OF ANY RESPONSIBILITY IMPOSED ON IT OR ANY MEMBER BY LAW. THE FUNCTIONS OF THE EXECUTIVE COMMITTEE MAY BE PERFORMED BY MEETINGS OF THE COMMITTEE HELD IN THE REGULAR WAY OR BY A MAJORITY OF THE MEMBERS THEREOF, WHO BEING IN COMMUNICATION WITH EACH OTHER EITHER BY LETTER OR TELEPHONE, MAY DECIDE ANY MATTERS COMING WITHIN THE SCOPE OF THE COMMITTEE'S POWERS. A MAJORITY OF THE COMMITTEE MEMBERS SHALL CONSTITUTE A QUORUM AT SUCH MEETINGS FOR THE TRANSACTION OF BUSINESS. |
| FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION Organization's Mission | THE PURPOSE OF NEIGHBORHOOD HEALTH CLINICS, INC. (HEREBY REFERRED TO AS NHCI) IS TO PROVIDE ACCESS TO QUALITY HEALTH SERVICES WHERE EVERYONE IS CARED FOR WITH COMPASSION AND RESPECT. SINCE 1969 NHCI HAS PROVIDED HEALTH CARE SERVICES AND HAS EXPANDED TO INCLUDE A FULL CONTINUUM OF PRIMARY MEDICAL SERVICES FOR ALL GENDERS AND AGES. IN THE HEART OF A MEDICALLY UNDERSERVED POPULATION, NHCI OFFERS AN ARRAY OF SERVICES AT STRATEGICALLY LOCATED SITES. SERVICES AT NHCI INCLUDE ON-SITE FAMILY PRACTICE, PEDIATRICS, FAMILY PLANNING, PRENATAL, IMMUNIZATIONS, PREVENTIVE SCREENINGS, DENTAL (PREVENTATIVE AND RESTORATIVE), X-RAY, NUTRITIONAL COUNSELING, AND SOCIAL SERVICES. IN ADDITION TO OUR LONG CLINIC HOURS 8 AM-7 PM MONDAY THROUGH THURSDAY (OPEN FRIDAY 8 AM-5 PM), WE ALSO PROVIDE A SLIDING FEE SCALE FOR THOSE WITHOUT INSURANCE. INTERPRETATION SERVICES ARE AVAILABLE IN ALL LANGUAGES THROUGH A LANGUAGE LINE AND IN BURMESE AND SPANISH WITH FIVE DEDICATED TRANSLATORS ON-SITE AND ALMOST 30 BILINGUAL STAFF. FROM 2021, THROUGH 2022 WE HAVE BEEN FURTHER DEVELOPING OUR TELEHEALTH SERVICES THROUGH TELEHEALTH MEDICINE AND TELE-PSYCHIATRY. WE SERVE OUR CLIENTS IN FIVE CORE AREAS OF HEALTH: MEDICAL, DENTAL, BEHAVIORAL HEALTH, VISION CARE, AND NUTRITION. IN EACH OF THESE AREAS, WE OFFER CROSS-COLLABORATIVE SUPPORT. WE SERVE INDIVIDUALS FROM 48 DIFFERENT ZIP CODES AND ARE THE ONLY FEDERALLY QUALIFIED HEALTH CENTER IN ALLEN COUNTY. APPROXIMATELY 92% OF OUR CLIENTS ARE LOW-INCOME OR IN POVERTY AND 30% ARE UNINSURED AND UTILIZE OUR SLIDING FEE SCALE. IN ADDITION TO COLLABORATIVE HEALTH CARE, WE OFFER WRAP-AROUND SUPPORT WITH PATIENT NAVIGATORS, INSURANCE NAVIGATORS, CASE WORKERS, AND EVEN TRANSPORTATION WHEN NEEDED. LAST YEAR WE SERVED 20,551 PATIENTS, MANY OF WHOM WOULD NOT HAVE ACCESS TO QUALITY HEALTHCARE OTHERWISE. NHCI IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT ATTESTS TO ITS FULL CONTINUUM OF SERVICES AND QUALITY OF CARE. SERVICES AT NHCI ARE AVAILABLE TO EVERYONE REGARDLESS OF ABILITY TO PAY, RACE, CREED, AGE, GENDER, SEXUAL ORIENTATION, OR NATIONAL ORIGIN, AS REQUIRED BY LAW. MEDICAID, MEDICARE, AND PRIVATE INSURANCES ARE BILLED WHEN APPROPRIATE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Oxford QALICB Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 Warsaw Street | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 934096849 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Type I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Neighborhood Health Clinics Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OXFORD QALICB INC | ||
| B | $105,000 | FMV |
| OXFORD QALICB INC | ||
| R | $582,438 | FMV |
Comments