SAMUEL U RODGERS HEALTH CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAMUEL U RODGERS HEALTH CENTER INC (EIN 43-0899356)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202412289349302111
Schema version
2022v5.0
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)
Return2024-08-15T11:41:50+00:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Forvis Mazars LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1Txt
CityKansas CityCityNm
State AbbreviationMOStateAbbreviationCd
ZIP641062246ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430899356EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMUEL U RODGERS HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMUBusinessNameControlTxt
Phone8164744920PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 EUCLID AVENUEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64124ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBOB THEISPersonNm
Person TitleCEOPersonTitleTxt
Phone8164744920PhoneNum
Signature2024-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael EnglePreparerPersonNm
PTINP00482834PTIN
Phone8162216300PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOB THEISBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 EUCLID AVENUEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64124ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$33,506,845GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RODGERSHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1968FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTHE CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee340TotalEmployeeCnt
Total Volunteers68TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,658,158PYContributionsGrantsAmt
CY Contributions Grants$13,611,749CYContributionsGrantsAmt
PY Program Service Revenue$13,029,654PYProgramServiceRevenueAmt
CY Program Service Revenue$17,707,130CYProgramServiceRevenueAmt
PY Investment Income$615,288PYInvestmentIncomeAmt
CY Investment Income$142,538CYInvestmentIncomeAmt
PY Other Revenue$301,402PYOtherRevenueAmt
CY Other Revenue$442,812CYOtherRevenueAmt
PY Total Revenue$28,604,502PYTotalRevenueAmt
CY Total Revenue$31,904,229CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,610,288PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,395,199CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,358,289PYOtherExpensesAmt
CY Other Expenses$9,701,203CYOtherExpensesAmt
PY Total Expenses$27,968,577PYTotalExpensesAmt
CY Total Expenses$30,096,402CYTotalExpensesAmt
PY Revenues Less Expenses$635,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,807,827CYRevenuesLessExpensesAmt
Total Assets BOY$31,575,830TotalAssetsBOYAmt
Total Assets EOY$38,963,526TotalAssetsEOYAmt
Total Liabilities BOY$3,281,964TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,454,587TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,293,866NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,508,939NetAssetsOrFundBalancesEOYAmt
MissionTHE CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE FOR ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,435,752ExpenseAmt
Grant$0GrantAmt
Revenue$18,016,970RevenueAmt
DescFor more than 55 years, the Samuel U. Rodgers Health Center ("Sam Rodgers") has delivered affordable care to children, adults, and families. Dr. Samuel U. Rodgers, the first board-certified African American OB/GYN in the Kansas City area, founded the Health Center in 1968 under the guiding principle that healthcare is a basic human right. Dr. Rodger's vision of healthy people in a healthy community is fulfilled through our ongoing mission: to provide high-quality, compassionate healthcare to all, regardless of their ability to pay. Sam Rodgers fulfills its mission by providing comprehensive primary care in the areas of adult and senior medicine, well-woman and obstetrical care, pediatric and adolescent health, behavioral health, and oral health services for our community's most medically and socially vulnerable families. The National Committee for Quality Assurance (a national certification organization committed to improving the quality of health care) recognizes Sam Rodgers as a Level 3 Patient-Centered Medical Home; we provide team-based, patient-centered care, which actively engages the patient and family in developing the care plan, teaching self-management skills, and ensuring follow-up care. Furthermore, over the past two years, Sam Rodgers has been designated as a Silver Quality Leader by the Health Resources and Services Administration (HRSA), placing it in the top 11-20% of FQHCs for quality care. In addition, Sam Rodgers is a Federally Qualified Health Center (the very first in Missouri and only the fourth FQHC in the entire country to be accorded that designation). Families and individuals of all ages can access a full complement of services to address their physical and mental healthcare needs: primary health care services for children, adolescents, and adults, including specialty women's health services (OB/GYN and mammography screenings), podiatry, mental health, a full range of dental health services for children and adults, pharmacy, lab, and digital imaging services. We operate clinics at four sites in Jackson and Clay counties; and deliver school-based services in the Blue Springs, MO School District. In September 2023, Sam Rodgers received a HRSA grant award to open a Nurse Practitioner Residency Program, the first program of its kind in any FQHC in Missouri, allowing residents a bird's-eye view of pediatric care to support hands-on, practical application. We are committed to eliminating barriers that medically and socially vulnerable people often experience in accessing healthcare. A prime example is Sam Rodgers' innovative program to provide transportation to/from any of our clinic sites, which has resulted in fewer missed appointments. Our trained and certified counselors can help patients and the public with application and enrollment assistance for MO HealthNet (Medicaid/CHIP) and Affordable Care Act Marketplace health insurance options. Sam Rodgers was one of 35 health centers to receive a HRSA grant award to reduce maternal mortality. The award was used to open a Prenatal and Postpartum Health Home (PPHH) to build on existing obstetric care coordination activities and respond to both clinical and social needs of patients with the highest risk of maternal morbidity and mortality. Our patients are ethnically and racially diverse, with 17% African/African American/Black, 6% Asian or Hawaiian/Pacific Islander, 13% Caucasian, 51% Hispanic/Latinx, and 13% are more than 1 race/undisclosed. Last year, 59% of our patients were best served in a language other than English. To ensure those patients receive accurate and culturally competent care, we provided interpretation services in more than 40 languages with certified medical translators on-site or through an online platform. Last year 22,746 individuals received care at a Sam Rodgers site of which, 89% of those patients are uninsured or on Medicaid. Although many uninsured patients can pay for services on a sliding scale, we provided $6.8 million dollars of uncompensated care last year. When children, adults, and families can access the high-quality, compassionate, and equitable healthcare we provide, it results in fewer costly and invasive ER visits. Sam Rodgers is proud to be a leader in the Kansas City area to build healthier communities.Desc
Total Program Service Expenses$23,435,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee340EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTOPHER WALKERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8168894801PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 EUCLID AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64124ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARMEN PARKER-BRADSHAW
DIRECTOR/SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
ELIZABETH BORDENAVE
DIRECTOR/VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
RHONDA HOLMAN
DIRECTOR/VICE CHAIR/CHAIRPERSON1.01.0Yes (X)Yes (X)$0$0$0
VICTOR HAMMONDS
DIRECTOR/TREASURER1.01.0Yes (X)Yes (X)$0$0$0
ARIF AHMED
DIRECTOR1.00.0Yes (X)$0$0$0
BETTY NWABUONWU
DIRECTOR1.00.0Yes (X)$0$0$0
BRUCE WILLIAMS
DIRECTOR1.00.0Yes (X)$0$0$0
CEMAL GUNGOR
DIRECTOR1.00.0Yes (X)$0$0$0
GABRIELA FLORES
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL MCCUNNIFF
DIRECTOR1.00.0Yes (X)$0$0$0
PATRICIA HERNANDEZ
DIRECTOR1.00.0Yes (X)$0$0$0
RITA RODGERS STANLEY
DIRECTOR1.00.0Yes (X)$0$0$0
SUSAN GARRETT
DIRECTOR1.00.0Yes (X)$0$0$0
BOB THEIS
CEO40.01.0Yes (X)$239,088$0$20,618
CHRISTOPHER WALKER
CHIEF FINANCIAL OFFICER40.01.0Yes (X)$138,636$0$19,919
CODY RYAN
PHYSICIAN40.00.0$206,541$0$23,920Yes (X)
JEFFERY UTTER
PHYSICIAN40.00.0$246,944$0$29,581Yes (X)
NIVA SHAKYA
PHYSICIAN40.00.0$220,010$0$10,353Yes (X)
ROBBIE HARRIFORD
PHYSICIAN40.00.0$230,608$0$17,711Yes (X)
SANGEETA DALAL
PHYSICIAN40.00.0$248,864$0$10,913Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,530,691TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$133,015TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
COMPREHENSIVE PHARMACY SERVICES LLC
655 METRO PLACE SOUTH SUITE 450DUBLINOH43017PHARMACY MANAGEMENT$740,616
LYTLE CONSTRUCTION
1100 SE HAMBLENLEES SUMMITMO64081CONSTRUCTION$426,682
HJM ARCHITECTS
7520 WASHINGTON STREETKANSAS CITYMO64114CONSTRUCTION$368,072
ALLIANCE RADIOLOGY PA
8005 W 110TH STREET SUITE 214OVERLAND PARKKS66210RADIOLOGY SERVICE PROVIDER$329,468
CYRACOM
2650 E ELVIRA ROADTUSCONAZ85756INTERPRETATION SERVICES$282,739SUITE 132
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Government Grants$10,822,882GovernmentGrantsAmt
All Other Contributions$2,788,867AllOtherContributionsAmt
Total Contributions$13,611,749TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621400$17,501,937$17,501,937
340B DRUG PROGRAM900099$205,193$205,193

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,707,130TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$123,727TotalRevenueColumnAmt
Exclusion$123,727ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,500RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$9,500RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,500TotalRevenueColumnAmt
Exclusion$9,500ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,621,427SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,544,337SecuritiesAmt
Other$58,279OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$77,090SecuritiesAmt
Other-$58,279OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,811TotalRevenueColumnAmt
Exclusion$18,811ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Missouri Health Plus LLC Income900099$309,840$309,840
ALL OTHER REVENUE900099$123,472$123,472

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$433,312OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,904,229TotalRevenueColumnAmt
Related Or Exempt Func Income$18,016,970RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$275,510ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$426,164TotalAmt
Program Services$366,501ProgramServicesAmt
Management And General$59,663ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,676,777TotalAmt
Program Services$14,157,059ProgramServicesAmt
Management And General$2,519,718ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$527,791TotalAmt
Program Services$464,497ProgramServicesAmt
Management And General$63,294ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,599,298TotalAmt
Program Services$1,557,040ProgramServicesAmt
Management And General$42,258ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,165,169TotalAmt
Program Services$991,740ProgramServicesAmt
Management And General$173,429ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,056TotalAmt
Management And General$7,056ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$239,124TotalAmt
Management And General$239,124ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,902TotalAmt
Management And General$14,902ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,528,401TotalAmt
Program Services$1,587,919ProgramServicesAmt
Management And General$940,482ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$323,846TotalAmt
Program Services$323,126ProgramServicesAmt
Management And General$720ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$930,297TotalAmt
Program Services$674,545ProgramServicesAmt
Management And General$255,752ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,081,557TotalAmt
Program Services$767,074ProgramServicesAmt
Management And General$314,483ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$506,830TotalAmt
Program Services$34,226ProgramServicesAmt
Management And General$472,604ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$137,006TotalAmt
Program Services$103,736ProgramServicesAmt
Management And General$33,270ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,442TotalAmt
Program Services$10,541ProgramServicesAmt
Management And General$7,901ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,778TotalAmt
Program Services$1,266ProgramServicesAmt
Management And General$11,512ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,548,263TotalAmt
Program Services$489,870ProgramServicesAmt
Management And General$1,058,393ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$168,106TotalAmt
Program Services$0ProgramServicesAmt
Management And General$168,106ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,583,531$1,576,990$6,541
REPAIRS & MAINTENANCE$272,408$166,063$106,345
EDUCATION$111,657$98,822$12,835
DUES & SUBSCRIPTIONS$99,123$62,978$36,145

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$117,876TotalAmt
Program Services$1,759ProgramServicesAmt
Management And General$116,117ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,096,402TotalAmt
Program Services$23,435,752ProgramServicesAmt
Management And General$6,660,650ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,994,942BOYAmt
EOY$8,939,565EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,279,416BOYAmt
EOY$2,930,391EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,561,775BOYAmt
EOY$3,522,387EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$16,931BOYAmt
EOY$55,220EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$282,606BOYAmt
EOY$230,353EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,442,984LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,326,737LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,764,358BOYAmt
EOY$20,116,247EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,963,236BOYAmt
EOY$2,198,587EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$608,093BOYAmt
EOY$616,005EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$104,473BOYAmt
EOY$354,771EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,575,830BOYAmt
EOY$38,963,526EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,952,374BOYAmt
EOY$3,030,155EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$185,276BOYAmt
EOY$201,997EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$144,314BOYAmt
EOY$35,418EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$187,017EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,281,964BOYAmt
EOY$3,454,587EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,202,634BOYAmt
EOY$30,147,358EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$91,232BOYAmt
EOY$5,361,581EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,293,866BOYAmt
EOY$35,508,939EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,575,830BOYAmt
EOY$38,963,526EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,807,827ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$136,897NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,270,349OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Coll Used Loan Or Exch ProgYes (X)CollUsedLoanOrExchProgInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,700,438OtherCostOrOtherBasisAmt
Book Value$1,700,438BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$29,159,222OtherCostOrOtherBasisAmt
Depreciation$13,432,561DepreciationAmt
Book Value$15,726,661BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$43,294OtherCostOrOtherBasisAmt
Depreciation$34,311DepreciationAmt
Book Value$8,983BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,409,050OtherCostOrOtherBasisAmt
Depreciation$6,859,865DepreciationAmt
Book Value$1,549,185BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,130,980OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$1,130,980BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,116,247TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE LIABILITIESDesc
Amt$187,017Amt
FieldValueIRS element (for citing)
Total Liability$187,017TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$32,084,503TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$136,897NetUnrealizedGainsInvstAmt
Other Revenue$58,279OtherRevenueAmt
Revenue Not Reported$195,176RevenueNotReportedAmt
Revenue Subtotal$31,889,327RevenueSubtotalAmt
Investment Expenses Not Incld$14,902InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,902RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,904,229TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,139,779TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$58,279OtherExpensesIncludedAmt
Expenses Not Reported$58,279ExpensesNotReportedAmt
Expenses Subtotal$30,081,500ExpensesSubtotalAmt
Investment Expenses Not Incld2$14,902InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$14,902ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,096,402TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
Schedule D, Part III, Line 4 Collections of art - description of collectionsPAINTINGS BY RITA BLITT WERE INSTALLED AT THE HEALTH CENTER IN APRIL 2012. THESE PAINTINGS ARE PART OF THE RITA BLITT MUSEUM WITHOUT WALLS EXHIBITION. THE RITA BLITT MUSEUM WITHOUT WALLS WAS DEVELOPED IN 2012 TO LIST AND ILLUSTRATE EXHIBITIONS THAT ARE AVAILABLE FOR LOAN TO GALLERIES AND MUSEUMS, TO MAP THE NUMEROUS PUBLIC PLACES THROUGHOUT THE WORLD THAT ONE CAN VISIT TO VIEW BLITT'S ARTWORK, TO SHARE EDUCATIONAL CURRICULUM AND FILMS RELATING TO HER PRACTICE, AND TO SHOWCASE WORKS IN HER PORTFOLIO. THE EXHIBITION FEATURED IN THE ON VIEW SECTION WILL CHANGE ON A MONTHLY BASIS. BLITT HAS INDEFINITELY LOANED COLLECTIONS OF HER ART TO NON-PROFIT ORGANIZATIONS THROUGH THE RITA BLITT FOUNDATION, WHOSE MISSION IS TO SHARE, EDUCATE, AND INSPIRE THROUGH THE ARTWORKS OF BLITT.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990Loss on Disposal of Fixed Assets - 58279
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990Loss on Disposal of Fixed Assets - 58279

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BOB THEIS
CEO$238,710$0$109$0$269$0$12,262$0$8,356$0$259,706$0$0$0
CHRISTOPHER WALKER
CHIEF FINANCIAL OFFICER$138,636$0$0$0$0$0$6,634$0$13,285$0$158,555$0$0$0
ROBBIE HARRIFORD
PHYSICIAN$205,608$0$25,000$0$0$0$9,997$0$7,714$0$248,319$0$0$0
CODY RYAN
PHYSICIAN$176,541$0$30,000$0$0$0$9,641$0$14,279$0$230,461$0$0$0
SANGEETA DALAL
PHYSICIAN$227,345$0$21,250$0$269$0$10,913$0$0$0$259,777$0$0$0
NIVA SHAKYA
PHYSICIAN$220,010$0$0$0$0$0$10,353$0$0$0$230,363$0$0$0
JEFFERY UTTER
PHYSICIAN$225,944$0$21,000$0$0$0$12,053$0$17,528$0$276,525$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing bodyAN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE COMPLETED. THE 990 IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. ANY QUESTIONS AND CONCERNS THE FINANCE COMMITTEE HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE COMPLETED. THE FINAL 990 WITH ALL REQUIRED SCHEDULES IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
Form 990, Part VI, Line 12c Conflict of interest policyDUTY TO DISCLOSE: IF AN INTERESTED PERSON HAS A POSITION OR FINANCIAL INTEREST IN ANY BUSINESS OR OTHER ENTITY WITH WHICH THE HEALTH CENTER IS CONSIDERING ENTERING INTO AN ARRANGEMENT OR TRANSACTION, THE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE CONFLICT TO THE HEALTH CENTER'S BOARD OF DIRECTORS (BOARD) OR EXECUTIVE COMMITTEE AS SOON AS THE INTERESTED PERSON HAS KNOWLEDGE OF THE POTENTIAL ARRANGEMENT OR TRANSACTION, AND WHENEVER REQUESTED BY THE BOARD OR THE EXECUTIVE COMMITTEE. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: THE BOARD OF DIRECTORS WILL MAKE THE DETERMINATION. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: - PRIOR TO ANY DISCUSSION AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS, AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR THE EXECUTIVE COMMITTEE REGARDING THE INTERESTED PERSON'S POSITION OR FINANCIAL INTEREST. AFTER SUCH PRESENTATION, THE INTERESTED PERSON WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE PROPOSED TRANSACTION. - THE BOARD OR THE EXECUTIVE COMMITTEE WILL UNDERTAKE APPROPRIATE DUE DILIGENCE AND INFORM ITSELF OF ALL MATERIAL INFORMATION REASONABLY AVAILABLE TO IT AND EXPLORE ALL REASONABLE ALTERNATIVES TO THE PROPOSED TRANSACTION THAT WOULD NOT INVOLVE THE CONFLICT OF INTEREST. - IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE PROPOSED TRANSACTION IS (I) IN THE HEALTH CENTER'S BEST INTEREST, (II) FOR THE HEALTH CENTER'S OWN BENEFIT, AND (III) FAIR AND REASONABLE TO THE HEALTH CENTER. IN CONFORMITY WITH THIS DETERMINATION, THE BOARD OR THE EXECUTIVE COMMITTEE WILL MAKE ITS DECISION AS TO WHETHER THE HEALTH CENTER MAY ENTER INTO THE PROPOSED TRANSACTION. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: IF THE BOARD OR THE EXECUTIVE COMMITTEE DETERMINES THAT THE COVERED PERSON HAS IN FACT FAILED TO DISCLOSE A POSITION OR A FINANCIAL INTEREST, THE BOARD OR THE EXECUTIVE COMMITTEE WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. DOCUMENTATION IN MINUTES: WITH RESPECT TO THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS, THE NAME OF THE INTERESTED PERSON WHO DISCLOSED OR WAS OTHERWISE FOUND TO HAVE A POSITION OR FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; THE NATURE OF THE POSITION OR FINANCIAL INTEREST; ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; AND THE BOARD OR THE EXECUTIVE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. ANNUAL STATEMENTS: EACH COVERED PERSON WILL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: - HAS RECEIVED A COPY OF THIS POLICY; - HAS READ AND UNDERSTANDS THE POLICY; - HAS AGREED TO COMPLY WITH THE POLICY; AND - UNDERSTANDS THE HEALTH CENTER IS EXEMPT FROM FEDERAL INCOME TAX AND TO MAINTAIN ITS FEDERAL TAX EXEMPTION THE HEALTH CENTER MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. IN ADDITION, EACH COVERED PERSON WILL ANNUALLY COMPLETE, SIGN AND PROMPTLY RETURN TO THE BOARD OR THE EXECUTIVE COMMITTEE A QUESTIONNAIRE AND DISCLOSURE STATEMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialIN DETERMINING THE COMPENSATION OF THE CEO, HUMAN RESOURCES, ON A REGULAR BASIS, CONDUCTS SALARY SURVEYS TO ENSURE THE CURRENT JOB PAY RANGE AND MEDIAN PAY FOR THIS POSITION REMAINS COMPETITIVE IN THE MARKETPLACE AND CONSISTENT WITH THE COMPANY'S COMPENSATION PHILOSOPHY. AN INDEPENDENT COMMITTEE USING COMPARABILITY DATA WILL CONDUCT A COMPENSATION ANALYSIS. SUCH DELIBERATIONS AND DECISIONS REGARDING COMPENSATION IS DOCUMENTED AND SUBSTANTIATED.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesOTHER OFFICERS AND KEY EMPLOYEES: ON A REGULAR BASIS, HUMAN RESOURCES WILL CONDUCT SALARY SURVEYS TO ENSURE CURRENT JOB PAY RANGES AND MEDIAN PAY FOR CERTAIN BENCHMARKED POSITIONS REMAIN COMPETITIVE IN THE MARKETPLACE AND CONSISTENT WITH THE COMPANY'S COMPENSATION PHILOSOPHY. AN INDEPENDENT COMMITTEE USING COMPARABILITY DATA WILL CONDUCT A COMPENSATION ANALYSIS. SUCH DELIBERATIONS AND DECISIONS REGARDING COMPENSATION IS DOCUMENTED AND SUBSTANTIATED. THE LAST REVIEW WAS PERFORMED IN FEBRUARY 2023.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesDONOR RESTRICTED CONTRIBUTIONS - 5361581; NET ASSETS RELEASED FROM RESTRICTION - -91232;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SAMUEL U RODGERS FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 EUCLID AVEAddressLine1Txt
CityKANSAS CITYCityNm
State AbbreviationMOStateAbbreviationCd
ZIP64124ZIPCd
FieldValueIRS element (for citing)
EIN200751739EIN
Primary ActivitiesSUPPORT ORGPrimaryActivitiesTxt
Legal Domicile StateMOLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusType IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SURHCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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