2023-02-15T16:00:34-06:00 2022-03-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-04-01 222682708 HENRY J AUSTIN HEALTH CENTER INC HENR 6092785900 321 N WARREN STREET TRENTON NJ 08618 DR KEMI ALLI CEO 6092785900 2023-02-15 1 DR KEMI ALLI XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2023-02-15 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z DR KEMI ALLI 321 N WARREN STREET TRENTON NJ 08618 35393524 0 X WWW.HENRYJAUSTIN.ORG X 1986 NJ TO PROVIDE QUALITY HEALTHCARE TO MERCER COUNTY'S UNINSURED AND UNDERINSURED. 10 10 209 22 0 0 9902993 17290257 13247185 13654652 5215 6342 989555 21775 24144948 30973026 0 0 0 0 13552716 16702807 0 0 0 8598650 9733449 22151366 26436256 1993582 4536770 15564364 16813946 9692386 6368910 5871978 10445036 X THE HENRY J. AUSTIN HEALTH CENTER, INC. PROVIDES PATIENT-CENTERED, COMPREHENSIVE, ACCESSIBLE, EFFICIENT, QUALITY PRIMARY CARE SERVICES TO THE CULTURALLY DIVERSE GREATER TRENTON COMMUNITY. OUR EXCEPTIONAL, DEDICATED, WELL-TRAINED TEAM DELIVERS BEST PRACTICE HEALTH CARE, WORKING WITH COMMUNITY PARTNERS TO PROVIDE EXTRAORDINARY CUSTOMER SERVICE AND QUALITY OUTCOMES. 0 0 16076868 0 11579002 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE SERVICES TO THE LARGELY MEDICALLY UNDERSERVED POPULATION OF THE SURROUNDING TRENTON AREA. DURING THE YEAR, THE ORGANIZATION SAW 17,800 PATIENTS AND HAD 67,429 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 3.79. 1246402 0 1197354 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE SERVICES TO THE HOMELESS POPULATION IN THE SURROUNDING TRENTON AREA. DURING THE YEAR, THE ORGANIZATION SAW 1,039 PATIENTS AND HAD 6,157 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 5.93. 1095176 0 867844 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE AND RELATED SUPPORTING SOCIAL SERVICES TO THE AFFECTED HIV POPULATION OF THE SURROUNDING TRENTON AREA. THESE SERVICES ALSO INCLUDE HIV EDUCATION AND PREVENTION SERVICES. DURING THE YEAR,THE ORGANIZATION SAW 424 PATIENTS AND HAD 11,624 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 27.42. 18418446 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 92 0 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X DR KEMI ALLI CEO 6092785939 321 N WARREN STREET TRENTON NJ 08618 CHARLES DAVIS II BOARD CHAIRPERSON 1.50 X X 0 0 0 BEVERLY ANN SMITH BOARD VICE CHAIRPERSON 1.50 X X 0 0 0 DANIEL BENSON BOARD TREASURER 1.50 X X 0 0 0 DETRAVIUS BETHEA BOARD SECRETARY 1.50 X X 0 0 0 TYRONE GASKINS BOARD MEMBER 1.50 X 0 0 0 DEKIA SMITH BOARD MEMBER 1.50 X 0 0 0 AVERY INCE BOARD MEMBER 1.50 X 0 0 0 MARYANN CRAWLEY BOARD MEMBER 1.50 X 0 0 0 PRESTON WILSON BOARD MEMBER 1.50 X 0 0 0 MAYA CRUZ BOARD MEMBER 1.50 X 0 0 0 LAURENCE GANGES BOARD MEMBER (UNTIL 02/2022) 1.50 X 0 0 0 ALFONSO LLANO BOARD MEMBER (UNTIL 02/2022) 1.50 X 0 0 0 CHINWEZE AHAGHOTU BOARD MEMBER (UNTIL 02/2022) 1.50 X 0 0 0 KEMI ALLI MD CHIEF EXECUTIVE OFFICER 35.00 X 212415 0 20833 MERKLE CHERRY CHIEF OPERATING OFFICER 35.00 X 139051 0 3270 RACHAEL EVANS MD CHIEF MEDICAL OFFICER 35.00 X 173842 0 23598 JAMES FOLEY CHIEF FINANCIAL OFFICER TO 11/21 35.00 X 140558 0 1838 GENE BOUIE DOO 35.00 X 84371 0 18276 ELONA DEPREZ AS OF 122021 CHIEF DEVELOPMENT & COMM. OFFICER 35.00 X 6065 0 0 DEVIN GOODMAN DMD DIRECTOR OF DENTAL SERVICES 40.00 X 178695 0 8945 MALA KAILASAM PHYSICIAN 40.00 X 210269 0 3783 KHADIJAH ISMAEL DENTIST 40.00 X 143840 0 15763 SHAUNON MOTEN DENTIST 40.00 X 145778 0 15193 MAGALI SANTOS DENTIST 40.00 X 120266 0 19624 SADAF FAROOQ PEDIATRICIAN 40.00 X 110973 0 27091 1666123 0 158214 32 0 1 0 SCOZZARI BUILDERS INC 1891 NORTH OLDEN AVE TRENTON NJ 08638 BUILDING CONSTRUCTION 604347 MEDIX STAFFING SOLUTIONS INC 7839 SOLUTION CENTER CHICAGO IL 60677 TEMPORARY MEDICAL STAFFING 535478 ABW MEDICAL LLC PO BOX 882141 PORT ST LUCIE FL 34988 BILLING AND EMR SPECIALISTS 334779 CALL 4 HEALTH 2855 S CONGRESS AVE STE A B DELRAY BEACH FL 33445 MEDICAL CALL & ANSWERING SVCS. 330970 FORVIS LLC 910 E ST LOUIS ST STE 200 SPRINGFIELD MO 65801 FINANCIAL AND ACCOUNTING SVCS. 257965 14 15064901 2225356 787133 17290257 PATIENT SERVICE REVENUE 621400 8587766 8587766 340B PROGRAM 621400 4455906 4455906 ADMINISTRATIVE FEE REVENUE 900099 384922 384922 THIRD PARTY INCENTIVES 621400 177944 177944 MEANINGFUL USE REVENUE 900099 34000 34000 14114 14114 13654652 6342 6342 35870 31724 4146 4146 4146 4378322 4388774 -10452 -10452 MEDICAL RECORDS FEES 900099 9951 9951 REFUNDS AND INCENTIVES 900099 6995 6995 QI PARTICIPATION FEES 900099 2600 2600 8535 8535 28081 30973026 13644200 0 38569 X 1033515 713321 320194 12165615 8396572 3769043 152357 105155 47202 2344907 1618429 726478 1006413 694615 311798 638080 638080 36239 35898 341 484584 367373 117211 3442684 1772553 1670131 52223 20780 31443 591734 374247 217487 146377 9710 136667 18 18 172506 132826 39680 166696 59932 106764 696968 696968 99984 99984 MEDICAL SUPPLIES 939168 939168 0 ARRA IN-KIND 748682 748682 EQUIPMENT RENTALS & PUR 347692 333520 14172 LICENSE AND FEES 265444 79220 186224 904370 581395 322975 26436256 18418446 8017810 0 2100 893 5583882 4541836 2227596 3081676 1236556 1130579 185275 330506 47867 140386 13640301 6052231 6237423 7588070 43665 0 15564364 16813946 3631158 2842031 1406020 892676 2273790 2554777 2067000 314418 79426 9692386 6368910 X 5716614 10289672 155364 155364 5871978 10445036 15564364 16813946 X 4536770 36288 X X 0 0 0 X 6974711 8757591 8349550 9902993 17290257 51275102 11563734 13917115 17978089 18082257 18032974 79574169 18538445 22674706 26327639 27985250 35323231 130849271 0 0 0 130849271 13466 692 2029 5215 42212 63614 13466 692 2029 5215 42212 63614 25259 58174 37803 14115 28081 163432 18577170 22733572 26367471 28004580 35393524 131076317 0.99830 0.99840 0.00050 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEDICAL RECORDS FEES - 2017 AMOUNT: $ 20,738. 2018 AMOUNT: $ 25,900. 2019 AMOUNT: $ 22,786. 2020 AMOUNT: $ 13,632. 2021 AMOUNT: $ 9,951. QI PARTICIPATION FEES - 2017 AMOUNT: $ 4,022. 2018 AMOUNT: $ 1,497. 2021 AMOUNT: $ 2,600. REFUNDS AND INCENTIVES - 2017 AMOUNT: $ 499. 2018 AMOUNT: $ 30,777. 2019 AMOUNT: $ 503. 2021 AMOUNT: $ 6,995. VENDOR SALES DISCOUNTS - 2019 AMOUNT: $ 12,074. 2020 AMOUNT: $ 483. CONSESSION PROCEEDS - EVENT - 2019 AMOUNT: $ 2,440. MISCELLANEOUS INCOME - 2021 AMOUNT: $ 8,535. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 102342 102342 4475980 1867009 2608971 4231992 2080601 2151391 3097172 2104621 992551 1732815 1732815 7588070 OTHER LIABILITIES 79426 79426 X X X 0 0 0 0 0 0 0 0 0 KEMI ALLI MD CHIEF EXECUTIVE OFFICER 212415 0 0 0 0 0 3795 0 17038 0 233248 0 0 0 MALA KAILASAM PHYSICIAN 210269 0 0 0 0 0 3055 0 728 0 214052 0 0 0 RACHAEL EVANS MD CHIEF MEDICAL OFFICER 173842 0 0 0 0 0 0 0 23598 0 197440 0 0 0 DEVIN GOODMAN DMD DIRECTOR OF DENTAL SERVICES 178695 0 0 0 0 0 2856 0 6089 0 187640 0 0 0 SHAUNON MOTEN DENTIST 145778 0 0 0 0 0 2620 0 12573 0 160971 0 0 0 KHADIJAH ISMAEL DENTIST 143840 0 0 0 0 0 2451 0 13312 0 159603 0 0 0 X 12411 787133 COST 0 1 0 PART I, COLUMN (B): THE NUMBER ON PART I, COLUMN B REPRESENTS NUMBER OF ITEMS DONATED. FORM 990, PART VI, SECTION A, LINE 1A IN EMERGENCY SITUATIONS WHERE THE FULL BOARD IS UNAVAILABLE, THE EXECUTIVE COMMITTEE, MADE UP OF THE CHAIRPERSON OF EACH COMMITTEE, MAY ACT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO OF THE ORGANIZATION. A COPY OF THE 990 IS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. ONCE THIS PROCEDURE IS COMPLETED, THE FORM 990 IS SIGNED BY THE CEO AND WILL BE FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, THE ORGANIZATION DISTRIBUTES A CONFLICT OF INTEREST POLICY STATEMENT TO EXECUTIVE MANAGEMENT AND THE BOARD OF DIRECTORS FOR THEIR REVIEW AND AFFIRMATIVE ACKNOWLEDGEMENT THAT THEY ARE AWARE OF THE POLICY. THE CEO'S EXECUTIVE ASSISTANT REVIEWS AND MONITORS COMPLIANCE WITH THE CONFLICT STATEMENTS. IN ADDITION, THE ORGANIZATION ASKS FOR INFORMATION REGARDING ANY ORGANIZATION(S) THAT SENIOR MANAGEMENT, MEDICAL STAFF OR BOARD OF DIRECTORS HAVE AN INTEREST IN TO ENSURE THAT REFERRALS OR OTHER VENDOR RELATIONSHIPS ARE NOT BEING CONSUMMATED WITH THOSE ENTITIES. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO A SUBSET OF THE BOARD OF DIRECTORS FOR THEIR INITIAL REVIEW. ANY CONFLICTS DEEMED BY THIS SUBSET TO BE POTENTIALLY DETRIMENTAL TO THE ORGANIZATION ARE REFERRED TO LEGAL COUNSEL FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) ISSUES AN ANNUAL SALARY SURVEY, AS DOES THE NEW JERSEY PRIMARY CARE ASSOCIATION (NJPCA). SUCH INFORMATION HAS BEEN PROVIDED TO THE BOARD FOR USE IN DETERMINING THE SALARY FOR THE CURRENT CEO WHO WAS HIRED IN MAY 2015 AND OTHER TOP MANAGEMENT POSITIONS (COO, CDCO AND CFO) HIRED IN 2019, 2021 AND 2022 RESPECTIVELY. THE CEO, CFO AND COO ALSO USE THE INFORMATION FOR HIRING SENIOR STAFF MEMBERS. DISCUSSIONS BY THE BOARD REGARDING COMPENSATION DETERMINATION ARE DOCUMENTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G TEMPS: PROGRAM SERVICE EXPENSES 613,089. MANAGEMENT AND GENERAL EXPENSES 200,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 813,753. CONSULTANTS FEES: PROGRAM SERVICE EXPENSES 245,974. MANAGEMENT AND GENERAL EXPENSES 120,626. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 366,600. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 26,285. MANAGEMENT AND GENERAL EXPENSES 330,770. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 357,055. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 887,205. MANAGEMENT AND GENERAL EXPENSES 1,018,071. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,905,276. FORM 990, PART XI, LINE 9: OTHER CHANGES TO NET ASSETS 36,288. FORM 990, PART XII, LINE 2B: THE ORGANIZATION IS REQUIRED TO GO THROUGH AN ANNUAL AUDIT BUT AUDITED FINANCIALS WERE NOT ISSUED AT THE TIME OF FILING FORM 990 FOR THE YEAR ENDING 3-31-2022.