2023-04-18T11:42:21-05:00 2022-05-31 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2021-06-01 431036785 BETTY JEAN KERR PEOPLE'S HEALTH CENTERS BETT 3143677848 5701 DELMAR BOULEVARD ST LOUIS MO 63112 REBECCA MANKIN CHIEF FINANCIAL OFFICER 3143677848 2023-04-18 1 REBECCA MANKIN 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2023-04-17 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z PEOPLE'S HEALTH CENTER DWAYNE BUTLER 5701 DELMAR BOULEVARD ST LOUIS MO 63112 30598480 0 X WWW,PHCENTERS.ORG X 1979 MO TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. 11 11 383 11 0 0 14151170 15709011 7728877 14190727 20370 3435 1260743 695307 23161160 30598480 0 0 0 0 16062521 17518253 0 0 0 7095642 9939042 23158163 27457295 2997 3141185 28093796 24041243 12010954 4841669 16082842 19199574 TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. 0 0 21823697 14283170 THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY BY PROVIDING, IN A CULTURALLY SENSITIVE MANNER, COMPREHENSIVE PRIMARY HEALTH CARE AND RELATED SERVICES DIRECTLY AND THROUGH COLLABORATIONS AND PARTNERSHIPS. AS A FEDERALLY QUALIFIED HEALTH CENTER, WE PROVIDED MEDICAL, DENTAL, PRENATAL, FAMILY PLANNING, AND PEDIATRIC SERVICES. THE ORGANIZATION HAD 71,969 VISITS TO LOW INCOME RESIDENTS OF THE ST. LOUIS AREA IN FISCAL YEAR 2022. THESE SERVICES WERE PROVIDED FROM OUR THREE MAIN SITES IN THE CENTRAL WEST-END SECTION OF ST. LOUIS, THE NORTH COUNTY, AND LINDELL SITES. 21823697 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 1 1 0 0 1 70 0 1 383 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X REBECCA MANKIN 3143677848 5701 DELMAR BOULEVARD ST LOUIS MO 63112 BARBARA MURPHY BOARD MEMBER 3.00 X 0 0 0 BRIAN C WILLIAMS BOARD MEMBER 3.00 X 0 0 0 CHARLES SAULSBERRY BOARD CHAIR 4.00 X X 0 0 0 DANIEL WHITEHEAD JR MD BOARD MEMBER 3.00 X 0 0 0 DORETHA GILBERT SECRETARY 4.00 X X 0 0 0 DR MARK MILLER BOARD MEMBER 3.00 X 0 0 0 HERMAN NOAH TREASURER 4.00 X 0 0 0 MICHAEL JAMISON BOARD MEMBER 3.00 X 0 0 0 RICHARD KING BOARD MEMBER 4.00 X 0 0 0 RODNEY WEAD BOARD MEMBER 3.00 X 0 0 0 STACY A JEFFERSON BOARD MEMBER 3.00 X 0 0 0 BENJAMIN WASHINGTON OUTGOING CHIEF FINANCIAL OFFICER 36.00 4.00 X 191978 0 3644 DWAYNE A BUTLER CHIEF EXECUTIVE OFFICER 36.00 4.00 X 384446 0 14174 GAIL MONTGOMERY-EDWARDS VP OF CLINICAL SERVICES 36.00 4.00 X 162965 0 2718 JACQUELINE HARVEY EXECUTIVE VICE PRESIDENT 40.00 X 223281 0 25963 MARK SANFORD EXECUTIVE VICE PRESIDENT 36.00 4.00 X 243860 0 27848 REBECCA MANKIN CHIEF FINANCIAL OFFICER 36.00 4.00 X 53096 0 3803 KAREN RICHARDSON DIRECTOR OF DENTAL SERVICES 40.00 X 229604 0 46058 ARIANE MAY PHYSICIAN 40.00 X 177626 0 1876 CARMEL BOYKIN WRIGHT PHYSICIAN 40.00 X 176420 0 4069 EMMA CERMAK PHYSICIAN 40.00 X 223528 0 32002 JACQUELYN MCFADDEN PHYSICIAN 40.00 X 197172 0 21166 MARC LUCKETT PHYSICIAN 40.00 X 236140 0 33661 2500116 0 216982 11 0 1 0 BEACON HILL STAFFING GROUP LLC PO BOX 846193 BOSTON MA 02284 TEMPORARY STAFFING 286870 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 63102 AUDIT AND TAX SERVICES 216290 PLATFORM HEALTH CARE SOLUTIONS 9529 OLD BONHOMME RD ST LOUIS MO 63132 TESTING LAB SERVICE/COVID TESTING 211620 QUEST DIAGNOSTICS PO BOX 772976 CHICAGO IL 60667 LAB SERVICES 184386 HG JONES & ASSCOCIATES 211 W WACKER DR STE 1230 CHICAGO IL 60606 CONSULTING SERVICES 178515 7 15709011 57395 15709011 MEDICAID 621400 8172619 8172619 OTHER THIRD PARTY 621400 3601424 3601424 MEDICARE 621400 686539 686539 SELF-PAY 621400 647658 647658 CAPITATION REVENUE 621400 586625 586625 495862 495862 14190727 3435 3435 138000 0 138000 138000 138000 MGMT FEES-HOPEWELL 561000 334872 334872 MGMT FEES-PCAC 561000 129992 129992 MEDICAL ABSTRACTS 900099 6423 6423 86020 86020 557307 30598480 14283170 0 606299 1441173 605789 835384 13529348 11872138 1657210 323724 267981 55743 1095235 906643 188592 1128773 934406 194367 110593 110593 246945 246945 2460987 1811392 649595 85693 85693 1265853 962021 303832 916949 696861 220088 609320 463070 146250 36157 27479 8678 47338 35976 11362 98390 98390 715932 536949 178983 187741 142679 45062 MEDICAL SUPPLIES 1405552 1405552 REPAIRS AND MAINTENANE 687925 522808 165117 EQUIPMENT EXPENSE 267598 203369 64229 DUES & MEMBERSHIPS 200103 152074 48029 595966 178120 417846 27457295 21823697 5633598 0 9935035 5535924 834336 809612 1595560 1967425 155992 99426 335854 62058 26831820 15670873 10826302 11160947 1098983 1074531 762439 762439 2549295 2568881 28093796 24041243 1954355 2554168 270174 7020604 1995795 3035995 21532 12010954 4841669 X 16082842 19199574 16082842 19199574 28093796 24041243 3141185 -24453 0 X 0 1 X 1 1 1 X 6994021 7717071 6834250 14151170 15709011 51405523 6994021 7717071 6834250 14151170 15709011 51405523 51405523 148054 274558 237265 218695 141435 1020007 972896 432403 1093950 1062418 557307 4118974 56544504 67354478 0.90910 0.88770 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2017 AMOUNT: $ 295,583. 2018 AMOUNT: $ 4,702. 2019 AMOUNT: $ 507,147. 2020 AMOUNT: $ 671,936. 2021 AMOUNT: $ 86,020. MGMT FEES-HOPEWELL - 2017 AMOUNT: $ 457,982. 2018 AMOUNT: $ 278,482. 2019 AMOUNT: $ 290,730. 2020 AMOUNT: $ 250,724. 2021 AMOUNT: $ 334,872. MGMT FEES-PCAC - 2017 AMOUNT: $ 160,821. 2018 AMOUNT: $ 126,834. 2019 AMOUNT: $ 131,967. 2020 AMOUNT: $ 132,820. 2021 AMOUNT: $ 129,992. MEDICAL ABSTRACTS - 2017 AMOUNT: $ 58,510. 2018 AMOUNT: $ 22,385. 2019 AMOUNT: $ 164,106. 2020 AMOUNT: $ 6,938. 2021 AMOUNT: $ 6,423. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1263523 1263523 16436365 8134288 8302077 56821 56821 0 8318288 7479764 838524 756823 756823 11160947 DUE FROM AFFILIATES 1310357 EST AMOUNTS DUE FROM MEDICAID 1258524 2568881 DUE TO AFFILIATE 21532 21532 X PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MAY 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULING. X X X 0 0 0 0 0 0 0 1 0 DWAYNE A BUTLER CHIEF EXECUTIVE OFFICER 340311 0 40539 0 3596 0 14174 0 0 0 398620 0 0 0 KAREN RICHARDSON DIRECTOR OF DENTAL SERVICES 202566 0 25468 0 1570 0 26000 0 20058 0 275662 0 0 0 MARK SANFORD EXECUTIVE VICE PRESIDENT 203968 0 34552 0 5340 0 8760 0 19088 0 271708 0 0 0 MARC LUCKETT PHYSICIAN 214942 0 17813 0 3385 0 0 0 33661 0 269801 0 0 0 EMMA CERMAK PHYSICIAN 215779 0 7077 0 672 0 19200 0 12802 0 255530 0 0 0 JACQUELINE HARVEY EXECUTIVE VICE PRESIDENT 197151 0 21623 0 4507 0 7923 0 18040 0 249244 0 0 0 JACQUELYN MCFADDEN PHYSICIAN 184712 0 11009 0 1451 0 7923 0 13243 0 218338 0 0 0 BENJAMIN WASHINGTON OUTGOING CHIEF FINANCIAL OFFICER 182834 0 5915 0 3229 0 3644 0 0 0 195622 0 0 0 CARMEL BOYKIN WRIGHT PHYSICIAN 174060 0 0 0 2360 0 0 0 4069 0 180489 0 0 0 ARIANE MAY PHYSICIAN 173987 0 0 0 3639 0 0 0 1876 0 179502 0 0 0 GAIL MONTGOMERY-EDWARDS VP OF CLINICAL SERVICES 150257 0 10520 0 2188 0 0 0 2718 0 165683 0 0 0 PART I, LINE 7 PROVIDERS WERE PAID NON-FIXED BONUSES BASED ON AN ASSESSMENT OF THEIR CONTRIBUTION AND VALUE TO THE COMPANY. EXECUTIVE TEAM MEMBER BONUSES ARE DETERMINED BASED ON PERFORMANCE EVALUATIONS CONDUCTED BY THE CEO. THE BONUS FOR THE CEO IS DETERMINED BASED UPON A PERFORMANCE EVALUATION CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD. X 1 57395 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 WITH THE EXECUTIVE MANAGEMENT TEAM PRIOR TO SUBMITTAL. THE FORM 990 IS ALSO REVIEWED BY THE CFO AND THE ACCOUNTING STAFF MEMBERS WITH RESPONSIBILITY FOR COMPILING THE DATA. FORM 990, PART VI, SECTION B, LINE 12C UNDER THE CONFLICT OF INTEREST POLICY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY CERTIFY THAT THEY DO NOT HAVE A CONFLICT OF INTEREST. THERE IS CURRENTLY NO CONSISTENT MONITORING OF THE POLICY, HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF DEVELOPING PROCEDURES TO ADDRESS MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD IN CONSULTATION WITH THE CEO. SOME KEY EMPLOYEES RECEIVE EMPLOYMENT CONTRACTS WHICH ARE BASED ON NEGOTIATIONS BETWEEN THE PARTIES. A REVIEW WAS CONDUCTED IN 2010 BY THE COMPENSATION COMMITTEE OF THE BOARD. 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 IV, LINE 20: THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. PEOPLE'S COMMUNITY ACTION CORPORATION 5701 DELMAR BLVD SAINT LOUIS MO 63112 461027572 COMM ACTION MO 501(C)(3) 7 PHC 1 AMANDA LUCKETT MURPHY HOPEWELL VENTER 2012 DR MARTIN LUTHER KING DR SAINT LOUIS MO 63101 431496431 BEHAVIOR HEALTH MO 501(C)(3) 7 PHC 1 1 0 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 1 AMANDA LUCKETT MURPHY HOPEWELL CENTER L 334872 MANAGEMENT FEES PEOPLE'S COMMUNITY ACTION CORPORATION L 129992 MANAGEMENT FEES