2022-03-11T14:26:03-08:00 2021-12-31 621867889 Terry Horne CPA Inc 732 West Main Street Lebanon TN 37087 990 2021-01-01 205746618 DIVERSITY HEALTH CENTER INC DIVE 9123183971 PO BOX 1520 HINESVILLE GA 31310 STEPHANIE JONES-HEATH CHIEF EXECUTIVE OFFICER 9123183971 2022-03-10 true STEPHANIE JONES-HEATH XXX-XX-XXXX Terry Horne CPA P00120946 6154447293 2022-03-11 3 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z STEPHANIE JONES-HEATH PO BOX 1520 HINESVILLE GA 31310 7740365 false X N/A X 2006 GA THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. 9 9 108 0 0 0 3278112 4210545 2626300 3520814 6030 5116 3890 5910442 7740365 0 0 3261921 3995595 0 0 2252350 1952243 5514271 5947838 396171 1792527 4975133 6032138 2541661 1810965 2433472 4221173 THE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. false false 4263211 0 3520814 THE HEALTH CARE PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 21,100 VISITS WERE PROVIDED DURING THE YEAR. 4263211 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 17 0 108 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true false false false X MATT SICKMEIER 9123183971 PO BOX 1520 HINESVILLE GA 31310 REV HERMON SCOTT TREASURER 1.00 X 0 0 0 PAULETTE S ROBERTSON CHAIR 1.00 X 0 0 0 JUSTIN ZIEMAN BOARD MEMBER 1.00 X 0 0 0 DAISY JONES BOARD MEMBER 1.00 X 0 0 0 GWEN STEWART SECRETARY 1.00 X 0 0 0 CONNIE THRIFT BOARD MEMBER 1.00 X 0 0 0 DR JUANITA SMITH BOARD MEMBER 1.00 X 0 0 0 BRIGITTE CABEZA- SHANKEN BOARD MEMBER 1.00 X 0 0 0 JANELLE JOHNS BOARD MEMBER 1.00 X 0 0 0 STEPHANIE JONES-HEATH CHIEF EXECUTIVE OFFICER 40.00 X 228735 0 23001 MATT SICKMEIER CHIEF FINANCIAL OFFICER 40.00 X 65718 0 3017 SHARIFA ABOU-MEDIENE MEDICAL DIRECTOR 40.00 X 203338 0 12713 MARY ALLEN PROVIDER 40.00 X 164154 0 13113 ANNABETH SUTTER PHARMACIST 40.00 X 94928 0 12965 HOLLIE MANNING PHARMACIST 40.00 X 94236 0 12707 ANDRE SINGLETON DENTIST 40.00 X 149745 0 27984 DAVID NUSSBAUM PROVIDER 40.00 X 102065 0 309 1102919 0 105809 5 true true false ECLINICAL WORKS PO BOX 847950 BOSTON MA 02294 CONTRACT BILLING SERVICES 109002 1 3824352 386193 103177 4210545 PATIENT FEES 621111 3520814 0 0 3520814 5116 0 5116 3890 3890 3890 3890 7740365 3520814 0 9006 497791 412400 85391 0 2874673 1978506 896167 0 36103 25633 10470 0 351711 249060 102651 0 235317 167075 68242 0 15455 0 15455 0 466548 257729 208819 0 308116 154129 153987 0 100832 100832 0 0 311168 223057 88111 0 20269 10857 9412 0 122577 91933 30644 0 19058 18017 1041 0 CONTRACT 340B ADMIN AND DISPENSING FEES 58742 58742 0 0 RECRUITMENT AND RETENTION 26987 12750 14237 0 MEDICAL SUPPLIES AND PHARMACEUTICALS 502491 502491 0 0 5947838 4263211 1684627 0 896518 1484843 275322 56677 11875 302023 279959 19160 29632 53408 64953 4599611 714057 3485352 3885554 161995 4975133 6032138 248430 215320 134713 2158518 1595645 2541661 1810965 X 2380775 4168132 52697 53041 2433472 4221173 4975133 6032138 X 1792527 -4995 -175 344 X false true X true true true X 0 2098323 2258533 2825511 3278112 4210545 14671024 0 0 2098323 2258533 2825511 3278112 4210545 14671024 0 14671024 218 8531 11664 6030 9006 35449 0 0 14706473 10150293 0.99760 0.99790 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 447431 447431 3522998 425056 3097942 595952 289001 306951 33230 33230 3885554 7735195 -4995 -4995 7740190 175 175 7740365 5947838 5947838 5947838 X X false false false false false false false false false STEPHANIE JONES-HEATH 228735 0 0 0 16086 0 6914 0 0 0 251735 0 0 0 SHARIFA ABOU-MEDIENE 203338 0 0 0 12713 0 0 0 0 0 216051 0 0 0 MARY ALLEN 164154 0 0 0 13113 0 0 0 0 0 177267 0 0 0 ANDRE SINGLETON 149745 0 0 0 27984 0 0 0 0 0 177729 0 0 0 X 4143 103177 FMV false true false Pt VI, Line 11b ORGANIZATION'S PROCESS TO REVIEW FOR 990 REVIEWED BY CEO AND CFO AND A COPY IS PROVIDED TO THE BOARD MEMBERS. Pt VI, Line 12c POLICY REQUIRES IMMEDIATE DISCLOSURE OF CONFLICT WHEN THE INCIDENT OCCURS. Pt XI LINE 9 REPRESENTS THE CHANGE IN NET ASSETS WITH DONOR Pt XI RESTRICTIONS FOR THE YEAR.