2022-07-12T10:04:46-05:00 2021-08-31 390859910 BAKER TILLY US LLP 777 E WISCONSIN AVENUE 32ND FLOOR MILWAUKEE WI 53202 990 2020-09-01 742440845 AIDS SERVICES OF AUSTIN INC AIDS 5124582437 PO BOX 4874 AUSTIN TX 78765 TIMOTHY D DYER VICE PRESIDENT & CFO 5124582437 2022-05-08 1 TIMOTHY DYER XXX-XX-XXXX TROY MARINE CPA P00187863 4147775500 2022-05-08 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL J GIFFORD 648 N PLANKINTON AVE MILWAUKEE WI 53203 14862435 0 X WWW.VIVENTHEALTH.ORG X 1987 TX TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PEOPLE AFFECTED BY HIV AND AIDS. 22 22 0 87 0 0 5428551 8299180 90574 0 359 1361 348896 2836603 5868380 11137144 0 1966803 0 0 4183340 7053746 0 0 281263 2562175 2067934 6745515 11088483 -877135 48661 8739304 15580084 3536265 11792703 5203039 3787381 X TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PEOPLE AFFECTED BY HIV AND AIDS. 0 0 3884345 1632883 356374 CASE MANAGEMENT - CASE MANAGEMENT IS AN APPROACH TO CLIENT SERVICES THAT SEEKS TO ENSURE CLIENTS HAVE ACCESS TO A RANGE OF COMPREHENSIVE SERVICES IN A TIMELY AND COORDINATED MANNER. IN CASE MANAGEMENT, THE CLIENT AND THE CASE MANAGER WORK TOGETHER TO FIND SOLUTIONS TO AS MANY OF THE CLIENT'S NEEDS AND QUESTIONS AS POSSIBLE. 1930081 4395 701124 HEALTH PROMOTION - THE HEALTH PROMOTION PROGRAM USES EVIDENCE-BASED INTERVENTIONS IN AN EFFORT TO PREVENT THE SPREAD OF HIV. THE INTERVENTIONS INCLUDE COUNSELING, TESTING, AND REFERRAL SERVICES; COMPREHENSIVE RISK COUNSELING AND SERVICES; AND THE IMPLEMENTATION OF PROVEN INDIVIDUAL, GROUP, AND COMMUNITY-LEVEL INTERVENTIONS. 1762918 94865 526959 ORAL HEALTH - ASA'S JACK SANSING DENTAL CLINIC PROVIDES COMPREHENSIVE ORAL HEALTH SERVICES TO PERSONS LIVING WITH HIV DISEASE IN CENTRAL TEXAS. THE DENTAL CLINIC PROVIDES SPECIALIZED AND GENERAL DENTAL SERVICES, INCLUDING TREATMENT OF ORAL CONDITIONS COMMONLY ASSOCIATED WITH HIV DISEASE, RESTORATIVE PROCEDURES AND ROUTINE ORAL HYGIENE SERVICES. 1135197 234660 1007694 DIRECT ASSISTANCE - PROVIDE CLIENTS WITH DIRECT SERVICES INCLUDING THE HELPING HANDS FOOD PANTRY, NUTRITIONAL COUNSELING, LEGAL SERVICES, THE PAUL KIRBY FUND WHICH IS USED TO ASSIST ELIGIBLE CLIENTS WITH EMERGENCY FINANCIAL NEEDS THAT CANNOT BE MET THROUGH OTHER RESOURCES, THE HOPWA FUND, AND THE HEALTH INSURANCE ASSISTANCE FUND. 1135197 234660 1007694 8712541 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 147 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X TIM DYER 4142251542 820 N PLANKINTON AVE MILWAUKEE WI 53203 MICHAEL J GIFFORD PRESIDENT & CEO 1.00 40.00 X 0 568262 108955 DEBRA ENDEAN EXECUTIVE VP & COO 1.00 40.00 X 0 338691 65117 TIMOTHY D DYER - SECRETARY TREASURER - EXECUTIVE VP & CFO 1.00 40.00 X 0 325243 58179 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 1.00 40.00 X 0 154979 18612 RON DUNN BOARD CHAIR (THROUGH 12/20) 1.00 2.00 X X 0 0 0 DAN KAPLAN BOARD CHAIR 1.00 2.00 X X 0 0 0 ARVAN CHAN VICE CHAIR 1.00 2.00 X X 0 0 0 JANE APPLEBY BOARD MEMBER 1.00 2.00 X 0 0 0 AIMEE BECKER MD BOARD MEMBER 1.00 2.00 X 0 0 0 ERIC CONLEY BOARD MEMBER 1.00 2.00 X 0 0 0 RYAN COX BOARD MEMBER 1.00 2.00 X 0 0 0 NANCY FLAGG BOARD MEMBER 1.00 2.00 X 0 0 0 BOOKER GATSON BOARD MEMBER (THROUGH 10/21) 1.00 2.00 X 0 0 0 BOOKER GATSON II BOARD MEMBER 1.00 2.00 X 0 0 0 ROBBIE HARRIFORD MD BOARD MEMBER 1.00 2.00 X 0 0 0 KEVIN HAYNES BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE HUGHES BOARD MEMBER 1.00 2.00 X 0 0 0 BRAD KALSCHEUR BOARD MEMBER (THROUGH 12/20) 1.00 2.00 X 0 0 0 SUSSANN KOTARA MD BOARD MEMBER 1.00 2.00 X 0 0 0 NOEL LANDUYT PHD MA BOARD MEMBER 1.00 2.00 X 0 0 0 GEORGE MACKINNON III PHD MSRPH BOARD MEMBER 1.00 2.00 X 0 0 0 JEROLD MCDONALD BOARD MEMBER 1.00 2.00 X 0 0 0 GORDON MYERS BOARD MEMBER 1.00 2.00 X 0 0 0 CHRIS PRICE BOARD MEMBER 1.00 2.00 X 0 0 0 MIKE ROMANO BOARD MEMBER 1.00 2.00 X 0 0 0 TAMIM SIFRI DDS BOARD MEMBER 1.00 2.00 X 0 0 0 FRED SSEWAMALA PHD BOARD MEMBER 1.00 2.00 X 0 0 0 LISA VANLERGERGHE BOARD MEMBER 1.00 2.00 X 0 0 0 AISHA WHITE MD BOARD MEMBER 1.00 2.00 X 0 0 0 0 1387175 250863 0 0 1 0 0 244894 407500 6201721 1445065 8299180 1361 1361 0 244894 18019 -18019 -18019 6299423 3707272 2592151 2592151 OTHER INCOME 900099 262471 262471 262471 11137144 2592151 0 245813 1966803 1966803 5601270 4219785 1181018 200467 1046345 863926 125449 56970 406131 331186 59590 15355 179720 10452 167768 1500 91075 77684 12095 1296 177384 53881 121762 1741 33007 10742 20321 1944 511043 131104 379939 64772 60659 2518 1595 9068 8424 644 17961 17961 7968 4815 3153 PROGRAM MATERIALS 524966 524966 CONTRACTED SERVICES 439126 439126 LICENSE AND DUES 11682 8988 2299 395 162 162 11088483 8712541 2094679 281263 3019064 7799547 563830 563941 1670137 1359891 207587 1344885 50040 0 256748 68782 2238 5478125 2533506 3159864 2944619 0 1308215 8739304 15580084 511738 66903 3024527 11725800 3536265 11792703 X 3878871 655588 1324168 3131793 5203039 3787381 8739304 15580084 X 48661 -1464319 X X 0 1 X 1 1 1 X 5269678 7011011 7688511 7178684 8299180 35447064 5269678 7011011 7688511 7178684 8299180 35447064 3399091 32047973 1586 709 1822 2166 1361 7644 20390 17199 21740 1571 262471 323371 35778079 7905364 0.89570 0.94530 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 20,390. 2017 AMOUNT: $ 17,199. 2018 AMOUNT: $ 21,740. 2019 AMOUNT: $ 1,571. 2020 AMOUNT: $ 262,471. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 120001 120001 3698179 1377397 2320782 338454 137702 200752 1321491 1018407 303084 2944619 DUE FROM VIVENT HEALTH 1308215 1308215 DUE TO VIVENT HEALTH 11725800 11725800 X 14861404 16988 16988 14844416 -3707272 -3707272 11137144 14812743 16988 16988 14795755 -3707272 -3707272 11088483 PART X, LINE 2: VIVENT HEALTH, MAHC, ASA AND THE ENDOWMENT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, VIVENT HEALTH, ASA, MAHC AND THE ENDOWMENT QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAVE BEEN CLASSIFIED AS ORGANIZATIONS THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A)(2). VIVENT HEALTH, ASA, MAHC AND THE ENDOWMENT ARE ALSO EXEMPT FROM STATE INCOME TAXES. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOOD SOLD -3,707,272. PART XII, LINE 4B - OTHER ADJUSTMENTS: COST OF GOOD SOLD -3,707,272. HILL COUNTRY RIDE FOR AIDS 110172 110172 1011 AIDS WALK AUSTIN 115724 115724 17008 1 18998 18998 244894 244894 18019 18019 -18019 1 PATIENT FINANCIAL ASSISTANCE 1653 1966803 PART I, LINE 2: AIDS SERVICES OF AUSTIN PROVIDES FINANCIAL ASSISTANCE TO QUALIFYING CLIENTS FOR HOUSING (RENT, MORTGAGE, HOTEL), INSURANCE, OR UTILITY PAYMENTS. CLIENT ASSISTANCE REQUESTS ARE PROCESSED ACCORDING TO FUNDER REQUIREMENTS. 0 1 0 0 0 0 1 0 0 MICHAEL J GIFFORD PRESIDENT & CEO 0 392488 0 78285 0 97489 0 81870 0 27085 0 677217 0 25432 DEBRA ENDEAN EXECUTIVE VP & COO 0 284024 0 37110 0 17557 0 41945 0 23172 0 403808 0 11380 TIMOTHY D DYER - SECRETARY TREASURER - EXECUTIVE VP & CFO 0 272567 0 35832 0 16844 0 40134 0 18045 0 383422 0 10935 MARGARET LIDSTONE CHIEF DEVELOPMENT OFFICER 0 154979 0 0 0 0 0 0 0 18612 0 173591 0 0 PART I, LINE 4B THE PRESIDENT & CEO, MICHAEL J. GIFFORD, CHIEF OPERATING OFFICER, DEBRA ENDEAN, AND CHIEF FINANCIAL OFFICER, TIMOTHY DYER PARTICIPATE IN A 457(F) PLAN SPONSORED BY VIVENT HEALTH, A RELATED ORGANIZATION. IN FY 2021 MICHAEL J. GIFFORD WAS PAID $56,155. THERE WERE NO AMOUNTS PAID OUT TO THE OTHER PARTICIPANTS. PART I, LINE 6 ALL STAFF HAVE PAY FOR PERFORMANCE GOALS EACH YEAR, AND AS PART OF THOSE GOALS, SOME SENIOR STAFF HAVE A NET EARNINGS TARGET AS ONE OF THEIR GOALS. HOWEVER, COMPENSATION IS NOT CALCULATED BASED ON THE NET EARNINGS, BUT ON THE ACHIEVEMENT OF THE NET EARNINGS GOAL ITSELF. FORM 990, LINE 3: ALL EMPLOYEES ARE PAID OUT OF VIVENT HEALTH ("VH") A RELATED ORGANIZATION. VIVENT HEALTH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT & CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART V, LINES 2A AND 2B: ALL EMPLOYEES ARE LEGAL EMPLOYEES OF VIVENT HEALTH (FEIN: 39-1534049), WHICH FILES ALL REQUIRED FEDERAL EMPLOYMENT FORMS EACH YEAR. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED, HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO ELECT OR REMOVE DIRECTORS OR OFFICERS OF THE CORPORATION, INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER, FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY BOARD COMMITTEE, OR APPROVE ANY CORPORATE ACQUISITION OR MERGER. THE EXECUTIVE COMMITTEE SHALL OVERSEE THE ORGANIZATIONAL EXPANSION OF THE CORPORATION, INCLUDING THE IMPLEMENTATION AND EXECUTION OF MERGERS AND ACQUISITIONS. ANY ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE RATIFIED BY THE FULL BOARD AT ITS NEXT REGULARLY SCHEDULED MEETING. THE EXECUTIVE COMMITTEE SHALL ALSO ANALYZE AND ASSURE IMPLEMENTATION OF GOVERNANCE BEST PRACTICES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE OF THE BOARD TO ACT AS THE AUDIT COMMITTEE. AS PART OF THAT ROLE, THE COMMITTEE CONDUCTS A DETAILED REVIEW OF THE 990 PRIOR TO ITS FILING. THE COMMITTEE PROVIDES A REPORT OF THE RESULTS OF THAT REVIEW ALONG WITH A COPY OF THE 990 TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE FINANCE AND PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CURRENT WRITTEN CONFLICT OF INTEREST POLICY AND MAKES RECOMMENDATIONS FOR ANY NECESSARY CHANGE TO THE FULL BOARD OF DIRECTORS FOR ADOPTION. THE CORPORATE SECRETARY DISTRIBUTES AND COLLECTS THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THE QUESTIONNAIRES ARE THEN REVIEWED BY EXECUTIVE MANAGEMENT FOR POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC IN TWO WAYS, ELECTRONICALLY THROUGH GUIDESTAR.ORG AND ON ITS OWN WEBSITE. THE EXECUTIVE VICE PRESIDENT & CFO MAINTAINS BOTH ELECTRONIC AND HARDCOPY FILES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITS, AND FORMS 990 AND 1023. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFERS TO VIVENT HEALTH -1,464,319. FORM 990, PART XII, LINE 2C: THE PROCESS USED BY THE FINANCE COMMITTEE TO SELECT AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. AIDS SERVICES OF AUSTIN PHARMACY LLC 7215 CAMERON RD STE B AUSTIN TX 78752 851345739 PHARMACY TX 5659697 5457372 AIDS SERVICES OF AUSTIN VIVENT HEALTH 648 N PLANKINTON AVE STE 200 MILWAUKEE WI 53203 391534049 HIV PREVENTION, CARE AND TREATMENT WI 501(C)(3) LINE 7 N/A 0 MILWAUKEE AIDS HOUSING CORPORATION PO BOX 510498 MILWAUKEE WI 53203 391779442 HOUSING FOR HIV POSITIVE INDIVIDUALS WI 501(C)(3) LINE 7 VIVENT HEALTH 0 ARCW ENDOWMENT FUND INC PO BOX 510498 MILWAUKEE WI 53203 391963731 RAISING FUNDS FOR VH'S EXEMPT PURPOSE WI 501(C)(3) LINE 7 VIVENT HEALTH 0 SCALES PHARMACY LLC 1999 PENNSYLVANIA ST DENVER CO 80203 463313808 PHARMACY - DISSOLVED 10/2020 CO N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 VIVENT HEALTH C 407500 FMV VIVENT HEALTH R 1464319 FMV