2021-11-05T07:10:02-05:00 2020-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN ST SUITE 500 SPRINGFIELD OH 45502 990 2020-01-01 311533908 COLUMBUS NEIGHBORHOOD HEALTH CENTER INC COLU 6146455500 2780 AIRPORT DRIVE SUITE 100 COLUMBUS OH 43219 DEWITT D HARRELL CFO 6146455500 2021-11-01 1 DEWITT HARRELL 999009999 JESSE YOUNG CPA P01236247 9373992000 2021-11-01 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PRIMARYONE HEALTH DEWITT D HARRELL 2780 AIRPORT DRIVE SUITE 100 COLUMBUS OH 43219 41642325 0 X WWW.PRIMARYONEHEALTH.ORG X 1997 OH TO SERVE THE COMMUNITY BY PROVIDING SERVICES TO INDIVIDUALS AND FAMILIES WITH BARRIERS TO HEALTH CARE. 16 16 157 16 0 0 13051661 19510635 27878228 21683085 94514 47458 394570 401147 41418973 41642325 0 0 0 0 24868334 25549061 0 0 0 15710170 13297067 40578504 38846128 840469 2796197 14846573 18955989 2646764 3959983 12199809 14996006 X TO SERVE THE CENTRAL OHIO COMMUNITY WITH AFFORDABLE, EASY TO ACCESS HEALTHCARE SERVICES. 0 0 25161874 20997610 MEDICAL SERVICES: PRIMARY CARE PHYSICIANS ARE TRAINED TO TREAT OVER 90% OF ALL ILLNESSES. THESE PHYSICIANS ARE TRAINED IN OTHER SPECIALTY AREAS, INCLUDING INTERNAL MEDICINE, GERIATRICS, AND PREVENTATIVE MEDICINE. PHYSICIANS PROVIDE IMMUNIZATIONS, WELL-BABY/CHILD CHECK-UPS, PHYSICALS, SICK VISITS, BLOOD PRESSURE CHECKS, GLUCOSE SCREENINGS, SPORTS PHYSICALS, FLU SHOTS, MINOR SURGERIES, AND MANY OTHER SERVICES. CNHC ALSO PROVIDES OBSTETRICS AND GYNECOLOGY CARE INCLUDING CARE DURING PREGNANCY, WELL WOMAN ANNUAL EXAMS, EVALUATION AND TREATMENT OF ABNORMAL PAP SMEARS, MENOPAUSAL CONSULTATION, EVALUATION AND TREATMENT OF PELVIC PAIN, AND CONTRACEPTION. 2832179 413910 DENTAL SERVICES: CNHC PROVIDES TOP-NOTCH PREVENTIVE AND OPERATIVE DENTISTRY FOR ADULTS AND CHILDREN SERVICES INCLUDE PREVENTATIVE EXAMS, X-RAYS, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS AND EXTRACTIONS, AND ROOT CANALS. ALONG WITH DELIVERING HIGH QUALITY DENTAL CARE, CNHC MAKES DENTAL VISITS A COMFORTABLE EXPERIENCE. DURING 2019, CNHC RECEIVED DONATED SALARY OF $482,776 OF FULL TIME DENTIST AND THREE FULL TIME DENTAL ASSISTANTS FROM AN AGREEMENT WITH COLUMBUS PUBLIC HEALTH. THE VALUE OF THESE SERVICES IS NOT INCLUDED IN REVENUE OR EXPENSE ON THE 990. 1969643 672712 VISION SERVICES: CNHC PROVIDES TOP-NOTCH OPTOMETRY SERVICES. SERVICES INCLUDE COMPREHENSIVE VISION ANALYSIS, CONTACT LEN DIAGNOSTIC EXAM, DIAGNOSIS AND TREATMENT OF EYE INFECTIONS AND OTHER DISEASES, REFRACTIVE SURGERY CONSULATION, VISION CORRECTION PRODUCTS SUCH AS ADULT AND CHILDREN EYE FRAMES. 409688 HOMELESS PROGRAM: CNHC RECOGNIZES THE STRUGGLES OF THE HOMELESS COMMUNITY, INCLUDING THE CHALLENGE OF OBTAINING ACCESS TO PRIMARY HEALTHCARE, MENTAL HEALTHCARE, AND SUBSTANCEC ABUSE COUNSELING. CNHC PROVIDES CASE MANAGEMENT, OUTREACH SERVICES, CHRONIC DISEASE MANAGEMENT, SUPPORTIVE HOUSING LINKAGE, HEALTH EDUCATION PROMOTION, AND PREVENTION SERVICES, TRANSPORTATION SERVICES, ANCILLARY SERICES, MENTAL HEALTHCARE ACCESS, AND SUBSTANCE ABUSE COUNSELING. 409688 30373384 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 35 0 1 157 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DEWITT D HARRELL 6149468887 2780 AIRPORT DRIVE SUITE 100 COLUMBUS OH 43219 JACQUELINE DOWNEY CHAIR 1.00 X X 0 0 0 SAMANTHA SHULER CHAIR-ELECT 1.00 X X 0 0 0 RUSSEL BARNEY TREASURER 1.00 X X 0 0 0 SELESHI ASFAW SECRETARY 1.00 X X 0 0 0 MARGARET PRINGLE IMMEDIATE PAST CHAIR 1.00 X 0 0 0 THOMAS ADAMS TRUSTEE 1.00 X 0 0 0 ROBERT BENSONHAVER TRUSTEE 1.00 X 0 0 0 ED MORGAN TRUSTEE 1.00 X 0 0 0 MARIA CORTEZ TRUSTEE 1.00 X 0 0 0 GHANSHYAM LUITEL TRUSTEE 1.00 X 0 0 0 ADA SANCHEZ TRUSTEE 1.00 X 0 0 0 DUSTIN MCKEE TRUSTEE 1.00 X 0 0 0 EMILY FISHER TRUSTEE 1.00 X 0 0 0 JENNIFER BEARD TRUSTEE 1.00 X 0 0 0 KYLA ROSS TRUSTEE 1.00 X 0 0 0 MARY BYNUM TRUSTEE 1.00 X 0 0 0 CHARLETA TAVARES CHIEF EXECUTIVE OFFICER 40.00 X 265196 0 26000 DEWITT D HARRELL CHIEF FINANCIAL OFFICER 40.00 X 181512 0 9458 PREETI AGRAWAL GERIATRIC MEDICINE SPECIALIST 40.00 X 210415 0 4196 SARA BAZAN OB/GYN 40.00 X 208301 0 16813 BARBARA LAROQUE INTERNAL MEDICINE PHYSICIA 40.00 X 206766 0 25143 JEFFREY MARABLE CHIEF CLINICAL OFFICER 40.00 X 295052 0 32576 JOHNATHAN MCFADDEN INTERNAL MEDICINE PHYSICIA 40.00 X 205531 0 41752 1572773 0 155938 44 0 1 0 OHIO HISPANIC COALITION 1535 BETHEL ROAD COLUMBUS OH 43220 INTERPRETATION SERVICES 590229 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 IT, EMR, & MANAGEMENT 387232 MORALLY EXCELLENT LLC P O BOX 93 HILLIARD OH 43026 BUILDING MAINTENANCE CONTRACTORS 123259 LABCORP PO BOX 12140 BURLINGTON NC 27216 LAB TESTING 102839 4 19504494 6141 19510635 PATIENT FEES REVENUE 621400 11154852 11154852 PHARMACY REVENUE 621400 10502733 10502733 RENTAL INCOME 621400 25500 25500 21683085 47458 47458 OTHER EXEMPT PURPOSE REVENUE 621400 401147 401147 401147 41642325 22084232 0 47458 482166 482166 19819629 15632315 4187314 3816846 2684165 1132681 1430420 1147185 283235 24998 24998 71748 71748 2455437 2214841 240596 65668 37578 28090 677955 621677 56278 2219895 1830931 388964 49618 33254 16364 38725 6068 32657 571730 412481 159249 68238 33001 35237 SUPPLIES 5729410 5153368 576042 REPAIRS & MAINTENANCE 391315 284987 106328 EMPLOYEE RECRUITMENT AN 248251 9661 238590 MISCELLANEOUS PATIENT C 165367 130931 34436 518712 140941 377771 38846128 30373384 8472744 0 7892318 12843527 2525698 1821615 2077965 1667177 331201 688715 6632207 4818441 1932489 1813766 53972 79675 32930 41514 14846573 18955989 2646764 3959983 2646764 3959983 X 12199809 14996006 12199809 14996006 14846573 18955989 2796197 0 X X 0 1 X 1 1 1 X 11453144 12684727 11478003 13051661 19510635 68178170 11453144 12684727 11478003 13051661 19510635 68178170 68178170 2582 2413 6975 94514 47458 153942 752175 809208 544128 394570 401147 2901228 71233340 121944536 0.95710 0.94720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2653094 2019032 634062 3699541 2712136 987405 279572 87273 192299 1813766 X 42125101 482776 482776 41642325 0 41642325 39328904 482776 482776 38846128 0 38846128 PART X, LINE 2: PRIMARYONE HEALTH IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE PRIMARYONE'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. PRIMARYONE'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. X X X 0 0 0 0 0 0 0 0 0 CHARLETA TAVARES CHIEF EXECUTIVE OFFICER 265196 0 0 0 0 0 26000 0 0 0 291196 0 0 0 DEWITT D HARRELL CHIEF FINANCIAL OFFICER 181512 0 0 0 0 0 9458 0 0 0 190970 0 0 0 PREETI AGRAWAL GERIATRIC MEDICINE SPECIALIST 210415 0 0 0 0 0 4196 0 0 0 214611 0 0 0 SARA BAZAN OB/GYN 208301 0 0 0 0 0 16813 0 0 0 225114 0 0 0 BARBARA LAROQUE INTERNAL MEDICINE PHYSICIA 206766 0 0 0 0 0 16849 0 8294 0 231909 0 0 0 JEFFREY MARABLE CHIEF CLINICAL OFFICER 295052 0 0 0 0 0 7688 0 24888 0 327628 0 0 0 JOHNATHAN MCFADDEN INTERNAL MEDICINE PHYSICIA 205531 0 0 0 0 0 16864 0 24888 0 247283 0 0 0 PART I, LINE 3 IN DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, TOP MANAGEMENT, AND OTHER KEY EMPLOYEES, THE COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. USES COMPARATIVE COMPENSATION INFORMATION FROM OTHER FQHC'S AND THE LOCAL MARKET. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE FINANCE COMMITTEE, THE EXECUTIVE BOARD COMMITTEE, AND/OR THE FULL BOARD OF DIRECTORS THEN REVIEW THE FORM 990 AND MAKE A DECISION WHETHER OR NOT TO ACCEPT THE FORM 990. A COPY OF THE FORM IS GIVEN TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. HEALTHCARE PROVIDERS HAVE THE CONFLICT OF INTEREST POLICY IN THEIR CONTRACTS, AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL STAFF THROUGH THE EMPLOYEE HANDBOOK. THE CONFLICT OF INTEREST POLICY IS BASED ON THE HONOR SYSTEM OF NOTIFYING MANAGEMENT IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, TOP MANAGEMENT, AND OTHER KEY EMPLOYEES, THE COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. USES COMPARATIVE COMPENSATION INFORMATION FROM OTHER FQHC'S AND THE LOCAL MARKET. 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 XII, LINE 2C PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. NEIGHBORHOOD HEALTH NETWORK LLC 2780 AIRPORT DRIVE SUITE 100 COLUMBUS OH 43219 311533908 HEALTHCARE OH 0 0 CNHC