FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY HEALTH CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE INC (EIN 42-1060724)
Tax period
2020-02-01 to 2021-01-31
Filed
2021-12-13
IRS object ID
202113479349300711
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-12-13T11:00:05-06:00ReturnTs
Tax Period End2021-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421060724EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KEVIN HAGEDORNInCareOfNm
Business Name ControlCOMMBusinessNameControlTxt
Phone5633363000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 WEST RIVER DRIVEAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528011014ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN HAGEDORNPersonNm
Person TitleCFOPersonTitleTxt
Phone5633363000PhoneNum
Signature2021-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEVINPersonFirstNm
Person LastHAGEDORNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal K CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTOM BOWMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 WEST RIVER DRIVEAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528011014ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$44,055,536GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHCQCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH CARE PROVIDES PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TO INDIVIDUALS IN THE COMMUNITIES THEY SERVE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee376TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$850TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,018,919PYContributionsGrantsAmt
CY Contributions Grants$18,802,895CYContributionsGrantsAmt
PY Program Service Revenue$25,084,939PYProgramServiceRevenueAmt
CY Program Service Revenue$25,094,855CYProgramServiceRevenueAmt
PY Investment Income$8,793PYInvestmentIncomeAmt
CY Investment Income$26,806CYInvestmentIncomeAmt
PY Other Revenue$52,448PYOtherRevenueAmt
CY Other Revenue$60,223CYOtherRevenueAmt
PY Total Revenue$32,165,099PYTotalRevenueAmt
CY Total Revenue$43,984,779CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,992,169PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,784,074CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$46,452CYTotalFundraisingExpenseAmt
PY Other Expenses$10,648,924PYOtherExpensesAmt
CY Other Expenses$11,304,418CYOtherExpensesAmt
PY Total Expenses$31,641,093PYTotalExpensesAmt
CY Total Expenses$35,088,492CYTotalExpensesAmt
PY Revenues Less Expenses$524,006PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,896,287CYRevenuesLessExpensesAmt
Total Assets BOY$24,706,833TotalAssetsBOYAmt
Total Assets EOY$35,608,530TotalAssetsEOYAmt
Total Liabilities BOY$7,473,877TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,479,287TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,232,956NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,129,243NetAssetsOrFundBalancesEOYAmt
MissionCOMMUNITY HEALTH CARE PROVIDES THE COMMUNITIES WE SERVE WITH EXCELLENCE IN PATIENT-CENTERED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE THAT IS COMPASSIONATE, AFFORDABLE, AND ACCESSIBLE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,761,443ExpenseAmt
Revenue$19,471,648RevenueAmt
DescCOMMUNITY HEALTH CARE, INC., PROVIDES PRIMARY MEDICAL CARE IN EIGHT LOCATIONS IN BOTH IOWA AND ILLINOIS. MEDICAL SERVICES INCLUDE INTERNAL MEDICINE, FAMILY PRACTICE, PEDIATRICS, LABORATORY, PHARMACY, AND OB/GYN. MEDICAL PATIENTS SERVED DURING FISCAL YEAR 2021 WERE 31,889 IN 86,873 MEDICAL VISITS. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,730,015ExpenseAmt
Revenue$3,073,686RevenueAmt
DescCOMMUNITY HEALTH CARE, INC. PROVIDES DENTAL CARE IN THREE LOCATIONS IN BOTH IOWA AND ILLINOIS. DENTAL PATIENTS SERVED WERE 10,336 IN 19,397 DENTAL VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,187,716ExpenseAmt
Revenue$2,549,521RevenueAmt
DescCOMMUNITY HEALTH CARE, INC. PROVIDES BEHAVIORAL HEALTH CARE IN FIVE LOCATIONS IN BOTH IOWA AND ILLINOIS. BEHAVIORAL HEALTH PATIENTS SERVED WERE 3,994 IN 16,146 VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$24,679,174TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee376EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN HAGEDORNPersonNm
Phone5633363000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 WEST RIVER DRIVEAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52801ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
REBECCA M HAYES
CHIEF MEDICAL OFFICER40.00.0Yes (X)$311,063$0$29,587
ANNE METUGE
PHYSICIAN-INTERNAL MEDICINE40.00.0$257,610$0$28,236Yes (X)
SWETHA R KANDULA
PHYSICIAN-PEDIATRICS40.00.0$253,337$0$27,305Yes (X)
CHETAN PRASAD
PHYSICIAN-INTERNAL MEDICINE40.00.0$253,928$0$21,564Yes (X)
HUSAM GHAWI
PHYSICIAN40.00.0$232,970$0$26,930Yes (X)
ANURADHA RANGANATH
PHYSICIAN40.00.0$235,999$0$15,425Yes (X)
THOMAS J BOWMAN
CHIEF EXECUTIVE OFFICER40.00.0$210,092$0$22,532Yes (X)
MARK STUMPHY
DENTAL DIRECTOR40.00.0Yes (X)$208,682$0$20,205
KEVIN P HAGEDORN
CHIEF FINANCIAL OFFICER40.00.0$145,456$0$23,012Yes (X)
DARRYL DOPSON
DIRECTOR1.00.0$0$0$0Yes (X)
ANNA MORENO
DIRECTOR BEGIN 11/201.00.0$0$0$0Yes (X)
ANITA GOMEZ-JONES
SECRETARY1.00.0$0$0$0Yes (X)Yes (X)
PHYLLIS MULLETT
DIRECTOR1.00.0$0$0$0Yes (X)
DAVE HELSCHER
TREASURER1.00.0$0$0$0Yes (X)Yes (X)
LISA RANDOLPH
DIRECTOR1.00.0$0$0$0Yes (X)
KEVIN JOHNSON
DIRECTOR1.00.0$0$0$0Yes (X)
ANTHONY SCHWENKE
CHAIR1.00.0$0$0$0Yes (X)Yes (X)
JORDAN KAPLAN
VICE CHAIR1.00.0$0$0$0Yes (X)Yes (X)
KATIE SPAIN
DIRECTOR1.00.0$0$0$0Yes (X)
SARAH MOORE
DIRECTOR BEGIN 11/201.00.0$0$0$0Yes (X)
VADEN SPURLOCK
DIRECTOR BEGIN 11/201.00.0$0$0$0Yes (X)
TODD WILSON
DIRECTOR BEGIN 11/201.00.0$0$0$0Yes (X)
JILL DOBBE
DIRECTOR END 10/201.00.0$0$0$0Yes (X)
KIM HEMPEL
DIRECTOR END 10/201.00.0$0$0$0Yes (X)
ANISSA MCCOY
DIRECTOR 10/201.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,109,137TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$214,796TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K46IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ROBERT YOUNG CENTER
4600 3RD STREETMOLINEIL61265BEHAV HLTH PROVIDERS$1,551,436
GENESIS
1227 E RUSHOLME STDAVENPORTIA52803OBGYN PROVIDERS$489,860
STRATUS INDEMAND
PO BOX 675248DETROITMI48267TRANSLATIONS SERVICE$147,529
STUDER GROUP
350 W CEDAR ST STE 300PENSACOLAFL32502MGT CONSULTING$105,698
BKD LLP
901 E ST LOUIS STSPRINGFIELDMO65801ACCOUNTING SERVICES$103,670
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Federated Campaigns$133,885FederatedCampaignsAmt
Government Grants$17,580,119GovernmentGrantsAmt
All Other Contributions$1,088,891AllOtherContributionsAmt
Noncash Contributions$72,334NoncashContributionsAmt
Total Contributions$18,802,895TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE624100$24,704,178$24,704,178
OTHER INCOME624100$390,677$389,827$850
FieldValueIRS element (for citing)
Total Program Service Revenue$25,094,855TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,806TotalRevenueColumnAmt
Exclusion$26,806ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$130,980RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$70,757RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$60,223RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,223TotalRevenueColumnAmt
Exclusion$60,223ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,984,779TotalRevenueColumnAmt
Related Or Exempt Func Income$25,094,005RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$850UnrelatedBusinessRevenueAmt
Exclusion$87,029ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$970,629TotalAmt
Program Services$569,537ProgramServicesAmt
Management And General$401,092ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,565,743TotalAmt
Program Services$12,939,637ProgramServicesAmt
Management And General$5,619,823ManagementAndGeneralAmt
Fundraising$6,283FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$465,997TotalAmt
Program Services$306,173ProgramServicesAmt
Management And General$159,824ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,379,426TotalAmt
Program Services$1,468,309ProgramServicesAmt
Management And General$911,117ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,402,279TotalAmt
Program Services$962,420ProgramServicesAmt
Management And General$439,859ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$74,236TotalAmt
Management And General$74,236ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$125,746TotalAmt
Management And General$125,746ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,977,055TotalAmt
Program Services$4,393,554ProgramServicesAmt
Management And General$583,501ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$70,354TotalAmt
Program Services$31,497ProgramServicesAmt
Fundraising$38,857FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$344,937TotalAmt
Program Services$159,428ProgramServicesAmt
Management And General$184,943ManagementAndGeneralAmt
Fundraising$566FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,129,605TotalAmt
Program Services$168,549ProgramServicesAmt
Management And General$960,410ManagementAndGeneralAmt
Fundraising$646FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$386,906TotalAmt
Program Services$323,935ProgramServicesAmt
Management And General$62,971ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$97,031TotalAmt
Program Services$54,224ProgramServicesAmt
Management And General$42,807ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,663TotalAmt
Program Services$56,415ProgramServicesAmt
Management And General$78,148ManagementAndGeneralAmt
Fundraising$100FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$129,016TotalAmt
Management And General$129,016ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,124,562TotalAmt
Program Services$792,583ProgramServicesAmt
Management And General$331,979ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$165,431TotalAmt
Program Services$97,262ProgramServicesAmt
Management And General$68,169ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DRUGS$2,127,165$2,127,165
LICENSES, DUES, SUBSCRIPTIONS$216,241$89,513$126,728
REPAIRS AND MAINTENANCE$171,545$138,973$32,572
RECRUITMENT & RETENTION$29,925$29,925

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$35,088,492TotalAmt
Program Services$24,679,174ProgramServicesAmt
Management And General$10,362,866ManagementAndGeneralAmt
Fundraising$46,452FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,049BOYAmt
EOY$673,689EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,920,296BOYAmt
EOY$12,961,286EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$730,247BOYAmt
EOY$1,475,057EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,324,956BOYAmt
EOY$4,163,579EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$81,407BOYAmt
EOY$98,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$199,416BOYAmt
EOY$394,642EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,848,929LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,085,090LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,258,197BOYAmt
EOY$15,763,839EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$89,265BOYAmt
EOY$78,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,706,833BOYAmt
EOY$35,608,530EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,199,197BOYAmt
EOY$5,038,034EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$822,409EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,890,808BOYAmt
EOY$1,519,850EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,383,872BOYAmt
EOY$2,098,994EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,473,877BOYAmt
EOY$9,479,287EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,705,720BOYAmt
EOY$25,509,090EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$527,236BOYAmt
EOY$620,153EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,232,956BOYAmt
EOY$26,129,243EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,706,833BOYAmt
EOY$35,608,530EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,896,287ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,425,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,357,651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,135,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,018,919CurrentTaxYearMinus1YearAmt
Current Tax Year$18,802,895CurrentTaxYearAmt
Total$45,740,261TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,425,575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,357,651CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,135,221CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,018,919CurrentTaxYearMinus1YearAmt
Current Tax Year$18,802,895CurrentTaxYearAmt
Total$45,740,261TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$45,740,261PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$157,857CurrentTaxYearMinus1YearAmt
Current Tax Year$157,786CurrentTaxYearAmt
Total$479,380TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$850CurrentTaxYearMinus1YearAmt
Current Tax Year$850CurrentTaxYearAmt
Total$4,550TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$46,224,191TotalSupportAmt
Gross Receipts Rltd Activities$118,952,926GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98953PublicSupportCY170Pct
Public Support PY1700.98520PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE C, PART II-B, LINES 1(A), 1(B), AND 1(G)LOBBYING ACTIVITIES: THE ORGANIZATION WILL FROM TIME TO TIME ASK ITS BOARD MEMBERS, LEADERSHIP TEAM, AND EMPLOYEES TO CONTACT THEIR LOCAL LEGISLATORS IF THERE IS PENDING LEGISLATION THAT COULD HELP OR HARM THE HEALTH CENTER. THE SUM TOTAL OF THE TIME AND EFFORTS THE HEALTH CENTER SPENDS ON DIRECT LOBBYING EFFORTS IS NOT MATERIAL TO THE OVERALL EXPENSES OF THE ORGANIZATION.
SCHEDULE C, PART II-B, LINE 1(I)OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE ILLINOIS PRIMARY CARE ASSOCIATION AND THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSES. HOWEVER, A REVIEW OF THESE ORGANIZATIONS' FORM 990 RETURNS REVEAL NO POLITICAL ACTIVITY HAS OCCURRED WITH THE USE OF THESE DUES.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$43,250BeginningYearBalanceAmt
Contributions$100ContributionsAmt
Investment Earnings Or Losses$3,880InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,400GrantsOrScholarshipsAmt
Other Expenditures$28OtherExpendituresAmt
Administrative Expenses$409AdministrativeExpensesAmt
End Year Balance$45,393EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$36,785BeginningYearBalanceAmt
Contributions$200ContributionsAmt
Investment Earnings Or Losses$6,904InvestmentEarningsOrLossesAmt
Administrative Expenses$639AdministrativeExpensesAmt
End Year Balance$43,250EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$39,055BeginningYearBalanceAmt
Contributions$1,065ContributionsAmt
Investment Earnings Or Losses-$2,666InvestmentEarningsOrLossesAmt
Administrative Expenses$669AdministrativeExpensesAmt
End Year Balance$36,785EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,109BeginningYearBalanceAmt
Contributions$1,855ContributionsAmt
Investment Earnings Or Losses$4,703InvestmentEarningsOrLossesAmt
Other Expenditures$613OtherExpendituresAmt
Administrative Expenses$612AdministrativeExpensesAmt
End Year Balance$38,442EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$597BeginningYearBalanceAmt
Contributions$30,701ContributionsAmt
Investment Earnings Or Losses$2,379InvestmentEarningsOrLossesAmt
Other Expenditures$52OtherExpendituresAmt
Administrative Expenses$568AdministrativeExpensesAmt
End Year Balance$33,057EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,516,265OtherCostOrOtherBasisAmt
Book Value$1,516,265BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,753,546OtherCostOrOtherBasisAmt
Depreciation$7,740,147DepreciationAmt
Book Value$10,013,399BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,151,087OtherCostOrOtherBasisAmt
Depreciation$471,294DepreciationAmt
Book Value$1,679,793BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,067,559OtherCostOrOtherBasisAmt
Depreciation$3,873,649DepreciationAmt
Book Value$2,193,910BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,472OtherCostOrOtherBasisAmt
Book Value$360,472BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,763,839TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$43,979,719TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$17,100DonatedServicesAndUseFcltsAmt
Other Revenue$444,886OtherRevenueAmt
Revenue Not Reported$461,986RevenueNotReportedAmt
Revenue Subtotal$43,517,733RevenueSubtotalAmt
Other Revenues Not Included$467,046OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$467,046RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$43,984,779TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$35,176,349TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$17,100DonatedServicesUseFcltsAmt
Other Expenses Included$70,757OtherExpensesIncludedAmt
Expenses Not Reported$87,857ExpensesNotReportedAmt
Expenses Subtotal$35,088,492ExpensesSubtotalAmt
Total Expenses Per Form990$35,088,492TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: A FUND WAS SET UP TO HONOR DR. MARY MARIANI, DDS WHO BELIEVED EVERYONE DESERVES A BEAUTIFUL SMILE. THE FUNDS ARE TO BENEFIT THE CHC DENTAL CLINICS WHERE MARY SERVED FOR OVER 25 YEARS. VALUE $5,221. A FUND WAS ESTABLISHED DECEMBER 23, 1999 BY MATERIAL HEALTH CENTER, INC. WITH THE MERGER OF MATERNAL HEALTH AND COMMUNITY HEALTH CARE, INC. APRIL 1, 2016 THE ENDOWMENT WAS RE-DESIGNATED TO CHC TO BE USED FOR WOMEN'S HEALTH. VALUE $40,172.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IS ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT FORM 990, PART VIII, LINE 12: $ 444,886 NET ASSETS RELEASED
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 537,803 TRNA CONTRIBUTIONS (70,757) RENTAL EXPENSES ---------- $ 467,046
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 70,757 RENTAL EXPENSES

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS J BOWMAN
CHIEF EXECUTIVE OFFICER$209,868$0$0$0$224$0$10,621$0$11,911$0$232,624$0$0$0
KEVIN P HAGEDORN
CHIEF FINANCIAL OFFICER$142,187$0$2,978$0$291$0$7,348$0$15,664$0$168,468$0$0$0
REBECCA M HAYES
CHIEF MEDICAL OFFICER$274,931$0$25,805$0$10,327$0$14,048$0$15,539$0$340,650$0$0$0
ANURADHA RANGANATH
PHYSICIAN$216,594$0$19,225$0$180$0$4,442$0$10,983$0$251,424$0$0$0
HUSAM GHAWI
PHYSICIAN$221,778$0$11,012$0$180$0$11,391$0$15,539$0$259,900$0$0$0
CHETAN PRASAD
PHYSICIAN-INTERNAL MEDICINE$249,979$0$3,769$0$180$0$9,479$0$12,085$0$275,492$0$0$0
SWETHA R KANDULA
PHYSICIAN-PEDIATRICS$233,144$0$20,013$0$180$0$11,753$0$15,552$0$280,642$0$0$0
ANNE METUGE
PHYSICIAN-INTERNAL MEDICINE$253,574$0$3,812$0$224$0$12,981$0$15,255$0$285,846$0$0$0
MARK STUMPHY
DENTAL DIRECTOR$182,329$0$26,173$0$180$0$9,206$0$10,999$0$228,887$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 6ABONUSES CONTINGENT ON NET EARNINGS: THE ORGANIZATION HAS ESTABLISHED AN INCENTIVE PLAN THAT IS DEPENDENT UPON THE ORGANIZATION MEETING CERTAIN NET EARNINGS TARGETS. AFTER THE ORGANIZATION MEETS THESE TARGETS, THE PLAN ALLOWS FOR STAFF TO EARN A BONUS BASED ON A PERCENTAGE OF THEIR ANNUAL COMPENSATION IF THE STAFF MEETS TARGETS BASED ON THEIR INDIVIDUAL PERFORMANCE, PATIENT EXPERIENCE TARGETS AND STAFF ENGAGEMENT TARGETS.
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS: THE BONUS IS FACTORED ON SEVERAL ITEMS. THE MAIN PORTION OF THE BONUS IS GENERATED BY PATIENT VOLUME. EACH PROVIDER HAS A MINIMUM NUMBER OF FACE TO FACE BILLABLE ENCOUNTERS THAT THEY NEED TO SEE ON A YEARLY BASIS. THE MINIMUM NUMBER IS ADJUSTED ACCORDING TO SPECIALTY AND CLINIC TYPE, I.E. DENTISTS VS. INTERNIST. ONCE THE PROVIDER HAS MET THE MINIMUM NUMBER OF FACE TO FACE BILLABLE ENCOUNTERS, THEY BEGIN TO ACCRUE A BONUS FOR EACH PATIENT THEY SEE. THERE ARE ALSO QUALITY INDICATORS THAT ARE TRACKED FOR EACH PROVIDER WHICH CAN EARN THEM SMALL BONUSES. EXAMPLES WOULD BE: TIMELY DICTATION, PATIENT SATISFACTION, A1C LEVELS UNDER CONTROL FOR DIABETICS, PROPER IMMUNIZATIONS GIVEN FOR CHILDREN, ETC. THESE QUALITY INDICATORS ARE ALSO SPECIFIC TO THE PROVIDER TYPE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF BUFFALOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN426004303BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2017-11-01BondIssuedDt
Issue Price$2,694,000IssuePriceAmt
PurposeREFUND PRIOR ISSUE 2003 BONDPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,156,171RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$2,694,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$33,802IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$2,660,198OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion1997SubstantialCompletionYr
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Engage Bond Counsel ContractsfalseEngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution26ContributionCnt
Noncash Contributions Rpt F990$72,334NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTORS: THE NUMBER ENTERED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4SIGNIFICANT CHANGE TO GOVERNING DOCUMENTS: THE MAY 2020 AMENDED BYLAWS INCLUDE PROVISION FOR NON-PATIENT MEMBERS OF THE BOARD OF DIRECTORS. THESE MEMBERS SHALL BE SELECTED FOR THEIR EXPERTISE IN RELEVANT SUBJECT AREAS, SUCH AS COMMUNITY AFFAIRS, LOCAL GOVERNMENT, FINANCE AND BANKING, LEGAL AFFAIRS, TRADE UNIONS AND OTHER COMMERCIAL AND INDUSTRIAL CONCERNS OR SOCIAL SERVICE AGENCIES WITHIN THE COMMUNITY. NO MORE THAN ONE-HALF OF THE COMMUNITY MEMBERS MAY DERIVE MORE THAN TEN PERCENT OF THEIR ANNUAL INCOME FROM THE HEALTH CARE INDUSTY.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW PROCESS OF 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIALS STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF COMMUNITY HEALTH CARE INC. THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION FIRST REVIEWS THE RETURN SEPARATELY IN DETAIL. AFTER THIS REVIEW, THE AUDIT COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS FILING TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS THEN PROVIDED A COPY OF THE RETURN AND AUTHORIZES FILING. THE BOARD IS ALLOWED TO ASK QUESTIONS AND MAKE COMMENTS REGARDING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY COMPLIANCE: ALL CONFLICTS ARE MONITORED THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT ARISES, THE BOARD WOULD BE NOTIFIED AND STEPS ARE TAKEN TO REMEDY THE CONFLICT. IF A QUESTION CONCERNING A CONFLICT OF INTEREST FOR ANY DIRECTOR IS RAISED, AND IN THE ABSENCE OF THE DIRECTOR RECUSING HIM OR HERSELF, A WRITTEN SECRET BALLOT MAY BE USED BY THE REMAINING DIRECTORS TO DETERMINE IF SUCH CONFLICT OF INTEREST EXISTS. SHOULD A CONFLICT OF INTEREST, PECUNIARY OR OTHERWISE, BE DETERMINED FOR ANY DIRECTOR, SUCH DIRECTOR SHALL BE EXCLUDED FROM VOTING ON THAT SUBJECT MATTER. A SIMPLE AFFIRMATIVE MAJORITY OF THOSE PRESENT SHALL RULE. IN ALL EVENTS, A DIRECTOR SHALL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION DETERMINATION POLICY: THE CEO IS A CONTRACTED EMPLOYEE. THE BOARD OF DIRECTORS COMPLETES A PERFORMANCE REVIEW IN WRITING ON AN ANNUAL BASIS BASED ON COMPENSATION SURVEYS CONDUCTED ANNUALLY BY THE PRIMARY CARE ASSOCIATIONS IN IOWA AND ILLINOIS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. AT THAT TIME, THEY MAY AWARD A DISCRETIONARY BONUS OR MERIT INCREASE BASED UPON CEO AND ORGANIZATIONAL PERFORMANCE. CHANGES TO SALARY ARE NOTED IN THE CONTRACT. THE ORIGINAL, CURRENT CONTRACT IS HOUSED WITH HUMAN RESOURCES AND A COPY GOES TO PAYROLL. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2021.
FORM 990, PART VI, SECTION B, LINE 15BOTHER OFFICER & KEY EMPLOYEE COMPENSATION DETERMINATION POLICY: COMPENSATION FOR KEY EMPLOYEE IS SET BY THE CEO AND DIRECTOR OF HUMAN RESOURCES BASED ON COMPENSATION SURVEYS CONDUCTED ANNUALLY BY THE PRIMARY CARE ASSOCIATION IN IOWA AND ILLINOIS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2021.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENT DISCLOSURE POLICY: THE ORGANIZATION'S FINANCIAL STATEMENTS, IRS FORM 990, AND OTHER DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO INTERESTED PARTIES, UPON REQUEST, FOR VIEWING ON-SITE.
FORM 990 PART IX LINE 11GDESCRIPTION:ROBERT YOUNG CONTRACT PROVIDER TOTAL FEES:1551436
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED 340B FEES TOTAL FEES:1019675
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACTED FEES TOTAL FEES:816387
FORM 990 PART IX LINE 11GDESCRIPTION:GENESIS CONTRACTED PROVIDERS TOTAL FEES:489860
FORM 990 PART IX LINE 11GDESCRIPTION:LABORATORY CORPORATION TOTAL FEES:371902
FORM 990 PART IX LINE 11GDESCRIPTION:HOUSEKEEPING TOTAL FEES:201874
FORM 990 PART IX LINE 11GDESCRIPTION:TRANSLATION FEES TOTAL FEES:193051
FORM 990 PART IX LINE 11GDESCRIPTION:STUDER GROUP TOTAL FEES:105698
FORM 990 PART IX LINE 11GDESCRIPTION:ASCENTIS TOTAL FEES:86344
FORM 990 PART IX LINE 11GDESCRIPTION:PAIN CENTERS OF IA CONTRACTED TOTAL FEES:62400
FORM 990 PART IX LINE 11GDESCRIPTION:U OF IA CONTRACTED PROVIDERS TOTAL FEES:51428
FORM 990 PART IX LINE 11GDESCRIPTION:FRANKLIN PEDIATRICS CONTRACTED TOTAL FEES:27000