2021-02-11T09:55:36-06:00 2020-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-07-01 830435138 GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC GREA 7036807950 4379 RIDGEWOOD CENTER DRIVE NO 102 WOODBRIDGE VA 22192 MARK MEYE CHIEF EXECUTIVE OFFICER 7036807950 2021-02-10 1 KERRI N BOGDA CPA P00760402 7177404863 2019 2022-09-23 18:48:47Z MARK MEYE 4379 RIDGEWOOD CENTER DRIVE NO 102 WOODBRIDGE VA 22192 14268688 0 X WWW.GPWHEALTHCENTER.ORG X 2007 VA TO INCREASE ACCESS TO AFFORDABLE HIGH QUALITY HEALTH CARE FOR THE WHOLE FAMILY. 14 14 201 25 0 0 4435470 4923978 9365779 9260676 21 2666 78709 54763 13879979 14242083 0 0 0 0 8931281 10649276 0 0 100927 4015035 4136412 12946316 14785688 933663 -543605 5273915 6621913 2130636 4026954 3143279 2594959 X THE CENTER'S MISSION IS TO INCREASE ACCESS TO HIGH QUALITY COMPREHENSIVE AND PREVENTATIVE HEALTH CARE SERVICES THAT ARE CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF THE COMMUNITY. 0 0 6444873 0 5108928 MEDICAL CARE: THE CENTER MEDICAL CARE THAT IS CULTURALLY SENSITIVE (BEING AWARE THAT CULTURAL DIFFERENCES AND SIMILARITIES BETWEEN PEOPLE EXIST WITHOUT ASSIGNING THEM A VALUE: POSITIVE OR NEGATIVE, BETTER OR WORSE, RIGHT OR WRONG; SET OF SKILLS THAT ENABLES US TO LEARN ABOUT AND UNDERSTAND PEOPLE WHO ARE DIFFERENT FROM OURSELVES, THEREBY BECOMING BETTER ABLE TO SERVE WITHIN THEIR OWN COMMUNITIES) TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. THE CENTER PROGRAMS ARE DESIGNED TO INCREASE ACCESS TO HIGH QUALITY, COMPREHENSIVE AND PREVENTIVE HEALTH CARE. THIS PROGRAM HAD 33,465 VISITS INVOLVING 11,660 PATIENTS DURING THE FISCAL YEAR. 2218234 0 1555594 OB-GYN CARE: THE CENTER PROVIDES OB-GYN CARE THAT IS CULTURALLY SENSITIVE (BEING AWARE THAT CULTURAL DIFFERENCES AND SIMILARITIES BETWEEN PEOPLE EXIST WITHOUT ASSIGNING THEM A VALUE: POSITIVE OR NEGATIVE, BETTER OR WORSE, RIGHT OR WRONG; SET OF SKILLS THAT ENABLES US TO LEARN ABOUT AND UNDERSTAND PEOPLE WHO ARE DIFFERENT FROM OURSELVES, THEREBY BECOMING BETTER ABLE TO SERVE WITHIN THEIR OWN COMMUNITIES) TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. THIS PROGRAM HAD 12,510 VISITS INVOLVING 1,815 PATIENTS DURING THE FISCAL YEAR. 2289438 0 1836114 DENTAL CARE: THE CENTER PROVIDES DENTAL CARE THAT IS CULTURALLY SENSITIVE (BEING AWARE THAT CULTURAL DIFFERENCES AND SIMILARITIES BETWEEN PEOPLE EXIST WITHOUT ASSIGNING THEM A VALUE: POSITIVE OR NEGATIVE, BETTER OR WORSE, RIGHT OR WRONG; SET OF SKILLS THAT ENABLES US TO LEARN ABOUT AND UNDERSTAND PEOPLE WHO ARE DIFFERENT FROM OURSELVES, THEREBY BECOMING BETTER ABLE TO SERVE WITHIN THEIR OWN COMMUNITIES) TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. THIS PROGRAM HAD 9,630 VISITS INVOLVING 3,700 PATIENTS DURING THE FISCAL YEAR. 1423608 0 760040 BEHAVIORAL HEALTH: THE CENTER PROVIDES BEHAVIORAL HEALTH CARE THAT IS CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. THIS PROGRAM HAD 8,435 VISITS INVOLVING 1,400 PATIENTS DURING THE FISCAL YEAR. 1423608 0 760040 12376153 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X MARK MEYE CHIEF EXECUTIVE OFFICER 7036807950 4379 RIDGEWOOD CENTER DRIVE SUITE WOODBRIDGE VA 22192 RASHID MOHIUDDIN MEDICAL DIRECTOR 40.00 X 240216 0 18563 HUSSEIN AL-SHAMMAA PHYSICIAN 40.00 X 201884 0 14565 SYED MAHBOOB PHYSICIAN 40.00 X 197999 0 17226 RENATO DAING PHYSICIAN 40.00 X 199327 0 14045 MARK MEYE CHIEF EXECUTIVE OFFICER 40.00 X 163552 0 9634 LAYLA ABDAL HUSSAIN PHYSICIAN 40.00 X 142500 0 10803 AMPARO PINZON DENTIST 40.00 X 131708 0 9067 LUIS LOU FERRARO PRESIDENT 6.00 X X 0 0 0 DAVID B WILKS VICE PRESIDENT 4.00 X X 0 0 0 JOHN S GRAY TREASURER 4.00 X X 0 0 0 VALERIE E KEANE SECRETARY 4.00 X X 0 0 0 ABRA HOGARTH MEMBER 2.00 X 0 0 0 ADDIE RAY WHITAKER MEMBER 2.00 X 0 0 0 EVELYN MARR MEMBER 2.00 X 0 0 0 JENNY PORTILLO MEMBER 2.00 X 0 0 0 JULIO ALEX CORREA MEMBER 2.00 X 0 0 0 LASHEECO GRAHAMAN MEMBER 2.00 X 0 0 0 LAURA C POSEY MEMBER 2.00 X 0 0 0 RICHARD GARON MEMBER 2.00 X 0 0 0 ROSE GONZALEZ MEMBER 2.00 X 0 0 0 JIMMY FUENTES MEMBER 2.00 X 0 0 0 1277186 0 93903 16 0 1 0 COMMUNITY CARE NETWORK OF VIRGINIA 3831 WESTERRE PARKWAY HENRICO VA 23233 HEALTH CARE BILLING 344219 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 169026 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECT. HEALTH RECORDS 108925 3 4368 4200780 718830 5037 4923978 MEDICAL CARE 624110 5108927 5108927 DENTAL CARE 624110 1836114 1836114 OB-GYN CARE 624110 1555594 1555594 BEHAVIORAL HEALTH 624110 760041 760041 9260676 2666 2666 31427 4368 26605 4822 4822 MANAGED CARE INCENTIVES 900099 45550 45550 REBATES 900099 3625 3625 MISC. REVENUE 900099 441 441 325 325 49941 14242083 9260676 0 57429 450482 262856 169607 18019 8659127 7910774 728153 20200 254708 235036 19168 504 622634 571868 49232 1534 662325 600980 58891 2454 9307 9307 44591 44591 807893 750405 56508 980 355417 240241 110767 4409 189278 110444 71263 7571 1088370 650049 396226 42095 3581 3581 321261 101338 219923 26121 17188 8933 VACCINE SUPPLIES 438938 438938 PROGRAM SUPPLIES 339025 339025 BAD DEBT EXPENSE 285567 285567 COMMUNITY OUTREACH 63288 63288 163775 83723 76891 3161 14785688 12376153 2308608 100927 1076977 2911618 260960 245289 2572908 2159569 63398 100868 2911879 1852039 1150228 1059840 12450 7735 15000 15000 121994 121994 5273915 6621913 1161052 1010100 28019 7731 941565 3009123 2130636 4026954 X 2959579 2410500 183700 184459 3143279 2594959 5273915 6621913 -543605 -4715 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1088356 710639 377717 1238286 757683 480603 585237 383717 201520 1059840 DEFERRED RENT 972323 REFUNDABLE ADVANCE 2036800 3009123 14104044 -4715 152243 -285567 -138039 14242083 0 14242083 14652364 152243 152243 14500121 285567 285567 14785688 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -285,567. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 285,567. CHIPS4CHARITY 35795 4368 31427 11290 10620 4152 35795 4368 31427 11290 10620 4152 26062 5365 X X 0 0 0 0 0 0 0 1 0 RASHID MOHIUDDIN MEDICAL DIRECTOR 240216 0 0 0 0 0 7206 0 11357 0 258779 0 258779 0 HUSSEIN AL-SHAMMAA PHYSICIAN 201884 0 0 0 0 0 6057 0 8508 0 216449 0 216449 0 SYED MAHBOOB PHYSICIAN 197999 0 0 0 0 0 5940 0 11286 0 215225 0 215225 0 RENATO DAING PHYSICIAN 199327 0 0 0 0 0 5980 0 8065 0 213372 0 213372 0 MARK MEYE CHIEF EXECUTIVE OFFICER 149740 0 13812 0 0 0 4492 0 5142 0 173186 0 173186 0 LAYLA ABDAL HUSSAIN PHYSICIAN 142500 0 0 0 0 0 4275 0 6528 0 153303 0 153303 0 PART I, LINE 7 THE BOARD ISSUED A DISCRETIONARY BONUS TO THE CHIEF EXECUTIVE OFFICER; THE PROCESS IS A CONFIDENTIAL MEETING BY THE BOARD OF DIRECTORS WHERE THE MATTER IS RAISED FOR CONSIDERATION AND, IF DEEMED WARRANTED, AN AMOUNT IS CONSIDERED. IF APPROVED, THE BONUS IS ISSUED. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND THE CHAIRMAN OF STANDING COMMITTEES. THE COMMITTEE SHALL HAVE THE POWERS OF THE GOVERNING BOARD WHEN IT IS NOT IN SESSION. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND ACCOUNTING MANAGER PERFORM AN INITIAL REVIEW OF THE DRAFT 990. THE RETURN IS THEN PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE A DISCLOSURE FORM ANNUALLY. INDIVIDUALS WITH POTENTIAL OR ACTUAL CONFLICTS ARE EXPECTED TO REPORT ANY INFORMATION PERTINENT TO THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY STATED IN THE DISCLOSURES AS BEING SOURCES OF POTENTIAL CONFLICTS. BOARD DIRECTORS MAKE THEIR DISCLOSURES TO THE COMPLIANCE OFFICER, WHILE THE CHIEF EXECUTIVE OFFICER DISCLOSES ANY POTENTIAL CONFLICTS TO THE BOARD. DIRECTORS WITH A CONFLICT MAY SPEAK TO THE BOARD ON THE CONFLICT, BUT MUST LEAVE THE MEETING DURING ANY DISCUSSION OR VOTE ON WHETHER THE CONFLCT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE INTERESTED DIRECTOR MUST RECUSE HIMSELF OR HERSELF FROM ANY DISCUSSION OF, OR VOTING ON, THE ARRANGEMENT THAT INVOLVES THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD SETS POSITION PAY RANGES AND REVIEWS AND APPROVES THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND BENEFITS. THE BOARD COMPENSATION RANGES ARE BASED ON A SALARY SURVEY OF SIMILAR ORGANIZATIONS. THE SALARY SURVEY AND BOARD DECISIONS ARE DOCUMENTED IN BOARD MINUTES. A COMPREHENSIVE REVIEW OF KEY EMPLOYEE COMPENSATION WAS LAST PERFORMED IN 2019. THE BOARD REVIEWED THE SALARY SURVEY COMPLETED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A FOLLOW-UP SURVEY OF VIRGINIA HEALTH CENTERS, WHICH WAS CONDUCTED BY THE CHIEF EXECUTIVE OFFICER AND DIRECTOR OF HUMAN RESOURCES. THIS SURVEY WAS PRESENTED TO THE BOARD FOR REVIEW IN 2019. AS A RESULT, THE BOARD APPROVED ADJUSTING KEY EMPLOYEE ANNUAL SALARIES TO ALIGN MORE FULLY WITH THE SURVEYS PRESENTED TO IT FOR CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.