2020-04-30T12:27:49-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 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 2020-04-30 1 KERRI N BOGDA CPA P00760402 7177404863 73.187.220.225 2020-04-30 10:33:21 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2018 2021-01-29 14:40:06Z MARK MEYE 4379 RIDGEWOOD CENTER DRIVE NO 102 WOODBRIDGE VA 22192 13911235 0 X WWW.GPWHEALTHCENTER.ORG X 2007 VA TO INCREASE ACCESS TO AFFORDABLE HIGH QUALITY HEALTH CARE FOR THE WHOLE FAMILY. 13 13 155 25 0 0 3975369 4435470 7779103 9365779 0 21 44862 78709 11799334 13879979 0 0 0 0 8399477 8931281 0 0 97786 3683947 4015035 12083424 12946316 -284090 933663 4101568 5273915 1890303 2130636 2211265 3143279 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 4928849 0 4499016 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)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. THE CENTER PROGRAMS ARE DESIGNED TO INCREASE ACCESS TO HIGH QUALITY, COMPREHENSIVE AND PREVENTIVE HEALTH CARE. THIS PROGRAM HAD 31,560 VISITS INVOLVING 11,000 PATIENTS DURING THE FISCAL YEAR. 2286014 0 1645294 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)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 13,010 VISITS INVOLVING 1,890 PATIENTS DURING THE FISCAL YEAR. 1997851 0 2520171 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)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 10,700 VISITS INVOLVING 4,120 PATIENTS DURING THE FISCAL YEAR. 1310030 0 701298 BEHAVIORAL HEALTH - THE CENTER PROVIDES BEHAVIORAL HEALTH 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)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 9,010 VISITS INVOLVING 1,670 PATIENTS DURING THE FISCAL YEAR. 1310030 0 701298 10522744 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 24 0 155 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 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 KEENE 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 MARK MEYE CHIEF EXECUTIVE OFFICER 40.00 X 157525 0 10457 RASHID MOHIUDDIN MEDICAL DIRECTOR 40.00 X 230856 0 18217 SYED MAHBOOB PHYSICIAN 40.00 X 192749 0 17073 LISA WIENER OB-GYN DIRECTOR 40.00 X 127550 0 14036 RENATO DAING PHYSICIAN 40.00 X 193492 0 13696 HUSSEIN AL-SHAMMAA PHYSICIAN 40.00 X 195000 0 15049 CAMILLE HORTON-THOMPSON PHYSICIAN 40.00 X 181868 0 12698 1279040 0 101226 16 0 1 0 COMMUNITY CARE NETWORK OF VIRGINIA 3831 WESTERRE PARKWAY HENRICO VA 23233 HEALTH CARE BILLING 271006 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 236806 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 ELECT. HEALTH RECORDS 108911 3 6216 3628436 800818 650 4435470 MEDICAL CARE 624110 4499016 4499016 DENTAL CARE 624110 2520171 2520171 OB-GYN CARE 624110 1645294 1645294 BEHAVIORAL HEALTH 624110 701298 701298 9365779 21 21 42389 6216 31256 11133 11133 MEANINGFUL USE REVENUE 900099 34000 34000 WORKERS COMPENSATION 900099 17527 17527 MANAGED CARE INCENTIVES 900099 8639 8639 7410 7410 67576 13879979 9365779 0 78730 422446 248990 156558 16898 7195665 6533087 645376 17202 214798 192255 21911 632 548177 486948 59169 2060 550195 483945 63600 2650 1274 1274 38891 38891 825235 737235 87198 802 207103 132205 70026 4872 187359 112082 68039 7238 1071890 634154 395647 42089 6730 1751 4979 2209 2209 301006 85701 215305 37842 23541 14301 BAD DEBT EXPENSE 400753 400753 PROGRAM SUPPLIES 346225 346225 VACCINE SUPPLIES 326142 326142 COMMUNITY OUTREACH 65860 65860 196516 112623 80550 3343 12946316 10522744 2325786 97786 871362 1076977 155081 260960 1689990 2572908 12622 0 69502 63398 2681005 1530777 1149943 1150228 14099 12450 15000 15000 123969 121994 4101568 5273915 923947 1161052 7860 28019 70273 0 888223 941565 1890303 2130636 X 2028598 2959579 182667 183700 2211265 3143279 4101568 5273915 933663 -1649 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1088356 623129 465227 1044662 613266 431396 547987 294382 253605 1150228 DEFERRED RENT 941565 941565 13632452 -1649 154875 -400753 -247527 13879979 0 13879979 12700438 154875 154875 12545563 400753 400753 12946316 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -400,753. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 400,753. CHIPS4CHARITY 48605 6216 42389 12148 11427 7681 48605 6216 42389 12148 11427 7681 31256 11133 X X 0 0 0 0 0 0 0 1 0 MARK MEYE CHIEF EXECUTIVE OFFICER 143655 0 13870 0 0 0 4310 0 6147 0 167982 0 0 0 RASHID MOHIUDDIN MEDICAL DIRECTOR 230856 0 0 0 0 0 6926 0 11291 0 249073 0 0 0 SYED MAHBOOB PHYSICIAN 192749 0 0 0 0 0 5782 0 11291 0 209822 0 0 0 RENATO DAING PHYSICIAN 193492 0 0 0 0 0 5805 0 7891 0 207188 0 0 0 HUSSEIN AL-SHAMMAA PHYSICIAN 195000 0 0 0 0 0 5850 0 9199 0 210049 0 0 0 CAMILLE HORTON-THOMPSON PHYSICIAN 181868 0 0 0 0 0 5456 0 7242 0 194566 0 0 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.