FURP.ORG / PUBLIC DATA EXPLORER

AFFINIA HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
AFFINIA HEALTHCARE (EIN 43-0817642)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201843179349302384
Schema version
2017v2.3
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)
Return2018-11-13T10:03:21-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1211 N BROADWAY SUITE 600AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631022733ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN430817642EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Affinia HealthcareBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% AFFINIA HEALTHCAREInCareOfNm
Business Name ControlAFFIBusinessNameControlTxt
Phone3148981700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 551AddressLine1Txt
CitySt LouisCityNm
State AbbreviationMOStateAbbreviationCd
ZIP631880551ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANET VOSSPersonNm
Person TitleVICE-PRESIDENT & CFOPersonTitleTxt
Phone3148981700PhoneNum
Signature2018-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonna J LarsonPreparerPersonNm
PTINP00043751PTIN
Phone3142315544PhoneNum
Preparation2018-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032820183175000001FederalOriginalSubmissionId
Federal Original Submission Id2018-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id853D263601ED440A753028FB7EE9471177650B6AAtSubmissionCreationDeviceId
At Submission Filing Device IdB60A4EE9D24CBCA4447F2481469D084F848E2D39AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerALAN O FREEMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 551AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63188ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,387,244GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AFFINIAHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee518TotalEmployeeCnt
Total Volunteers105TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$11,798,740PYContributionsGrantsAmt
CY Contributions Grants$12,046,682CYContributionsGrantsAmt
PY Program Service Revenue$26,787,884PYProgramServiceRevenueAmt
CY Program Service Revenue$28,332,659CYProgramServiceRevenueAmt
PY Investment Income$147PYInvestmentIncomeAmt
CY Investment Income$3,264CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$3,356CYOtherRevenueAmt
PY Total Revenue$38,586,771PYTotalRevenueAmt
CY Total Revenue$40,385,961CYTotalRevenueAmt
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$24,964,574PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$26,033,874CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,024,063PYOtherExpensesAmt
CY Other Expenses$14,244,037CYOtherExpensesAmt
PY Total Expenses$38,988,637PYTotalExpensesAmt
CY Total Expenses$40,277,911CYTotalExpensesAmt
PY Revenues Less Expenses-$401,866PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$108,050CYRevenuesLessExpensesAmt
Total Assets BOY$21,999,896TotalAssetsBOYAmt
Total Assets EOY$22,082,770TotalAssetsEOYAmt
Total Liabilities BOY$18,985,804TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,960,628TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,014,092NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,122,142NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEALTHY LIFESTYLES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$25,691,525ExpenseAmt
Revenue$21,675,844RevenueAmt
DescPRIMARY MEDICAL CARE PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVe SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, SUBSTANCE ABUSE, AUDIOLOGY AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 35,884Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,380,304ExpenseAmt
Revenue$3,631,862RevenueAmt
DescHEALTH CARE FOR THE HOMELESS PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, SUBSTANCE ABUSE AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 3,924Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,557,382ExpenseAmt
Revenue$1,808,551RevenueAmt
DescPUBLIC HOUSING HEALTH PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENIFITED: 3,559Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$1,196,139$1,216,402WIC (WOMEN, INFANTS, AND CHILDREN) PROGRAM
PROVIDES NUTRITIONAL ASSISTANCE
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,196,139TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,216,402TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$33,825,350TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
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 BondsfalseTaxExemptBondsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee518EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAFFINIA HEALTHCAREPersonNm
Phone3148981700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 551AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63188ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MITCHELL BARIS
CHAIR2.00.0Yes (X)Yes (X)$0$0$0
JOAN D'AMBROSE
DIRECTOR2.00.0Yes (X)$0$0$0
SREENU DANDAMUDI
DIRECTOR2.00.0Yes (X)$0$0$0
HARRY DENGLER
DIRECTOR2.00.0Yes (X)$0$0$0
JEAN FRAZEE
TREASURER2.00.0Yes (X)Yes (X)$0$0$0
ROBERT JACOBSON
DIRECTOR2.00.0Yes (X)$0$0$0
LAUREL TINSLEY
DIRECTOR2.00.0Yes (X)$0$0$0
WILLIAM VAN LUVEN
DIRECTOR2.00.0Yes (X)$0$0$0
DAVID WALTERS
VICE CHAIR2.00.0Yes (X)Yes (X)$0$0$0
PAMELA BARSH
DIRECTOR2.00.0Yes (X)$0$0$0
ELIZABETH COLEMAN
DIRECTOR2.00.0Yes (X)$0$0$0
TONDALERIA CURRY
DIRECTOR2.00.0Yes (X)$0$0$0
PAULA DAVIS
DIRECTOR2.00.0Yes (X)$0$0$0
DEBRA LEONARD
DIRECTOR2.00.0Yes (X)$0$0$0
GWENDOLYN HALL
DIRECTOR2.00.0Yes (X)$0$0$0
GEORGIA HARRIS
DIRECTOR2.00.0Yes (X)$0$0$0
GILBERT PEOPLES
SECRETARY2.00.0Yes (X)Yes (X)$0$0$0
DIRK ROBINSON
DIRECTOR2.00.0Yes (X)$0$0$0
ALEXIS SLEET
DIRECTOR2.00.0Yes (X)$0$0$0
ALAN O FREEMAN
PRESIDENT & CEO40.00.0Yes (X)$293,969$0$27,306
JAMES ANDERSON
VP CHIEF INFORMATION OFFICER40.00.0Yes (X)$137,838$0$21,845
ALICE BOON
VP OF HUMAN RESOURCES40.00.0Yes (X)$132,674$0$12,968
YVONNE BUHLINGER
VP DEVELOPMENT40.00.0Yes (X)$127,694$0$14,442
KENDRA HOLMES
VP & CHIEF OPERATING OFFICER40.00.0Yes (X)$176,206$0$7,103
VERONICA RICHARDSON
VP COMPLIANCE & QUALITY IMPRVM40.00.0Yes (X)$120,663$0$14,010
MELISSA TEPE MD
VP CHIEF MEDICAL OFFICER40.00.0Yes (X)$249,576$0$8,001
JANET VOSS CPA
VP OF FINANCE & CFO40.00.0Yes (X)$178,679$0$15,606
MARGARET BAUM MD
OB/GYN PHYSICIAN40.00.0$230,864$0$19,476Yes (X)
TIMOTHY MCCANN MD
PHYSICIAN40.00.0$206,559$0$3,239Yes (X)
DAVID MILLER MD
PHYSICIAN - URGENT CARE40.00.0$210,386$0$30,753Yes (X)
MICAELA O'NEIL-CALLAHAN MD
OB/GYN PHYISCIAN40.00.0$211,003$0$22,746Yes (X)
JUEE PHALAK
PYSCHIATRIST40.00.0$214,921$0$9,847Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,491,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$207,342TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
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
ALL ACCESS INTERPRETERS
8460 WATSON RDSAINT LOUISMO63119INTERPRETATION$621,469
CENTAUR BLDG SERVICES
P O BOX 776367CHICAGOIL60677JANITORIAL$349,821
WASHINGTON UNIVERSITY SCHOOL OF MED
660 S EUCLIDSAINT LOUISMO63110CONTRACT PHYSICIANS$249,023
ST PATRICK CENTER
800 N TUCKERSAINT LOUISMO63102HOMELESS SERVICES$243,611
BKD LLP
211 N BROADWAY 600SAINT LOUISMO63102ACCTG & TAXATION$230,907
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$9,657,100GovernmentGrantsAmt
All Other Contributions$2,389,582AllOtherContributionsAmt
Noncash Contributions$68,965NoncashContributionsAmt
Total Contributions$12,046,682TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/CAID REIMBURSEMENTS621110$17,618,727$17,618,727
PROGRAM SERVICE FEES621110$10,713,932$10,713,932
FieldValueIRS element (for citing)
Total Program Service Revenue$28,332,659TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$47TotalRevenueColumnAmt
Exclusion$47ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,283OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,217TotalRevenueColumnAmt
Exclusion$3,217ExclusionAmt
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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$3,356TotalRevenueColumnAmt
Related Or Exempt Func Income$3,356RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,356OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,385,961TotalRevenueColumnAmt
Related Or Exempt Func Income$28,336,015RelatedOrExemptFuncIncomeAmt
Exclusion$3,264ExclusionAmt

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$1,538,580TotalAmt
Program Services$399,713ProgramServicesAmt
Management And General$1,138,867ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,456,528TotalAmt
Program Services$18,408,226ProgramServicesAmt
Management And General$2,048,302ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$339,597TotalAmt
Program Services$320,031ProgramServicesAmt
Management And General$19,566ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,207,217TotalAmt
Program Services$1,948,917ProgramServicesAmt
Management And General$258,300ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,491,952TotalAmt
Program Services$1,279,689ProgramServicesAmt
Management And General$212,263ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$32,777TotalAmt
Management And General$32,777ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$257,731TotalAmt
Management And General$257,731ManagementAndGeneralAmt

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$4,313,333TotalAmt
Program Services$3,304,104ProgramServicesAmt
Management And General$1,009,229ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,079,475TotalAmt
Program Services$3,837,472ProgramServicesAmt
Management And General$242,003ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,180,554TotalAmt
Program Services$1,939,687ProgramServicesAmt
Management And General$240,867ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,734TotalAmt
Program Services$56,134ProgramServicesAmt
Management And General$29,600ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$137,910TotalAmt
Program Services$99,385ProgramServicesAmt
Management And General$38,525ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$311,737TotalAmt
Management And General$311,737ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,263,634TotalAmt
Program Services$948,040ProgramServicesAmt
Management And General$315,594ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,845TotalAmt
Program Services$20,588ProgramServicesAmt
Management And General$34,257ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROVISION FOR BAD DEBT$958,024$958,024$0$0
ORGANIZATION DUES$124,299$38,922$85,377
REPAIRS AND MAINTENANCE$155,469$154,497$972
MISCELLANEOUS$288,515$111,921$176,594

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,277,911TotalAmt
Program Services$33,825,350ProgramServicesAmt
Management And General$6,452,561ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$670,135BOYAmt
EOY$3,341,813EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$909,612BOYAmt
EOY$841,935EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,515,352BOYAmt
EOY$3,506,480EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$228,217BOYAmt
EOY$221,207EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,335,328LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,656,930LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,343,855BOYAmt
EOY$13,678,398EOYAmt

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$332,725BOYAmt
EOY$492,937EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,999,896BOYAmt
EOY$22,082,770EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,809,252BOYAmt
EOY$7,184,124EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

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$6,636,994BOYAmt
EOY$6,296,538EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,539,558BOYAmt
EOY$5,477,966EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,985,804BOYAmt
EOY$18,960,628EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,767,689BOYAmt
EOY$2,834,674EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$246,403BOYAmt
EOY$287,468EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,014,092BOYAmt
EOY$3,122,142EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,999,896BOYAmt
EOY$22,082,770EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$108,050ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$8,890,017CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,822,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,022,004CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,798,740CurrentTaxYearMinus1YearAmt
Current Tax Year$12,046,682CurrentTaxYearAmt
Total$51,579,996TotalAmt

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$8,890,017CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,822,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,022,004CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,798,740CurrentTaxYearMinus1YearAmt
Current Tax Year$12,046,682CurrentTaxYearAmt
Total$51,579,996TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$51,579,996PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$885CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$232CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$168CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147CurrentTaxYearMinus1YearAmt
Current Tax Year$47CurrentTaxYearAmt
Total$1,479TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$51,581,475TotalSupportAmt
Gross Receipts Rltd Activities$127,886,121GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99997PublicSupportCY170Pct
Public Support PY1700.99992PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

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$246,403BeginningYearBalanceAmt
Contributions$235,536ContributionsAmt
Other Expenditures$194,471OtherExpendituresAmt
End Year Balance$287,468EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$168,949BeginningYearBalanceAmt
Contributions$183,427ContributionsAmt
Other Expenditures$105,973OtherExpendituresAmt
End Year Balance$246,403EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$58,299BeginningYearBalanceAmt
Contributions$178,874ContributionsAmt
Other Expenditures$68,224OtherExpendituresAmt
End Year Balance$168,949EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$269,280BeginningYearBalanceAmt
Contributions$63,553ContributionsAmt
Other Expenditures$274,534OtherExpendituresAmt
End Year Balance$58,299EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$389,489BeginningYearBalanceAmt
Contributions$12,201ContributionsAmt
Other Expenditures$132,410OtherExpendituresAmt
End Year Balance$269,280EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$368,949OtherCostOrOtherBasisAmt
Book Value$368,949BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,197,573OtherCostOrOtherBasisAmt
Depreciation$4,489,098DepreciationAmt
Book Value$10,708,475BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,468,106OtherCostOrOtherBasisAmt
Depreciation$287,960DepreciationAmt
Book Value$1,180,146BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,996,599OtherCostOrOtherBasisAmt
Depreciation$4,566,535DepreciationAmt
Book Value$1,430,064BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,304,101OtherCostOrOtherBasisAmt
Depreciation$2,313,337DepreciationAmt
Book Value-$9,236BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,678,398TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PENSION COSTSDesc
Amt$5,477,966Amt
FieldValueIRS element (for citing)
Total Liability$5,477,966TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$44,935,793TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$5,552,138DonatedServicesAndUseFcltsAmt
Other Revenue$194,471OtherRevenueAmt
Revenue Not Reported$5,746,609RevenueNotReportedAmt
Revenue Subtotal$39,189,184RevenueSubtotalAmt
Other Revenues Not Included$1,196,777OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,196,777RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,385,961TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$44,868,808TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$5,552,138DonatedServicesUseFcltsAmt
Expenses Not Reported$5,552,138ExpensesNotReportedAmt
Expenses Subtotal$39,316,670ExpensesSubtotalAmt
Other Expenses Not Included$961,241OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$961,241ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,277,911TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S VARIOUS HEALTH CARE PROGRAMS SUCH AS THE DIABETES PROGRAM, BREAST CANCER PROGRAM, AND BEHAVIORAL HEALTH PROGRAM.
SCHEDULE D, PART X, LINE 2FIN 48 DISCLOSURE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN 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 2DOTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990: NET ASSETS RELEASED FROM RESTRICTION 194,471
SCHEDULE D, PART XII, LINE 4BOTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: BAD DEBT EXPENSE 958,024 GAIN ON SALE OF FIXED ASSETS 3,217 --------- TOTAL 961,241
SCHEDULE D, PART XI, LINE 4BOTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: TEMPORARILY RESTRICTED CONTRIBUTIONS 235,536 BAD DEBT EXPENSE 958,024 GAIN ON SALE OF FIXED ASSETS 3,217 ---------- TOTAL 1,196,777

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 OrgsTotalCompensationRltdOrgsAmt
ALAN O FREEMAN
PRESIDENT & CEO$291,131$0$0$0$2,838$0$9,946$0$17,360$0$321,275$0
JAMES ANDERSON
VP CHIEF INFORMATION OFFICER$132,948$0$3,650$0$1,240$0$4,778$0$17,067$0$159,683$0
KENDRA HOLMES
VP & CHIEF OPERATING OFFICER$170,034$0$5,811$0$361$0$5,749$0$1,354$0$183,309$0
MELISSA TEPE MD
VP CHIEF MEDICAL OFFICER$239,993$0$9,056$0$527$0$6,529$0$1,472$0$257,577$0
JANET VOSS CPA
VP OF FINANCE & CFO$172,320$0$4,750$0$1,609$0$6,255$0$9,351$0$194,285$0
MARGARET BAUM MD
OB/GYN PHYSICIAN$220,559$0$9,642$0$663$0$7,943$0$11,533$0$250,340$0
TIMOTHY MCCANN MD
PHYSICIAN$200,495$0$2,140$0$3,924$0$1,784$0$1,455$0$209,798$0
DAVID MILLER MD
PHYSICIAN - URGENT CARE$200,833$0$7,066$0$2,487$0$6,933$0$23,820$0$241,139$0
MICAELA O'NEIL-CALLAHAN MD
OB/GYN PHYISCIAN$202,116$0$8,412$0$475$0$6,365$0$16,381$0$233,749$0
JUEE PHALAK
PYSCHIATRIST$212,723$0$1,875$0$323$0$1,159$0$8,688$0$224,768$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4aFormAndLineReferenceDesc
ExplanationSEVERANCE PAYMENT: VERONICA RICHARDSON RECEIVED SEVERANCE PAY IN THE AMOUNT OF $6,246, WHICH REPRESENTED EIGHT WEEKS OF COMPENSATION.ExplanationTxt

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 Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$4,821NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE OF STOCKMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
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
Contribution162ContributionCnt
Noncash Contributions Rpt F990$64,144NoncashContributionsRptF990Amt
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 GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN BFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BPROCESS USED FOR REVIEWING FORM 990: THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS OF MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST: ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT NOTING FULL COMPLIANCE OR ANY EXCEPTIONS. ANY EXCEPTIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE BOARD COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15APROCESS FOR DETERMINING CEO COMPENSATION: CEO COMPENSATION WAS DETERMINED IN JUNE OF 2018 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON PERFORMANCE INDICATORS AND SURVEYS PROVIDED BY AN INDEPENDENT CONSULTING FIRM AND THE MISSOURI PRIMARY CARE ASSOCIATION.
FORM 990, PART VI, SECTION B, LINE 15BPROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATION: A BI-ANNUAL SALARY SURVEY PROVIDED BY THE MISSOURI PRIMARY CARE ASSOCIATION IS USED IN CONJUNCTION WITH A SURVEY FROM AAIM TO DETERMINE RANGES FOR ALL KEY POSITIONS AND DETERMINE WHETHER SALARIES ARE COMPETITIVE.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AS REQUIRED BY FEDERAL REGULATION THAT APPLIES TO COMMUNITY HEALTH CENTERS.
FORM 990, PART IX, LINE 11GFEES FOR SERVICES DETAIL: BANK CHARGES 16,406 CONTRACTED WASTE SERVICES 21,007 CONTRACTED COPIER SERVICES 26,470 CONTRACTED DELIVERY SERVICES 39,493 CONTRACTED DENTAL LAB SERVICES 427,883 CONTRACTED CLAIMS SERVICES 168,784 CONTRACTED LAB SERVICES 194,422 CONTRACTED OPTICAL SERVICES 14,947 CONTRACTED PARKING SERVICES 615 CONTRACTED POSTAGE SERVICES 5,372 CONTRACTED RADIOLOGY SERVICES 176,985 CONTRACTED RECORD STORAGE FEES 53,087 CONTRACTED SHREDDING SERVICES 2,518 CONTRACTED TRANSLATION SERVICES 670,589 CONTRACTED CLINICAL STAFF 670,310 CONTRACTED PHARMACY STAFF 56,767 CONTRACTUAL EXPENSE 225,481 CPR EXPENDITURES 1,511 CREDIT CARD FEES 48,090 EMPLOYMENT DRUG SCREENING 9,343 HOMELESS VENDORS 212,914 SOFTWARE LICENSES 541,245 UNIFORM SERVICES 7,426 PAYROLL FEES 99,661 PROFESSIONAL FEES - CONSULTANTS 8,475 PROFESSIONAL FEES - OTHER 224,851 RECRUITMENT EXPENSE 25,217 TEMP STAFF - NURSES 114,809 TEMP STAFF - OTHER 248,655 - - - - - - TOTAL FEES FOR SERVICES 4,313,333