2018-10-01T16:30:52-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2017-01-01 571092940 AFFINITY HEALTH CENTER AFFI 8039096363 455 LAKESHORE PARKWAY ROCK HILL SC 29730 ANITA CASE EXECUTIVE DIRECTOR 8039096363 2018-08-28 1 JOHN NORMAN P01506766 7049985200 2018-08-28 2017 2022-09-23 18:48:47Z X ANITA CASE 455 LAKESHORE PARKWAY ROCK HILL SC 29730 11293939 0 X AFFINITYHEALTHCENTER.ORG X 2000 SC TO PROVIDE HIGH-QUALITY COMPREHENSIVE HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT. 12 12 70 39 0 0 3403356 3667468 5862431 7623442 637 697 -1764 -19215 9264660 11272392 666312 810178 0 0 2401470 2841973 0 0 6407 4397200 5401529 7464982 9053680 1799678 2218712 12916825 18223000 794270 3533950 12122555 14689050 TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING ACCESS TO HIGH-QUALITY, COMPREHENSIVE CARE WITH COMPASSION, DIGNITY AND RESPECT. 0 0 7135982 760612 7623442 MEDICAL CARE IS PROVIDED IN A DIGNIFIED, COMPASSIONATE MANNER. WITH THE ACCESS TO QUALITY CARE, PATIENTS CAN LIVE LONGER AND HEALTHIER LIVES. MEDICAL SERVICES AT AFFINITY HEALTH CENTER INCLUDE 1) PRIMARY CARE, 2) HIV SPECIALTY CARE, 3) ORAL HEALTH CARE, 4) BEHAVIORAL HEALTH SERVICES, 5) PHLEMOTOMY/LABORATORY SERVICES, 6) NUTRITIONAL COUNSELING, AND 7) SPECIALTY CARE REFERRALS. AHC MEDICAL SERVICES ARE PROVIDED WITHOUT REGARD FOR ABILITY TO PAY AND CHARGES ARE BASED ON A SLIDING FEE SCALE. 863589 49367 SUPPORT SERVICES ARE INTENDED TO HELP PATIENTS ENGAGE IN AND REMAIN ENGAGED IN MEDICAL TREATMENT AND TO ASSIST THEM WITH REDUCING ANY BARRIERS TO CARE. SERVICES INCLUDE 1) MEDICAL CASE MANAGEMENT, 2) HEALTH EDUCATION, 3) OUTREACH TO THOSE OUT OF CARE, 4) EDUCATIONAL AND THERAPEUTIC SUPPORT GROUPS, 5) REFERRAL SERVICES AND ASSISTANCE WITH ACCESSING PUBLIC BENEFITS, 6) HOUSING SERVICES, 7) TRANSPORTATION ASSISTANCE TO MEDICAL APPOINTMENTS, AND 8) INTERPRETING SERVICES. ALL SUPPORT SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. 391826 199 AFFINITY HEALTH CENTER PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY WHICH INCLUDE INFORMATION ABOUT HIV AND OTHER SEXUALLY TRANSMITTED DISEASES. AFFINITY HEALTH CENTER PROVIDES FREE, CONFIDENTIAL, RAPID (20 MINS) HIV AND HEPATITIS C SCREENING AND SCREENINGS FOR OTHER SEXUALLY TRANSMITTED DISEASES. ADDITIONALLY, AFFINITY HEALTH CENTER HAS A PEER PROGRAM THAT UTILIZES PEOPLE LIVING WITH HIV/AIDS TO PROVIDE SUPPORT TO OTHERS LIVING WITH THIS DISEASE AND A VOLUNTEER PROGRAM TO ENGAGE COMMUNITY MEMBERS IN SERVICES TO OTHERS. ALL PREVENTION SERVICES ARE PROVIDED AT NO COST TO THE RECIPIENT. 8391397 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 59 0 1 70 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X X BRYAN C MARTIN 8039096363 455 LAKESHORE PARKWAY ROCK HILL SC 29730 JENNIFER MCDANIEL BOARD CHAIR 1.00 X X 0 0 0 JANICE CHISIM BOARD VICE-CHAIR 1.00 X X 0 0 0 MELISSA CASSELL TREASURER 1.00 X X 0 0 0 NINA FEEMSTER SECRETARY 1.00 X X 0 0 0 LECLAIR BOONE DIRECTOR 1.00 X X 0 0 0 JOANN DEBOE-WILSON DIRECTOR 1.00 X 0 0 0 DWIGHT BURNS DIRECTOR 1.00 X 0 0 0 BIANCA PRESCOTT DIRECTOR 1.00 X 0 0 0 RONNIE DUNCAN DIRECTOR 1.00 X 0 0 0 SUZANNE WRIGHT DIRECTOR 1.00 X 0 0 0 TAMMY WELLS DIRECTOR 1.00 X 0 0 0 KAREN WORTHY DIRECTOR 1.00 X 0 0 0 ANITA CASE EXECUTIVE DIRECTOR 40.00 X 111983 0 6973 BRYAN MARTIN FINANCE DIRECTOR 40.00 X 87263 0 6062 J CRAIG CHARLES MEDICAL DIRECTOR 40.00 X 226781 0 10680 426027 0 23715 2 0 1 0 LABORATORY CORPORATION OF AMERICA PO BOX 2270 BURLINGTON NC 27216 MEDICAL LAB SERVICES 328474 RPA DESIGN PC 5960 FAIRVIEW ROAD SUITE 500 CHARLOTTE NC 28210 ARCHITECTURE AND ENGINEERING SERVICES 148014 SERVCOM USA LLC 3284 LAKE WYLIE DRIVE ROCK HILL SC 29730 INFORMATION TECHNOLOGY SERVICES 113612 3 41234 48413 3111734 466087 23084 3667468 340B PHARMACY REVENUE 624100 6947229 6947229 PATIENT SERVICE REVENUE 624100 676213 676213 7623442 697 697 1932 48413 21347 -19415 -19415 400 200 200 200 11272392 7623442 0 -18518 810178 810178 449742 386142 62802 798 1964893 1687031 274377 3485 240620 204575 35627 418 186718 160310 26042 366 27200 21843 5356 1 21486 15735 5747 4 174828 140397 34426 5 22411 5642 16769 88964 75690 12966 308 219831 201158 18083 590 66370 57744 8532 94 80613 58494 22068 51 61319 42253 19011 55 573 573 70792 61795 8898 99 36852 28633 8146 73 PHARMACEUTICALS 3073530 3073530 LAB SERVICES 700704 700704 340B PROGRAM SERVICES 359046 359046 PHYSICIAN ON SITE 36429 36429 360581 264068 96453 60 9053680 8391397 655876 6407 6429880 7927227 1437349 700898 503750 623534 21908 56908 66610 79176 5285229 421013 1812583 4864216 2644745 3971041 12916825 18223000 794270 2329956 1203994 794270 3533950 X 12121647 14506459 908 182591 12122555 14689050 12916825 18223000 2218712 347783 0 X X 0 1 X 1 1 1 X 1993139 2369257 2327979 3403356 3786577 13880308 9000 20550 18738 48288 1993139 2369257 2336979 3423906 3805315 13928596 13928596 491 612 743 637 697 3180 2445 3248 5693 13937469 26734695 0.99940 0.99920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 439126 439126 1119999 227014 892985 65772 9135 56637 284780 184864 99916 3375552 3375552 4864216 X 11339002 67307 67307 11271695 697 697 11272392 9120987 67307 67307 9053680 0 9053680 PART X, LINE 2: AFFINITY HEALTH CENTER IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AFFINITY HEALTH CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OF OTHER TAXES. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO RECOGNIZE A TAX BENEFIT OR EXPENSE FROM UNCERTAIN TAX POSITION IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT BELIEVES THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2017 OR 2016. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 697. DAZZLE & DENIM 50345 48413 1932 1975 8590 3013 7769 50345 48413 1932 1975 8590 3013 7769 21347 -19415 1 OFF-SITE SPECIALTY CARE VISITS 272 69567 FMV MEDICATIONS 202 37543 FMV INSURANCE PREMIUMS/COPAYS 276 599530 FMV MEDICAL SUPPLIES 83 22105 FMV HOUSING 27 24891 FMV TRANSPORTATION 314 16620 FMV FOOD ASSISTANCE, TRANSLATOR SERVICES, OTHER ASSISTANCE 175 39922 FMV PART I, LINE 2: AFFINITY HEALTH CENTER PROVIDES ASSISTANCE TO CLIENTS BASED ON NEED FOR EXPENSES SUCH AS SPECIALTY CARE, MEDICATIONS, HOUSING, INSURANCE PREMIUMS, EMERGENCY FOOD, AND TRANSPORTATION TO MEDICAL APPOINTMENTS. PAYMENTS ARE MADE DIRECTLY TO OUTSIDE SERVICE PROVIDERS RATHER THAN TO CLIENTS. AHC REQUIRES SUPERVISORY APPROVAL OF ALL PAYMENT REQUESTS. THE FINANCE DEPARTMENT VERIFIES APPROPRIATE DOCUMENTATION IS SUBMITTED FOR EXPENDITURES. PRIOR TO SIGNING CHECKS, THE EXECUTIVE DIRECTOR REVIEWS ALL DOCUMENTATION TO ENSURE APPROPRIATE USE OF FUNDS. AN OFFICER OF THE BOARD OF DIRECTORS SIGNS OFF ON ANY PAYMENTS OVER $5,000. X X X 0 0 0 0 0 0 0 0 0 J CRAIG CHARLES MEDICAL DIRECTOR 224220 0 2561 0 0 0 0 0 10680 0 237461 0 0 0 SERVCOM USA LLC ENTITY CO-OWNED BY SON OF DIRECTOR, JANICE CHISM 113612 ENTITY PROVIDED INFORMATION TECHNOLOGY SERVICES AND EQUIPMENT 0 X PROGRAM SUPPLIES 7 23084 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S FORM 990 IS GIVEN ANNUALLY TO THE ENTIRE BOARD IN ITS ENTIRETY FOR REVIEW AND FORMAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C AFFINITY HEALTH CENTER (AHC) HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED WITH NEW BOARD MEMBERS DURING BOARD ORIENTATION. AT THAT TIME BOARD MEMBERS INDICATE IN WRITING ANY CONFLICTS OF INTEREST WITH AHC. OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ON AN ANNUAL BASIS ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AFFINITY HEALTH CENTER (AHC) HIRED AN INDEPENDENT HUMAN RESOURCES CONSULTANT IN 2017 TO CONDUCT A SALARY SURVEY AND RECOMMEND SALARY RANGES FOR ALL POSITIONS INCLUDING THE EXECUTIVE DIRECTOR. IN 2017 AHC'S BOARD OF DIRECTORS APPROVED THE REVISED RANGES. THE FULL BOARD IS RESPONSIBLE FOR THE ANNUAL PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR, INCLUDING DETERMINATION OF ANNUAL COMPENSATION ADJUSTMENTS. THE ANNUAL PERFORMANCE REVIEWS FOR OTHER OFFICERS OR KEY EMPLOYEES IS CONDUCTED IN ACCORDANCE WITH AHC POLICY BY APPROPRIATE SUPERVISOR. DETERMINATION OF ANNUAL COMPENSATION ADJUSTMENTS WITHIN APPROVED RANGES IS DETERMINED BY THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 AFFINITY HEALTH CENTER PROVIDES THESE DOCUMENTS TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.