NEIGHBORHOOD HEALTH CLINICS INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NEIGHBORHOOD HEALTH CLINICS INC (EIN 35-1922483)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-07
IRS object ID
201813119349302491
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)
Return2018-11-07T15:32:41-06:00ReturnTs
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 Line1200 E Main St Suite 700AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351922483EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORHOOD HEALTH CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RICHARD YERGLERInCareOfNm
Business Name ControlNEIGBusinessNameControlTxt
Phone2604582641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANGELA M ZAEGELPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone2604582648PhoneNum
Signature2018-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNE E WHITEPreparerPersonNm
PTINP01708202PTIN
Phone2604604000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id35027420183115000005FederalOriginalSubmissionId
Federal Original Submission Id2018-11-07FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC32BFEAB8C27A52315DF5F02F320116B11D77C77AtSubmissionCreationDeviceId
At Submission Filing Device IdF560D4A486E1B6265A73BA7576EDA83A4C287CC2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANGELA M ZAEGELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,356,794GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NHCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO IDENTIFY NEEDS AND PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WITH RESPECT AND SENSITIVITY TO INDIVIDUALS REGARDLESS OF INSURANCE STATUS.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,570,492PYContributionsGrantsAmt
CY Contributions Grants$7,561,977CYContributionsGrantsAmt
PY Program Service Revenue$4,167,252PYProgramServiceRevenueAmt
CY Program Service Revenue$4,784,835CYProgramServiceRevenueAmt
PY Investment Income$2,592PYInvestmentIncomeAmt
CY Investment Income$3,695CYInvestmentIncomeAmt
PY Other Revenue$7,835PYOtherRevenueAmt
CY Other Revenue$6,287CYOtherRevenueAmt
PY Total Revenue$11,748,171PYTotalRevenueAmt
CY Total Revenue$12,356,794CYTotalRevenueAmt
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$7,157,555PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,509,480CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$87,337CYTotalFundraisingExpenseAmt
PY Other Expenses$4,076,558PYOtherExpensesAmt
CY Other Expenses$4,279,090CYOtherExpensesAmt
PY Total Expenses$11,234,113PYTotalExpensesAmt
CY Total Expenses$11,788,570CYTotalExpensesAmt
PY Revenues Less Expenses$514,058PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$568,224CYRevenuesLessExpensesAmt
Total Assets BOY$11,240,146TotalAssetsBOYAmt
Total Assets EOY$11,767,523TotalAssetsEOYAmt
Total Liabilities BOY$913,236TotalLiabilitiesBOYAmt
Total Liabilities EOY$872,389TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,326,910NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,895,134NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF NEIGHBORHOOD HEALTH CLINICS, INC. IS TO PROVIDE ACCESS TO QUALITY HEALTH SERVICES WHERE EVERYONE IS CARED FOR WITH COMPASSION AND RESPECT. NEIGHBORHOOD HEALTH CLINICS, INC. (HEREBY REFERRED TO AS NHCI) IS A NON-PROFIT ORGANIZATION THAT PROVIDES MEDICAL, DENTAL, OPTOMETRY, NUTRITIONAL, AND OTHER HEALTH RELATED SERVICES TO ALLEN AND SURROUNDING COUNTIES IN INDIANA. NHCI HAS BEEN PROVIDING SERVICES SINCE 1969. ORIGINALLY, THE AGENCY WAS KNOWN AS THREE RIVERS NEIGHBORHOOD HEALTH SERVICES AND WAS FOUNDED BY THE ALLEN COUNTY MEDICAL SOCIETY AS A VOLUNTARY HEALTH SERVICE TO PROVIDE WELL CHILD SERVICES TO LOW-INCOME CHILDREN OF ALLEN COUNTY. IN 1994, THE NAME WAS CHANGED AND SERVICES WERE EXPANDED TO INCLUDE A FULL CONTINUUM OF PRIMARY MEDICAL SERVICES FOR ALL GENDERS AND AGES. IN 1998, A FULL-SERVICE DENTAL CLINIC WAS ESTABLISHED. IN 2017, NHCI OPENED AN OPTOMETRY CLINIC. NHCI OFFERS VARIOUS STATE GRANT PROGRAMS INCLUDING THE WOMEN'S, INFANT AND CHILDREN NUTRITIONAL SUPPLEMENTMissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,806,268ExpenseAmt
Revenue$3,348,026RevenueAmt
DescNEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES MEDICAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDERSERVED AREA WHERE FEW OTHER MEDICAL SERVICES ARE AVAILABLE. DURING 2017, NHCI PROVIDED MEDICAL SERVICES TO 9,562 INDIVIDUALS. OF THE INDIVIDUALS SERVED, WE ESTIMATE THAT 36% WERE AT OR BELOW THE POVERTY LEVEL; 62% WERE MINORITIES, AND 90% WERE EITHER MEDICARE/MEDICAID RECIPIENTS OR WERE UNINSURED. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. IN 2017, NHCI PROVIDED A TOTAL OF $819,634 IN DISCOUNTS FOR MEDICAL SERVICES. NHCI'S MEDICAL SERVICES INCLUDE: -FAMILY MEDICINE - PREVENTATIVE MEDICINE AND SCREENING; ACUTE AND CHRONIC MANAGEMENT OF GENERAL DISEASE; -PEDIATRICS - WELL CHILD CARE; ACUTE AND CHRONIC CARE OF GENERAL PEDIATRIC DISEASE; -PRENATAL - FREE PREGNANCY TESTS; GENERAL PRENATAL CARE AND DELIVERY SERVICES; POST-PARTUM CARE; AND -WOMEN'S HEALTH - PREVENTATIVE AND WELL CARE; CONTRACEPTION; GYNECOLOGICAL SCREENING; ACUTE AND CHRONIC GYNECOLOGICAL CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,849,611ExpenseAmt
Revenue$1,436,809RevenueAmt
DescNEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES DENTAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDERSERVED AREA WHERE FEW OTHER DENTAL SERVICES ARE AVAILABLE. DURING 2017, NHCI PROVIDED DENTAL SERVICES TO 9,185 INDIVIDUALS. OF THE INDIVIDUALS SERVED, WE ESTIMATE THAT 32% WERE AT OR BELOW THE POVERTY LEVEL; 51% WERE MINORITIES, AND 90% WERE EITHER MEDICAID RECIPIENTS OR WERE UNINSURED. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON ASLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. IN 2017, NHCI PROVIDED A TOTAL OF $1,439,608 IN DISCOUNTS FOR DENTAL SERVICES. NHCI'S DENTAL SERVICES INCLUDE: FULL FAMILY DENTAL CARE (PEDIATRIC DENTAL PATIENTS STARTING AT AGE 3); CAVITY TREATMENT; DENTAL X-RAYS; EXTRACTIONS; CROWNS; DENTURES; AND PROTECTIVE SEALANTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,516,001ExpenseAmt
DescNHCI ALSO PARTICIPATES IN THE WIC PROGRAM. A NUTRITION EDUCATION PROGRAM OFFERING HEALTHY FOODS AND OTHER SERVICES FREE OF CHARGE. THE WIC PROGRAM HELPS MANY FAMILIES (SINGLE PARENTS, MARRIED, WORKING, NOT WORKING, AND FOSTER PARENTS). EACH MONTH, APPROXIMATELY 12,319 FAMILIES RECEIVE NUTRITION COUNSELING AND VOUCHERS FOR NUTRITIOUS FOOD FROM NHCI'S WIC PROGRAM IN ALLEN, DEKALB, AND NOBLE COUNTIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$10,171,880TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee177EmployeeCnt
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 Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
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 VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD YERGLERPersonNm
Phone2604582641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAURA ANKENBRUCK
SECRETARY1.00.0Yes (X)Yes (X)$0$0$0
JESUS ASTORGA
DIRECTOR1.00.0Yes (X)$0$0$0
DENNIS BECKER
DIRECTOR1.00.0Yes (X)$0$0$0
MELISSA BRADBERRY
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
KAYEVONNE DAILEY
DIRECTOR1.00.0Yes (X)$0$0$0
RENE GARZA
DIRECTOR1.00.0Yes (X)$0$0$0
SCOTT JACKSON
BOARD CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
CINDY JOYNER
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL O'HARA
DIRECTOR1.00.0Yes (X)$0$0$0
SHABBIR MORRISWALLA
DIRECTOR1.00.0Yes (X)$0$0$0
HAROUT KOUYOUMDJIAN
DIRECTOR1.00.0Yes (X)$0$0$0
KATHERINE LAPIERRE
DIRECTOR1.00.0Yes (X)$0$0$0
JOHNATHAN LIECHTY
2ND VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
PAMELA MESSMAN
DIRECTOR1.00.0Yes (X)$0$0$0
ED ROMERO
DIRECTOR1.00.0Yes (X)$0$0$0
HOLLI SEABURY EDD
DIRECTOR1.00.0Yes (X)$0$0$0
DONNA SPINA
DIRECTOR1.00.0Yes (X)$0$0$0
MATTHEW SPRUNGER MD
DIRECTOR1.00.0Yes (X)$0$0$0
RENETTA H WILLIAMS
DIRECTOR1.00.0Yes (X)$0$0$0
BENJAMIN YODER
1ST VICE CHAIR1.00.0Yes (X)Yes (X)$0$0$0
SHERRY STEPHANS
DIRECTOR1.00.0Yes (X)$0$0$0
CYNTHIA GEISMAN
VP/CHIEF OPERATING OFFICER40.00.0Yes (X)$89,413$0$0
MICHAEL MOHRMAN MD
VP/CHIEF MEDICAL OFFICER30.00.0Yes (X)$156,357$0$13,513
ANGELA M ZAEGEL
PRESIDENT/CEO40.00.0Yes (X)$120,927$0$10,416
RICHARD J YERGLER
VP/CHIEF FINANCIAL OFFICER40.00.0Yes (X)$81,542$0$18,796
TYLER KIMMEL DDS
CHIEF DENTAL OFFICER40.00.0$165,919$0$10,704Yes (X)
KARISSA ELLIS MD
PEDIATRICIAN40.00.0$176,971$0$20,047Yes (X)
HEIDI LANG MD
PHYSICIAN32.00.0$149,077$0$6,627Yes (X)
GOLDY CARBUNARU MD
PEDIATRICIAN30.00.0$145,055$0$26,791Yes (X)
VERONICA DIMARIO DDS
DENTIST40.00.0$140,774$0$7,522Yes (X)
MIRIVA MAGAR MD
PEDIATRICIAN24.00.0$104,950$0$2,099Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,330,985TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$116,515TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonMAINSTAY SOLUTIONS INCPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 15562AddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46885ZIPCd
FieldValueIRS element (for citing)
ServicesIT SERVICESServicesDesc
Compensation$126,571CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$129,468FederatedCampaignsAmt
Government Grants$6,601,382GovernmentGrantsAmt
All Other Contributions$831,127AllOtherContributionsAmt
Noncash Contributions$463,404NoncashContributionsAmt
Total Contributions$7,561,977TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$4,784,835TotalRevenueColumnAmt
Related Or Exempt Func Income$4,784,835RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,784,835TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,695TotalRevenueColumnAmt
Exclusion$3,695ExclusionAmt

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$5,281RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,281RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,281TotalRevenueColumnAmt
Exclusion$5,281ExclusionAmt

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$1,006TotalRevenueColumnAmt
Exclusion$1,006ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,006OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,356,794TotalRevenueColumnAmt
Related Or Exempt Func Income$4,784,835RelatedOrExemptFuncIncomeAmt
Exclusion$9,982ExclusionAmt

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$667,587TotalAmt
Program Services$567,449ProgramServicesAmt
Management And General$100,138ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,612,270TotalAmt
Program Services$4,770,429ProgramServicesAmt
Management And General$785,718ManagementAndGeneralAmt
Fundraising$56,123FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$74,224TotalAmt
Program Services$63,091ProgramServicesAmt
Management And General$10,391ManagementAndGeneralAmt
Fundraising$742FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$705,279TotalAmt
Program Services$599,487ProgramServicesAmt
Management And General$98,739ManagementAndGeneralAmt
Fundraising$7,053FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$450,120TotalAmt
Program Services$382,602ProgramServicesAmt
Management And General$63,017ManagementAndGeneralAmt
Fundraising$4,501FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,489TotalAmt
Management And General$4,489ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,500TotalAmt
Management And General$38,500ManagementAndGeneralAmt

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$655,765TotalAmt
Program Services$557,400ProgramServicesAmt
Management And General$98,365ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$218,207TotalAmt
Program Services$185,476ProgramServicesAmt
Management And General$30,549ManagementAndGeneralAmt
Fundraising$2,182FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$339,871TotalAmt
Program Services$288,890ProgramServicesAmt
Management And General$47,582ManagementAndGeneralAmt
Fundraising$3,399FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,053,105TotalAmt
Program Services$895,139ProgramServicesAmt
Management And General$147,435ManagementAndGeneralAmt
Fundraising$10,531FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,278TotalAmt
Program Services$60,586ProgramServicesAmt
Management And General$9,979ManagementAndGeneralAmt
Fundraising$713FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$29,103TotalAmt
Program Services$24,738ProgramServicesAmt
Management And General$4,365ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$304,639TotalAmt
Program Services$258,943ProgramServicesAmt
Management And General$45,696ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$50,268TotalAmt
Program Services$42,728ProgramServicesAmt
Management And General$7,540ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$702,669$702,669
BAD DEBT EXPENSE$551,576$551,576
DUES & SUBSCRIPTIONS$50,308$42,762$7,546
OTHER$209,312$177,915$29,304$2,093

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,788,570TotalAmt
Program Services$10,171,880ProgramServicesAmt
Management And General$1,529,353ManagementAndGeneralAmt
Fundraising$87,337FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,466BOYAmt
EOY$1,566EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,903,008BOYAmt
EOY$2,804,626EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$870,380BOYAmt
EOY$631,315EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$444,356BOYAmt
EOY$497,132EOYAmt

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$162,319BOYAmt
EOY$204,772EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,908,538LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,280,426LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,858,617BOYAmt
EOY$7,628,112EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,240,146BOYAmt
EOY$11,767,523EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$621,387BOYAmt
EOY$601,818EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$291,849BOYAmt
EOY$270,571EOYAmt

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$913,236BOYAmt
EOY$872,389EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,200,311BOYAmt
EOY$10,793,535EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,599BOYAmt
EOY$81,599EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,326,910BOYAmt
EOY$10,895,134EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,240,146BOYAmt
EOY$11,767,523EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$568,224ReconcilationRevenueExpnssAmt
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$7,956,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,271,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,954,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,570,492CurrentTaxYearMinus1YearAmt
Current Tax Year$7,561,977CurrentTaxYearAmt
Total$36,314,536TotalAmt

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$7,956,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,271,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,954,516CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,570,492CurrentTaxYearMinus1YearAmt
Current Tax Year$7,561,977CurrentTaxYearAmt
Total$36,314,536TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$36,314,536PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,381CurrentTaxYearMinus1YearAmt
Current Tax Year$8,976CurrentTaxYearAmt
Total$39,589TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,952CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,405CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46CurrentTaxYearMinus1YearAmt
Current Tax Year$1,006CurrentTaxYearAmt
Total$13,867TotalAmt
FieldValueIRS element (for citing)
Total Support$36,367,992TotalSupportAmt
Gross Receipts Rltd Activities$19,540,375GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99853PublicSupportCY170Pct
Public Support PY1700.99857PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME: $1,006ExplanationTxt

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$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$13InvestmentEarningsOrLossesAmt
Administrative Expenses$13AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$43InvestmentEarningsOrLossesAmt
Administrative Expenses$43AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$22InvestmentEarningsOrLossesAmt
Administrative Expenses$22AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$22InvestmentEarningsOrLossesAmt
Administrative Expenses$22AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$25InvestmentEarningsOrLossesAmt
Administrative Expenses$25AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,500OtherCostOrOtherBasisAmt
Book Value$133,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,721,848OtherCostOrOtherBasisAmt
Depreciation$851,079DepreciationAmt
Book Value$5,870,769BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,037,255OtherCostOrOtherBasisAmt
Depreciation$702,541DepreciationAmt
Book Value$1,334,714BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$976,335OtherCostOrOtherBasisAmt
Depreciation$687,206DepreciationAmt
Book Value$289,129BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,600OtherCostOrOtherBasisAmt
Depreciation$39,600DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,628,112TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$12,574,616TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$217,822DonatedServicesAndUseFcltsAmt
Revenue Not Reported$217,822RevenueNotReportedAmt
Revenue Subtotal$12,356,794RevenueSubtotalAmt
Total Revenue Per Form990$12,356,794TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,006,392TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$217,822DonatedServicesUseFcltsAmt
Expenses Not Reported$217,822ExpensesNotReportedAmt
Expenses Subtotal$11,788,570ExpensesSubtotalAmt
Total Expenses Per Form990$11,788,570TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR ADMINISTRATIVE EXPENSES. FORM 990, SCHEDULE D, PART X MANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
MICHAEL MOHRMAN MD
VP/CHIEF MEDICAL OFFICER$156,357$0$0$0$806$0$0$0$12,707$0$169,870$0
KARISSA ELLIS MD
PEDIATRICIAN$176,971$0$0$0$290$0$1,897$0$17,860$0$197,018$0
HEIDI LANG MD
PHYSICIAN$149,077$0$0$0$0$0$0$0$6,627$0$155,704$0
GOLDY CARBUNARU MD
PEDIATRICIAN$145,055$0$0$0$871$0$2,901$0$23,019$0$171,846$0
TYLER KIMMEL DDS
CHIEF DENTAL OFFICER$165,919$0$0$0$871$0$3,351$0$6,482$0$176,623$0

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
Contribution10650ContributionCnt
Noncash Contributions Rpt F990$463,404NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
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 ReferenceFORM 990, SCHEDULE M, PART IFormAndLineReferenceDesc
ExplanationDRUGS AND MEDICAL SUPPLIES: NUMBER OF IMMUNIZATIONS RECEIVED. VACCINES FOR CHILDREN IS A STATE BASED PROGRAM THAT PROVIDES FREE VACCINES FOR KIDS. WE RECORD THE VALUE PER SHIPPING DOCUMENT WHEN THE SUPPLIES ARE RECEIVED FROM THE PROGRAM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2A FULL SERVICE OPTOMETRY CLINIC OPENED IN AUGUST 2017. WITH THIS ADDITION, NEIGHBORHOOD HEALTH CLINICS, INC. MAY BETTER SERVE THE VISION NEEDS OF THE COMMUNITY.
FORM 990, PART VI, LINE 1ATHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION. THE OFFICERS OF THE CORPORATION SHALL BE MEMBERS OF THE BOARD OF DIRECTORS AND CONSIST OF A CHAIR, VICE CHAIR, A SECOND VICE CHAIR, A SECRETARY, AND A TREASURER. ONLY THE OFFICES OF SECRETARY AND TREASURER MAY BE HELD BY THE SAME PERSON. THE BOARD OF DIRECTORS MAY, BY RESOLUTION OR RESOLUTIONS PASSED BY A MAJORITY OF THE WHOLE BOARD, EMPOWER THE EXECUTIVE COMMITTEE TO ACT FOR AND ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD AND TO HAVE AND EXERCISE ALL OF THE POWER OF THE BOARD IN ACCORDANCE WITH THE GENERAL POLICY OF THE BOARD. WHEN ACTING FOR OR ON BEHALF OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL KEEP DUE RECORD OF ALL MEETINGS AND ACTIONS OF THE COMMITTEE AND SUCH RECORDS SHALL AT ALL TIMES BE OPEN TO THE INSPECTION OF ANY DIRECTOR AND FROM TIME TO TIME SHALL BE FILED WITH THE BOARD OF DIRECTORS AT THE MEETINGS THEREOF. SUCH RECORDS, AND ALL ACTIONS OF THE COMMITTEE RECORDED THEREIN, SHALL BE SUBJECT TO THE SUPERVISION AND RATIFICATION OF THE BOARD. NOTWITHSTANDING THE FOREGOING, THE DESIGNATION OF SUCH AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OR ANY MEMBER THEREOF OF ANY RESPONSIBILITY IMPOSED ON IT OR ON ANY MEMBER BY LAW. THE FUNCTIONS OF THE EXECUTIVE COMMITTEE MAY BE PERFORMED BY MEETINGS OF THE COMMITTEE HELD IN THE REGULAR WAY OR BY A MAJORITY OF THE MEMBERS THEREOF, WHO BEING IN COMMUNICATION WITH EACH OTHER EITHER BY LETTER OR TELEPHONE, MAY DECIDE ANY MATTERS COMING WITHIN THE SCOPE OF THE COMMITTEE'S POWERS. A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM AT SUCH MEETINGS FOR THE TRANSACTION OF BUSINESS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FINANCE COMMITTEE REVIEWS THE FULL FORM 990 IN DETAIL PRIOR TO IT BEING FINALIZED AND FILED. THEN EACH MEMBER OF THE FULL BOARD OF DIRECTORS ALSO RECEIVES A COPY OF THE FORM 990 PRIOR TO FILING. FINALLY, THE FORM 990 IS ALSO REVIEWED BY AN INDEPENDENT CPA FIRM PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CA POSSIBLE CONFLICT OF INTEREST EXISTS IF THE DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER HAS, EITHER DIRECTLY OR THROUGH FAMILY: (A) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH NHCI HAS A TRANSACTION OR ARRANGEMENT. (B) A COMPENSATION ARRANGEMENT WITH NHCI OR WITH ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI HAS A TRANSACTION OR ARRANGEMENT, OR (C) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI IS NEGOTIATING A TRANSACTION ARRANGEMENT. COMPENSATION INCLUDES DIRECT OR INDIRECT REMUNERATION, AS WELL AS GIFTS OR FAVORS THAT ARE CONSIDERED SUBSTANTIAL. THE ORGANIZATION'S BOARD MEMBERS AND OFFICERS SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT AND COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE ORGANIZATION'S PRESIDENT/CEO AND BOARD CHAIR REVIEW THE RESPONSES TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. WHERE ANY OF THE ABOVE EXISTS FOR ANY POSSIBLE TRANSACTION, THE PERSON HAS A DUTY TO DISCLOSE THE EXISTENCE OF THE RELATIONSHIP AND ALL MATERIAL FACTS OF THE RELATIONSHIP TO THE BOARD OF DIRECTORS OR COMMITTEE. AFTER FULL DISCLOSURE, THE BOARD OR COMMITTEE WILL DETERMINE IF A CONFLICT EXISTS. ANYONE WITH A CONFLICT OF INTEREST MUST EXCUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND/OR VOTE FOR ANY CONFLICTING ISSUES. IN ADDITION, IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD OR COMMITTEE MAY: (A) DETERMINE IF NHCI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT DOES NOT RESULT IN A CONFLICT OF INTEREST, OR (B) DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NHCI'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE AND ENTER INTO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15A & 15BAT LEAST EVERY THREE YEARS, HR PERFORMS A SALARY ANALYSIS WHICH COVERS ALL POSITIONS WITH THE ORGANIZATION; THE MOST RECENT SALARY ANALYSIS OCCURRED IN AUGUST 2017. THE SALARY ANALYSIS IS BASED ON SALARY SURVEYS INCLUDING LIKE ORGANIZATIONS AND THE LOCAL WAGES PAID IN THE FORT WAYNE AREA. THE DATA FROM THE SALARY SURVEY IS THEN USED BY THE BOARD OF DIRECTORS TO DETERMINE SALARY RANGES FOR ALL POSITIONS WITHIN THE ORGANIZATION UNTIL ANOTHER SALARY SURVEY IS COMPLETED, USUALLY WITHIN THREE YEARS. THE BOARD REVIEWS AND APPROVES THE SALARY RANGES FOR ALL POSITIONS, AND DOCUMENTS THEIR FINDINGS IN THE BOARD MEETING MINUTES. IN ADDITION, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE RANGE OF ANY RAISES FOR THE ORGANIZATION'S PRESIDENT/CEO AND OTHER OFFICERS ANNUALLY IN JANUARY WHEN THE ORGANIZATION'S BUDGET IS REVIEWED AND APPROVED, WHICH IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE BOARD OF DIRECTORS ALSO COMPLETES THE PRESIDENT/CEO'S PERFORMANCE REVIEW; THE PRESIDENT/CEO COMPLETES THE PERFORMANCE REVIEWS FOR ALL OTHER OFFICERS. ANY RAISES APPROVED BY THE BOARD ARE SET AS A PERCENTAGE, WHICH IS BASED ON THE OUTCOME OF THE PERFORMANCE REVIEW. TOTAL COMPENSATION MUST STAY WITHIN THE COMPENSATION RANGE SET BY THE MOST RECENT HR SALARY ANALYSIS. THIS REVIEW PROCESS WAS LAST UNDERTAKEN IN AUGUST 2017.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.

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