2018-11-07T15:32:41-06:00 2017-12-31 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2017-01-01 351922483 NEIGHBORHOOD HEALTH CLINICS INC % RICHARD YERGLER NEIG 2604582641 1717 SOUTH CALHOUN STREET FORT WAYNE IN 46802 ANGELA M ZAEGEL PRESIDENT/CEO 2604582648 2018-11-15 true ANNE E WHITE P01708202 2604604000 167.68.126.162 35027420183115000005 2018-11-07 P C32BFEAB8C27A52315DF5F02F320116B11D77C77 F560D4A486E1B6265A73BA7576EDA83A4C287CC2 2017 2018-06-14 16:35:46Z ANGELA M ZAEGEL 1717 SOUTH CALHOUN STREET FORT WAYNE IN 46802 12356794 false X WWW.NHCI.ORG X 1994 IN THE 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. 21 21 177 21 0 0 7570492 7561977 4167252 4784835 2592 3695 7835 6287 11748171 12356794 0 0 0 0 7157555 7509480 0 0 87337 4076558 4279090 11234113 11788570 514058 568224 11240146 11767523 913236 872389 10326910 10895134 X THE 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 SUPPLEMENT true false 4806268 3348026 NEIGHBORHOOD 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. 2849611 1436809 NEIGHBORHOOD 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. 2516001 NHCI 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. 10171880 true true false false false false false false false true true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 15 0 177 true false false false false false false false false false false X 21 21 false false false false false false false true true false false true true true true true true true true false IN X RICHARD YERGLER 2604582641 1717 SOUTH CALHOUN STREET FORT WAYNE IN 46802 LAURA ANKENBRUCK SECRETARY 1.0 0.0 X X 0 0 0 JESUS ASTORGA DIRECTOR 1.0 0.0 X 0 0 0 DENNIS BECKER DIRECTOR 1.0 0.0 X 0 0 0 MELISSA BRADBERRY TREASURER 1.0 0.0 X X 0 0 0 KAYEVONNE DAILEY DIRECTOR 1.0 0.0 X 0 0 0 RENE GARZA DIRECTOR 1.0 0.0 X 0 0 0 SCOTT JACKSON BOARD CHAIRMAN 1.0 0.0 X X 0 0 0 CINDY JOYNER DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL O'HARA DIRECTOR 1.0 0.0 X 0 0 0 SHABBIR MORRISWALLA DIRECTOR 1.0 0.0 X 0 0 0 HAROUT KOUYOUMDJIAN DIRECTOR 1.0 0.0 X 0 0 0 KATHERINE LAPIERRE DIRECTOR 1.0 0.0 X 0 0 0 JOHNATHAN LIECHTY 2ND VICE CHAIR 1.0 0.0 X X 0 0 0 PAMELA MESSMAN DIRECTOR 1.0 0.0 X 0 0 0 ED ROMERO DIRECTOR 1.0 0.0 X 0 0 0 HOLLI SEABURY EDD DIRECTOR 1.0 0.0 X 0 0 0 DONNA SPINA DIRECTOR 1.0 0.0 X 0 0 0 MATTHEW SPRUNGER MD DIRECTOR 1.0 0.0 X 0 0 0 RENETTA H WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 BENJAMIN YODER 1ST VICE CHAIR 1.0 0.0 X X 0 0 0 SHERRY STEPHANS DIRECTOR 1.0 0.0 X 0 0 0 CYNTHIA GEISMAN VP/CHIEF OPERATING OFFICER 40.0 0.0 X 89413 0 0 MICHAEL MOHRMAN MD VP/CHIEF MEDICAL OFFICER 30.0 0.0 X 156357 0 13513 ANGELA M ZAEGEL PRESIDENT/CEO 40.0 0.0 X 120927 0 10416 RICHARD J YERGLER VP/CHIEF FINANCIAL OFFICER 40.0 0.0 X 81542 0 18796 TYLER KIMMEL DDS CHIEF DENTAL OFFICER 40.0 0.0 X 165919 0 10704 KARISSA ELLIS MD PEDIATRICIAN 40.0 0.0 X 176971 0 20047 HEIDI LANG MD PHYSICIAN 32.0 0.0 X 149077 0 6627 GOLDY CARBUNARU MD PEDIATRICIAN 30.0 0.0 X 145055 0 26791 VERONICA DIMARIO DDS DENTIST 40.0 0.0 X 140774 0 7522 MIRIVA MAGAR MD PEDIATRICIAN 24.0 0.0 X 104950 0 2099 1330985 0 116515 8 false true false MAINSTAY SOLUTIONS INC PO BOX 15562 FORT WAYNE IN 46885 IT SERVICES 126571 1 129468 6601382 831127 463404 7561977 NET PATIENT SERVICE REVENUE 623000 4784835 4784835 4784835 3695 3695 0 0 5281 5281 0 5281 5281 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 1006 1006 1006 12356794 4784835 9982 0 0 0 0 667587 567449 100138 0 5612270 4770429 785718 56123 74224 63091 10391 742 705279 599487 98739 7053 450120 382602 63017 4501 0 4489 4489 38500 38500 0 0 0 655765 557400 98365 0 218207 185476 30549 2182 339871 288890 47582 3399 0 1053105 895139 147435 10531 71278 60586 9979 713 0 0 29103 24738 4365 0 304639 258943 45696 50268 42728 7540 MEDICAL SUPPLIES 702669 702669 BAD DEBT EXPENSE 551576 551576 DUES & SUBSCRIPTIONS 50308 42762 7546 OTHER 209312 177915 29304 2093 11788570 10171880 1529353 87337 1466 1566 1903008 2804626 870380 631315 444356 497132 0 0 0 0 0 0 0 0 162319 204772 9908538 2280426 7858617 7628112 0 0 0 0 0 0 0 0 0 0 11240146 11767523 621387 601818 0 0 0 0 0 0 0 0 0 0 291849 270571 0 0 0 0 913236 872389 X 10200311 10793535 106599 81599 20000 20000 10326910 10895134 11240146 11767523 568224 X false true X true true true X 7956188 6271363 6954516 7570492 7561977 36314536 0 0 7956188 6271363 6954516 7570492 7561977 36314536 0 36314536 7254 6590 6388 10381 8976 39589 0 8952 458 3405 46 1006 13867 36367992 19540375 0.99853 0.99857 X SCHEDULE A, PART II, LINE 10 MISCELLANEOUS INCOME: $1,006 20000 13 13 20000 20000 43 43 20000 20000 22 22 20000 20000 22 22 20000 20000 25 25 20000 1.00000 false false 133500 133500 6721848 851079 5870769 2037255 702541 1334714 976335 687206 289129 39600 39600 0 7628112 0 0 12574616 217822 217822 12356794 12356794 12006392 217822 217822 11788570 11788570 SCHEDULE D, PART V, LINE 4 THE 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. X X X false false false false false false false false false MICHAEL MOHRMAN MD VP/CHIEF MEDICAL OFFICER 156357 0 0 0 806 0 0 0 12707 0 169870 0 KARISSA ELLIS MD PEDIATRICIAN 176971 0 0 0 290 0 1897 0 17860 0 197018 0 HEIDI LANG MD PHYSICIAN 149077 0 0 0 0 0 0 0 6627 0 155704 0 GOLDY CARBUNARU MD PEDIATRICIAN 145055 0 0 0 871 0 2901 0 23019 0 171846 0 TYLER KIMMEL DDS CHIEF DENTAL OFFICER 165919 0 0 0 871 0 3351 0 6482 0 176623 0 X 10650 463404 COST false true false FORM 990, SCHEDULE M, PART I DRUGS 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. FORM 990, PART III, LINE 2 A 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 1A THE 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 11B THE 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 12C A 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 & 15B AT 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 19 GOVERNING 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.