2018-04-03T11:18:11-05:00 2017-09-30 561146197 SHARRARD MCGEE & COMPANY PA PO BOX 10439 GREENSBORO NC 27404 990 2016-10-01 043726317 GUILFORD ADULT HEALTH INC GUIL 3365559700 612 PASTEUR DR NO 108 GREENSBORO NC 27408 LISA DUCK EXECUTIVE DIRECTOR 3365559700 2018-03-01 1 GEORGE H KNOSTMAN P00235890 3362729777 216.136.72.230 2018-03-01 11:57:57 ES P 1CEAEC4ABABC492489CA5675556C70F819E2A286 CAD9C759C10FD3C26BE7D4779EE682CC24A0F54D 2016 2021-01-29 14:40:06Z LISA DUCK 612 PASTEUR DRIVE GREENSBORO NC 27408 654924 0 X WWW.GUILFORDCCN.ORG X 2002 NC TO PROVIDE ACCESSIBLE, AFFORDABLE, AND QUALITY MEDICAL AND DENTAL SERVICES TO GUILFORD COUNTY RESIDENTS WITH INCOMES BETWEEN 0% AND 200% OF THE FEDERAL POVERTY LEVEL. 9 9 0 0 0 0 744598 570179 40675 84745 0 0 0 0 785273 654924 341256 251034 0 0 0 0 0 0 0 395754 431042 737010 682076 48263 -27152 970833 968496 9043 33858 961790 934638 PROVIDE LONG-TERM SECURE FUNDING FOR INDIGENT CARE AND BE AN ADVOCATE FOR THE COMMUNITY AND CLIENTS SERVED BY CLINICS IN THE AREA. 0 0 668696 251034 84745 GUILFORD ADULT HEALTH PROVIDED DENTAL SERVICES TO PATIENTS BELOW POVERTY LEVEL, CREATED AND ADMINISTERED AN INFORMATION SHARING NETWORK FOR ELIGIBILITY PROCESS FOR INDIGENT PATIENTS, AND FUNDED OTHER ORGANIZATIONS PROVIDING PRIMARY MEDICAL CARE SERVICES. 668696 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 10 0 1 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DESHANDRA WOODLE 3363559696 612 PASTEUR DRIVE GREENSBORO NC 27408 LISA DUCK EXECUTIVE DIRECTOR 20.00 X X 79764 0 0 PATRICIA A SOENKSEN VICE-CHAIRPERSON/SECRETARY 1.00 X X 0 0 0 TIM CLONTZ CHAIRPERSON 1.00 X X 0 0 0 CHESTER BROWN III BOARD MEMBER 1.00 X 0 0 0 MARTY LAWING BOARD MEMBER 1.00 X 0 0 0 CARIN HIOTT BOARD MEMBER 1.00 X 0 0 0 AASHKA MEHTA BOARD MEMBER 1.00 X 0 0 0 MICHELLE LEWIS BOARD MEMBER 1.00 X 0 0 0 MERLE GREEN BOARD MEMBER 1.00 X 0 0 0 KATHY RITCH BOARD MEMBER 1.00 X 0 0 0 79764 0 0 0 0 0 0 0 140434 429745 12565 570179 SERVICE REVENUE 624100 51263 51263 33482 33482 84745 654924 84745 0 0 X 251034 251034 2895 192 2703 32020 32020 305201 299815 5386 2327 2327 13327 13327 12774 12774 5145 5028 117 11741 11741 2857 2086 771 MEDICAL SUPPLIES 18125 18125 TELEPHONE 13039 11083 1956 DUES AND SUBSCRIPTIONS 5028 5028 0 MISCELLANEOUS 3844 1878 1966 2719 2238 481 682076 668696 13380 0 897320 861035 23160 64177 593 2275 3878 73090 34277 48078 38813 970833 968496 9043 33858 9043 33858 X 213453 487215 748337 447423 961790 934638 970833 968496 -27152 0 X X 0 1 X 1 0 X 763491 300190 673094 744598 570178 3051551 763491 300190 673094 744598 570178 3051551 614113 2437438 3051551 244160 0.79880 0.82500 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 73090 34277 38813 38813 654923 0 654923 0 654923 682076 0 682076 0 682076 0 TRIAD ADULT & PEDIATRIC MEDICINE 1002 S EUGENE STREET GREENSBORO NC 27404 561991438 251034 PAYMENT OF WAGES & BENEFITS FORM 990, PART VI, SECTION A, LINE 6 CONE HEALTH AND HIGH POINT REGIONAL RECEIVE ASSETS UPON DISSOLUTION FORM 990, PART VI, SECTION A, LINE 7A CONE HEALTH AND HIGH POINT REGIONAL RECEIVE ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 WAS MADE AVAILABLE TO THE BOARD ALONG WITH THE FINANCIAL STATEMENTS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS IN AN EFFORT TO DETERMINE HER COMPENSATION. BOARD MEMBERS ARE FROM VARIOUS ORGANIZATIONS IN THE NONPROFIT INDUSTRY AND MEDICAL INDUSTRY. THEY USE LABOR MARKET BASED COMPARISONS FROM THEIR RESPECTIVE ORGANIZATIONS TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS MADE AVAILABLE ON PUBLIC WEBSITES, SUCH AS GUIDESTAR. IT IS ALSO AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE ON FILE WITH THE EXECUTIVE DIRECTOR. INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G GRANT WRITING & OTHER: PROGRAM SERVICE EXPENSES 24,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,150. AUDIT: PROGRAM SERVICE EXPENSES 8,797. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,797. CONSULTING FEES: PROGRAM SERVICE EXPENSES 34,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,004. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 212,186. MANAGEMENT AND GENERAL EXPENSES 5,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,572. PATIENT CARE EXPENSES: PROGRAM SERVICE EXPENSES 16,678. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,678. STIPEND: PROGRAM SERVICE EXPENSES 4,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,000. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR . CONE HEALTH SYSTEM 1200 N ELM STREET GREENSBORO NC 27401 581588823 HOSPITAL NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 HIGH POINT REGIONAL HOSPITAL 601 N ELM STREET HIGH POINT NC 27261 560532309 HOSPITAL NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 TRIAD ADULT AND PEDIATRIC MEDICINE 1002 S EUGENE STREET GREENSBORO NC 27406 561991438 HEALTHCARE PROVIDER NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0