FURP.ORG / PUBLIC DATA EXPLORER

HEALTH PARTNERSHIP CLINIC INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEALTH PARTNERSHIP CLINIC INC (EIN 48-1115529)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-30
IRS object ID
201840899349300529
Schema version
2016v3.1
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)
Return2018-03-30T13:40:45-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN481115529EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH PARTNERSHIP CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BRENDA MCLAUGHLINInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone9136482266PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1407 S CLAIRBORNE SUITE 104 Suite 1AddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66062ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY FALKPersonNm
Person TitleCHIEF EXECUTIVE OFFIPersonTitleTxt
Phone9136482266PhoneNum
Signature2018-02-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKrystal K CreachPreparerPersonNm
PTINP01248198PTIN
Phone4178658701PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.126.162IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id43032920180895000053FederalOriginalSubmissionId
Federal Original Submission Id2018-03-30FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id35B2FEF9FD89B74F90B63698513A1BB518488CA1AtSubmissionCreationDeviceId
At Submission Filing Device IdAE6E5E46D41BC60DF08B4BEE75B34EFCBA1C7A6FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAMY FALKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1407 S CLAIRBORNE SUITE 104AddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66062ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,978,010GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HPCKS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionHEALTH PARTNERSHIP CLINIC PROVIDES HIGH QUALITY, AFFORDABLE, ACCESSIBLE, AND CULTURALLY APPROPRIATE CARE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee151TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,813,915PYContributionsGrantsAmt
CY Contributions Grants$3,955,556CYContributionsGrantsAmt
PY Program Service Revenue$3,556,523PYProgramServiceRevenueAmt
CY Program Service Revenue$4,017,791CYProgramServiceRevenueAmt
PY Investment Income-$51,226PYInvestmentIncomeAmt
CY Investment Income-$22,296CYInvestmentIncomeAmt
PY Other Revenue$16,778PYOtherRevenueAmt
CY Other Revenue$4,550CYOtherRevenueAmt
PY Total Revenue$7,335,990PYTotalRevenueAmt
CY Total Revenue$7,955,601CYTotalRevenueAmt
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$4,498,700PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,908,043CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$25,140PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$36,710CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,710CYTotalFundraisingExpenseAmt
PY Other Expenses$3,170,312PYOtherExpensesAmt
CY Other Expenses$2,960,249CYOtherExpensesAmt
PY Total Expenses$7,694,152PYTotalExpensesAmt
CY Total Expenses$8,905,002CYTotalExpensesAmt
PY Revenues Less Expenses-$358,162PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$949,401CYRevenuesLessExpensesAmt
Total Assets BOY$1,966,048TotalAssetsBOYAmt
Total Assets EOY$1,527,030TotalAssetsEOYAmt
Total Liabilities BOY$526,753TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,037,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,439,295NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$489,894NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CORPORATION IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, ACCESSIBLE & CULTURALLY APPROPRIATE CARE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$4,162,685ExpenseAmt
Revenue$2,383,221RevenueAmt
DescTO PROVIDE PRIMARY CARE MEDICAL SERVICES IN JOHNSON, MIAMI AND FRANKLIN COUNTY, KANSAS AND THE SURROUNDING AREAS. MEDICAL SERVICES WERE PROVIDED TO 10,330 PATIENTS IN FISCAL YEAR 2017 DURING 25,398 VISITS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,446,961ExpenseAmt
Revenue$1,419,708RevenueAmt
DescTO PROVIDE DENTAL CARE IN JOHNSON, MIAMI AND FRANKLIN COUNTY, KANSAS AND THE SURROUNDING AREAS. DENTAL SERVICES WERE PROVIDED TO 7,705 PATIENTS IN FISCAL YEAR 2017 DURING 13,689 VISITS. 4,555 VISITS WITH CHILDREN INCLUDED DIRECT EDUCATION AND PREVENTATIVE FLUORIDE TREATMENTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$477,332ExpenseAmt
Revenue$78,677RevenueAmt
DescTO PROVIDE BEHAVIORAL HEALTH SERVICES IN JOHNSON COUNTY, MIAMI AND FRANKLIN COUNTY, KANSAS AND THE SURROUNDING AREAS. BEHAVIORAL HEALTH CARE WAS PROVIDED TO 1,977 PATIENTS DURING 4,053 VISITS. HEALTH PARTNERSHIP CLINIC'S BEHAVIORAL HEALTH PROGRAM IS BUILT AROUND THE BEHAVIORAL HEALTH CONSULTANT MODEL OF CARE THAT MAKES BEHAVIORAL HEALTH PROFESSIONALS AVAILABLE TO PATIENTS IN THE PRIMARY MEDICAL CARE EXAM ROOM - WHERE MANY BEHAVIORAL HEALTH ISSUES ARE FIRST DISCOVERED.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$327,036TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$136,185TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$6,414,014TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 FundraisingYes (true)ProfessionalFundraisingInd
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 ContrifalseDeductibleNonCashContriInd
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 Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee151EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRENDA MCLAUGHLINPersonNm
Phone9136482266PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1407 S CLAIRBORNE STE 104AddressLine1Txt
CityOLATHECityNm
State AbbreviationKSStateAbbreviationCd
ZIP66062ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TIERNEY GRASSER
TREASURER/CHAIR BEG 01/172.00.0Yes (X)Yes (X)$0$0$0
SHELBY REBECK
DIRECTOR/VICE CHAIR BEG 01/172.00.0Yes (X)Yes (X)$0$0$0
BURNIS LANCE
DIRECTOR/SECRETARY BEG 01/172.00.0Yes (X)Yes (X)$0$0$0
KEVAN ACORD
TREASURER BEG 04/172.00.0Yes (X)Yes (X)$0$0$0
ROBIN HARROLD
CHAIR END 12/16/DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
CALLIE BENTON
VICE CHAIR END 07/161.00.0Yes (X)Yes (X)$0$0$0
LISA ALLEN
DIRECTOR END 07/161.00.0Yes (X)$0$0$0
MARTIN BENNETT
DIRECTOR1.00.0Yes (X)$0$0$0
MARIANA RAMIREZ
DIRECTOR1.00.0Yes (X)$0$0$0
GEORGE REFFNER
DIRECTOR1.00.0Yes (X)$0$0$0
JULIA WOODS
DIRECTOR1.00.0Yes (X)$0$0$0
ANTONIO BOOKER
DIRECTOR BEG 10/161.00.0Yes (X)$0$0$0
MARGARET HAGHIRIAN
DIRECTOR BEG 11/161.00.0Yes (X)$0$0$0
MIGUEAL JARAMILLO
DIRECTOR BEG 10/161.00.0Yes (X)$0$0$0
TRACY PRICE
DIRECTOR BEG 12/161.00.0Yes (X)$0$0$0
WAKABA TESSIER
DIRECTOR BEG 11/161.00.0Yes (X)$0$0$0
AMY FALK
CEO40.00.0Yes (X)$83,604$0$7,172
BRENDA MCLAUGHLIN
VP FINANCE40.00.0Yes (X)$75,640$0$6,373
TAMI SEAMAN
VP HUMAN RESOURCES40.00.0Yes (X)$39,455$0$4,943
CATHERINE RICE
VP MARKETING/COMMUNITY OUTREAC40.00.0Yes (X)$48,633$0$5,570
AMALIA ALMEIDA
CHIEF CLINICAL/QUALITY OFFICER40.00.0Yes (X)$95,647$0$7,758
DAYNA BRINCKMAN
CHIEF DENTAL OFFICER BEG 12/1640.00.0Yes (X)$142,890$0$8,748
MARY ELLEN CLARK
VP DEVELOPMENT BEG 09/1640.00.0Yes (X)$17,771$0$1,701
JEFF ECKERT
VP OPERATIONS END 09/1640.00.0Yes (X)$38,550$0$0
MOLLIE DAY
CHIEF DENTAL OFFICER END 11/1640.00.0Yes (X)$153,438$0$8,642
MELODY ARMSTRONG
PHYSICIAN END 10/1640.00.0$157,755$0$1,056Yes (X)
JORGE GUILLEN
PHYSICIAN40.00.0$118,025$0$10,442Yes (X)
NADER RASTGOFTAR
DENTIST40.00.0$109,017$0$10,333Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,080,425TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$72,738TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KANSAS CITY UNIVERSITY OF MEDICINE
1750 INDEPENDENCE AVEKANSAS CITYMO64106CONTRACT PHYSICIANS$275,732
BKD LLP
910 E ST LOUIS ST STE 200SPRINGFIELDMO65801AUDIT/TAX/COST RPT$118,830
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$66,522FederatedCampaignsAmt
Government Grants$3,145,610GovernmentGrantsAmt
All Other Contributions$743,424AllOtherContributionsAmt
Total Contributions$3,955,556TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE624100$3,610,822$3,610,822
EHR MEANINGFUL USE REVENUE624100$199,750$199,750
CONTRACT SERVICES624100$160,684$160,684
OTHER REVENUE624100$46,535$46,535
FieldValueIRS element (for citing)
Total Program Service Revenue$4,017,791TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$113TotalRevenueColumnAmt
Exclusion$113ExclusionAmt

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$4,550RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,550RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,550TotalRevenueColumnAmt
Exclusion$4,550ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$22,409OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$22,409OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,409TotalRevenueColumnAmt
Exclusion-$22,409ExclusionAmt
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
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,955,601TotalRevenueColumnAmt
Related Or Exempt Func Income$4,017,791RelatedOrExemptFuncIncomeAmt
Exclusion-$17,746ExclusionAmt

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$707,985TotalAmt
Management And General$707,985ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,355,062TotalAmt
Program Services$3,779,700ProgramServicesAmt
Management And General$575,362ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$472,549TotalAmt
Program Services$472,549ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$372,447TotalAmt
Program Services$363,071ProgramServicesAmt
Management And General$9,376ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$170,682TotalAmt
Management And General$170,682ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$109,535TotalAmt
Management And General$109,535ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$36,710TotalAmt
Fundraising$36,710FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$462,534TotalAmt
Program Services$325,614ProgramServicesAmt
Management And General$136,920ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,304TotalAmt
Management And General$19,304ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$499,166TotalAmt
Program Services$108,826ProgramServicesAmt
Management And General$390,340ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$64,166TotalAmt
Program Services$2,266ProgramServicesAmt
Management And General$61,900ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$405,623TotalAmt
Program Services$280,708ProgramServicesAmt
Management And General$124,915ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$43,281TotalAmt
Program Services$22,697ProgramServicesAmt
Management And General$20,584ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,229TotalAmt
Program Services$29,316ProgramServicesAmt
Management And General$12,913ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,170TotalAmt
Management And General$4,170ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$100,135TotalAmt
Program Services$68,106ProgramServicesAmt
Management And General$32,029ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$26,191TotalAmt
Management And General$26,191ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$484,354$484,354
MEDICAL SUPPLIES & DRUGS$469,559$469,559
LICENSES, DUES, SUBSCRIPTIONS$41,165$7,248$33,917
RECRUITING & RETENTION$18,155$18,155

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,905,002TotalAmt
Program Services$6,414,014ProgramServicesAmt
Management And General$2,454,278ManagementAndGeneralAmt
Fundraising$36,710FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$348,185BOYAmt
EOY$160,853EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$154,866BOYAmt
EOY$8,344EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$701,134BOYAmt
EOY$364,214EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$236,000BOYAmt
EOY$432,117EOYAmt

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$83,998BOYAmt
EOY$87,262EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$126,467BOYAmt
EOY$5,328EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$795,210LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$368,298LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$263,658BOYAmt
EOY$426,912EOYAmt

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$51,740BOYAmt
EOY$42,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,966,048BOYAmt
EOY$1,527,030EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$449,828BOYAmt
EOY$708,111EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,654BOYAmt
EOY$6,358EOYAmt

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$0BOYAmt
EOY$22,667EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$300,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,271BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$526,753BOYAmt
EOY$1,037,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$909,559BOYAmt
EOY$124,712EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$529,736BOYAmt
EOY$365,182EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,439,295BOYAmt
EOY$489,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,966,048BOYAmt
EOY$1,527,030EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$949,401ReconcilationRevenueExpnssAmt
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$1,958,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,394,631CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,606,661CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,813,915CurrentTaxYearMinus1YearAmt
Current Tax Year$3,955,556CurrentTaxYearAmt
Total$14,729,571TotalAmt

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$1,958,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,394,631CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,606,661CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,813,915CurrentTaxYearMinus1YearAmt
Current Tax Year$3,955,556CurrentTaxYearAmt
Total$14,729,571TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$14,729,571PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$63CurrentTaxYearMinus4YearsAmt
Current Tax Year$4,663CurrentTaxYearAmt
Total$4,726TotalAmt

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$14,734,297TotalSupportAmt
Gross Receipts Rltd Activities$14,181,585GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99968PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES THE ORGANIZATION PAYS DUES TO THE KANSAS ASSOCIATION FOR THE MEDICALLY UNDERSERVED (KAMU) AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$243,005OtherCostOrOtherBasisAmt
Depreciation$61,972DepreciationAmt
Book Value$181,033BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$552,205OtherCostOrOtherBasisAmt
Depreciation$306,326DepreciationAmt
Book Value$245,879BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$426,912TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$7,633,210TotalRevEtcAuditedFinclStmtAmt
Other Revenue$383,722OtherRevenueAmt
Revenue Not Reported$383,722RevenueNotReportedAmt
Revenue Subtotal$7,249,488RevenueSubtotalAmt
Other Revenues Not Included$706,113OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$706,113RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,955,601TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,443,057TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$22,409OtherExpensesIncludedAmt
Expenses Not Reported$22,409ExpensesNotReportedAmt
Expenses Subtotal$8,420,648ExpensesSubtotalAmt
Other Expenses Not Included$484,354OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$484,354ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,905,002TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS: 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 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $( 484,354) BAD DEBT EXPENSE 868,076 NET ASSETS RELEASED FROM RESTRICTIONS ----------- $ 383,722
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 22,409) LOSS ON DISPOSAL OF ASSETS 728,522 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ 706,113
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 22,409 LOSS ON DISPOSAL OF ASSETS
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 484,354 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonWRITE LEADERSHIP LLCPersonNm
ActivityGRANT WRITINGActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$3,119,262GrossReceiptsAmt
Retained By Contractor$36,710RetainedByContractorAmt
Net To Organization$3,082,552NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$3,119,262TotalGrossReceiptsAmt
Total Retained By Contractors$36,710TotalRetainedByContractorsAmt
Total Net To Organization$3,082,552TotalNetToOrganizationAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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 OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAYNA BRINCKMAN
CHIEF DENTAL OFFICER BEG 12/16$142,573$0$0$0$317$0$1,500$0$7,248$0$151,638$0$0$0
MOLLIE DAY
CHIEF DENTAL OFFICER END 11/16$153,313$0$0$0$125$0$3,230$0$5,412$0$162,080$0$0$0
MELODY ARMSTRONG
PHYSICIAN END 10/16$157,755$0$0$0$0$0$0$0$1,056$0$158,811$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION: HEALTH PARTNERSHIP CLINIC IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, ACCESSIBLE AND CULTURALLY APPROPRIATE CARE TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. HEALTH PARTNERSHIP CLINIC IS COMMITTED TO SERVING AS A VEHICLE FOR COLLABORATION AMONG COMMUNITY PROVIDERS AS A CRITICAL ASPECT OF MEETING OUR MISSION.
FORM 990, PART III, LINE 2NEW PROGRAM SERVICES: THE ORGANIZATION OPENED AN IN-HOUSE 340B PHARMACY IN FISCAL YEAR 2017 IN THE OLATHE, KANSAS CLINIC.
FORM 990, PART III, LINE 3PROGRAM SERVICE CEASED: DUE TO UNFAVORABLE PAYER MIX AND CONTINUED OPERATING LOSSES, THE ORGANIZATION CLOSED THE IN-HOUSE 340B PHARMACY AT THE END OF FISCAL YEAR 2017.
FORM 990, PART III, LINE 4APRIMARY CARE: HEALTH PARTNERSHIP CLINIC'S MEDICAL PROGRAM IS FOCUSED ON PROVIDING PRIMARY HEALTH CARE TO NOT ONLY TREAT ILLNESSES, BUT ALSO TO KEEP PATIENTS WELL. HEALTH PARTNERSHIP CLINIC'S STAFF WORKS TO ENSURE THAT PATIENTS RECEIVE THE QUALITY AND COMPASSIONATE CARE THEY DESERVE. HEALTH PARTNERSHIP CLINIC WAS RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE WITH A LEVEL III PATIENT CENTERED MEDICAL HOME DESIGNATION IN JANUARY 2012. MEDICAL PROGRAM SERVICES INCLUDE: FAMILY MEDICINE, PEDIATRIC CARE, INTERNAL MEDICINE, PRIMARY & PREVENTIVE HEALTH, IMMUNIZATIONS, CHRONIC DISEASE MANAGEMENT, GYNECOLOGY/WOMEN'S HEALTH (INCLUDING EARLY DETECTION WORKS), DIABETES EDUCATION, DIETARY COUNSELING, LAB SERVICES, X-RAY AND ON SITE CARE AT COMMUNITY PARTNER ORGANIZATIONS.
FORM 990, PART III, LINE 4BDENTAL CARE: HEALTH PARTNERSHIP CLINIC'S COMPREHENSIVE DENTAL PROGRAM PROVIDES PREVENTATIVE CARE, RESTORATIVE AND EMERGENCY CARE FOR A VARIETY OF DENTAL ISSUES. THE HEALTH PARTNERSHIP CLINIC STAFF IS HIGHLY TRAINED AND PROVIDES PATIENTS WITH THE EXPERT CARE AND RESPECT THEY DESERVE. DENTAL PROGRAM SERVICES INCLUDE: GENERAL DENTISTRY, PEDIATRIC DENTISTRY, ORAL HYGIENE, URGENT DENTAL CARE, ORAL SURGERY, DENTURES AND PARTIALS, AND COMPREHENSIVE ON-SITE SERVICES.
FORM 990, PART III, LINE 4DOTHER PROGRAM SERVICES: HEALTH PARTNERSHIP CLINIC PROVIDES OUTREACH AND ENROLLMENT SERVICES IN JOHNSON AND MIAMI COUNTY, KANSAS AND THE SURROUNDING AREAS. INDIVIDUALS RECEIVED ASSISTANCE IN ENROLLING IN PUBLICLY FUNDED HEALTH INSURANCE PROGRAMS SUCH AS MEDICAID OR THE NEW HEALTH INSURANCE MARKETPLACE. TO IMPROVE ACCESS TO DISCOUNTED PRESCRIPTION DRUGS, THE ORGANIZATION OPERATED AN IN-HOUSE 340B PHARMACY FROM OCTOBER 2016 - JUNE 2017. THE PHARMACY FILLED 9,099 PRESCRIPTIONS OF WHICH 8,583 WHERE FOR UNINSURED AND 516 FOR INSURED PATIENTS.
FORM 990, PART VI, SECTION A, LINE 4SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BOARD OF DIRECTORS UPDATED THE BYLAWS DURING THE FISCAL YEAR TO INCLUDE THE FOLLOWING CHANGES - - A NEW MISSION STATEMENT: THE CORPORATION IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES IS SERVES THROUGH THE PROVISION OF HIGH QUALITY, AFFORDABLE, ACCESSIBLE, AND CULTURALLY APPROPRIATE CARE TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY - MAXIMUM NUMBER OF DIRECTORS IS 17 - DIRECTORS MAY BE REIMBURSED FOR EXPENSES DOCUMENTED AS INCURRED BY THEM IN ATTENDING BOARD MEETINGS, INCLUDING FOR TRAVEL AND CHILD CARE EXPENSES.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED AND APPROVED BY THE CEO AND VP OF FINANCE. A COMPLETE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND INPUT.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY: THE OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A FORM ANNUALLY TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORMS COMPLETED BY THE OFFICERS AND DIRECTORS. IF THE CONFLICT IS DIRECTLY PERTINENT TO THE ISSUE AT HAND, THE MEMBER MUST DISCLOSE AND RECUSE THEMSELVES FROM THE VOTE.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION REVIEW POLICY: THE ORGANIZATION RECRUITED AND HIRED A NEW CEO IN 2016. THE RECRUITER ASSISTED WITH SALARY SURVEY INFORMATION AND NEGOTIATING INITIAL SALARY AND CONTRACT. THE BOARD EXECUTIVE COMMITTEE, ACTING ON BEHALF OF THE BOARD, APPROVED THE CEO SALARY. IN MARCH 2017, THE EXECUTIVE COMMITTEE COMPLETED A PERFORMANCE AND SALARY REVIEW ADJUSTMENT PER THE CONTRACT. ALL ACTIVITIES OF THE BOARD EXECUTIVE COMMITTEE ARE DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.