2017-01-19T13:59:37-06:00 2016-03-31 390859910 Baker Tilly Virchow Krause LLP One Liberty Place Philadelphia PA 191037341 990 2015-04-01 222682708 HENRY J AUSTIN HEALTH CENTER INC HENR 6092785900 321 N WARREN STREET TRENTON NJ 08618 Elidoro Primero CFO 6092785912 2017-01-19 1 Julius C Green CPA P00350393 2159720701 2015 2021-01-29 14:40:06Z Kemi Alli MD 321 N WARREN STREET TRENTON NJ 08618 14224743 0 X WWW.HENRYJAUSTIN.ORG X 1986 NJ TO PROVIDE QUALITY HEALTHCARE TO MERCER COUNTY'S UNINSURED AND UNDERINSURED. 10 10 180 16 0 0 5908790 6288520 8296475 7893813 519 261 -7812 13292 14197972 14195886 0 300 0 0 9983058 10488979 0 0 0 3828634 3499039 13811692 13988318 386280 207568 5799150 6071584 3318748 3383614 2480402 2687970 X THE HENRY J. AUSTIN HEALTH CENTER, INC. PROVIDES PATIENT-CENTERED, COMPREHENSIVE, ACCESSIBLE, EFFICIENT, QUALITY PRIMARY CARE SERVICES TO THE CULTURALLY DIVERSE GREATER TRENTON COMMUNITY. OUR EXCEPTIONAL, DEDICATED, WELL-TRAINED TEAM DELIVERS BEST PRACTICE HEALTH CARE, WORKING WITH COMMUNITY PARTNERS TO PROVIDE EXTRAORDINARY CUSTOMER SERVICE AND QUALITY OUTCOMES. 0 0 6523811 300 5344049 Henry J. Austin Health Center PROVIDEs MEDICAL, DENTAL, MENTAL AND OTHER HEALTH care SERVICES TO THE LARGELY MEDICALLY UNDERSERVED POPULATION OF THE SURROUNDING TRENTON AREA. During the year, the organization saw 12,874 patients and had 60,245 patient visits. The average number of visits per patient was 4.68. 990025 974779 Henry J. Austin Health Center PROVIDEs MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE AND RELATED SUPPORTING SOCIAL SERVICES TO THE AFFECTED HIV POPULATION OF THE SURROUNDING TRENTON AREA. THESE SERVICES ALSO INCLUDE HIV EDUCATION AND PREVENTION SERVICES. During the year, the organization saw 375 patients and had 6,483 patient visits. The average number of visits per patient was 17.29. 1944714 1574985 Henry J. Austin Health Center PROVIDEs MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE SERVICES TO THE HOMELESS POPULATION IN THE SURROUNDING TRENTON AREA. During the year, the organization saw 1,134 patients and had 4,936 patient visits. The average number of visits per patient was 4.35. 9458550 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 26 0 1 180 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Elidoro Primero 6092785912 321 N WARREN STREET TRENTON NJ 08618 Charles Davis II Chairperson 1.50 0.00 X X 0 0 0 Beverly Ann Smith Vice Chairperson 1.50 0.00 X X 0 0 0 Alba Hernandez Board Secretary 1.50 0.00 X X 0 0 0 Daniel R Benson Board Treasurer 1.50 0.00 X X 0 0 0 Dr Jonathan P Uy Director 1.50 0.00 X 0 0 0 Marge Caldwell-Wilson Director 1.50 0.00 X 0 0 0 Monica L Weaver Director 1.50 0.00 X 0 0 0 DeTravius Bethea Director 1.50 0.00 X 0 0 0 Wayne Frascella Director 1.50 0.00 X 0 0 0 Tyrone Gaskins Director 1.50 0.00 X 0 0 0 Kemi Alli MD CEO / CMO as of june 2015 35.00 0.00 X 197823 0 23130 George Stokes CEO Outgoing - to april 24, 2015 35.00 0.00 X 103351 0 232 Renee Haynes COO 35.00 0.00 X 135040 0 22816 Elidoro Primero CFO 35.00 0.00 X 131750 0 32414 Devin Goodman DDS Director of Dentistry 35.00 0.00 X 144730 0 5877 Shikha Chowdhury Internist 40.00 0.00 X 160068 0 38468 Sariya Pacheco-Smith Physician 40.00 0.00 X 150073 0 13513 Qingdi Geng Internist 40.00 0.00 X 152962 0 19671 Magali Santos Dentist 40.00 0.00 X 147169 0 40700 1322966 0 196821 16 0 1 0 Electronic Healthcare Systems 100 Brookwood Pl Ste 410 Birmingham AL 35209 EMR systems support and training 151735 Whistle Building Maintenance 210 Dryden Avenue Ewing NJ 08638 Janitorial Services 106562 Quest Diagnostics PO Box 828669 Philadelphia PA 19182 Clinical Diagnostic Services 100856 3 5818821 469699 186954 6288520 PATIENT SERVICE REVENUE 621400 7208537 7208537 340B Program 621400 380695 380695 contract services 900099 277866 277866 Incentive/Bonus from Insurance 621400 20651 20651 third party incentives 621400 5797 5797 267 267 7893813 261 261 16691 28857 -12166 -12166 -12166 miscellaneous income 900099 20918 20918 Gain on extinguishment of liabili 900099 4540 4540 25458 14195886 7893813 0 13553 300 300 620971 620971 7953033 5432556 2520477 1322223 896371 425852 592752 379082 213670 67943 46525 21418 53610 53610 520964 356736 164228 284971 195137 89834 106068 106068 38424 26311 12113 97825 66987 30838 92171 63115 29056 325308 222758 102550 129585 88735 40850 medical supplies 818307 818307 equipment & Repairs 389581 266770 122811 bad debt expense 315768 315768 computer fees 57871 39628 18243 200643 137396 63247 13988318 9458550 4529768 0 2630 0 177749 0 486997 505279 963293 1433098 70359 42021 7159605 3131850 4077079 4027755 21043 63431 5799150 6071584 1098042 1625879 476790 3361 1540369 1661027 183347 93347 20200 0 3318748 3383614 X 2480402 2687970 2480402 2687970 5799150 6071584 207568 0 X 0 1 X 1 1 1 X 5365060 5201985 5727224 5908790 6288520 28491579 5335222 5685927 6253184 8296475 7893813 33464621 10700282 10887912 11980408 14205265 14182333 61956200 0 0 0 61956200 33304 32874 36079 31185 16952 150394 33304 32874 36079 31185 16952 150394 68624 44288 211340 25458 349710 10802210 10965074 12227827 14236450 14224743 62456304 0.99200 0.99120 0.00240 0.00270 X Schedule A, Part III, Line 12, Explanation of Other Income: OTHER INCOME - 2011 Amount: $ 68,624. 2012 Amount: $ 44,288. 2013 Amount: $ 211,340. 2015 Amount: $ 20,918. gain on extinguishment of debt - 2015 Amount: $ 4,540. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36142 36142 3972147 1162981 2809166 1627195 1051404 575791 1523924 917435 606489 197 30 167 4027755 X 13904435 0 13904435 291451 291451 14195886 13696867 0 13696867 291451 291451 13988318 Part X, Line 2: The Center accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined that there were no tax uncertainties that met the recognition threshold in 2016 and 2015. Part XI, Line 4b - Other Adjustments: rental expenses -28,857. Provision for Doubtful Accounts 315,768. GAIN ON EXTINGUISHMENT OF LIABILITIES 4,540. Part XII, Line 4b - Other Adjustments: rental expenses -28,857. Provision for Doubtful Accounts 315,768. GAIN ON EXTINGUISHMENT OF LIABILITIES 4,540. X X X 0 0 0 0 0 0 0 0 0 Kemi Alli MD CEO / CMO as of june 2015 197823 0 0 0 0 0 5995 0 17135 0 220953 0 0 0 Renee Haynes COO 135040 0 0 0 0 0 22816 0 0 0 157856 0 0 0 Elidoro Primero CFO 131750 0 0 0 0 0 23083 0 9331 0 164164 0 0 0 Devin Goodman DDS Director of Dentistry 144730 0 0 0 0 0 5877 0 0 0 150607 0 0 0 Shikha Chowdhury Internist 160068 0 0 0 0 0 20468 0 18000 0 198536 0 0 0 Sariya Pacheco-Smith Physician 150073 0 0 0 0 0 1078 0 12435 0 163586 0 0 0 Qingdi Geng Internist 152962 0 0 0 0 0 6671 0 13000 0 172633 0 0 0 Magali Santos Dentist 147169 0 0 0 0 0 16700 0 24000 0 187869 0 0 0 X 2795 186954 Cost 0 0 1 0 Form 990, Part VI, Section A, line 1 In emergency situations where the full Board is unavailable, the Executive Committee, made up of the Chairperson of each committee, may act. Form 990, Part VI, Section B, line 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO OF THE ORGANIZATION, WHO HAS NEARLY 20 YEARS OF EXPERIENCE WITH NOT FOR PROFIT ORGANIZATIONS. the form 990 is then given to the fiNANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE FINANCE COMMITTEE PERFORMS THE ULTIMATE SIGN OFF ON THE FORM 990. AFTER THE RETURN IS APPROVED INTERNALLY AND PRIOR TO FILING, A COPY IS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND THE MEMBERS ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE FORM 990. ONCE THIS PROCEDURE IS COMPLETED, THE FORM 990 IS SIGNED BY THE CFO AND FILED WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c EACH YEAR, THE ORGANIZATION DISTRIBUTES A CONFLICT OF INTEREST POLICY Statement TO EXECUTIVE MANAGEMENT AND THE BOARD OF DIRECTORS FOR THEIR REViEW AND AFFIRMATIVE ACKNOWLEDGEMENT THAT THEY ARE AWARE OF THE POLICY. The CEO's Executive Assistant reviews and monitors compliance with the conflict statements. IN ADDITION, THE ORGANIZATION ASKS FOR information regarding ANY ORGANIZATION(S) THAT SENIOR MANAGEMENT, MEDICAL STAFF OR BOARD OF DIRECTORS HAVE AN INTEREST IN TO ENSURE THAT REFERRALS OR OTHER VENDOR RELATIONSHIPS ARE NOT BEING CONSUMMATED WITH THOSE ENTITIES. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO A SUBSET OF THE BOARD OF DIRECTORS FOR THEIR INITIAL REVIEW. ANY CONFLICTS DEEMED BY THIS SUBSET TO BE POTENTIALLY DETRIMENTAL TO THE ORGANIZATION ARE REFERRED TO LEGAL COUNSEL FOR THEIR REViEW. Form 990, Part VI, Section B, line 15 THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERs (NACHC) ISSUES AN ANNUAL SALARY SURVEY, AS DOES THE NEW JERSEY PRIMARY CARE ASSOCIATION (NJPCA). SUCH INFORMATION HAS BEEN PROVIDED TO THE BOARD for USE IN DETERMINing the SALARY FOR THE CURRENT CEO WHO WAS HIRED IN May 2015 AND OTHER TOP MANAGEMENT POSITIONS (COO AND CFO) HIRED IN 2014. THE CEO, CFO and COO ALSO USE THE INFORMATION FOR HIRING SENIOR STAFF MEMBERS. Discussions by the board regarding compensation determination are documented in the board meeting minutes. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.