2017-05-11T09:30:10-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 901 N GLEBE ROAD SUITE 200 ARLINGTON VA 22203 990 2015-07-01 830435138 GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC GREA 7036807950 4379 RIDGEWOOD CENTER DRIVE NO 102 WOODBRIDGE VA 22192 MARK MEYE EXECUTIVE DIRECTOR 7036807950 2017-05-10 1 DAVID TRIMNER CPA P00444822 5712279500 2015 2021-01-29 14:40:06Z MARK MEYE 4379 RIDGEWOOD CENTER DRIVE NO 102 WOODBRIDGE VA 22192 7691672 0 X WWW.GPWHEALTHCENTER.ORG X 2007 VA ACCESS TO AFFORDABLE HIGH QUALITY HEALTH CARE FOR THE WHOLE FAMILY. 12 12 96 50 0 0 2559855 3632529 3588207 4049412 0 0 -39262 -38496 6108800 7643445 0 0 0 0 3892650 4759559 0 0 135467 1988175 2370101 5880825 7129660 227975 513785 2052052 2712416 975432 1122011 1076620 1590405 X THE CENTER'S MISSION IS TO INCREASE ACCESS TO HIGH QUALITY, COMPREHENSIVE AND PREVENTIVE HEALTH CARE THAT IS CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDER SERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. 0 0 2680782 2001368 PRIMARY CARE: THE CENTER PROVIDES HEALTH AND MEDICAL CARE THAT IS CULTURALLY SENSITITVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. THE CENTER PROGRAMS ARE DESIGNED TO INCREASE ACCESS TO HIGH QUALITY, COMPREHENSIVE AND PREVENTIVE HEALTH CARE. 1232109 814247 DENTAL CARE: THE CENTER PROVIDES DENTAL CARE THAT IS CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. 1159842 1072683 PRENATAL CARE: THE CENTER PROVIDES OB-GYN CARE THAT IS CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. 442637 161114 BEHAVIORAL HEALTH: THE CENTER PROVIDES BEHAVIORAL HEALTH AND OTHER HEALTH CARE THAT IS CULTURALLY SENSITIVE IN ORDER TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED AND VULNERABLE RESIDENTS OF PRINCE WILLIAM COUNTY AND THE CITIES OF MANASSAS AND MANASSAS PARK. 442637 161114 5515370 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 32 0 96 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK MEYE 7036807950 4379 RIDGEWOOD CENTER DRIVE SUITE WOODBRIDGE VA 22192 LUIS LOU FERRARO PRESIDENT 3.00 X X 0 0 0 DAVID B WILKS VICE PRESIDENT 3.00 X X 0 0 0 JOHN S GRAY TREASURER 3.00 X X 0 0 0 VALERIE E KEENE SECRETARY 3.00 X X 0 0 0 ROSE GONZALEZ MEMBER 3.00 X 0 0 0 ABRA HOGARTH MEMBER 1.50 X 0 0 0 ADDIE RAY WHITAKER MEMBER 1.50 X 0 0 0 EVELYN MARR MEMBER 1.50 X 0 0 0 JENNY PORTILLO MEMBER 1.50 X 0 0 0 JULIO ALEX CORREA MEMBER 1.50 X 0 0 0 LASHEECO GRAHAMAN MEMBER 1.50 X 0 0 0 LAURA C POSEY MEMBER 1.50 X 0 0 0 RONALD KING 070115-0216 MEMBER 1.50 X 0 0 0 GEORGE BARKER EXECUTIVE DIRECTOR 40.00 X 102879 0 0 MARK MEYE DIRECTOR OF FINANCE 40.00 X 127938 0 8645 RASHID MOHIUDDIN MEDICAL DIRECTOR 40.00 X 205713 0 11561 SYED MAHBOOB PHYSICIAN 40.00 X 172132 0 6656 SHEETAL RAY DENTAL DIRECTOR 40.00 X 120892 0 3619 LISA WIENER OB-GYN DIRECTOR 40.00 X 115863 0 3188 AMBER HASAN DENTIST 40.00 X 115303 0 5170 MI-YON CHOI DENTIST 40.00 X 107338 0 6947 1068058 0 45786 10 0 1 0 CA CONSTRUCTION 4078 DUNCAN LANE GOLDVEIN VA 22720 REVOVATION 453368 COMMUNITY CARE NETWORK OF VIRGINIA 3831 WESTERRE PARKWAY HENRICO VA 23233 BILLING/CREDENTIALING 164411 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY 123474 3 45171 2544638 1042720 137867 3632529 PATIENT SERVICE REVENU 624110 4049412 4049412 4049412 7821 45171 48227 -40406 -40406 1910 1910 1910 7643445 4049412 0 -38496 474197 46631 409390 18176 3671349 3397875 263611 9863 56917 43146 13225 546 238766 180996 55480 2290 318330 241309 73967 3054 38005 38005 27051 27051 307243 236976 8099 62168 2584 2584 189203 130521 54116 4566 48915 28410 18548 1957 821184 476944 311393 32847 1525 1131 394 24655 4354 20301 13742 13742 165522 63955 101567 21515 14082 7433 CLINICAL SUPPLIES 595515 595515 BAD DEBT EXPENSE 57233 57233 AGENCY MEMBERSHIP FEES 24634 24634 COMMUNITY OUTREACH 21398 21398 10177 4909 5268 7129660 5515370 1478823 135467 741961 661300 127598 173789 325856 624083 30652 36916 41830 34450 1789259 746741 670549 1042518 9984 8903 15127 16081 88495 114376 2052052 2712416 318638 450966 2351 257364 198623 399430 470071 975432 1122011 X 966620 1450405 110000 140000 1076620 1590405 2052052 2712416 513785 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 751623 314914 436709 1037636 431827 605809 1042518 DEFERRED RENT LIABILITY 470071 470071 X 7677112 90900 -57233 33667 7643445 0 7643445 7163327 90900 90900 7072427 57233 57233 7129660 PART X, LINE 2: THE CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE OFFSET AGAINST EXPENSE ON FINANCIAL STATEMENTS -57,233. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE OFFSET AGAINST EXPENSE ON FINANCIAL STATEMENTS 57,233. CHIPS 4 CHARITY 52992 45171 7821 1947 7545 11493 9755 17487 52992 45171 7821 1947 7545 11493 9755 17487 48227 -40406 X X X 0 0 0 0 0 0 0 0 0 RASHID MOHIUDDIN MEDICAL DIRECTOR 205713 0 0 0 0 0 4742 0 6819 0 217274 0 0 0 SYED MAHBOOB PHYSICIAN 172132 0 0 0 0 0 1246 0 5410 0 178788 0 0 0 X 1 132957 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD AND THE CHAIRMAN OF STANDING COMMITTEES. THE COMMITTEE SHALL HAVE THE POWERS OF THE GOVERNING BOARD WHEN IT IS NOT IN SESSION. FORM 990, PART VI, SECTION B, LINE 11 THE DRAFT 990 IS PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST POLICY REVIEW AND SIGNING BY EACH BOARD MEMBER; STAFF WHEN HIRED AND ANNUAL EDUCATION SESSIONS. FORM 990, PART VI, SECTION B, LINE 15 THE COMMITTEE REVIEWS THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S KEY EMPLOYEES BASED ON AN ANNUAL SALARY SURVEY FOR NORTHERN VIRGINIA. THIS WAS LAST PERFORMED IN 2014 IN PROCESS OF CONDUCTING UPDATE FOR BOARD CONSIDERATION BY OCTOBER 2016. SALARY SURVEY BY NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND SURVEY OF VIRGINIA HEALTH CENTERS IN PROCESS OF BEING CONDUCTED BY EXECUTIVE DIRECTOR, GEORGE BAKER AND DIRECTOR OF HR, JOHNNIE THOMPSON. THIS WAS LAST PERFORMED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.