2017-06-01T14:51:00-05:00 2016-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2016-01-01 412056863 PEOPLE'S HEALTH CENTER PEOP 4024761640 1021 NORTH 27TH STREET LINCOLN NE 68503 BRAD MEYER CHIEF EXECUTIVE OFFICER 4024761640 2017-05-23 1 BARBARA J FAJEN P00400874 4023302660 209.34.201.180 2017-05-23 13:52:15 CD P 94A2358B3CB5A7C182ABC21FE0E317543A3DE98D C299A94BE5AD8C02AF4BA4D8B7C4DB3D2DC5F135 2016 2021-01-29 14:40:06Z BRAD MEYER 1021 NORTH 27TH STREET LINCOLN NE 68503 7474460 0 X WWW.PHCLINCOLN.ORG X 2002 NE TO PROVIDE COMMUNITY HEALTH AND DENTAL CARE SERVICES THAT ARE AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, AND COST EFFECTIVE TO INDIVIDUALS AND FAMILIES WITH LIMITED RESOURCES AND/OR OTHER BARRIERS TO SERVICE. 14 14 140 40 0 0 2719081 2836608 4131440 4635203 -2943 1961 534 688 6848112 7474460 0 0 0 0 4563740 5152888 0 0 0 2170815 2275110 6734555 7427998 113557 46462 4018226 4162986 456502 554800 3561724 3608186 X THE PEOPLE'S HEALTH CENTER PROVIDES AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST EFFECTIVE PRIMARY HEALTH CARE. THE CENTER WILL SERVE PEOPLE OF THE LINCOLN, NEBRASKA AREA, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE TO IMPROVE THEIR OVERALL HEALTH. 0 0 2086007 1672486 MEDICAL SERVICES - PHC PROVIDES COMPREHENSIVE MEDICAL SERVICES TO ITS PATIENTS. OUR PROVIDER STAFF INCLUDES FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS, A PHYSICIAN ASSISTANT, CERTIFIED NURSE MIDWIVES (PROVIDE OB CARE/DELIVERIES) AND VOLUNTEER SPECIALTY PHYSICIANS. 994753 797558 DENTAL SERVICES - PHC OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS AND EXTRACTIONS. 830580 665930 THE HEALTH 360 CLINIC, A PARTNERSHIP BETWEEN LUTHERAN FAMILY SERVICES OF NEBRASKA AND PEOPLE'S HEALTH CENTER, PROVIDES AN AFFORDABLE, HOLISTIC APPROACH TO CARE, ESPECIALLY FOR THE MOST VULNERABLE. SERVICES AT HEALTH 360 ARE PROVIDED ON A SLIDING FEE SCALE THAT OFFERS REDUCED PRICES ON OFFICE VISITS AND SERVICES BASED ON INCOME. 1870771 1499917 OTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACY 1870771 1499917 5782111 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 0 0 0 0 0 0 0 0 0 1 10 0 1 140 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JACQUE FANNING CHIEF FINANCIAL OFFICER 4024705421 1021 N 27TH STREET LINCOLN NE 68503 NICK SASSAMAN CHAIR 4.00 X X 0 0 0 DANAY KALKOWSKI VICE CHAIR 2.00 X X 0 0 0 LINDA MANGAN SECRETARY 2.00 X X 0 0 0 PAT MEYER TREASURER 2.00 X X 0 0 0 JOYCE SCHMEECKLE DIRECTOR 1.00 X 0 0 0 CHARLOTTE BURKE DIRECTOR 1.00 X 0 0 0 KELLY EPP DIRECTOR 1.00 X 0 0 0 CHRISTI WILLIAMS DIRECTOR 1.00 X 0 0 0 NIZAR ZHAIYA DIRECTOR 1.00 X 0 0 0 DEBBIE HOUSER DIRECTOR 1.00 X 0 0 0 MICHAEL FARRIS DIRECTOR 1.00 X 0 0 0 ROY RIVERA DIRECTOR 1.00 X 0 0 0 KK TRIVEDI DIRECTOR 1.00 X 0 0 0 SHAERON TURNER DIRECTOR 1.00 X 0 0 0 BRAD MEYER CEO 40.00 X 117522 0 7823 MARY BUNDY CFO THROUGH 8/16 40.00 X 65160 0 6523 JACQUE FANNING CFO 40.00 X 25439 0 66 DR HONG CUI PHYSICIAN 40.00 X 133405 0 5380 DR MICHAEL ISREAL PHYSICIAN 40.00 X 221444 0 15314 DR ARATHI REDDY DENTIST 38.00 X 148399 0 5821 DR DERRICK ANDERSON PHYSICIAN 40.00 X 203199 0 10534 DR SARAH CASTILLO PHYSICIAN 40.00 X 180519 0 11661 1095087 0 63122 6 0 1 0 0 2324831 511777 2836608 MEDICAID 621400 1907439 1907439 PATIENT FEES 621400 1579952 1579952 MEDICARE 621400 429664 429664 PHARMACY 621400 398823 398823 CASE MANAGEMENT FEES 621400 319325 319325 4635203 1961 1961 MISCELLANEOUS REVENUE 900099 688 688 688 7474460 4635891 0 1961 222533 222533 4136266 3506430 629836 64554 54361 10193 409994 318613 91381 319541 253560 65981 27680 20806 6874 59956 14566 45390 624094 361162 262932 24560 24560 354578 262900 91678 412900 412900 54187 23263 30924 4277 4277 75 75 174947 67563 107384 35120 15775 19345 BAD DEBT EXPENSE 176244 176244 MEDICAL SUPPLIES 149090 149090 MEDICATIONS 86694 86694 LICENSES, FEES & MEMBER 62050 29526 32524 28658 28658 7427998 5782111 1645887 0 1000 2500 2231994 2021373 154196 122449 658388 835388 52586 45061 50841 2535295 1592437 927587 942858 134991 4018226 4162986 436502 554800 20000 456502 554800 X 3561724 3608186 3561724 3608186 4018226 4162986 46462 0 X X 0 1 X 1 1 1 X 2455297 2161483 2213828 2719081 2836608 12386297 2455297 2161483 2213828 2719081 2836608 12386297 12386297 988 1592 1684 1621 1961 7846 3910 378 1550 534 688 7060 12401203 19023789 0.99880 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1155253 530285 624968 1380042 1062152 317890 942858 X 7309330 11114 11114 7298216 176244 176244 7474460 7262868 11114 11114 7251754 176244 176244 7427998 PART X, LINE 2: THE HEALTH CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2016 AND 2015, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 176,244. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 176,244. X X 0 0 0 0 0 0 0 0 0 DR MICHAEL ISREAL PHYSICIAN 208344 0 13100 0 0 0 8891 0 6423 0 236758 0 0 0 DR ARATHI REDDY DENTIST 148399 0 0 0 0 0 5821 0 0 0 154220 0 0 0 DR DERRICK ANDERSON PHYSICIAN 203199 0 0 0 0 0 4111 0 6423 0 213733 0 0 0 DR SARAH CASTILLO PHYSICIAN 180519 0 0 0 0 0 3755 0 7906 0 192180 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND PRESENTS IT TO THE BOARD OF DIRECTORS WITH A RECOMMENDATION FOR APPROVAL BEFORE IT IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY RESPONSIBLE PERSONS AND EACH RESPONSIBLE PERSON MUST ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY POSSIBLE CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED AT THE ANNUAL MEETING EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF PEOPLE'S HEALTH CENTER SETS THE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THEY REVIEW AN ANNUAL SALARY SURVEY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE BOARD ALSO REVIEWS THE SALARY SURVEY FOR NONPROFIT ORGANIZATIONS CONDUCTED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. DECISIONS FOR COMPENSATION ARE BASED ON A PERSON'S EXPERIENCE, SKILLS AND EDUCATIONAL LEVEL. THE SALARIES ARE APPROVED WITH A MAJORITY VOTE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE PEOPLE'S HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF PEOPLE'S HEALTH CENTER ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.