2017-08-11T13:00:34-05:00 2016-09-30 311119890 BARNES DENNIG & CO LTD 5750 CASTLE CREEK PKWY SUITE 245 INDIANAPOLIS IN 46250 990 2015-10-01 351965865 RIGGS COMMUNITY HEALTH CENTER INC RIGG 7657421567 1716 HARTFORD ST LAFAYETTE IN 479042168 DR MCQUADE-JONES CEO 7657421567 2017-08-08 1 RICKEY ROYSDON CPA P00645916 3175721130 2015 2021-01-29 14:40:06Z DR BAMBI MCQUADE-JONES 1716 HARTFORD ST LAFAYETTE IN 479042168 12328489 0 X WWW.RIGGSHEALTH.COM X 1995 IN PROVIDING PRIMARY HEALTH CARE TO LOW-INCOME RESIDENTS. 16 16 126 17 0 0 4492535 4711867 6683339 7544212 5180 -122782 24163 44541 11205217 12177838 0 0 0 0 6041402 6719150 0 0 0 4421584 3954511 10462986 10673661 742231 1504177 13230599 15072280 528380 502913 12702219 14569367 PROVIDING PRIMARY HEALTH CARE TO LOW-INCOME RESIDENTS. 0 0 7977778 7544212 PROVIDED HEALTH CARE, PRENATAL ASSISTANCE, DENTAL CARE, BEHAVIORAL HEALTH INTEGRATED MODELING AND HEALTH CARE REFERRALS FOR LOW-INCOME FAMILIES AND THE HOMELESS. 7977778 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 5 0 1 126 1 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X DR BAMBI MCQUADE-JONES 7654292772 1716B HARTFORD ST LAFAYETTE IN 479042168 LINDA KETTERER CHAIR 8.00 X X 0 0 0 ROGER PATTISON VICE CHAIR 2.00 X X 0 0 0 PATRICIA HOON SECRETARY 4.00 X X 0 0 0 TRAVIS DUELL TREASURER 3.00 X X 0 0 0 JODY MATHEW DIRECTOR 1.50 X 0 0 0 HAROLD PIERCE DIRECTOR 1.50 X 0 0 0 THOMETRA FOSTER DIRECTOR 1.50 X 0 0 0 LUZ FANNY ARAGON DIRECTOR 1.50 X 0 0 0 MARY JACOBS DIRECTOR 1.50 X 0 0 0 LAURA BUIT DIRECTOR 1.50 X 0 0 0 RANDY HOUNTZ DIRECTOR 1.50 X 0 0 0 PAMELA GARDNER DIRECTOR 1.50 X 0 0 0 JEREMY MCGRATH DIRECTOR 1.50 X 0 0 0 PETE MOYER DIRECTOR 1.50 X 0 0 0 REBECCA HUMPHREY DIRECTOR 1.50 X 0 0 0 KYLE ALLEN DIRECTOR 1.50 X 0 0 0 DR BAMBI MCQUADE-JONES PRESIDENT & CEO 40.00 X 245118 0 31685 STEVEN LESZCZYNSKI CFO 40.00 X 99647 0 12881 LALITHA VALLURI MD PHYSICIAN 40.00 X 161659 0 20896 GREGORY FRENCH MD PHYSICIAN 40.00 X 156184 0 20189 SUMA NAGARAJ MD PHYSICIAN 40.00 X 155451 0 20094 BROOKE E PLETCHER MD PHYSICIAN 40.00 X 104865 0 13555 922924 0 119300 5 0 1 0 D BRANDENBURG CONTRUCTION LLC 510 W 250 N LEBANON IN 46052 BUILDING RENOVATION 374074 SALUD HEALTHCARE PARTNERS LLC 323 COLUMBIA SUITE 300 LAFAYETTE IN 47901 BILLING SERVICES 225282 QUALITY SYSTEMS INCNEXTGEN HEALTHCARE 18111 VON KARMAN AVE SUITE 700 IRVINE CA 92612 SOFTWARE SUPPORT AND MAINT. 202544 PARGON MICRO DEPARTMENT 7116 CAROL STREAM IL 60122 IT HARDWARE, SOFTWARE, SUPPLIES, SUPPORT 193347 JR KELLY COMPANY INC 3450 CONCORD RD LAFAYETTE IN 47909 BUILDING RENOVATION 193141 5 200046 3082969 1428852 1336022 4711867 NET PATIENT SERVICE 621400 7339683 7339683 MANAGED HEALTH CARE SRVS 621400 166305 166305 MED ASSIST PROCESSING 621400 38224 38224 7544212 5473 5473 30504 22396 8108 8108 8108 128255 -128255 -128255 -128255 MISCELLANEOUS 900099 36433 36433 36433 12177838 7544212 0 -78241 389331 291454 97877 5222629 3909663 1312966 63119 51068 12051 672250 543898 128352 371821 300830 70991 144297 47780 96517 311028 179905 131123 21004 6658 14346 514515 433480 81035 54412 18472 35940 DONATED LABS & MEDS 1374246 1334331 39915 PROFESSIONAL SERVICES 753804 135666 618138 BAD DEBT EXPENSE 500543 500543 MEDICAL SUPPLIES 114417 114219 198 166245 109811 56434 10673661 7977778 2695883 0 2964675 4192039 890965 892318 142542 122225 1000220 766103 106895 159581 13941913 5001899 8125302 8940014 13230599 15072280 520438 500371 7942 2542 528380 502913 X 12602219 14468367 100000 101000 12702219 14569367 13230599 15072280 X 1504177 362971 X 0 1 X 1 1 1 X 8717785 9003602 6376758 4492535 4711867 33302547 6104636 5051103 5339969 6683339 7907183 31086230 14822421 14054705 11716727 11175874 12619050 64388777 0 0 0 64388777 25917 13629 5849 35684 35977 117056 25917 13629 5849 35684 35977 117056 3293 27084 26785 33877 36433 127472 14851631 14095418 11749361 11245435 12691460 64633305 0.99620 0.99670 0.00180 0.00180 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2011 AMOUNT: $ 3,293. 2012 AMOUNT: $ 27,084. 2013 AMOUNT: $ 26,785. 2014 AMOUNT: $ 33,877. 2015 AMOUNT: $ 36,433. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1000350 1000350 9499969 3706354 5793615 3441594 1295545 2146049 8940014 X 11875751 47805 150651 198456 11677295 500543 500543 12177838 10371574 47805 150651 198456 10173118 500543 500543 10673661 PART X, LINE 2: RIGGS COMMUNITY HEALTH CENTER, INC. (CENTER) IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE. HOWEVER, THE CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE CENTER IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES. THE CENTER'S IRS FORM 990 IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE CENTER BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND THEREFORE, DOES NOT HAVE ANY UNCERTAIN INCOME TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFY RENTAL EXPENSE 22,396. RECLASSIFY LOSS ON DISPOSAL OF ASSETS FROM EXPENSE TO REVENUE 128,255. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS RECLASSED TO EXPENSES 500,543. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFY RENTAL EXPENSE 22,396. RECLASSIFY LOSS ON DISPOSAL OF ASSETS FROM EXPENSE TO REVENUE 128,255. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS RECLASSED TO EXPENSES 500,543. X X X X X 0 0 0 0 0 0 0 0 0 DR BAMBI MCQUADE-JONES PRESIDENT & CEO 245118 0 0 0 0 0 0 0 31685 0 276803 0 0 0 LALITHA VALLURI MD PHYSICIAN 161659 0 0 0 0 0 0 0 20896 0 182555 0 0 0 GREGORY FRENCH MD PHYSICIAN 156184 0 0 0 0 0 0 0 20189 0 176373 0 0 0 SUMA NAGARAJ MD PHYSICIAN 155451 0 0 0 0 0 0 0 20094 0 175545 0 0 0 X 17 1336022 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 RIGGS COMMUNITY HEALTH CENTER, INC. FORM 990 AND ALL RELATED SCHEDULES, STATEMENTS AND ATTACHMENTS ARE REVIEWED AND APPROVED BY OFFICER(S) AND THE APPROPRIATE REPRESENTATIVE(S) FROM THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE PRIOR TO FINALIZING AND FILING THESE TAX RETURNS WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C RIGGS COMMUNITY HEALTH CENTER, INC. HAS CONFLICT OF INTEREST POLICY. ENFORCEMENT OF THESE POLICIES DEPEND ON THE SITUATION THAT MAY CREATE A POTENTIAL ISSUE. THE IDENTIFICATION AND EVALUATION OF THOSE ISSUES ARE DISCUSSED WITH THE APPROPRIATE LEVEL OF MANAGEMENT OR MEMBERS OF THE BOARD OF DIRECTORS IN MEETINGS AND ANNUAL REVIEWS. FORM 990, PART VI, SECTION B, LINE 15 RIGGS COMMUNITY HEALTH CENTER, INC.'S BOARD OF DIRECTORS DETERMINES AND SETS ALL STAFFING COMPENSATION RATES AFTER A THOROUGH REVIEW OF ALL RELATED ISSUES, CONSULTATION WITH INDEPENDENT PERSONS, REVIEW OF COMPARABLE DATA AND DELIBERATION. FORM 990, PART VI, SECTION C, LINE 19 RIGGS COMMUNITY HEALTH CENTER, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, AS APPLICABLE, AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST MADE TO THE ATTENTION OF OUR PRESIDENT/CHIEF EXECUTIVE OFFICER AND RECEIVED AT OUR CORPORATE OFFICE ADDRESS. FORM 990, PART XI, LINE 9: MERGER WITH BOONE COUNTY COMMUNITY HEALTH CLINIC, INC. 362,971. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: ON JUNE 1, 2016, RIGGS COMMUNITY HEALTH, INC. (RIGGS) ASSUMED ALL ASSETS AND LIABILITIES AND MERGED WITH BOONE COUNTY COMMUNITY HEALTH CLINIC, INC. A NON-RELATED TAX EXEMPT SECTION 501(C)(3) ORGANIZATION. THE TWO ENTITIES MERGED TO SUSTAIN AND GROW HEALTH CARE SERVICES FOR THE RESIDENTS OF BOONE COUNTY, INDIANA. RIGGS RECEIVED ALL THE ASSETS, CONSISTING PRIMARILY OF THE BUILDING AND BUILDING IMPROVEMENTS TOTALING APPROXIMATELY $426,278 AND ALL LIABILITIES, PRIMARILY ACCOUNTS PAYABLE TOTALING ABOUT $63,307 WITH A NET UNRESTRICTED FUND/ASSET BALANCE TOTALING $362,971. THERE WAS NO OTHER SIGNIFICANT CONSIDERATION TRANSFERRED. THE MERGER WAS ACCOUNTED FOR UNDER THE ACQUISITION METHOD WITH BOTH THE NET ASSETS ACQUIRED AND LIABILITIES ASSUMED RECORDED AT THEIR ESTIMATED FAIR VALUES AS OF THE ACQUISITION DATE.