2016-11-15T09:15:41-06:00 2015-12-31 BKD LLP 211 N BROADWAY SUITE 600 ST LOUIS MO 631022733 990 2015-01-01 430817642 Affinia Healthcare % AFFINIA HEALTHCARE AFFI 3148981700 1717 Biddle Street St Louis MO 63106 JANET VOSS VP & CFO 3148981700 2016-11-14 true Donna J Larson P00043751 3142315544 2016-11-10 2015 2017-02-10 21:41:12Z ALAN O FREEMAN 1717 BIDDLE STREET ST LOUIS MO 63106 35510163 false X WWW.AFFINIAHEALTHCARE.ORG X 1906 MO TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEATHY LIFESTYLES. 17 17 491 82 0 8822553 10022004 24038787 25487991 232 -37822 0 0 32861572 35472173 0 0 0 0 25108439 21740650 0 0 0 11864332 13168802 36972771 34909452 -4111199 562721 21750035 22335369 19100910 19123524 2649125 3211845 X TO PROVIDE HIGH QUALITY HEALTH CARE AND EXCEPTIONAL SERVICE, WHILE PROMOTING HEATHY LIFESTYLES. false false 20732756 18087513 PRIMARY MEDICAL CARE PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, AUDIOLOGY AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 34,919 4991761 4038529 HEALTH CARE FOR THE HOMELESS PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL DENTAL, BEHAVIORAL HEALTH, PODIATRY, OPTOMETRY, SUBSTANCE ABUSE AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 4,386 2747736 2083912 PUBLIC HOUSING HEALTH PROVIDES COMPREHENSIVE AND ROUTINE PREVENTATIVE SERVICES, INCLUDING MEDICAL, DENTAL, BEHAVIORAL HEALTH AND ENABLING SERVICES. APPROXIMATE PERSONS BENEFITED: 4,035 1237436 1278036 WIC (WOMEN, INFANTS, AND CHILDREN) PROVIDES NUTRITION ASSISTANCE 1237436 1278036 29709689 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 19 0 true 491 true false false false false false false false false false false X 17 17 false false false false false false false true true false false true true true true true true true true true true X AFFINIA HEALTHCARE 3148981700 1717 BIDDLE STREET SAINT LOUIS MO 63106 X MITCHELL BARIS VICE CHAIR 10.0 0.0 X X 0 0 0 SREENU DANDAMUDI DIRECTOR 10.0 0.0 X 0 0 0 HARRY DENGLER DIRECTOR 10.0 0.0 X 0 0 0 JEAN M FRAZEE TREASURER 10.0 0.0 X X 0 0 0 ROBERT JACOBSON CHAIR 10.0 0.0 X X 0 0 0 JOHN LYNCH DIRECTOR 10.0 0.0 X 0 0 0 KIMBALL MCMULLIN DIRECTOR 10.0 0.0 X 0 0 0 WILLIAM VAN LUVEN DIRECTOR 10.0 0.0 X 0 0 0 PAMELA BARSH DIRECTOR 10.0 0.0 X 0 0 0 ELIZABETH COLEMAN DIRECTOR 10.0 0.0 X 0 0 0 BRENDA CORONA DIRECTOR 10.0 0.0 X 0 0 0 TONDALERIA CURRY DIRECTOR 10.0 0.0 X 0 0 0 PAULA DAVIS DIRECTOR 10.0 0.0 X 0 0 0 DEBRA FOX-JOHNS DIRECTOR 10.0 0.0 X 0 0 0 REATHA JACKSON DIRECTOR 10.0 0.0 X 0 0 0 VICKIE LOMAX SECRETARY 10.0 0.0 X X 0 0 0 DIRK ROBINSON DIRECTOR 10.0 0.0 X 0 0 0 JAMES ANDERSON VP/CHIEF INFORMATION OFFICER 40.0 0.0 X 124232 0 17423 YVONNE BUHLINGER VP COMM HEALTH SERVICES 40.0 0.0 X 118119 0 12187 KENDRA HOLMES RPH VP/CHIEF OPERATING OFFICER 40.0 0.0 X 154799 0 6837 VERONICA RICHARDSON VP COMPLIANCE & QUALITY IMPRVM 40.0 0.0 X 112102 0 13359 MELISSA TEPE MD VP/CHIEF MEDICAL OFFICER 40.0 0.0 X 230674 0 9373 JANET VOSS CPA VP/CHIEF FINANCIAL OFFICER 40.0 0.0 X 165561 0 13560 ALICE BOON VP HUMAN RESOURCES 40.0 0.0 X 121856 0 11082 ALAN O FREEMAN PRESIDENT & CEO 40.0 0.0 X 242940 0 18787 MARGARET BAUM MD OB/GYN PHYSICIAN 40.0 0.0 X 219333 0 16978 JI SU HONG MD CHILD PSYCHIATRIST 40.0 0.0 X 182193 0 15308 MARY KEEGAN MD OB/GYN PHYSICIAN 40.0 0.0 X 183252 0 6940 MICAELA O'NEIL-CALLAHAN MD OB/GYN PHYSICIAN 40.0 0.0 X 179892 0 13146 SHULAMIT PORTNOY MD PEDIATRIC NEUROLOGIST 40.0 0.0 X 183257 0 11733 2218210 0 166713 36 false true false QUEST DIAGNOSTICS P O BOX 14730 ST LOUIS MO 63150 LAB 871693 ALL ACCESS INTERPRETERS LLC 8460 WATSON RD WEBSTER GROVES MO 63119 INTERPRETATION 367909 CENTAUR BUILDING SERVICES P O BOX 776367 CHICAGO IL 60677 JANITORIAL 345769 MAXIM STAFFING SOLUTIONS 12558 COLLECTIONS CENTER DR CHICAGO IL 60693 TEMPORARY WORKERS 250324 WASHINGTON UNIVERSITY SCHOOL OF MED 660 S EUCLID ST LOUIS MO 63110 CONTRACT PHYSICIANS 444721 8 8935336 1086668 46194 10022004 MEDICARE/CAID REIMBURSEMENTS 621110 15693852 15693852 PROGRAM SERVICE FEES 621110 9794139 9794139 25487991 168 168 0 0 0 0 0 37990 -37990 -37990 -37990 0 0 0 0 35472173 25487991 -37822 0 0 0 0 1372891 1002538 370353 0 0 17391030 15291846 2099184 0 1687601 1474323 213278 1289128 1122609 166519 0 37099 37099 128425 128425 0 0 0 3792016 3124368 667648 0 3432335 3210321 222014 0 0 2029319 1797248 232071 56318 40265 16053 0 83258 67309 15949 344809 344809 0 1163602 795644 367958 38640 15095 23545 PROVISION FOR BAD DEBT 1461773 1461773 ORGANIZATION DUES 149041 64396 84645 REPAIRS AND MAINTENANCE 161619 160968 651 MISCELLANEOUS 290548 80986 209562 34909452 29709689 5199763 0 310907 490003 700000 1500000 408129 1059760 3537138 3419612 0 0 0 0 0 0 0 0 262759 231931 24538985 9155556 16313104 15383429 0 0 0 0 0 0 0 0 217998 250634 21750035 22335369 5437315 6633681 0 0 0 0 0 0 0 0 0 0 6994233 7005987 0 0 6669362 5483856 19100910 19123524 X 2590826 3042896 58299 168949 0 0 2649125 3211845 21750035 22335369 X 562721 -1 X false true X true true true X 9797266 11205994 8890017 8822553 10022004 48737834 0 0 9797266 11205994 8890017 8822553 10022004 48737834 0 48737834 3900 2371 885 232 168 7556 0 0 48745390 118054690 0.99984 0.99983 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 58299 178874 68224 168949 269280 63553 274534 58299 389489 12201 132410 269280 452988 63796 127295 389489 102776 432757 82545 452988 1.00000 false false 368949 368949 14744516 3466871 11277645 1462716 212508 1250208 5754302 4093009 1661293 2208502 1383168 825334 15383429 0 ACCRUED PENSION COSTS 5483856 DUE TO AFFILIATED AGENCY 0 5483856 37222148 3284408 106214 3390622 33831526 1640647 1640647 35472173 36770077 3284408 37990 3322398 33447679 1461773 1461773 34909452 SCHEDULE D, PART V, LINE 4 USE OF ENDOWMENT FUNDS: ENDOWMENT FUNDS ARE USED TO SUPPORT THE ORGANIZATION'S VARIOUS HEALTH CARE PROGRAMS SUCH AS THE DIABETES PROGRAM, BREAST CANCER PROGRAM, AND BEHAVIORAL HEALTH PROGRAM. SCHEDULE D, PART X, LINE 2 FIN 48 DISCLOSURE: 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 2D OTHER AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990: NET ASSETS RELEASED FROM RESTRICTION 68,224 LOSS ON SALE OF ASSETS 37,990 -------- TOTAL 106,214 SCHEDULE D, PART XI, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: TEMPORARILY RESTRICTED CONTRIBUTIONS 178,874 BAD DEBT EXPENSE 1,461,773 ---------- TOTAL 1,640,647 SCHEDULE D, PART XII, LINE 2D LOSS ON SALE OF ASSETS 37,990 SCHEDULE D, PART XII, LINE 4B OTHER AMOUNTS INCLUDED ON FORM 990 BUT NOT ON LINE 1: BAD DEBT EXPENSE 1,461,773 X X X X X false false false false false false false false false KENDRA HOLMES RPH VP/CHIEF OPERATING OFFICER 148957 0 5533 0 309 0 5577 0 1260 0 161636 0 0 0 MELISSA TEPE MD VP/CHIEF MEDICAL OFFICER 221827 0 8358 0 489 0 7826 0 1547 0 240047 0 0 0 JANET VOSS CPA VP/CHIEF FINANCIAL OFFICER 160136 0 4600 0 825 0 6441 0 7119 0 179121 0 0 0 ALAN O FREEMAN PRESIDENT & CEO 230582 0 10000 0 2358 0 9297 0 9490 0 261727 0 0 0 MARGARET BAUM MD OB/GYN PHYSICIAN 210216 0 8636 0 481 0 7861 0 9117 0 236311 0 0 0 JI SU HONG MD CHILD PSYCHIATRIST 178360 0 3470 0 363 0 2736 0 12572 0 197501 0 0 0 MARY KEEGAN MD OB/GYN PHYSICIAN 175984 0 6952 0 316 0 2568 0 4372 0 190192 0 0 0 MICAELA O'NEIL-CALLAHAN MD OB/GYN PHYSICIAN 171481 0 8117 0 294 0 971 0 12175 0 193038 0 0 0 SHULAMIT PORTNOY MD PEDIATRIC NEUROLOGIST 182315 0 0 0 942 0 3734 0 7999 0 194990 0 0 0 X 2 5939 SALE OF STOCK X 3699 40255 FMV false false false PART I, COLUMN B THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B. FORM 990, PART VI, SECTION B, LINE 11 PROCESS USED FOR REVIEWING FORM 990: THE CONTROLLER, CFO AND BOARD TREASURER REVIEW THE FORM 990 IN DETAIL PRIOR TO FILING. COPIES ARE THEN DISTRIBUTED ELECTRONICALLY TO ALL BOARD MEMBERS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C PROCESS OF MONITORING AND ENFORCING COMPLIANCE WITH CONFLICT OF INTEREST: ALL BOARD MEMBERS AND MANAGEMENT STAFF ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT NOTING FULL COMPLIANCE OR ANY EXCEPTIONS. ANY EXCEPTIONS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND THE CORPORATE COMPLIANCE BOARD COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15A PROCESS FOR DETERMINING CEO COMPENSATION: CEO COMPENSATION WAS DETERMINED IN JUNE OF 2015 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS BASED ON PERFORMANCE INDICATORS AND SURVEYS PROVIDED BY AN INDEPENDENT CONSULTING FIRM AND THE MISSOURI PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 15B PROCESS FOR DETERMINING KEY EMPLOYEE COMPENSATION: A BI-ANNUAL SALARY SURVEY PROVIDED BY THE MISSOURI PRIMARY CARE ASSOCIATION IS USED IN CONJUNCTION WITH A SURVEY FROM AAIM TO DETERMINE RANGES FOR ALL KEY POSITIONS AND DETERMINE WHETHER SALARIES ARE COMPETITIVE. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC AVAILABILITY OF CERTAIN DOCUMENTS: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AS REQUIRED BY FEDERAL REGULATION THAT APPLIES TO COMMUNITY HEALTH CENTERS. FORM 990, PART IX, LINE 11G FEES FOR SERVICES DETAIL: CONTRACTED MEDICAL LAB 871,693 CONTRACTED DENTAL LAB 63,742 CONTRACTED RADIOLOGY SERVICES 172,982 CONTRACTED TRANSLATION SERVICES 393,309 CONTRACTED PHYSICIAN SERVICES 835,430 CONTRACTED TEMPORARY STAFF SVCS 370,135 CONTRACTED HOMELESS SERVICES 120,157 SOFTWARE LICENSES 414,293 OTHER FEES FOR SERVICES 550,275 - - - - - - TOTAL FEES FOR SERVICES 3,792,016 FORM 990, PART XI, LINE 9 ROUNDING ADJUSTMENT: (1)