2016-08-03T13:08:35-05:00 2015-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 E MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2015-01-01 261253235 COMMUNITY HEALTH CENTERS OF GREATER DAYT COMM 9375869733 1323 W 3RD STREET DAYTON OH 45402 GREGORY HOPKINS EXECUTIVE DIRECTOR 9375869733 2016-08-03 1 JESSE YOUNG P01236247 9373992000 2016-08-03 2015 2016-12-15 16:53:06Z CHARLES DREW HEALTH CENTER GREGORY HOPKINS 1323 W 3RD STREET DAYTON OH 45402 9542283 0 X COMMUNITYHEALTHDAYTON.ORG X 2007 OH OUR MISSION IS TO IMPROVE LIVES BY PROVIDING QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY. 13 13 124 0 0 0 2774994 3017484 6189154 6417281 60 -438 86542 107274 9050750 9541601 0 0 0 0 5390115 5799601 64450 29786 29786 3299886 3379519 8754451 9208906 296299 332695 1725098 2151148 485132 578487 1239966 1572661 OUR MISSION IS TO IMPROVE LIVES BY PROVIDING QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY. 0 0 8054511 6523873 CHCGD OPERATES SIX COMMUNITY HEALTH CENTERS LOCATED IN MONTGOMERY COUNTY, OHIO, FOR THE PURPOSE OF PROVIDING PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO PATIENTS IN MEDICALLY UNDER-SERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2015, CHCGD PROVIDED A TOTAL OF 50,385 ENCOUNTERS TO 14,952 PATIENTS. CHCGD RECEIVED $616,137 WORTH OF DONATED PHARMACEUTICALS FROM OHIO MEDICAID TO PROVIDE VACCINATIONS TO ELIGIBLE CHILDREN UNDER ITS VACCINE FOR CHILDREN (VFC)PROGRAM. 8054511 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 39 0 1 124 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ANGELA CHATMAN 9375869733 1323 W 3RD STREET DAYTON OH 45402 JAMES MCGUIRE PRESIDENT/SECRETARY 0.50 X X 0 0 0 KARLA GARRETT HARSHAW VICE-PRESIDENT 0.50 X X 0 0 0 THOMAS CURTIN TREASURER 0.50 X X 0 0 0 JOHNNIE BRADFORD TRUSTEE 0.50 X 0 0 0 JANET COOK TRUSTEE 0.50 X 0 0 0 STEVEN DICKERSON SR TRUSTEE 0.50 X 0 0 0 JAMES GROSS TRUSTEE 0.50 X 0 0 0 TOM HERCHLINE MD TRUSTEE 0.50 X 0 0 0 CHARLES JONES TRUSTEE 0.50 X 0 0 0 TIM NOLAN TRUSTEE 0.50 X 0 0 0 ANTHONY WEBB TRUSTEE 0.50 X 0 0 0 RUSS WETHERELL TRUSTEE 0.50 X 0 0 0 THERESA WHEELER TRUSTEE 0.50 X 0 0 0 GREGORY HOPKINS EXECUTIVE DIRECTOR 40.00 X 140404 0 12412 JAYME HANSEN CFO 40.00 X 106968 0 5002 LADONNA BARNES-LARK PHYSICIAN 40.00 X 202421 0 9568 MARY GRONBECK PHYSICIAN 40.00 X 167716 0 7966 JESSICA GALLAGHER PHYSICIAN 40.00 X 151912 0 24853 MATTHEW NOORDSIJ-JONES PHYSICIAN 40.00 X 141142 0 12440 ADRIENNE LEE PHYSICIAN 40.00 X 138322 0 5078 1048885 0 77319 12 0 1 0 DAYTON OSTEOPATHIC HOSPITAL 405 W GRAND AVENUE DAYTON OH 45405 MEDICAL 481426 ADVANTAGE ON CALL LLC 7187 SOLUTION CENTER CHICAGO IL 60677 TEMP SERVICES 186327 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EMR SUPPORT 179818 3 1631477 1386007 616137 3017484 PATIENT REVENUE 621400 5869452 5869452 340B PROGRAM REVENUE 621400 519427 519427 ODH UNINSURED CARE CON 621400 28402 28402 6417281 244 244 682 -682 -682 -682 MISCELLANEOUS 900099 56274 56274 ELECTRONIC HEALTH RECO 621400 51000 51000 107274 9541601 6523873 0 244 X 264786 225068 39718 4366767 3757668 609099 94520 77800 16720 701962 577814 124148 371566 320128 51438 13356 13356 9650 9650 29786 29786 1072645 989210 83435 149874 131055 18819 315370 299544 15826 538406 527690 10716 118047 118047 17828 17828 DONATED PHARMACEUTICALS 616137 616137 MEDICAL SUPPLIES 328024 328024 GENERAL 114260 54044 60216 EDUCATION AND TRAINING 45800 21304 24496 40122 10978 29144 9208906 8054511 1124609 29786 251754 858314 102522 227751 83530 35165 557229 412920 139167 147080 1099828 629910 588647 469918 2249 0 1725098 2151148 357009 374772 128123 203715 485132 578487 X 1239966 1572661 1239966 1572661 1725098 2151148 332695 0 X X 0 1 X 1 1 1 X 2871640 2354487 2468479 2774994 3017484 13487084 2871640 2354487 2468479 2774994 3017484 13487084 13487084 293 616 265 60 244 1478 62134 212717 50621 86542 56274 468288 13956850 21137522 0.96630 0.96490 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 417637 114618 303019 682191 515292 166899 469918 X 9541601 0 9541601 0 9541601 9208906 0 9208906 0 9208906 PART X, LINE 2: COMMUNITY HEALTH CENTERS OF GREATER DAYTON IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CENTER'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE CENTER'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS AS THE CENTER HAS DETERMINED IT DOES NOT HAVE UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. X X X X X 1 GILBERT CONSULTING LLC 3405 SUNDANCE CT GRANDBURY TX 76049 GRANT WRITING 0 0 14250 -14250 14250 -14250 OH X X X X 0 0 0 0 0 0 0 1 0 GREGORY HOPKINS EXECUTIVE DIRECTOR 138529 0 1875 0 0 0 4979 0 7433 0 152816 0 0 0 LADONNA BARNES-LARK PHYSICIAN 188130 0 14291 0 0 0 7157 0 2411 0 211989 0 0 0 MARY GRONBECK PHYSICIAN 167716 0 0 0 0 0 1778 0 6188 0 175682 0 0 0 JESSICA GALLAGHER PHYSICIAN 151912 0 0 0 0 0 239 0 24614 0 176765 0 0 0 MATTHEW NOORDSIJ-JONES PHYSICIAN 129058 0 12084 0 0 0 5001 0 7439 0 153582 0 0 0 PART I, LINE 7 WHEN A PHYSICIAN IS AT LEAST A 0.50 FTE AND THEIR PANEL SIZE REACHES 90%, THEY ARE ELIGIBLE FOR THE INCENTIVE BASED COMPENSATION SYSTEM. THE SYSTEM IS COMPRISED OF THREE COMPONENTS: PRODUCTIVITY, COMPLEXITY, AND QUALITY. PRODUCTIVITY BONUSES ARE PAID MONTHLY AND CALCULATED BASED ON ACTUAL ENCOUNTERS. COMPLEXITY IS ALSO PAID MONTHLY AND BASED ON RVUS PER ENCOUNTER. THE QUALITY COMPONENT IS PAID QUARTERLY AND IS CALCULATED BASED ON THE RESULT OF A QUARTERLY CHART AUDIT. X 1 616137 0 0 0 FORM 990, PART I, ITEM C DBA: CORWIN NIXON HEALTH CENTER DBA: EAST DAYTON HEALTH CENTER DBA: VICTOR CASSANO HEALTH CENTER DBA: SOUTHVIEW HEALTH CENTER DBA: ALEX CENTRAL HEALTH CENTER FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR REVIEW THE FORM 990 AND THEN DISTRIBUTE IT VIA EMAIL TO ALL BOARD MEMBERS. BOARD MEMBERS ARE ASKED TO REVIEW THE TAX RETURN AND CONTACT MANAGEMENT WITH ANY QUESTIONS AND CONCERNS, WHICH ARE ADDRESSED AT A BOARD MEETING PRIOR TO FILING A FINALIZED COPY OF THE FORM 990. THE FORM 990 IS THEN DISTRIBUTED TO EACH MEMBER OF THE FINANCE COMMITTEE AND ANY BOARD MEMBER WHO REQUESTS IT. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS IS VERY AWARE OF ANY SUCH CONFLICTS BOARD MEMBERS ARE REQUIRED TO EXCUSE THEMSELVES FROM VOTING ON ANY ISSUE WHERE A CONFLICT EXISTS. THE TERMS OF THE CONFLICT OF INTEREST POLICY ARE CONSTANTLY BEING MONITORED FORM 990, PART VI, SECTION B, LINE 15A CURRENT SALARY RANGES ARE BEING REVIEWED ANNUALLY BY HR, INCLUDING COMPARISON WITH THE DEPARTMENT OF LABOR STATISTICS, INDEPENDENT SURVEYS, AND RELEVANT MARKET STUDIES AFTER REVIEW AND APPROVAL BY THE BOARD HR COMMITIEE. RANGES ARE THEN PRESENTED TO THE FULL BOARD FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. IN ADDITION, SOME OF THIS INFORMATION IS AVAILABLE ON OUR WEBSITE AT COMMUNITY HEALTHDAYTON.ORG FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 989,210. MANAGEMENT AND GENERAL EXPENSES 83,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,072,645. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED SINCE PRIOR YEAR