2016-03-31T09:49:55-05:00 2015-09-30 561146197 SHARRARD MCGEE & CO PA PO BOX 10439 GREENSBORO NC 274040439 990 2014-10-01 043726317 GUILFORD ADULT HEALTH INC GUIL 3365559700 1002 S EUGENE STREET GREENSBORO NC 27406 MS LISA DUCK EXECUTIVE DIRECTOR 3365559700 2016-01-19 1 GEORGE H KNOSTMAN P00235890 3362729777 2014 2016-08-17 19:52:53Z MS LISA DUCK 1002 S EUGENE STREET GREENSBORO NC 27406 712519 0 X WWW.GUILFORDCCN.ORG X 2002 NC TO PROVIDE ACCESSIBLE, AFFORDABLE, AND QUALITY MEDICAL AND DENTAL SERVICES TO GUILFORD COUNTY RESIDENTS WITH INCOMES BETWEEN 0% AND 200% OF THE FEDERAL POVERTY LEVEL. 8 8 0 0 0 0 300190 673094 36040 39425 0 0 0 0 336230 712519 342134 336924 0 0 0 0 0 0 0 242194 279071 584328 615995 -248098 96524 852666 930984 35663 17457 817003 913527 PROVIDE LONG-TERM SECURE FUNDING FOR INDIGENT CARE AND BE AN ADVOCATE FOR THE COMMUNITY AND CLIENTS SERVED BY CLINICS IN THE AREA. 0 0 595915 336924 39425 GUILFORD ADULT HEALTH PROVIDED DENTAL SERVICES TO PATIENTS BELOW POVERTY LEVEL, CREATED AND ADMINISTERED AN INFORMATION SHARING NETWORK FOR ELIGIBILITY PROCESS FOR INDIGENT PATIENTS, AND FUNDED OTHER ORGANIZATIONS PROVIDING PRIMARY MEDICAL CARE SERVICES. 595915 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 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 1 0 0 0 1 14 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DESHANDRA WOODLE 3363559696 1002 S EUGENE STREET GREENSBORO NC 27406 LISA DUCK EXECUTIVE DIRECTOR 20.00 X X 72028 0 0 PATRICIA A SOENKSEN VICE-CHAIRPERSON/SECRETARY/TREASURER 1.00 X X 0 0 0 TIM CLONTZ CHAIRPERSON 1.00 X X 0 0 0 CHESTER BROWN III BOARD MEMBER 1.00 X 0 0 0 MARTY LAWING BOARD MEMBER 1.00 X 0 0 0 CARIN HIOTT BOARD MEMBER 1.00 X 0 0 0 AASHKA MEHTA BOARD MEMBER 1.00 X 0 0 0 MICHELLE LEWIS BOARD MEMBER 1.00 X 0 0 0 MERLE GREEN BOARD MEMBER 1.00 X 0 0 0 72028 0 0 0 0 0 0 0 102288 570806 8100 673094 SERVICE REVENUE 624100 39425 39425 39425 712519 39425 0 0 X 336924 336924 3708 62 3646 24791 24791 200705 186537 14168 1742 1742 4478 3721 757 15400 15400 3601 3601 5184 5184 5694 4726 968 MEDICAL SUPPLIES 8755 8755 MISCELLANEOUS 3347 2896 451 REPAIRS AND MAINTENANCE 1215 1215 DUES AND SUBSCRIPTIONS 425 361 64 26 26 615995 595915 20080 0 679714 892561 154338 15903 8866 5540 2429 33848 22623 13074 11225 852666 930984 35663 17457 35663 17457 X 378789 351128 438214 562399 817003 913527 852666 930984 96524 0 X X 0 1 X 1 0 X 615234 942157 763491 300190 673094 3294166 615234 942157 763491 300190 673094 3294166 389409 2904757 3294166 130885 0.88180 0.96010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 33848 22623 11225 11225 712519 0 712519 0 712519 615995 0 615995 0 615995 0 TRIAD ADULT & PEDIATRIC MEDICINE 1002 S EUGENE STREET GREENSBORO NC 27404 561991438 336924 PAYMENT OF WAGES AND BENEFITS FORM 990, PART VI, SECTION A, LINE 6 CONE HEALTH AND HIGH POINT REGIONAL RECEIVE ASSETS UPON DISSOLUTION FORM 990, PART VI, SECTION A, LINE 7A CONE HEALTH AND HIGH POINT REGIONAL RECEIVE ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE 990 WAS MADE AVAILABLE TO THE BOARD ALONG WITH THE FINANCIAL STATEMENTS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE COMPLETED ANNUALLY BY EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS IN AN EFFORT TO DETERMINE HIS COMPENSATION. BOARD MEMBERS ARE FROM VARIOUS ORGANIZATIONS IN THE NONPROFIT INDUSTRY AND MEDICAL INDUSTRY. THEY COMPARE THE EXECUTIVE DIRECTOR'S COMPENSATION BASED ON THE COMPENSATION OF SIMILAR POSITIONS IN THEIR RESPECTIVE ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 18 THE 990 IS MADE AVAILABLE ON PUBLIC WEBSITES, SUCH AS GUIDESTAR. IT IS ALSO AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE ON FILE WITH THE EXECUTIVE DIRECTOR. INFORMATION IS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G GRANT WRITING & OTHER: PROGRAM SERVICE EXPENSES 18,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,289. AUDIT: PROGRAM SERVICE EXPENSES 9,704. MANAGEMENT AND GENERAL EXPENSES 568. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,272. CONSULTING FEES: PROGRAM SERVICE EXPENSES 9,120. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,120. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 131,475. MANAGEMENT AND GENERAL EXPENSES 13,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,075. PATIENT CARE EXPENSES: PROGRAM SERVICE EXPENSES 8,910. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,910. STIPEND : PROGRAM SERVICE EXPENSES 9,039. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,039. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR . CONE HEALTH SYSTEM 1200 N ELM STREET GREENSBORO NC 27401 HOSPITAL NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 HIGH POINT REGIONAL HOSPITAL 601 N ELM STREET HIGH POINT NC 27261 HOSPITAL NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 TRIAD ADULT AND PEDIATRIC MEDICINE 1002 S EUGENE STREET GREENSBORO NC 27406 HEALTHCARE PROVIDER NC 501(C)(3) 170(B)(1)(A)(III) N/A 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0