NEIGHBORHOOD HEALTH CLINICS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NEIGHBORHOOD HEALTH CLINICS INC (EIN 35-1922483)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-11
IRS object ID
201642249349301869
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-11T13:00:38-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351922483EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORHOOD HEALTH CLINICS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RICHARD YERGLERInCareOfNm
Business Name ControlNEIGBusinessNameControlTxt
Phone2604582641PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY S HAUPERTPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone2604582648PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoyce A DulworthPreparerPersonNm
PTINP00151125PTIN
Phone2604604000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARY S HAUPERTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,719,421GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NHCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION'S MISSION IS TO IDENTIFY THE NEEDS OF AND PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WITH RESPECT AND SENSITIVITY TO THOSE BEING SERVED.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,271,363PYContributionsGrantsAmt
CY Contributions Grants$6,948,282CYContributionsGrantsAmt
PY Program Service Revenue$3,418,563PYProgramServiceRevenueAmt
CY Program Service Revenue$3,761,346CYProgramServiceRevenueAmt
PY Investment Income$1,996PYInvestmentIncomeAmt
CY Investment Income$1,513CYInvestmentIncomeAmt
PY Other Revenue$5,052PYOtherRevenueAmt
CY Other Revenue$8,280CYOtherRevenueAmt
PY Total Revenue$9,696,974PYTotalRevenueAmt
CY Total Revenue$10,719,421CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,309,321PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,825,439CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$81,485CYTotalFundraisingExpenseAmt
PY Other Expenses$3,726,572PYOtherExpensesAmt
CY Other Expenses$3,964,337CYOtherExpensesAmt
PY Total Expenses$10,035,893PYTotalExpensesAmt
CY Total Expenses$10,789,776CYTotalExpensesAmt
PY Revenues Less Expenses-$338,919PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$70,355CYRevenuesLessExpensesAmt
Total Assets BOY$10,919,512TotalAssetsBOYAmt
Total Assets EOY$10,734,105TotalAssetsEOYAmt
Total Liabilities BOY$1,036,305TotalLiabilitiesBOYAmt
Total Liabilities EOY$921,253TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,883,207NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,812,852NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF NEIGHBORHOOD HEALTH CLINICS, INC. IS TO IDENTIFY THE NEEDS OF AND PROVIDE QUALITY HEALTHCARE SERVICES TO THE COMMUNITY WITH RESPECT AND SENSITIVITY TO THOSE BEING SERVED. NEIGHBORHOOD HEALTH CLINICS, INC. (HEREBY REFERRED TO AS NHCI) IS A NON-PROFIT ORGANIZATION THAT PROVIDES MEDICAL, DENTAL, NUTRITIONAL, AND OTHER HEALTH RELATED SERVICES TO ALLEN AND SURROUNDING COUNTIES IN INDIANA. NHCI HAS BEEN PROVIDING SERVICES SINCE 1969. ORIGINALLY, THE AGENCY WAS KNOWN AS THREE RIVERS NEIGHBORHOOD HEALTH SERVICES AND WAS FOUNDED BY THE ALLEN COUNTY MEDICAL SOCIETY AS A VOLUNTARY HEALTH SERVICE TO PROVIDE WELL CHILD SERVICES TO LOW-INCOME CHILDREN OF ALLEN COUNTY. IN 1994, THE NAME WAS CHANGED AND SERVICES WERE EXPANDED TO INCLUDE A FULL CONTINUUM OF PRIMARY MEDICAL SERVICES FOR ALL GENDERS AND AGES. IN 1998, A FULL-SERVICE DENTAL CLINIC WAS ESTABLISHED. NEIGHBORHOOD HEALTH CLINICS OFFERS VARIOUS STATE GRANT PROGRAMS INCLUDING THE WOMEN'S, INFANT AND CHILDREN NUTRITIONAL SUPPLEMENMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,281,691ExpenseAmt
Revenue$2,369,004RevenueAmt
DescNEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES MEDICAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDERSERVED AREA WHERE FEW OTHER MEDICAL SERVICES ARE AVAILABLE. DURING 2015, NHCI PROVIDED MEDICAL SERVICES TO 8,651 INDIVIDUALS. OF THE INDIVIDUALS SERVED, WE ESTIMATE THAT 46% WERE AT OR BELOW THE POVERTY LEVEL; 69% WERE MINORITIES, AND 70% WERE EITHER MEDICARE/MEDICAID RECIPIENTS OR WERE UNINSURED. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. IN 2015, NHCI PROVIDED A TOTAL OF $917,394 IN DISCOUNTED SERVICES. NHCI'S MEDICAL SERVICES INCLUDE: -FAMILY MEDICINE - PREVENTATIVE MEDICINE AND SCREENING; ACUTE AND CHRONIC MANAGEMENT OF GENERAL DISEASE; -PEDIATRICS - WELL CHILD CARE; ACUTE AND CHRONIC CARE OF GENERAL PEDIATRIC DISEASE; -PRENATAL - FREE PREGNANCY TESTS; GENERAL PRENATAL CARE AND DELIVERY SERVICES; POST-PARTUM CARE; AND -WOMEN'S HEALTH - PREVENTATIVE AND WELL CARE; CONTRACEPTION; GYNECOLOGICAL SCREENING; ACUTE AND CHRONIC GYNECOLOGICAL CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,685,199ExpenseAmt
Revenue$1,392,342RevenueAmt
DescNEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES DENTAL SERVICES TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED UNDERSERVED AREA WHERE FEW OTHER DENTAL SERVICES ARE AVAILABLE. DURING 2015, NHCI PROVIDED DENTAL SERVICES TO 8,019 INDIVIDUALS. OF THE INDIVIDUALS SERVED, WE ESTIMATE THAT 36% WERE AT OR BELOW THE POVERTY LEVEL; 69% WERE MINORITIES, AND 80% WERE EITHER MEDICAID RECIPIENTS OR WERE UNINSURED. AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), NHCI PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE BASED ON THEIR ABILITY TO PAY. IN 2015, NHCI PROVIDED A TOTAL OF $1,555,296 IN DISCOUNTED SERVICES. NHCI'S DENTAL SERVICES INCLUDE: FULL FAMILY DENTAL CARE (PEDIATRIC DENTAL PATIENTS STARTING AT AGE 3); CAVITY TREATMENT; DENTAL X-RAYS; EXTRACTIONS; CROWNS; DENTURES; AND PROTECTIVE SEALANTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,392,900ExpenseAmt
DescNHCI ALSO PARTICIPATES IN THE WIC PROGRAM. A NUTRITION EDUCATION PROGRAM OFFERING HEALTHY FOODS AND OTHER SERVICES FREE OF CHARGE. THE WIC PROGRAM HELPS MANY FAMILIES (SINGLE PARENTS, MARRIED, WORKING, NOT WORKING, AND FOSTER PARENTS). EACH MONTH, APPROXIMATELY 12,300 CHILDREN AGES 0-5 RECEIVE NUTRITION COUNSELING AND VOUCHERS FOR NUTRITIOUS FOOD FROM NHCI'S WIC PROGRAM IN ALLEN, DEKALB, AND NOBLE COUNTIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,359,790TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICHARD YERGLERPersonNm
Phone2604582648PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 SOUTH CALHOUN STREETAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LAURA ANKENBRUCK
DIRECTOR (STARTED 9/15/15)1.00.0Yes (X)$0$0$0
DENNIS BECKER
DIRECTOR1.00.0Yes (X)$0$0$0
MELISSA BRADBERRY
DIRECTOR (STARTED 2/5/15)1.00.0Yes (X)$0$0$0
TERRY BROBERG-SWANGIN
DIRECTOR1.00.0Yes (X)$0$0$0
DOLLYE CARLISLE
SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
NANETTE BAKER
SECRETARY (LEFT 7/2/15)1.00.0Yes (X)$0$0$0Yes (X)
ANITA CRAIG
DIRECTOR1.00.0Yes (X)$0$0$0
KAYEVONNE DAILEY
DIRECTOR1.00.0Yes (X)$0$0$0
ROBERTO HERNANDEZ
DIRECTOR (STARTED 2/5/15)1.00.0Yes (X)$0$0$0
SCOTT JACKSON
TREASURER1.00.0Yes (X)$0$0$0Yes (X)
HAROUT KOUYOUMDJIAN
DIRECTOR1.00.0Yes (X)$0$0$0
JOHNATHAN LIECHTY
2ND VICE CHAIR1.00.0Yes (X)$0$0$0Yes (X)
DAWN MATTOX
DIRECTOR (STARTED 2/5/15)1.00.0Yes (X)$0$0$0
SHABBIR MORRISWALLA
DIRECTOR1.00.0Yes (X)$0$0$0
ANGELA RUIZ
DIRECTOR1.00.0Yes (X)$0$0$0
HOLLI SEABURY
BOARD CHAIR1.00.0Yes (X)$0$0$0Yes (X)
DONNA SPINA
DIRECTOR1.00.0Yes (X)$0$0$0
J PHILLIP TYNDALL MD
1ST VICE CHAIR1.00.0Yes (X)$0$0$0Yes (X)
TRACY M WILLIAMS I
DIRECTOR (STARTED 2/5/15)1.00.0Yes (X)$0$0$0
JEFF VICE
DIRECTOR1.00.0Yes (X)$0$0$0
BENJAMIN YODER DDS
DIRECTOR1.00.0Yes (X)$0$0$0
THERESA YORK
DIRECTOR (LEFT 7/2/15)1.00.0Yes (X)$0$0$0
MARY S HAUPERT
PRESIDENT/CEO40.00.0$131,197$0$23,002Yes (X)
ANGELA ZAEGEL
VP/CHIEF OPERATING OFFICER40.00.0$94,100$0$3,817Yes (X)
DR MICHAEL MOHRMAN
VP/CHIEF MED. OFF.-BEGAN 4/1530.00.0$117,033$0$11,525Yes (X)
RICHARD YERGLER
VP/CHIEF FINANCIAL OFFICER40.00.0$76,799$0$22,487Yes (X)
TYLER KIMMEL DDS
CHIEF DENTAL OFFICER40.00.0$158,643$0$12,536Yes (X)
DR THOMAS STAFFORD
OB/GYN (LEFT 6/30/15)20.00.0$111,143$0$4,503Yes (X)
DR GOLDY CARBUNARU
PEDIATRICIAN30.00.0$110,759$0$31,382Yes (X)
GREGORY BUTLER DDS
DENTIST38.00.0$100,698$0$291Yes (X)
TESSA CREAGER DDS
DENTIST26.00.0$95,751$0$1,915Yes (X)
DR MIRIVA MAGAR
PEDIATRICIAN (STARTED 1/20/15)24.00.0$91,104$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,087,227TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$111,458TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAINSTAY SOLUTIONS INC
PO BOX 15662FORT WAYNEIN46885IT SERVICES$134,087
PARKVIEW HEALTH LABORATORIES
11115 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845MEDICAL LAB SERVICES$151,539
PRIORITY MANAGEMENT GROUP
700 SCHOOL STREETPROVIDENCERI02860MEDICAL BILLING$113,536
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$207,500FederatedCampaignsAmt
Government Grants$6,124,558GovernmentGrantsAmt
All Other Contributions$616,224AllOtherContributionsAmt
Noncash Contributions$318,687NoncashContributionsAmt
Total Contributions$6,948,282TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$3,761,346TotalRevenueColumnAmt
Related Or Exempt Func Income$3,761,346RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,761,346TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,513TotalRevenueColumnAmt
Exclusion$1,513ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,875RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,875RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,875TotalRevenueColumnAmt
Exclusion$4,875ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$3,405TotalRevenueColumnAmt
Exclusion$3,405ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,405OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,719,421TotalRevenueColumnAmt
Related Or Exempt Func Income$3,761,346RelatedOrExemptFuncIncomeAmt
Exclusion$9,793ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$325,378TotalAmt
Program Services$276,571ProgramServicesAmt
Management And General$48,807ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,225,077TotalAmt
Program Services$4,441,315ProgramServicesAmt
Management And General$731,511ManagementAndGeneralAmt
Fundraising$52,251FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,397TotalAmt
Program Services$52,187ProgramServicesAmt
Management And General$8,596ManagementAndGeneralAmt
Fundraising$614FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$809,810TotalAmt
Program Services$688,339ProgramServicesAmt
Management And General$113,373ManagementAndGeneralAmt
Fundraising$8,098FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$403,777TotalAmt
Program Services$343,210ProgramServicesAmt
Management And General$56,529ManagementAndGeneralAmt
Fundraising$4,038FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,369TotalAmt
Program Services$2,864ProgramServicesAmt
Management And General$505ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$55,219TotalAmt
Program Services$46,936ProgramServicesAmt
Management And General$8,283ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$589,037TotalAmt
Program Services$500,681ProgramServicesAmt
Management And General$88,356ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$159,223TotalAmt
Program Services$135,340ProgramServicesAmt
Management And General$22,291ManagementAndGeneralAmt
Fundraising$1,592FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$283,644TotalAmt
Program Services$241,098ProgramServicesAmt
Management And General$39,710ManagementAndGeneralAmt
Fundraising$2,836FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,080,057TotalAmt
Program Services$918,048ProgramServicesAmt
Management And General$151,208ManagementAndGeneralAmt
Fundraising$10,801FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,525TotalAmt
Program Services$70,146ProgramServicesAmt
Management And General$11,554ManagementAndGeneralAmt
Fundraising$825FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30,057TotalAmt
Program Services$25,548ProgramServicesAmt
Management And General$4,509ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$288,703TotalAmt
Program Services$245,398ProgramServicesAmt
Management And General$43,305ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,781TotalAmt
Program Services$40,614ProgramServicesAmt
Management And General$7,167ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$745,141$745,141
BAD DEBT EXPENSE$511,400$511,400
DUES & SUBSCRIPTIONS$45,166$38,391$6,775
OTHER$43,015$36,563$6,022$430

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,789,776TotalAmt
Program Services$9,359,790ProgramServicesAmt
Management And General$1,348,501ManagementAndGeneralAmt
Fundraising$81,485FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,575EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,292,192BOYAmt
EOY$938,750EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,023,365BOYAmt
EOY$983,340EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$366,869BOYAmt
EOY$634,371EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$107,313BOYAmt
EOY$132,182EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,019,332LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,975,445LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,129,773BOYAmt
EOY$8,043,887EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,919,512BOYAmt
EOY$10,734,105EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$698,456BOYAmt
EOY$605,984EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$337,849BOYAmt
EOY$315,269EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,036,305BOYAmt
EOY$921,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,569,941BOYAmt
EOY$9,593,753EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$293,266BOYAmt
EOY$199,099EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,883,207BOYAmt
EOY$9,812,852EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,919,512BOYAmt
EOY$10,734,105EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$70,355ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,737,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,076,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,956,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,271,363CurrentTaxYearMinus1YearAmt
Current Tax Year$6,954,516CurrentTaxYearAmt
Total$36,996,139TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,737,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,076,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,956,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,271,363CurrentTaxYearMinus1YearAmt
Current Tax Year$6,954,516CurrentTaxYearAmt
Total$36,996,139TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$36,996,139PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,682CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,590CurrentTaxYearMinus1YearAmt
Current Tax Year$6,388CurrentTaxYearAmt
Total$29,039TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,074CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,079CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,952CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$458CurrentTaxYearMinus1YearAmt
Current Tax Year$3,405CurrentTaxYearAmt
Total$18,968TotalAmt
FieldValueIRS element (for citing)
Total Support$37,044,146TotalSupportAmt
Gross Receipts Rltd Activities$17,745,635GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99870PublicSupportCY170Pct
Public Support PY1700.99883PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME: $3,405ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$22InvestmentEarningsOrLossesAmt
Administrative Expenses$22AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$22InvestmentEarningsOrLossesAmt
Administrative Expenses$22AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$25InvestmentEarningsOrLossesAmt
Administrative Expenses$25AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$42InvestmentEarningsOrLossesAmt
Administrative Expenses$42AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$55InvestmentEarningsOrLossesAmt
Administrative Expenses$55AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,500OtherCostOrOtherBasisAmt
Book Value$133,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,721,848OtherCostOrOtherBasisAmt
Depreciation$472,340DepreciationAmt
Book Value$6,249,508BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,007,142OtherCostOrOtherBasisAmt
Depreciation$627,512DepreciationAmt
Book Value$1,379,630BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,117,242OtherCostOrOtherBasisAmt
Depreciation$835,993DepreciationAmt
Book Value$281,249BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,600OtherCostOrOtherBasisAmt
Depreciation$39,600DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,043,887TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,924,615TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$205,194DonatedServicesAndUseFcltsAmt
Revenue Not Reported$205,194RevenueNotReportedAmt
Revenue Subtotal$10,719,421RevenueSubtotalAmt
Total Revenue Per Form990$10,719,421TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,994,970TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$205,194DonatedServicesUseFcltsAmt
Expenses Not Reported$205,194ExpensesNotReportedAmt
Expenses Subtotal$10,789,776ExpensesSubtotalAmt
Total Expenses Per Form990$10,789,776TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE EARNINGS FROM ENDOWMENT FUNDS ARE USED FOR ADMINISTRATIVE EXPENSES.
FORM 990, SCHEDULE D, PART XMANAGEMENT HAS EVALUATED THEIR INCOME TAX PROVISIONS 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY S HAUPERT
PRESIDENT/CEO$131,197$0$0$0$0$0$2,792$0$20,210$0$154,199$0$0$0
TYLER KIMMEL DDS
CHIEF DENTAL OFFICER$158,643$0$0$0$0$0$3,211$0$9,325$0$171,179$0$0$0

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4649ContributionCnt
Noncash Contributions Rpt F990$318,687NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE M, PART IFormAndLineReferenceDesc
ExplanationDRUGS AND MEDICAL SUPPLIES: NUMBER OF IMMUNIZATIONS RECEIVED. VACCINES FOR CHILDREN IS A STATE BASED PROGRAM THAT PROVIDES FREE VACCINES FOR KIDS. WE RECORD THE VALUE PER SHIPPING DOCUMENT WHEN THE SUPPLIES ARE RECEIVED FROM THE PROGRAM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, LINE 1ATHE EXECUTIVE COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE CORPORATION. THE OFFICERS OF THE CORPORATION SHALL BE MEMBERS OF THE BOARD OF DIRECTORS AND CONSIST OF A CHAIR, VICE CHAIR, A SECOND VICE CHAIR, A SECRETARY, AND A TREASURER. ONLY THE OFFICES OF SECRETARY AND TREASURER MAY BE HELD BY THE SAME PERSON. THE BOARD OF DIRECTORS MAY, BY RESOLUTION OR RESOLUTIONS PASSED BY A MAJORITY OF THE WHOLE BOARD, EMPOWER THE EXECUTIVE COMMITTEE TO ACT FOR AND ON BEHALF OF THE BOARD BETWEEN MEETINGS OF THE BOARD AND TO HAVE AND EXERCISE ALL OF THE POWER OF THE BOARD IN ACCORDANCE WITH THE GENERAL POLICY OF THE BOARD. WHEN ACTING FOR OR ON BEHALF OF THE BOARD OF DIRECTORS, THE EXECUTIVE COMMITTEE SHALL KEEP DUE RECORD OF ALL MEETINGS AND ACTIONS OF THE COMMITTEE AND SUCH RECORDS SHALL AT ALL TIMES BE OPEN TO THE INSPECTION OF ANY DIRECTOR AND FROM TIME TO TIME SHALL BE FILED WITH THE BOARD OF DIRECTORS AT THE MEETINGS THEREOF. SUCH RECORDS, AND ALL ACTIONS OF THE COMMITTEE RECORDED THEREIN, SHALL BE SUBJECT TO THE SUPERVISION AND RATIFICATION OF THE BOARD. NOTWITHSTANDING THE FOREGOING, THE DESIGNATION OF SUCH AN EXECUTIVE COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS OR ANY MEMBER THEREOF OF ANY RESPONSIBILITY IMPOSED ON IT OR ON ANY MEMBER BY LAW. THE FUNCTIONS OF THE EXECUTIVE COMMITTEE MAY BE PERFORMED BY MEETINGS OF THE COMMITTEE HELD IN THE REGULAR WAY OR BY A MAJORITY OF THE MEMBERS THEREOF, WHO BEING IN COMMUNICATION WITH EACH OTHER EITHER BY LETTER OR TELEPHONE, MAY DECIDE ANY MATTERS COMING WITHIN THE SCOPE OF THE COMMITTEE'S POWERS. A MAJORITY OF THE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A QUORUM AT SUCH MEETINGS FOR THE TRANSACTION OF BUSINESS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FINANCE COMMITTEE REVIEWS THE FULL FORM 990 IN DETAIL PRIOR TO IT BEING FINALIZED AND FILED. THEN EACH MEMBER OF THE FULL BOARD OF DIRECTORS ALSO RECEIVES A COPY OF THE FORM 990 PRIOR TO FILING. FINALLY, THE FORM 990 IS ALSO REVIEWED BY AN INDEPENDENT CPA FIRM PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CA POSSIBLE CONFLICT OF INTEREST EXISTS IF THE DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE OR COMMITTEE MEMBER HAS, EITHER DIRECTLY OR THROUGH FAMILY: (A) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH NHCI HAS A TRANSACTION OR ARRANGEMENT. (B) A COMPENSATION ARRANGEMENT WITH NHCI OR WITH ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI HAS A TRANSACTION OR ARRANGEMENT, OR (C) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHOM NHCI IS NEGOTIATING A TRANSACTION ARRANGEMENT. COMPENSATION INCLUDES DIRECT OR INDIRECT REMUNERATION, AS WELL AS GIFTS OR FAVORS THAT ARE CONSIDERED SUBSTANTIAL. THE ORGANIZATION'S BOARD MEMBERS AND OFFICERS SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT AND COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE ORGANIZATION'S PRESIDENT/CEO AND BOARD CHAIR REVIEW THE RESPONSES TO DETERMINE IF ANY POTENTIAL CONFLICTS OF INTEREST EXIST. WHERE ANY OF THE ABOVE EXISTS FOR ANY POSSIBLE TRANSACTION, THE PERSON HAS A DUTY TO DISCLOSE THE EXISTENCE OF THE RELATIONSHIP AND ALL MATERIAL FACTS OF THE RELATIONSHIP TO THE BOARD OF DIRECTORS OR COMMITTEE. AFTER FULL DISCLOSURE, THE BOARD OR COMMITTEE WILL DETERMINE IF A CONFLICT EXISTS. ANYONE WITH A CONFLICT OF INTEREST MUST EXCUSE HIMSELF OR HERSELF FROM THE DISCUSSION AND/OR VOTE FOR ANY CONFLICTING ISSUES. IN ADDITION, IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE BOARD OR COMMITTEE MAY: (A) DETERMINE IF NHCI CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT DOES NOT RESULT IN A CONFLICT OF INTEREST, OR (B) DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN NHCI'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE AND ENTER INTO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15A &15BAT LEAST EVERY THREE YEARS, HR PERFORMS A SALARY ANALYSIS WHICH COVERS ALL POSITIONS WITH THE ORGANIZATION; THE MOST RECENT SALARY ANALYSIS OCCURRED IN AUGUST 2014. THE SALARY ANALYSIS IS BASED ON SALARY SURVEYS INCLUDING LIKE ORGANIZATIONS AND THE LOCAL WAGES PAID IN THE FORT WAYNE AREA. THE DATA FROM THE SALARY SURVEY IS THEN USED BY THE BOARD OF DIRECTORS TO DETERMINE SALARY RANGES FOR ALL POSITIONS WITHIN THE ORGANIZATION UNTIL ANOTHER SALARY SURVEY IS COMPLETED, USUALLY WITHIN THREE YEARS. THE BOARD REVIEWS AND APPROVES THE SALARY RANGES FOR ALL POSITIONS, AND DOCUMENTS THEIR FINDINGS IN THE BOARD MEETING MINUTES. IN ADDITION, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE RANGE OF ANY RAISES FOR THE ORGANIZATION'S PRESIDENT/CEO AND OTHER OFFICERS ANNUALLY IN JANUARY WHEN THE ORGANIZATION'S BUDGET IS REVIEWED AND APPROVED, WHICH IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE BOARD OF DIRECTORS ALSO COMPLETES THE PRESIDENT/CEO'S PERFORMANCE REVIEW; THE PRESIDENT/CEO COMPLETES THE PERFORMANCE REVIEWS FOR ALL OTHER OFFICERS. ANY RAISES APPROVED BY THE BOARD ARE SET AS A PERCENTAGE, WHICH IS BASED ON THE OUTCOME OF THE PERFORMANCE REVIEW. TOTAL COMPENSATION MUST STAY WITHIN THE COMPENSATION RANGE SET BY THE MOST RECENT HR SALARY ANALYSIS. THIS REVIEW PROCESS WAS LAST UNDERTAKEN IN AUGUST 2014.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.

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