2015-02-05T12:38:06-06:00 2014-03-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-04-01 222682708 HENRY J AUSTIN HEALTH CENTER INC HENR 6099893599 321 N WARREN STREET TRENTON NJ 08618 GEORGE C STOKES CEO 6099893599 2015-02-04 1 JULIUS GREEN CPA P00350393 2159720701 2013 2016-03-07 17:11:31Z GEORGE C STOKES 321 N WARREN STREET TRENTON NJ 08618 12227827 0 X WWW.HENRYJAUSTIN.ORG X 1986 NJ TO PROVIDE QUALITY HEALTHCARE TO MERCER COUNTY'S UNINSURED AND UNDERINSURED. 13 13 143 19 0 0 5334760 5727224 5472603 6295581 290 592 111617 162844 10919270 12186241 550 3500 0 0 8313571 8334037 0 0 0 2834117 3376750 11148238 11714287 -228968 471954 5456548 5741071 3834380 3646949 1622168 2094122 X THE HENRY J. AUSTIN HEALTH CENTER, INC. PROVIDES PATIENT-CENTERED, COMPREHENSIVE, ACCESSIBLE, EFFICIENT, QUALITY PRIMARY CARE SERVICES TO THE CULTURALLY DIVERSE GREATER TRENTON COMMUNITY. OUR EXCEPTIONAL, DEDICATED, WELL-TRAINED TEAM DELIVERS BEST PRACTICE HEALTH CARE, WORKING WITH COMMUNITY PARTNERS TO PROVIDE EXTRAORDINARY CUSTOMER SERVICE AND QUALITY OUTCOMES. 0 0 5373134 3500 3127486 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE SERVICES TO THE LARGELY MEDICALLY UNDERSERVED POPULATION OF THE SURROUNDING TRENTON AREA. DURING THE YEAR, THE ORGANIZATION SAW 11,663 PATIENTS AND HAD 47,446 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 4.07. 1317130 1317130 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE AND RELATED SUPPORTING SOCIAL SERVICES TO THE AFFECTED HIV POPULATION OF THE SURROUNDING TRENTON AREA. THESE SERVICES ALSO INCLUDED HIV EDUCATION AND PREVENTION SERVICES. DURING THE YEAR, THE ORGANIZATION SAW 305 PATIENTS AND HAD 3,264 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 10.7. 1450234 2019908 HENRY J. AUSTIN HEALTH CENTER PROVIDES MEDICAL, DENTAL, MENTAL AND OTHER HEALTH CARE SERVICES TO THE HOMELESS POPULATION IN THE SURROUNDING TRENTON AREA. DURING THE YEAR, THE ORGANIZATION SAW 1,331 PATIENTS AND HAD 5,261 PATIENT VISITS. THE AVERAGE NUMBER OF VISITS PER PATIENT WAS 3.95. 8140498 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 26 0 1 143 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 1 0 NJ X ELIDORO PRIMERO 6092785938 321 N WARREN STREET TRENTON NJ 08618 MONICA L WEAVER CHAIRPERSON 1.50 X X 0 0 0 KA'NEDA BULLOCK VICE CHAIRPERSON 1.50 X X 0 0 0 DANIEL R BENSON BOARD TREASURER 1.50 X X 0 0 0 MONIQUE P RICHARDSON BOARD SECRETARY 1.50 X X 0 0 0 DR JONATHAN P UY DIRECTOR 1.50 X 0 0 0 DAVID HENDERSON DIRECTOR 1.50 X 0 0 0 ALBA HERNANDEZ DIRECTOR 1.50 X 0 0 0 ABIEZEL RAICES DIRECTOR 1.50 X 0 0 0 JUAN CARLOS AVILA DIRECTOR 1.50 X 0 0 0 TYRONE GASKINS DIRECTOR 1.50 X 0 0 0 CINTHIA GONZALEZ DIRECTOR 1.50 X 0 0 0 BEVERLY ANN SMITH DIRECTOR 1.50 X 0 0 0 WAYNE FRASCELLA DIRECTOR 1.50 X 0 0 0 CORINNE HIGGINS CFO 35.00 X 127148 0 20698 KEMI ALLI CMO 35.00 X 195733 0 9202 GEORGE STOKES CEO 35.00 X 156582 0 20681 DEVIN GOODMAN DENTAL DIRECTOR 35.00 X 150367 0 807 SARIYA PACHECO-SMITH PHYSICIAN 37.50 X 151723 0 16323 MAGALI SANTOS DENTIST 40.00 X 148209 0 10016 MIGNON M D'GUERRA PHYSICIAN 40.00 X 136165 0 23828 LISA LOPEZ PHYSICIAN 40.00 X 143206 0 27173 KHADIJAH ISMAEL DENTIST 40.00 X 129674 0 22031 1338807 0 150759 11 0 1 0 FOOT HEALTH CENTERS PA 52 BERLIN RD SUITE 5000 CHERRY HILL NJ 08034 PODIATRY 128965 ELECTRONIC HEALTHCARE SYSTEMS 100 BROOKWOOD PLACE SUITE 410 BIRMINGHAM AL 35209 EMR SYSTEMS SUPPORT AND TRAINING 122657 BHS LLC 122 SUMMIT AVE WEST TRENTON NJ 08628 COMMERCIAL REAL ESTATE LEASING 122453 WHISTLE BUILDING MAINTENANCE 210 DRYDEN AVE EWING NJ 08638 JANITORIAL SERVICES 120603 4 5339848 387376 175975 5727224 PATIENT SERVICE REVENUE 621400 6138557 6138557 CONTRACT SERVICES 900099 114627 114627 340B PROGRAM 621400 42397 42397 6295581 592 592 35487 41586 -6099 -6099 -6099 GAIN ON EXTINGUISHMENT OF LIABILI 900099 130692 130692 THIRD PARTY INCENTIVES 621400 35138 35138 MISCELLANEOUS REVENUE 621400 3113 3113 168943 12186241 6464524 0 -5507 3500 3500 636448 636448 6417906 4438460 1979446 790334 533482 256852 489349 310148 179201 55480 43501 11979 43760 43760 847353 664402 182951 232060 181956 50104 194646 194646 23560 18473 5087 41507 32545 8962 125668 98535 27133 317930 249286 68644 78683 61695 16988 MEDICAL SUPPLIES 586517 586517 BAD DEBT EXPENSE 337557 337557 EQUIPMENT & REPAIRS 307786 241332 66454 COMPUTER FEES 43049 33754 9295 141194 110709 30485 11714287 8140498 3573789 0 2580 2630 110644 539065 56595 75617 963006 985360 31751 43130 8000134 3915246 4281591 4084888 10381 10381 5456548 5741071 1256532 895219 342410 754978 2083629 1956124 151809 40628 3834380 3646949 X 1622168 2094122 1622168 2094122 5456548 5741071 471954 0 X 0 1 X 1 1 1 X 5446501 5071284 5365060 5201985 5727224 26812054 7617650 6364175 5335222 5685927 6253184 31256158 13064151 11435459 10700282 10887912 11980408 58068212 0 0 0 58068212 31803 29415 33304 32874 36079 163475 31803 29415 33304 32874 36079 163475 38666 38129 68624 44288 211340 401047 13134620 11503003 10802210 10965074 12227827 58632734 0.99040 0.99220 0.00280 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 38,666. 2010 AMOUNT: $ 38,129. 2011 AMOUNT: $ 68,624. 2012 AMOUNT: $ 44,288. 2013 AMOUNT: $ 211,340. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36142 36142 3972147 966041 3006106 1615595 918675 696920 2240418 1895021 345397 135832 135509 323 4084888 SUB-RECIPIENT FUNDS 1035 OBLIGATIONS UNDER CAPITAL LEASE 39593 40628 X 12097135 0 12097135 89106 89106 12186241 11625181 -89106 -89106 11714287 0 11714287 PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013. THE CENTER'S FEDERAL RETURNS FOR YEARS ENDED PRIOR TO MARCH 31, 2011 NO LONGER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE CENTER DOES NOT PERFORM ANY ACTIVITIES THAT WOULD BE SUBJECT TO UNRELATED BUSINESS INCOME TAX; THEREFORE, IT HAS NOT FILED FORM 990-T, EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -41,586. GAIN ON EXTINGUISHMENT OF LIABILITIES 130,692. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 41,586. GAIN ON EXTINGUISHMENT OF LIABILITIES -130,692. X X X 0 0 0 0 0 0 0 0 0 KEMI ALLI CMO 195733 0 0 0 0 0 881 0 8321 0 204935 0 0 0 GEORGE STOKES CEO 156582 0 0 0 0 0 696 0 19985 0 177263 0 0 0 DEVIN GOODMAN DENTAL DIRECTOR 150367 0 0 0 0 0 807 0 0 0 151174 0 0 0 SARIYA PACHECO-SMITH PHYSICIAN 151723 0 0 0 0 0 808 0 15515 0 168046 0 0 0 MAGALI SANTOS DENTIST 148209 0 0 0 0 0 800 0 9216 0 158225 0 0 0 MIGNON M D'GUERRA PHYSICIAN 136165 0 0 0 0 0 786 0 23042 0 159993 0 0 0 LISA LOPEZ PHYSICIAN 143206 0 0 0 0 0 774 0 26399 0 170379 0 0 0 KHADIJAH ISMAEL DENTIST 129674 0 0 0 0 0 770 0 21261 0 151705 0 0 0 X 1 175975 FMV 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1 IN EMERGENCY SITUATIONS WHERE THE FULL BOARD IS UNAVAILABLE, THE EXECUTIVE COMMITTEE, MADE UP OF THE CHAIRPERSON OF EACH COMMITTEE, MAY ACT. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO OF THE ORGANIZATION, WHO HAS OVER 20 YEARS OF EXPERIENCE WITH NOT FOR PROFIT ORGANIZATIONS. THE FORM 990 IS GIVEN TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE FINANCE COMMITTEE PERFORMS THE ULTIMATE SIGN OFF ON THE FORM 990. AFTER THE RETURN IS APPROVED INTERNALLY AND PRIOR TO FILING, A COPY IS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND THE MEMBERS ARE GIVEN AN OPPORTUNITY TO ASK QUESTIONS REGARDING THE FORM 990. ONCE THIS PROCEDURE IS COMPLETED, THE FORM 990 IS SIGNED BY THE CFO AND FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, THE ORGANIZATION DISTRIBUTES A CONFLICT OF INTEREST POLICY STATEMENT TO EXECUTIVE MANAGEMENT AND TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND AFFIRMATIVE ACKNOWLEDGEMENT THAT THEY ARE AWARE OF THE POLICY. THE CEO'S EXECUTIVE ASSISTANT REVIEWS AND MONITORS COMPLIANCE WITH THE CONFLICT STATEMENTS. IN ADDITION, THE ORGANIZATION ASKS FOR INFORMATION REGARDING ANY ORGANIZATION(S) THAT SENIOR MANAGEMENT, MEDICAL STAFF OR BOARD OF DIRECTORS HAVE AN INTEREST IN TO ENSURE THAT REFERRALS OR OTHER VENDOR RELATIONSHIPS ARE NOT BEING CONSUMMATED WITH THOSE ENTITIES. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO A SUBSET OF THE BOARD OF DIRECTORS FOR THEIR INITIAL REVIEW. ANY CONFLICTS DEEMED BY THIS SUBSET TO BE POTENTIALLY DETRIMENTAL TO THE ORGANIZATION ARE REFERRED TO LEGAL COUNSEL FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) ISUES AN ANNUAL SALARY SURVEY, AS DOES THE NEW JERSEY PRIMARY CARE ASSOCIATION (NJPCA). SUCH INFORMATION HAS BEEN PROVIDED TO THE BOARD FOR USE IN DETERMINATION OF SALARY FOR THE CURRENT CEO WHO WAS HIRED IN OCTOBER, 2011 AND OTHER TOP MANAGEMENT POSITIONS (COO AND CFO) HIRED IN 2014. THE CEO ALSO USES THE INFORMATION FOR HIRING SENIOR STAFF MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.