2015-06-01T15:45:40-05:00 2014-12-31 311452851 STEPHENSON AND WARNER INC CPAS 1502 UNIVERSITY BLVD STE E HAMILTON OH 450113300 990 2014-01-01 261253235 COMMUNITY HEALTH CENTERS OF GREATER DAYTON COMM 1323 W 3RD STREET DAYTON OH 45402 GREGORY HOPKINS EXEC DIRECTOR 2015-06-01 true LARRY F WARNER CPA P00158723 5138688600 2015-06-01 2014 2016-03-07 17:11:31Z CHARLES DREW HEALTH CENTER GREGORY HOPKINS 1323 W 3RD STREET DAYTON OH 45402 9050750 false 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 13 122 0 2468479 2774994 5529450 6189154 265 60 50621 86542 8048815 9050750 0 0 4670919 5390115 33925 64450 64994 2915572 3299886 7620416 8754451 428399 296299 1725897 1725098 953982 485132 771915 1239966 OUR MISSION IS TO IMPROVE LIVES BY PROVIDING QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY. false false 7531641 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 2014, CHCGD PROVIDED A TOTAL OF 46,583 ENCOUNTERS TO 13,751 PATIENTS. CHCGD RECEIVED 614,805 WORTH OF DONATED PHARMACEUTICALS FROM OHIO MEDICAID TO PROVIDE VACCINATIONS TO ELIGIBLE CHILDREN UNDER ITS VACCINE FOR CHILDREN (VFC)PROGRAM. 7531641 true true false false false false false false false false true false false false false false true false false false false false false true false false false false false true false false false false false false false false true false false false false false false false false true 35 0 false 122 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false OH X JAYME HANSEN 9375869733 1323 W 3RD STREET DAYTON OH 45402 JIM MCGUIRE PRESIDENT 0.50 X X 0 0 0 GARLA CARRETT HARSHAW VICE PRESIDE 0.50 X X 0 0 0 TOM 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 JIM GROSS TRUSTEE 0.50 X 0 0 0 THOMAS HERSCHLINE 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 NICOLE WEBSTER TRUSTEE 0.50 X 0 0 0 RUSS WETHERELL TRUSTEE 0.50 X 0 0 0 GREGORY HOPKINS EXECUTIVE DI 40.00 X 129794 0 11476 LADONNA BARNES-LARK PHYSICIAN 40.00 X 186356 0 8956 BRUCE PASCH PHYSICIAN 40.00 X 153978 0 20671 MATHEW NOORDSIJ-JONES PHYSICIAN 40.00 X 134502 0 11623 JULIA LAMB PHYSICIAN 40.00 X 132959 0 10712 KATHERINE LAMBES PHYSICIAN 40.00 X 130786 0 18549 868375 81987 9 false true false DAYTON OSTEOPATHIC HOSPITAL 405 GRAND AVE DAYTON OH 45405 MEDICAL/RENT 579217 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 EMR SUPPORT 201377 MIAMI VALLEY HOSPITAL 1 WYOMING ST DAYTON OH 45409 RENT 142361 ADVANTAGE ON CALL LLC 7187 SOLUTION CENTER CHICAGO IL 60677 STAFFING SVCS 120354 4 2657575 117419 614805 2774994 PRACTICE REVENUE 5045779 5045779 PHDMC CONTRACT 427695 427695 340B PROGRAM 423134 423134 EHR PAYMENTS 123250 123250 KHN CONTRACT 121616 121616 47680 47680 6189154 60 60 MISCELLANEOUS 86542 86542 86542 9050750 6189154 86602 X 141270 119755 21515 4231795 3616735 615060 52228 36342 15886 602851 472233 130618 361971 309649 52322 4082 4082 11900 11900 64450 64450 966432 854359 111529 544 151200 122090 29110 288665 278949 9716 543088 529895 13193 137088 137088 16886 16886 DONATED PHARMACEUTICALS 614805 614805 MEDICAL SUPPLIES 376249 376249 GENERAL 97170 35711 61459 EDUCATION AND TRAINING 47671 15762 31909 44650 12019 32631 8754451 7531641 1157816 64994 350742 251754 200265 102522 42811 83530 596507 557229 120427 139167 1174154 585507 412896 588647 2249 2249 1725897 1725098 558360 357009 395622 128123 953982 485132 X 771915 1239966 771915 1239966 1725897 1725098 296299 171752 X false true X true true true X 1733423 2871640 2354487 2468479 2774994 12203023 1733423 2871640 2354487 2468479 2774994 12203023 12203023 294 293 616 265 60 1528 30057 62134 212717 50621 86542 442071 12646622 6189154 0.96490 0.96930 X PART II, LINE 10 442,071 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 417637 60218 357419 756517 525289 231228 588647 9222502 171752 171752 9050750 9050750 8754451 8754451 8754451 SCHEDULE D, PAGE 4, PART XI, LINE 2D DEFERRED REVENUE UTILIZED VS 2014 DONATIONS RECEIVED 171,752 X X X X X true CRA SOLUTIONS INC 10895 FALLSINGTON CT CINCINNATI OH 45242 GRANT WRIT false 101750 54450 47300 GILBERT CONSULTING LLC 3405 SUNDANCE CT GRANBURY TX 76049 GRANT WRIT false 10000 -10000 101750 64450 37300 OH X X X X false false false false false false false true false LADONNA BARNES-LARK PHYSICIAN 171357 14999 8956 195312 BRUCE PASCH PHYSICIAN 153978 20671 174649 SCHEDULE J, PAGE 1, 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 614805 false false false FORM 990, PAGE 1, ITEM C CORWIN NIXON HEALTH CENTER EAST DAYTON HEALTH CENTER VICTOR CASSANO HEALTH CENTER SOUTHVIEW HEALTH CENTER ALEX CENTRAL HEALTH CENTER FORM 990, PAGE 6, PART VI, LINE 11B 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 IS THEN DISTRIBUTED TO EACH MEMBER OF THE FINANCE COMMITTEE AND ANY BOARD MEMBER WHO REQUESTS IT. FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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 COMMITTEE, RANGES ARE THEN PRESENTED TO THE FULL BOARD FOR FINAL APPROVAL. FORM 990, PAGE 6, PART VI, 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 COMMUNITYHEALTHDAYTON.ORG. FORM 990, PART IX, LINE 11G CONSULTING 0 50,086 0 CONTRACTED SERVICES 662,111 0 0 OUTSIDE SERVICES-MEDICAL 32,817 0 0 OUTSIDE SERVICES-NON MEDICAL 47,168 0 0 INTERPRETERS 69,679 0 0 DOCUMENT MANAGEMENT 9,492 0 0 RECRUITING SERVICES 46,114 0 0 REPAIRS AND MAINTENANCE FEES 43,238 0 0 OTHER 5,183 0 0 ALLOCATIONS -61,443 61,443 0 OTHER 0 0 544 FORM 990, PART XI, LINE 9 DEFERRED REVENUE UTILIZED VS 2014 DONATIONS RECEIVED 171,752