2015-08-11T11:00:09-05:00 2014-12-31 350921680 CROWE HORWATH LLP 330 E Jefferson Blvd PO Box 7 South Bend IN 466240007 990 2014-01-01 351922483 Neighborhood Health Clinics Inc NEIG 2604582641 1717 South Calhoun Street Fort Wayne IN 46802 Mary S Haupert President/CEO 2015-08-11 true Erica Cherry P01320580 5742323992 2014 2016-02-25 16:41:14Z Mary Haupert 1717 South Calhoun Street Fort Wayne IN 46802 9696974 false X www.nhci.org X 1994 IN The 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. 21 21 167 21 0 0 7956188 6271363 3408379 3418563 3849 1996 12357 5052 11380773 9696974 0 0 0 0 5588260 6309321 0 0 88725 3130018 3726572 8718278 10035893 2662495 -338919 11080094 10919512 857968 1036305 10222126 9883207 The 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 false false 8734766 3418563 NEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) PROVIDES QUALITY COMPREHENSIVE CARE, INCLUDING MEDICAL AND DENTAL SERVICES, TO INDIVIDUALS WHO ARE UNABLE TO ACCESS THE NORMAL HEALTH CARE SYSTEM. NHCI'S MAIN OFFICE IS LOCATED IN A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA WHERE FEW OTHER MEDICAL/DENTAL SERVICES ARE AVAILABLE. DURING 2014, NHCI PROVIDED MEDICAL SERVICES TO 9,675 INDIVIDUALS AND DENTAL SERVICES TO 7,258 INDIVIDUALS. OF THE INDIVIDUALS SERVED, 39% WERE AT OR BELOW THE POVERTY LEVEL; 73% WERE MINORITIES; AND 93% 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; DURING 2014 NHCI PROVIDED A TOTAL OF $2,786,962 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. NHCI'S DENTAL SERVICES INCLUDE: FULL FAMILY DENTAL CARE (PEDIATRIC DENTAL PATIENTS STARTING AT AGE 3); CAVITY PREVENTION; CAVITY TREATMENT; DENTAL X-RAYS; EXTRACTIONS; CROWNS; DENTURES; AND PROTECTIVE SEALANTS. NHCI 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 12,500 CHILDREN AGES 0-5 RECEIVE NUTRITION COUNSELING AND VOUCHERS FOR NUTRITIOUS FOOD FROM NHCI'S WIC PROGRAM IN ALLEN, DEKALB, AND NOBLE COUNTIES. 8734766 true true false false false false false false true true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 13 0 true 167 true false false false false false false false false false false false false X 21 21 false false false false false false false true true false false true true true true true true true false false IN X Richard Yergler 2604582648 1717 South Calhoun Street Fort Wayne IN 46802 Terry Broberg-Swangin Chair 1.00 X X 0 0 0 Nanette Baker Secretary 1.00 X X 0 0 0 J Phillip Tyndall MD 1st Vice Chair 1.00 X X 0 0 0 Holli Seabury 2nd Vice Chair 1.00 X X 0 0 0 Scott Jackson Treasurer 1.00 X X 0 0 0 Joe Cohen Director 1.00 X 0 0 0 Donna Spina Director 1.00 X 0 0 0 James Fisher Director 1.00 X 0 0 0 Joseph O'Dell Director 1.00 X 0 0 0 Dennis Becker Director 1.00 X 0 0 0 Angela Ruiz Director 1.00 X 0 0 0 Harout Kouyoumdjian Director 1.00 X 0 0 0 Dollye Carlisle Director 1.00 X 0 0 0 Shabbir Morriswalla Director 1.00 X 0 0 0 Theresa York Director 1.00 X 0 0 0 Anita Craig Director 1.00 X 0 0 0 Kayevonne Dailey Director 1.00 X 0 0 0 Johnathon Liechty Director 1.00 X 0 0 0 Mario Vaides Director 1.00 X 0 0 0 Jeff Vice Director 1.00 X 0 0 0 Benjamin Yoder DDS Director 1.00 X 0 0 0 Richard Yergler VP/CFO 40.00 X 62966 0 20971 Mary S Haupert President/CEO 40.00 X 105655 0 21998 Angie Zaegal VP/COO 40.00 X 71180 0 3689 Dr Thomas Stafford VP/CMO 36.00 X 174961 0 17070 Dr Carolyn Yap Family Practice MD 40.00 X 172722 0 10078 Dr Piyush Kumar Family Practice MD 40.00 X 163015 0 26475 Dr Goldy Carbunaru Pediatrician 30.00 X 102577 0 26982 Dr Cynthia Vanderbosch Family Practice MD 32.00 X 113008 0 413 Tyler Kimmel DDS Dentist/Dental Director 40.00 X 139668 0 8582 1105752 0 136258 7 false true false PARKVIEW HOSPITAL 2200 RANDALLIA DRIVE FORT WAYNE IN 46805 LABORATORY SERVICES 213343 MAINSTAY SOLUTIONS PO BOX 15562 FORT WAYNE IN 46885 IT SERVICE 118166 PRIORITY MANAGEMENT GROUP 700 SCHOOL STREET PAWTUCKET RI 02860 ACCTS RECEIVABLE/BILLING SERVICE 102451 3 166667 0 0 0 5360504 744192 261846 6271363 Net patient service revenue 623000 3418563 3418563 0 0 0 0 3418563 1996 1996 4594 4594 0 4594 4594 0 0 Miscellaneous 900099 458 458 0 0 0 0 458 9696974 3418563 0 7048 478487 84493 393994 4734499 4483563 181257 69679 72772 50543 21434 795 660892 645967 4930 9995 362671 317567 40196 4908 12976 2562 10414 53418 44639 8779 812671 769968 42703 0 30926 28059 2867 230988 180852 46788 3348 55742 55442 300 1013042 858123 154919 45442 37823 7619 5632 2333 3299 306798 55957 250841 47268 45856 1412 Medical Supplies 635302 635302 Bad Debt Expense 402137 402137 Dues & Subscriptions 47579 14031 33548 26651 19548 7103 0 10035893 8734765 1212403 88725 1171833 1292192 1153934 1023365 251963 366869 0 0 103711 107313 9816515 1686742 8398653 8129773 0 0 0 0 11080094 10919512 498379 698456 0 359589 337849 0 0 857968 1036305 X 9995109 9569941 207017 293266 20000 20000 10222126 9883207 11080094 10919512 -338919 0 X false true X true true true X 5224844 6737588 9076484 7956188 6271363 35266467 5224844 6737588 9076484 7956188 6271363 35266467 0 35266467 1636 3125 5682 7254 6590 24287 1391 1074 5079 8952 458 16954 35307708 17205864 0.9988 0.9988 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - MISCELLANEOUS, COLUMN A - 1391.0, COLUMN B - 1074.0, COLUMN C - 5079.0, COLUMN D - 8952.0, COLUMN E - 458.0, COLUMN F - 16954.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20000 22 22 20000 20000 25 25 20000 20000 42 42 20000 20000 55 55 20000 20000 59 59 20000 1.0 false false 133500 133500 7574771 282971 7291800 1165106 630777 534329 943138 772994 170144 8129773 0 X 9921304 224330 0 224330 9696974 0 0 9696974 10260223 224330 0 224330 10035893 0 0 10035893 Schedule D, Part V, Line 4 Intended uses of endowment funds Endowment earnings are used to offset the fees not covered by sliding fee patients. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the Organization is not generally subject to U.S. federal income tax or state income tax. The Organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Indiana for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at December 31, 2014 and 2013. X X X false false false false false false false false false Dr Thomas Stafford VP/CMO 174961 0 0 0 0 0 0 0 17070 0 192031 0 0 0 Dr Carolyn Yap Family Practice MD 172722 0 0 0 0 0 0 0 10078 0 182800 0 0 0 Dr Piyush Kumar Family Practice MD 163015 0 0 0 0 0 0 0 26475 0 189490 0 0 0 X 4863 261845 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number on contributions Drugs 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. Schedule M, Part I, Line 20 Number of contributions or items contributed 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. Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES SEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A Form 990, Part VI, Line 1a Delegate broad authority to a committee The 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 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, Line 11b Review of form 990 by governing body The 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. Form 990, Part VI, Line 12c Conflict of interest policy A 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 and 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 on interest 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 a 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, Line 15a Process to establish compensation of top management official At least every three years, HR performs a salary analysis which covers all positions within 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 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 April 2014. Form 990, Part VI, Line 19 Required documents available to the public Governing 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.