CHARLES DREW HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES DREW HEALTH CENTER INC (EIN 47-0666715)
- Tax period
- 2013-09-01 to 2014-08-31
- Filed
- 2015-07-15
- IRS object ID
- 201541969349301244
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-15T12:58:29-07:00 | ReturnTs |
| Tax Period End | 2014-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON ASSOCIATES PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 PEARL ST | AddressLine1 |
| City | COUNCIL BLUFFS | City |
| State | IA | State |
| ZIP Code | 51503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470666715 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 4024571200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENNY MCMORRIS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4024571200 | PhoneNum |
| Signature | 2014-12-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL E HAMILTON | PreparerPersonNm |
| Phone | 7123220277 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENNY MCMORRIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,756,260 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING QUALITY COMPRESHENSIVE HEALTH CARE FOR THE TOTAL PERSON, THROUGH THE MEDIUM OF MANAGING AND OPERATING A COORDINATED HEALTH FACILITY AND ITS PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 158 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,195,296 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,743,091 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,026,983 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,900,977 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,061 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,525 | CYInvestmentIncomeAmt |
| CY Other Revenue | $107,667 | CYOtherRevenueAmt |
| PY Total Revenue | $9,227,340 | PYTotalRevenueAmt |
| CY Total Revenue | $9,756,260 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,839,759 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,381,317 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $124,063 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,357,541 | PYOtherExpensesAmt |
| CY Other Expenses | $3,307,230 | CYOtherExpensesAmt |
| PY Total Expenses | $9,197,300 | PYTotalExpensesAmt |
| CY Total Expenses | $9,688,547 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,040 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $67,713 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,484,305 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,588,069 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,879,617 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,767,325 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,604,688 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,820,744 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR GOAL IS TO PROVIDE QUALITY, COMPREHENSIVE AFFORDABLE HEALTHCARE TO | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,360,065 | ExpenseAmt |
| Revenue | $2,428,995 | RevenueAmt |
| Desc | CHARLES DREW HEALTH CENTER PROVIDES CARE FOR THE ENTIRE FAMILY. SERVICES INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN, PHARMACY, RADIOLOGY, OPTHALMOLOGY, MINOR SURGERY, CARDIOLOGY, PODIATRY, BEHAVIORAL HEALTH, AND NUTRITION. CHALES DREW HEALTH CENTER SERVED 10,451 PATIENTS AND FACILITATED 38,304 PATIENT ENCOUNTERS (VISITS). OF THE 10,451 PATIENTS SERVED, 1,568 WERE HOMELESS. OF THE 10,451 PATIENTS SERVED, CHARLES DREW HEALTH CENTER SERVED 630 PATIENTS AND FACILITATED A TOTAL OF 1,884 PATIENT VISITS THROUGH ITS PRIMARY CARE BEHAVIORAL HEALTH PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $637,357 | ExpenseAmt |
| Revenue | $579,649 | RevenueAmt |
| Desc | THE CDHC DENTAL PROGRAM PROVIDES THE FOLLOWING SERVICES: DENTAL SCREENINGS, ORAL EXAMS, SEALANTS, FLOURIDE TREATMENTS, RESTORATIVE SERVICES, ORAL SURGERY (EXTRACTIONS), EMERGENCY SERVICES AND REHABILITATION SERVICES. THE HEALTH CENTER FACILITATED 6,291 DENTAL PATIENT ENCOUNTERS (VISITS), REPRESENTING A 25% INCREASE OVER THE PRIOR YEAR, WHILE SERVING 2,542 PATIENTS, WHICH REPRESENTED A 28% INCREASE OVER THE PRIOR YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,997,422 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 35 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 158 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TARSHA JACKSON | PersonNm |
| Phone | 4024571200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOHN EWING JR | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DALE DAVENPORT | ||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA BROWN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BILLY HOUSE | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MALABY BYRD JR | ||||||||
| EX-OFFICIAL | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FREDRICK EDEGBELE | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALTHEA JONES | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARVIN STANCIL MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC PAYNE | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERNESTINE DORSEY | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TERRENCE BYRD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER RODGERS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HARRIS | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA CUNNINGHAM | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY THORNBURG | ||||||||
| MEMBER | 1 | Yes (X) | ||||||
| DR RICHARD BROWN | ||||||||
| CEO | 50 | Yes (X) | $145,995 | $35,019 | ||||
| KENNY MCMORRIS | ||||||||
| CEO | 50 | Yes (X) | $72,093 | $10,727 | ||||
| CALVIN MCGRUDER | ||||||||
| CFO | 50 | Yes (X) | $75,386 | $7,085 | ||||
| TARSHA JACKSON | ||||||||
| CFO | 50 | Yes (X) | ||||||
| GREGORY OCHUBA MD | ||||||||
| MEDICAL DIRECTOR | 50 | $188,973 | $13,709 | Yes (X) | ||||
| MONIQUE TOLSTON MD | ||||||||
| FAMILY PRACTICE PHYSICIAN | 50 | $184,316 | $15,861 | Yes (X) | ||||
| TAKASHI KAWAMITSU MD | ||||||||
| FAMILY PRACTICE PHYSICIAN | 50 | $162,455 | $14,689 | Yes (X) | ||||
| DR ARLANA PHILLUPS | ||||||||
| PEDIATRICIAN | 50 | $146,358 | $9,796 | Yes (X) | ||||
| ERIN WETZEL DDS | ||||||||
| DENTIST | 50 | $118,963 | $9,199 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,094,539 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $116,085 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SYNERGY BILLING SOLUTIONS | |||||
| 1540 CORNERSTONE BLVD STE 230 | DAYTONA BEACH | FL | 32117 | BILLING SERVICES | $146,862 |
| CUSTOM COMPUTING | |||||
| 11135 MILL VALLEY RD | OMAHA | NE | 68154 | BILLING SERVICES | $142,168 |
| HEARTLAND COMMUNITY HEALTH | |||||
| 4920 S 30TH ST | OMAHA | NE | 68107 | COMPUTER SERVICES | $131,660 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $50,235 | FederatedCampaignsAmt |
| Government Grants | $5,381,733 | GovernmentGrantsAmt |
| All Other Contributions | $1,311,123 | AllOtherContributionsAmt |
| Noncash Contributions | $141,895 | NoncashContributionsAmt |
| Total Contributions | $6,743,091 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| PATIENT SERVICE | 624100 | $2,393,325 |
| CONTRACTUAL SERVICE REVENUE | 624100 | $169,617 |
| PHARMACY REVENUE | 624100 | $216,545 |
| MISCELLANEOUS | 624100 | $121,490 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,900,977 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,525 | TotalRevenueColumnAmt |
| Exclusion | $4,525 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SHARED EXPENSE REIMBURSEMENTS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $107,667 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,667 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $107,667 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,756,260 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,008,644 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,525 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,640 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $568,640 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840,753 | TotalAmt |
| Program Services | $4,190,040 | ProgramServicesAmt |
| Management And General | $560,956 | ManagementAndGeneralAmt |
| Fundraising | $89,757 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,653 | TotalAmt |
| Program Services | $82,964 | ProgramServicesAmt |
| Management And General | $27,688 | ManagementAndGeneralAmt |
| Fundraising | $1,001 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,995 | TotalAmt |
| Program Services | $331,606 | ProgramServicesAmt |
| Management And General | $110,536 | ManagementAndGeneralAmt |
| Fundraising | $3,853 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,276 | TotalAmt |
| Program Services | $305,515 | ProgramServicesAmt |
| Management And General | $101,839 | ManagementAndGeneralAmt |
| Fundraising | $6,922 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,769 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $140,769 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,143,292 | TotalAmt |
| Program Services | $645,053 | ProgramServicesAmt |
| Management And General | $495,239 | ManagementAndGeneralAmt |
| Fundraising | $3,000 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,530 | TotalAmt |
| Program Services | $8,083 | ProgramServicesAmt |
| Management And General | $100 | ManagementAndGeneralAmt |
| Fundraising | $347 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,105 | TotalAmt |
| Program Services | $595,250 | ProgramServicesAmt |
| Management And General | $52,916 | ManagementAndGeneralAmt |
| Fundraising | $2,939 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $370,093 | TotalAmt |
| Program Services | $277,570 | ProgramServicesAmt |
| Management And General | $92,523 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,858 | TotalAmt |
| Program Services | $28,682 | ProgramServicesAmt |
| Management And General | $35,176 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,494 | TotalAmt |
| Program Services | $52,896 | ProgramServicesAmt |
| Management And General | $52,186 | ManagementAndGeneralAmt |
| Fundraising | $10,412 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,283 | TotalAmt |
| Program Services | $266,462 | ProgramServicesAmt |
| Management And General | $88,821 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,055 | TotalAmt |
| Program Services | $57,791 | ProgramServicesAmt |
| Management And General | $19,264 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT | $2,691 | $2,691 | $0 | $0 |
| COMMUNICATIONS | $161,695 | $91,969 | $69,726 | $0 |
| LICENSES | $168,251 | $31,369 | $136,882 | $0 |
| DUES & SUBSCRIPTIONS | $43,247 | $29,481 | $13,766 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,867 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
| Fundraising | $5,832 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,688,547 | TotalAmt |
| Program Services | $6,997,422 | ProgramServicesAmt |
| Management And General | $2,567,062 | ManagementAndGeneralAmt |
| Fundraising | $124,063 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,571 | BOYAmt |
| EOY | $2,385 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,545 | BOYAmt |
| EOY | $519,639 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,284 | BOYAmt |
| EOY | $484,773 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,572 | BOYAmt |
| EOY | $492,262 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,959 | BOYAmt |
| EOY | $14,949 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,551 | BOYAmt |
| EOY | $50,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,368,435 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,362,598 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,201,056 | BOYAmt |
| EOY | $5,005,837 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,767 | BOYAmt |
| EOY | $18,003 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,484,305 | BOYAmt |
| EOY | $6,588,069 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,805,285 | BOYAmt |
| EOY | $1,674,667 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,332 | BOYAmt |
| EOY | $92,658 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,879,617 | BOYAmt |
| EOY | $1,767,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,604,688 | BOYAmt |
| EOY | $4,820,744 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,604,688 | BOYAmt |
| EOY | $4,820,744 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,484,305 | BOYAmt |
| EOY | $6,588,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $67,713 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $148,343 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $15,821 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,821 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt II-B Line 1 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO NATIONAL AND STATE ASSOCIATIONS OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,653 | OtherCostOrOtherBasisAmt |
| Book Value | $95,653 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,883,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,257,345 | DepreciationAmt |
| Book Value | $4,626,141 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,163,656 | OtherCostOrOtherBasisAmt |
| Depreciation | $915,587 | DepreciationAmt |
| Book Value | $248,069 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,640 | OtherCostOrOtherBasisAmt |
| Depreciation | $189,666 | DepreciationAmt |
| Book Value | $35,974 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,005,837 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED OFFICER COMPENSATION | Desc |
| Amt | $92,658 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $92,658 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| DR RICHARD BROWN | |||
| $145,995 | $19,305 | $15,714 | $181,014 |
| GREGORY OCHUBA MD | |||
| $188,973 | $6,635 | $7,074 | $202,682 |
| MONIQUE TOLSTON MD | |||
| $184,316 | $7,373 | $8,488 | $200,177 |
| TAKASHI KAWAMITSU MD | |||
| $162,455 | $6,195 | $8,494 | $177,144 |
| DR ARLANA PHILLUPS | |||
| $146,358 | $6,172 | $3,624 | $156,154 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 14855 | ContributionCnt |
| Noncash Contributions Rpt F990 | $141,895 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt I col(b) | FormAndLineReferenceDesc |
| Explanation | NUMBER REPRESENTS NUMBER OF ITEMS CONTRIBUTED | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 IN DETAIL PRIOR TO |
| Pt VI, Line 11b | FILING. THEN COPIES ARE HANDED OUT AT THE BOARD MEETING PRIOR TO |
| Pt VI, Line 11b | FILING THE RETURN. |
| Pt VI, Line 12c | EACH BOARD MEMBER UPDATES A CONFLICT OF INTEREST FORM |
| Pt VI, Line 12c | ANNUALLY. |
| Pt VI, Line 15a | THE ENTIRE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY. SALARY |
| Pt VI, Line 15a | SURVEYS OF COMPARABLE AGENCIES IN SIZE, INDUSTRY, AND REGION |
| Pt VI, Line 15a | ARE USED TO COMPARE AND UPDATE BASE SALARIES. |
| Pt VI, Line 15b | SALARY SURVEYS OF COMPARABLE AGENCIES IN SIZE, INDUSTRY, AND REGION |
| Pt VI, Line 15b | ARE USED TO COMPARE AND UPDATE BASE SALARIES. |
| Pt VI, Line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL |
| Pt VI, Line 19 | STATEMENTS ARE AVAILABLE UPON REQUES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300216692 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Exempt Code Section | 501(C)3 | ExemptCodeSectionTxt |
| Public Charity Status | 509A(3) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
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