2015-10-01T13:32:49-05:00 2014-12-31 721396621 CARR RIGGS & INGRAM LLC 3501 N CAUSEWAY BLVD STE 810 METAIRIE LA 70002 990 2014-01-01 562439708 JEFFERSON COMMUNITY HEALTH CARE CENTER INC JEFF 5047628931 1855 AMES BLVD MARRERO LA 70072 DR SHONDRA WILLIAMS CEO 5047628931 2015-10-01 1 JACK B KASE CPA PFS P00040367 5048379116 2014 2016-04-25 22:37:26Z DR SHONDRA WILLIAMS 1855 AMES BLVD MARRERO LA 70072 8928989 0 X WWW.JCHCC.ORG X 2004 LA PROVIDE HEALTHCARE SERVICES INCLUDING MEDICAL, DENTAL, MENTAL HEALTH, PODIATRY, PEDIATRICS, AND OBSTETRICS/GYNECOLOGY. 7 7 99 12 0 0 3500326 3548461 4976539 5357093 27 1051 16541 22384 8493433 8928989 0 0 0 0 4736818 5410680 0 0 0 3284674 2759125 8021492 8169805 471941 759184 8435569 8053630 2413232 2510564 6022337 5543066 PROVIDE HEALTHCARE SERVICES INCLUDING MEDICAL, DENTAL, MENTAL HEALTH, PODIATRY, PEDIATRICS, AND OBSTETRICS/GYNECOLOGY SERVICES TO THE UNDERINSURED & UNINSURED CITIZENS OF JEFFERSON PARISH, LOUISIANA. 0 0 6611724 5379477 PROVIDED MEDICAL, DENTAL, MENTAL HEALTH, PODIATRY, PEDIATRICS, AND OBSTETRICS/GYNECOLOGY TO APPROXIMATELY 20,000 PATIENTS. APPROXIMATELY 50% OF THE PATIENTS TREATED WERE UNDER INSURED OR ON MEDICAID OR MEDICARE. 6611724 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 99 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DR SHONDRA WILLIAMS 5047628931 1855 AMES MARRERO LA 70072 REV JOSEPH DYSON BOARD MEMBER 2.00 X 0 0 0 AUDRY PARKER BOARD MEMBER 2.00 X 0 0 0 WILLIE KERNER BOARD MEMBER 2.00 X 0 0 0 LINDA BOSTICK BOARD MEMBER 2.00 X 0 0 0 THADDEUS VALENTINE VICE CHAIRMAN 2.00 X X 0 0 0 KAWANA RIPOLL BOARD MEMBER 2.00 X 0 0 0 CYNTHIA BUTLER MCLINTRYE BOARD MEMBER 2.00 X 0 0 0 BRIAN DAVIS BOARD SECRETARY 2.00 X X 0 0 0 MICHAEL MCKENNA BOARD CHAIRMAN 2.00 X X 0 0 0 LLOYD CLARK TREASURER 2.00 X X 0 0 0 DIEDRE D HAYES BOARD MEMBER 2.00 X 0 0 0 GWEN MEREDITH BOARD MEMBER 2.00 X 0 0 0 CHAD BROWN CHIEF OPERATING OFFICER 50.00 X 37363 0 4483 DR CYROUS ARDALAN CHIEF DENTAL OFFICER 40.00 X 86884 0 14948 DRMICHELE KAUTZMAN DEPUTY MEDICAL DIRECTOR 40.00 X 149738 0 27803 SHANA MARCELIN CHIEF FINANCIAL OFFICER 50.00 X 100596 0 11083 DR JEREMY DUMAS CHIEF MEDICAL OFFICER 45.00 X 179872 0 9747 ANNETTE YOUNG DIRECTOR OF NURSING 50.00 X 72943 0 12766 DRSHONDRA WILLIAMS CHIEF EXECUTIVE OFFICER 55.00 X 144880 0 27453 DR JUDE HANEY DIRECTOR OF HEALTH INFORMA 50.00 X 82587 0 13110 KIM NGUYEN DEPUTY DENTAL DIRECTOR 45.00 X 135337 0 9000 DR JAYA WARRIER PHYSICIAN 40.00 X 162544 0 0 DR MARIO KAKAZU PHYSICIAN 40.00 X 147008 0 0 DR JEAN MATHIS PHYSICIAN 40.00 X 149901 0 0 KIMBERLY RAYFORD DENTIST 40.00 X 111367 0 0 GENELLE PRICE DENTIST 40.00 X 129179 0 0 1690199 0 130393 10 0 1 0 WILLIAMS SCOTSMAN PO BOX 91975 CHICAGO IL 60693 CONSTR. CONTRACTORS 444034 SUCESS EHS ONE METROPLEX DRIVE STE 500 BIRMINGHAM AL 35209 RECORDS/BILLING SOFTWARE 184414 HENRY SHEIN DEPT CH 10541 PALANTINE IL 60055 MEDICAL/DENTAL SUPPLIES 137193 JANI KING 122 W PINE STREET PONCHATOULA LA 704543309 JANITORIAL SUPPLIER 135694 LABORATORY CORPORATION PO BOX 12140 BURLINGTON NC 272162140 LABORATORY FEES 116856 5 X 3548461 3548461 SERVICE REVENUES 621400 5357093 5357093 5357093 1051 1051 RETURN ON FCC INVESTME 900099 13241 13241 MISCELLANEOUS INCOME 900099 9143 9143 22384 8928989 5379477 0 1051 X 275465 82639 192826 5135215 4356453 778762 176801 123416 53385 15677 12592 3085 207572 202435 5137 108590 16793 91797 74855 41170 33685 239217 47843 191374 89293 88400 893 CONTRACT LABOR & SERVIC 783622 626478 157144 SUPPLIES 378306 371001 7305 DUES & SUBSCRIPTIONS 241682 241682 TELEPHONE & UTILITIES 235938 228309 7629 207572 172513 35059 8169805 6611724 1558081 0 2642466 690580 475000 1156367 1860238 67705 80809 4787960 1354206 3079488 3433754 1476350 1502774 13193 10475 8435569 8053630 851967 484571 258751 147122 1302514 1878871 2413232 2510564 X 6022337 5543066 6022337 5543066 8435569 8053630 X 759184 -1238455 X X 0 1 X 1 1 1 X 4152400 5605192 5510474 3500326 3548461 22316853 4152400 5605192 5510474 3500326 3548461 22316853 22316853 24555 7967 3685 27 1051 37285 22354138 0.99830 0.99740 X 278750 278750 2464687 2464687 568569 568569 1475954 1354206 121748 3433754 U.S. MUNICIPAL BONDS 1186154 F U.S. CORPORATE BONDS 316620 F 1502774 X 8928989 0 8928989 0 8928989 8169805 0 8169805 0 8169805 PART X, LINE 2: JCHCC IS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND AS SUCH IS NOT SUBJECT TO INCOME TAX. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY JCHCC AND RECOGNIZE A TAX LIABILITY IF JCHCC HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY JCHCC, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A TAX LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. JCHCC IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. JCHCC'S OPEN AUDIT PERIODS ARE 2011 THROUGH 2013. 1 X X X X 0 0 0 0 0 0 0 0 0 DRMICHELE KAUTZMAN DEPUTY MEDICAL DIRECTOR 149738 0 0 0 0 0 23208 0 4595 0 177541 0 0 0 DR JEREMY DUMAS CHIEF MEDICAL OFFICER 179872 0 0 0 0 0 5152 0 4595 0 189619 0 0 0 DRSHONDRA WILLIAMS CHIEF EXECUTIVE OFFICER 144880 0 0 0 0 0 22858 0 4595 0 172333 0 0 0 DR JAYA WARRIER PHYSICIAN 162544 0 0 0 0 0 0 0 0 0 162544 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - UPON COMPLETION, FORM 990 IS FIRST REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE WHO THEN MAKES RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD REVIEWS THE COMMITTEE REPORT AND ACCEPTS FORM 990 FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C AT ANNUAL MEETING, ANY EVENT WHERE A CONFLICT MAY BE SUSPECTED IS IMMEDIATELY ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15 OUTSIDE DATA IS COMPILED WITH SALARY COMPARISONS, REVIEWS OF OTHER ENTITIES' FORM 990 AND COMPARISONS WITH LIKE-SIZED AND FUNDED CHCS FOR THE BOARD'S CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VIII JCHCC HAS FOUR LOCATIONS IN WHICH IT PROVIDES SERVICES. OF THESE LOCATIONS, JCHCC RECEIVES FREE RENT ON THE MARRERO AND RIVER RIDGE LOCATIONS. THESE IN-KIND CONTRIBUTIONS WERE NOT INCLUDED ON THE AUDITED FINANCIAL STATEMENTS. THE APPROXIMATE VALUE OF THE DONATED RENT PER JCHCC MANAGEMENT IS $84,000 PER YEAR FOR EACH OF THE TWO LOCATIONS. FORM 990, PART IX, LINE 24E MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 71,275. MANAGEMENT AND GENERAL EXPENSES 29,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,430. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 94,206. MANAGEMENT AND GENERAL EXPENSES 2,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,418. EQUIPMENT: PROGRAM SERVICE EXPENSES 7,032. MANAGEMENT AND GENERAL EXPENSES 3,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,724. FORM 990, PART XI, LINE 9: PROVISIONS FOR BAD DEBTS -1,238,455. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.