NEIGHBORHOOD HEALTH CLINICS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NEIGHBORHOOD HEALTH CLINICS INC (EIN 35-1922483)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-12
IRS object ID
201402249349300945
Schema version
2013v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-08-12T10:00:09-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVDAddressLine1
Address Line2PO BOX 7AddressLine2
CitySOUTH BENDCity
StateINState
ZIP Code466240007ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351922483EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEIGHBORHOOD HEALTH CLINICS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNEIGBusinessNameControlTxt
Phone2604582648PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 South Calhoun StreetAddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY S HAUPERTPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Signature2014-07-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonErica CherryPreparerPersonNm
PTINP01320580PTIN
Phone5742323992PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Principal Ofcr Business Address PrincipalOfcrBusinessAddress

FieldValueIRS element (for citing)
Business Name Line1MARY HAUPERTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 South Calhoun StreetAddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$11,380,773GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NHCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionNEIGHBORHOOD HEALTH CLINICS OFFERS AN ARRAY OF HEALTH CARE SERVICES, INCLUDING FULL FAMILY MEDICAL AND DENTAL CARE, PEDIATRIC CARE, WOMEN'S HEALTH CARE, PREGNANCY CARE, AND THE WIC NUTRITIONAL SUPPLEMENT PROGRAM TO LOW AND MODERATE INCOME FAMILIES IN THE FORT WAYNE, INDIANA AND SURROUNDING AREAS.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee204TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,076,484PYContributionsGrantsAmt
CY Contributions Grants$7,956,188CYContributionsGrantsAmt
PY Program Service Revenue$3,869,667PYProgramServiceRevenueAmt
CY Program Service Revenue$3,408,379CYProgramServiceRevenueAmt
PY Investment Income$2,561PYInvestmentIncomeAmt
CY Investment Income$3,849CYInvestmentIncomeAmt
PY Other Revenue$8,200PYOtherRevenueAmt
CY Other Revenue$12,357CYOtherRevenueAmt
PY Total Revenue$12,956,912PYTotalRevenueAmt
CY Total Revenue$11,380,773CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,873,407PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,588,260CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$76,441CYTotalFundraisingExpenseAmt
PY Other Expenses$3,266,092PYOtherExpensesAmt
CY Other Expenses$3,130,018CYOtherExpensesAmt
PY Total Expenses$9,139,499PYTotalExpensesAmt
CY Total Expenses$8,718,278CYTotalExpensesAmt
PY Revenues Less Expenses$3,817,413PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,662,495CYRevenuesLessExpensesAmt
Total Assets BOY$9,246,143TotalAssetsBOYAmt
Total Assets EOY$11,080,094TotalAssetsEOYAmt
Total Liabilities BOY$1,686,512TotalLiabilitiesBOYAmt
Total Liabilities EOY$857,968TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,559,631NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,222,126NetAssetsOrFundBalancesEOYAmt
MissionTHE PURPOSE OF NEIGHBORHOOD HEALTH CLINICS, INC. (NHCI) IS TO IDENTIFY THE NEEDS OF AND TO PROVIDE QUALITY COMPREHENSIVE HEALTH SERVICES TO THOSE PERSONS UNABLE TO ACCESS THE NORMAL HEALTH CARE DELIVERY SYSTEMS. THIS IS TO BE DONE IN AN EFFECTIVE MANNER WITH RESPECT AND SENSITIVITY TO THOSE BEING SERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,548,754ExpenseAmt
Grant$0GrantAmt
Revenue$3,408,379RevenueAmt
DescNEIGHBORHOOD 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 2013, NHCI PROVIDED MEDICAL SERVICES TO 10,879 INDIVIDUALS AND DENTAL SERVICES TO 7,544 INDIVIDUALS. OF THE INDIVIDUALS SERVED, 34% WERE AT OR BELOW THE POVERTY LEVEL; 42% WERE MINORITIES; AND 98% 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 2013 NHCI PROVIDED A TOTAL OF $2,561,132 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. IN ADDITION, NHCI PARTICIPATES IN THE INDIANA STATE DEPARTMENT OF HEALTH PRENATAL SUBSTANCE USE PREVENTION PROGRAM (PSUPP), WHICH AIMS TO PREVENT NEGATIVE PREGNANCY OUTCOMES FROM MATERNAL DRUG USE IN PREGNANCY. THE PSUPP PROGRAM SEEKS TO EDUCATE CLINIC PATIENTS, THE GENERAL PUBLIC, AND MEDICAL AND SOCIAL SERVICE PROVIDERS ABOUT THE RISKS OF PREGNANCY COMPLICATIONS, SPONTANEOUS ABORTION, PRETERM BIRTH, LOW BIRTH WEIGHT AND FETAL NEUROLOGICAL AND ORGAN DAMAGE, WHICH CAN STEM FROM FETAL EXPOSURE TO EVERYTHING FROM NICOTINE AND ALCOHOL TO COCAINE AND OTHER DRUGS. THE PSUPP PROGRAM WAS ENDED BY THE STATE JULY 1, 2013.Desc
Total Program Service Expenses$7,548,754TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee204EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Richard YerglerBusinessNameLine1
FieldValueIRS element (for citing)
Phone2604582648PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11717 South Calhoun StreetAddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
J PHILLIP TYNDALL MD
1ST VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JAMES FISHER
2ND VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
NANETTE BAKER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
SCOTT JACKSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
TERRY BROBERG-SWANGIN
CHAIR1.00Yes (X)Yes (X)$0$0$0
ALICE MULL
DIRECTOR1.00Yes (X)$0$0$0
ANGELA RUIZ
DIRECTOR1.00Yes (X)$0$0$0
BRUCE LEHMAN
DIRECTOR1.00Yes (X)$0$0$0
CYNTHIA AMBER
DIRECTOR1.00Yes (X)$0$0$0
DANIEL PASCHALL
DIRECTOR - PARTIAL YEAR1.00Yes (X)$0$0$0
DENNIS BECKER
DIRECTOR1.00Yes (X)$0$0$0
DOLLYE CARLISLE
DIRECTOR1.00Yes (X)$0$0$0
DONNA SPINA
DIRECTOR1.00Yes (X)$0$0$0
HAROUT KOUYOUMDJIAN
DIRECTOR1.00Yes (X)$0$0$0
HOLLI SEABURY
DIRECTOR1.00Yes (X)$0$0$0
JOE COHEN
DIRECTOR1.00Yes (X)$0$0$0
JOHN WALSH
DIRECTOR - PARTIAL YEAR1.00Yes (X)$0$0$0
JOSEPH O'DELL
DIRECTOR1.00Yes (X)$0$0$0
KRISHNA JO MARTIN
DIRECTOR - PARTIAL YEAR1.00Yes (X)$0$0$0
MIKE ZIEMBO
DIRECTOR1.00Yes (X)$0$0$0
PATRICIA JETER
DIRECTOR - PARTIAL YEAR1.00Yes (X)$0$0$0
SHABBIR MORRISWALLA
DIRECTOR1.00Yes (X)$0$0$0
SUE EHINGER
DIRECTOR1.00Yes (X)$0$0$0
THERESA YORK
DIRECTOR1.00Yes (X)$0$0$0
TOMEKA GRIMES
DIRECTOR1.00Yes (X)$0$0$0
ANGIE ZAEGAL
VP/COO40.00Yes (X)$61,261$0$3,177
DR TERREL BOND
VP/CMO-RESIGNED IN 2/201340.00Yes (X)$90,446$0$0
DR THOMAS STAFFORD
VP/CMO36.00Yes (X)$118,898$0$10,308
MARY S HAUPERT
PRESIDENT/CEO40.00Yes (X)$99,083$0$17,235
RICHARD YERGLER
VP/CFO40.00Yes (X)$58,820$0$14,510
DR CAROLYN YAP
FAMILY PRACTICE MD40.00$167,036$0$7,857Yes (X)
DR GOLDY CARBUNARU
PEDIATRICIAN30.00$100,009$0$21,928Yes (X)
DR PATRICK QUINN
DENTIST28.00$117,474$0$6,549Yes (X)
DR PIYUSH KUMAR
FAMILY PRACTICE MD40.00$157,226$0$17,044Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$970,253TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$98,608TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
FETTERS CONSTRUCTION INC
5417 COUNTY ROAD 427AUBURNIN46706CONSTRUCTION LABOR$507,764
PARKVIEW HOSPITAL
2200 RANDALLIA DRIVEFORT WAYNEIN46805LABORATORY SERVICES$214,072
MAINSTAY SOLUTIONS
PO BOX 15562FORT WAYNEIN46885IT SERVICE$117,070
PRIORITY MANAGEMENT GROUP
700 SCHOOL STREETPAWTUCKETRI02860ACCTS RECEIVABLE/BILLING SERVICE$105,458
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$170,227FederatedCampaignsAmt
Government Grants$7,142,726GovernmentGrantsAmt
All Other Contributions$643,235AllOtherContributionsAmt
Noncash Contributions$253,687NoncashContributionsAmt
Total Contributions$7,956,188TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE623000$3,408,379$3,408,379
$0
$0
$0
$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,408,379TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,849TotalRevenueColumnAmt
Exclusion$3,849ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,405RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,405RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,405TotalRevenueColumnAmt
Exclusion$3,405ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS900099$8,952$8,952
$0
$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,952OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,380,773TotalRevenueColumnAmt
Related Or Exempt Func Income$3,408,379RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,206ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$473,739TotalAmt
Program Services$83,984ProgramServicesAmt
Management And General$389,755ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,218,683TotalAmt
Program Services$3,879,496ProgramServicesAmt
Management And General$277,642ManagementAndGeneralAmt
Fundraising$61,545FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$549,876TotalAmt
Program Services$525,520ProgramServicesAmt
Management And General$16,474ManagementAndGeneralAmt
Fundraising$7,882FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$345,962TotalAmt
Program Services$308,399ProgramServicesAmt
Management And General$32,981ManagementAndGeneralAmt
Fundraising$4,582FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,151TotalAmt
Program Services$1,611ProgramServicesAmt
Management And General$7,540ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,713TotalAmt
Program Services$44,835ProgramServicesAmt
Management And General$6,878ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$608,399TotalAmt
Program Services$575,338ProgramServicesAmt
Management And General$33,061ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$224,556TotalAmt
Program Services$179,803ProgramServicesAmt
Management And General$42,321ManagementAndGeneralAmt
Fundraising$2,432FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$64,582TotalAmt
Program Services$59,163ProgramServicesAmt
Management And General$5,419ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$841,264TotalAmt
Program Services$770,432ProgramServicesAmt
Management And General$70,832ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,147TotalAmt
Program Services$28,383ProgramServicesAmt
Management And General$10,764ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,408TotalAmt
Program Services$142ProgramServicesAmt
Management And General$4,266ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$203,343TotalAmt
Program Services$75,613ProgramServicesAmt
Management And General$127,730ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,540TotalAmt
Program Services$38,521ProgramServicesAmt
Management And General$1,019ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$540,264$536,345$3,919
BAD DEBT EXPENSE$332,217$332,217
DUES & SUBSCRIPTIONS$46,188$13,820$32,368
CAPITAL GRANT EXPENSE$7,034$7,034

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$118,212TotalAmt
Program Services$88,098ProgramServicesAmt
Management And General$30,114ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,718,278TotalAmt
Program Services$7,548,754ProgramServicesAmt
Management And General$1,093,083ManagementAndGeneralAmt
Fundraising$76,441FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,112,514BOYAmt
EOY$1,171,833EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,582,443BOYAmt
EOY$1,153,934EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$264,399BOYAmt
EOY$251,963EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$104,245BOYAmt
EOY$103,711EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,786,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,388,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,182,542BOYAmt
EOY$8,398,653EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,246,143BOYAmt
EOY$11,080,094EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,298,184BOYAmt
EOY$498,379EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$388,328BOYAmt
EOY$359,589EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,686,512BOYAmt
EOY$857,968EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,433,266BOYAmt
EOY$9,995,109EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,365BOYAmt
EOY$207,017EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt
EOY$20,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,559,631BOYAmt
EOY$10,222,126EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,246,143BOYAmt
EOY$11,080,094EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,662,495ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,340,883CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,224,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,737,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,076,484CurrentTaxYearMinus1YearAmt
Current Tax Year$7,956,188CurrentTaxYearAmt
Total$34,335,987TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,340,883CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,224,844CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,737,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,076,484CurrentTaxYearMinus1YearAmt
Current Tax Year$7,956,188CurrentTaxYearAmt
Total$34,335,987TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$34,335,987PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,682CurrentTaxYearMinus1YearAmt
Current Tax Year$7,254CurrentTaxYearAmt
Total$22,579TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$765CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,391CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,074CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,079CurrentTaxYearMinus1YearAmt
Current Tax Year$8,952CurrentTaxYearAmt
Total$17,261TotalAmt
FieldValueIRS element (for citing)
Total Support$34,375,827TotalSupportAmt
Gross Receipts Rltd Activities$16,739,434GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99880PublicSupportCY170Pct
Public Support PY1700.99860PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - MISCELLANEOUS, COLUMN A - 765, COLUMN B - 1391, COLUMN C - 1074, COLUMN D - 5079, COLUMN E - 8952, COLUMN F - 17261;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$25InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$25AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$42InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$42AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$55InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$55AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$59InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$59AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,000BeginningYearBalanceAmt
Investment Earnings Or Losses$286InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$286AdministrativeExpensesAmt
End Year Balance$20,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,500OtherCostOrOtherBasisAmt
Book Value$133,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,574,772OtherCostOrOtherBasisAmt
Depreciation$93,604DepreciationAmt
Book Value$7,481,168BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,125,506OtherCostOrOtherBasisAmt
Depreciation$554,513DepreciationAmt
Book Value$570,993BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$913,437OtherCostOrOtherBasisAmt
Depreciation$700,445DepreciationAmt
Book Value$212,992BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,600OtherCostOrOtherBasisAmt
Depreciation$39,600DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,398,653TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,577,013TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$196,240DonatedServicesAndUseFcltsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$196,240RevenueNotReportedAmt
Revenue Subtotal$11,380,773RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,380,773TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,914,518TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$196,240DonatedServicesUseFcltsAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$196,240ExpensesNotReportedAmt
Expenses Subtotal$8,718,278ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,718,278TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4, Intended uses of endowment fundsENDOWMENT EARNINGS ARE USED TO OFFSET THE FEES NOT COVERED BY SLIDING FEE PATIENTS.
Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnoteTHE 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, 2013 AND 2012.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR CAROLYN YAP
FAMILY PRACTICE MD$166,986$0$0$0$50$0$0$0$7,857$0$174,893$0$0$0
DR PIYUSH KUMAR
FAMILY PRACTICE MD$157,182$0$0$0$44$0$0$0$17,044$0$174,270$0$0$0

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6225ContributionCnt
Noncash Contributions Rpt F990$253,687NoncashContributionsRptF990Amt
Method Of Determining RevenuesREPLACEMENT COSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule M, Part I, Explanations of reporting method for number of contributionsDRUGS AND MEDICAL SUPPLIES: DRUGS AND MEDICAL SUPPLIES: ESTIMATED NUMBER OF ITEMS 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, column (b), Line 20, Number of contributions or items contributed.DRUGS AND MEDICAL SUPPLIES: ESTIMATED NUMBER OF ITEMS 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committeeTHE 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, Sec B, Line 11b, Review of form 990 by governing bodyTHE 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, Sec B, Line 12c, Conflict of interest policyA 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, Sec B, Line 15a, Process to establish compensation of top management officialAT LEAST EVERY THREE YEARS, HR PERFORMS A SALARY ANALYSIS WHICH COVERS ALL POSITIONS WITHIN THE ORGANIZATION; THE MOST RECENT SALARY ANALYSIS OCCURRED IN JANUARY 2010. 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 JANUARY 2013.
FORM 990, PART VI, LINE 15B, PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESSEE NARRATIVE FOR FORM 990, PART VI, SECTION B, LINE 15A
Form 990, Part VI, Sec C, Line 19, Required documents available to the publicGOVERNING 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.

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