FAMILY HEALTH CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER (EIN 61-0716483)
Tax period
2012-12-01 to 2013-11-30
Filed
2014-06-27
IRS object ID
201411789349300201
Schema version
2012v2.3
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)
Timestamp2014-06-27T07:17:22-05:00Timestamp
Tax Period End Date2013-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 E MAIN ST STE 200 PO BOX 1196AddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code421021196ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610716483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% WILLIAM B WAGNERInCareOfName
Name ControlFAMINameControl
Phone5027728561Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12215 PORTLAND AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityLOUISVILLECity
StateKYState
ZIP Code40212ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBILL WAGNERName
TitleEXECUTIVE DIRECTORTitle
Phone5027728561Phone
Date Signed2014-06-26DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM SCIFRESName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM B WAGNERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12215 PORTLAND AVENUEAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32064760GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FHCLOUISVILLE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF FAMILY HEALTH CENTERS, INC. IS TO PROVIDE RESIDENTS OF LOUISVILLE AND JEFFERSON COUNTY ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees439TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8113612ContributionsGrantsPriorYear
Contributions Grants Current Year8407130ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20317370ProgramServiceRevenuePriorYear
Program Service Revenue CY16545551ProgramServiceRevenueCY
Investment Income Prior Year479212InvestmentIncomePriorYear
Investment Income Current Year723246InvestmentIncomeCurrentYear
Other Revenue Prior Year1231264OtherRevenuePriorYear
Other Revenue Current Year176341OtherRevenueCurrentYear
Total Revenue Prior Year30141458TotalRevenuePriorYear
Total Revenue Current Year25852268TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19154202SalariesEtcPriorYear
Salaries Etc Current Year19411239SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9507238OtherExpensePriorYear
Other Expenses Current Year9227313OtherExpensesCurrentYear
Total Expenses Prior Year28663440TotalExpensesPriorYear
Total Expenses Current Year28639552TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1478018RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2787284RevenuesLessExpensesCY
Total Assets BOY17507804TotalAssetsBOY
Total Assets EOY15122253TotalAssetsEOY
Total Liabilities BOY2869056TotalLiabilitiesBOY
Total Liabilities EOY3025398TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14638748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12096855NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF FAMILY HEALTH CENTERS, INC. IS TO PROVIDE RESIDENTS OF LOUISVILLE AND JEFFERSON COUNTY ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26762229Expense
Revenue16603608Revenue
DescriptionFAMILY HEALTH CENTERS SERVED A TOTAL 37,689 (INCLUDING 4,995 WHO WERE HOMELESS) PATIENTS WHO HAD APPROXIMATELY 145,331 VISITS BROKEN DOWN AS FOLLOWS: MEDICAL VISITS OF 119,463; DENTAL VISITS OF 11,089; MENTAL HEALTH AND SUBSTANCE ABUSE VISITS OF 7,558 AND ENABLING VISITS OF 7,221. OF THE 37,689 PATIENTS SERVED, APPROXIMATELY 19,221 (51%) WERE UNINSURED. IN 2013, FAMILY HEALTH CENTERS PROVIDED TOTAL CHARITY CARE OF APPROXIMATELY $12,352,000. OVER THE PRIOR THREE YEARS, CHARITY CARE TOTALED APPROXIMATELY $37,239,000.Description
Total Program Service Expense26762229TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees439NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWILLIAM B WAGNERNamePerson
Telephone Number5027728561TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12215 PORTLAND AVENUEAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40212ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MURIEL HARRIS PHD
BOARD MEMBER2.0X000
PRICILLA EWING
SECRETARY OF THE BOARD2.0X000X
BETTY FOX
BOARD MEMBER2.0X000
LEONARD GODDY
CHAIRMAN OF THE BOARD2.0X000X
MICHELE HEUGLIN
BOARD MEMBER2.0X000
BOBBY HICKEY
BOARD MEMBER2.0X000
GAYLE ANDERSON
BOARD MEMBER2.0X000
PHIL LEVY
BOARD MEMBER2.0X000
LISA JUMPER
BOARD MEMBER2.0X000
MINERVA VIROLA
BOARD MEMBER2.0X000
DR CHARLIE SMITH
BOARD MEMBER2.0X000
SUE SPEED
BOARD MEMBER2.0X000
ROB REH
TREASURER OF THE BOARD2.0X000X
GARY WATROUS
BOARD MEMBER2.0X000
REV WILLA FAE WILLIAMS
VICE CHAIRMAN OF THE BOARD2.0X000X
WILLIAM B WAGNER
EXECUTIVE DIRECTOR37.5136453031201X
GARY DUERR
DIRECTOR OF FINANCE37.595916022245X
PETER L THURMAN
MEDICAL DIRECTOR37.5138281036435X
JULIA RICHERSON
MEDICAL DIRECTOR37.5140474033865X
JAMES JACKSON
PHYSICIAN37.5135140033695X
LESLIE SMITH
PHYSICIAN37.5122355029852X
RICHARD D LARSON
PHYSICIAN37.5121162030658X
STEPHANIE POYNTER
DENTAL DIRECTOR37.5120945030401X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1010726TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation248352TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
JOSEPH JOSEPH
550 S 4TH AVE SUITE 100LOUISVILLEKY402022516ARCHITECT SERVICES117303
RANDSTAD
PO BOX 2084CAROL STREAMIL60132TEMPORARY STAFF154948
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants8407130GovernmentGrants
Total Contributions8407130TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE90622299062229
PREMIUM REVENUE71652127165212
PFIZER SHARE THE CARE PROGRAM318110318110
FieldValueIRS element (for citing)
Total Program Service Revenue16545551TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column214715TotalRevenueColumn
Exclusion$214,715ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6721023Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6212492Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities508531Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column508531TotalRevenueColumn
Exclusion$508,531ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR INCENTIVES900099106250$106,250
PHARMACY REQUISIT900099500$500
OTHER INCOME6214005805758057

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11534TotalRevenueColumn
Exclusion$11,534ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue176341TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25852268TotalRevenueColumn
Related Or Exempt Function Income16603608RelatedOrExemptFunctionIncome
Exclusion$841,530ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1000Total
Program Services1000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total285815Total
Management And General285815ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13586905Total
Program Services13015631ProgramServices
Management And General571274ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2379155Total
Program Services2220285ProgramServices
Management And General158870ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2195817Total
Program Services2049152ProgramServices
Management And General146665ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total963547Total
Program Services907998ProgramServices
Management And General55549ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45876Total
Program Services24902ProgramServices
Management And General20974ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total68599Total
Program Services68599ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2424711Total
Program Services2367717ProgramServices
Management And General56994ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total28658Total
Program Services1388ProgramServices
Management And General27270ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1129912Total
Program Services962405ProgramServices
Management And General167507ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total281749Total
Program Services190854ProgramServices
Management And General90895ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total485665Total
Program Services484964ProgramServices
Management And General701ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total146848Total
Program Services109114ProgramServices
Management And General37734ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9707Total
Program Services4482ProgramServices
Management And General5225ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total20099Total
Management And General20099ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total589614Total
Program Services579301ProgramServices
Management And General10313ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6497Total
Program Services6497ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE63600458109454910
MISCELLANEOUS CONTRACTS131337131337
MEDICAL SUPPLIES234814023432344906
LAB EXPENSES444920444920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total428977Total
Program Services267355ProgramServices
Management And General161622ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28639552Total
Program Services26762229ProgramServices
Management And General1877323ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY725614BOY
EOY473950EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8874160BOY
EOY6739950EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY50669BOY
EOY24983EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY733728BOY
EOY569805EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31000BOY
EOY31000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY246509BOY
EOY230449EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76064BOY
EOY51305EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14899896LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8283422LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6458776BOY
EOY6616474EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY311284BOY
EOY384337EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17507804BOY
EOY15122253EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2302971BOY
EOY2443858EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY566085BOY
EOY581540EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2869056BOY
EOY3025398EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8179972BOY
EOY5480381EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6458776BOY
EOY6616474EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14638748BOY
EOY12096855EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17507804BOY
EOY15122253EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2787284ReconcilationRevenueExpenses
Reconciliation Unrealized Invest245391ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8603992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8307507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8211441CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8113612CurrentTaxYearMinus1Year
Current Tax Year8407130CurrentTaxYear
Total41643682Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8603992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8307507CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8211441CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8113612CurrentTaxYearMinus1Year
Current Tax Year8407130CurrentTaxYear
Total41643682Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17041643682PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years145791CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158477CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year248457CurrentTaxYearMinus1Year
Current Tax Year214715CurrentTaxYear
Total886880Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79128CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38880CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years33130CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year957237CurrentTaxYearMinus1Year
Current Tax Year118284CurrentTaxYear
Total1226659Total
FieldValueIRS element (for citing)
Total Support43757221TotalSupport
Gross Receipts From Admissions Etc93144868GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95170PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis53500OtherCostOrOtherBasis
Book Value53500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8740653OtherCostOrOtherBasis
Depreciation4563488Depreciation
Book Value4177165BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis825443OtherCostOrOtherBasis
Depreciation121835Depreciation
Book Value703608BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3597261OtherCostOrOtherBasis
Depreciation3375303Depreciation
Book Value221958BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1683039OtherCostOrOtherBasis
Depreciation222796Depreciation
Book Value1460243BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6616474TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYERS$3,048
OTHER ACCRUED LIABILITIES$578,492
FieldValueIRS element (for citing)
Total Of Amounts581540TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt26096636TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments245391NetUnrealizedGainsInvestments
Revenue Not Rptd F990245391RevenueNotRptdF990
Revenue Subtotal25851245RevenueSubtotal
Other Revenues Not Included1023OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1023RevenueNotRptdOnFinStmt
Total Revenue Per Form99025852268TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28638529TotExpensesEtcAuditedFinclStmt
Expenses Subtotal28638529ExpensesSubtotal
Other Expenses Not Included1023OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1023ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028639552TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION TO AUDIT - REVENUESCH. D, PART XII, LINE 4B-------------------- INTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $ 32 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,000 -------- $1,032
RECONCILIATION TO AUDIT - EXPENSESCH. D, PART XIII, LINE 4B-------------------- INTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $ 32 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,000 -------- $1,032
INCOME TAXESSCH. D, PART X, LINE 2-------------------- THE HEALTH CENTER HAS BEEN RECOGNIZED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM B WAGNER
EXECUTIVE DIRECTOR136057000396028035031660167654000
JULIA RICHERSON
MEDICAL DIRECTOR14038400090026999068660174339000
PETER L THURMAN
MEDICAL DIRECTOR137885000396029121073140174716000
JAMES JACKSON
PHYSICIAN135002000138028285054100168835000
LESLIE SMITH
PHYSICIAN122217000138026031028210151207000
RICHARD D LARSON
PHYSICIAN120397000765025267053910151820000
STEPHANIE POYNTER
DENTAL DIRECTOR12088500060024991054100151346000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11-------------------- A FULL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD BEFORE FILING.
MONITORING THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C-------------------- ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST AND COMPLIANCE POLICY (NAMED STANDARD OF CONDUCT) ANNUALLY. REGARDING ANY CONTRACTS AND FHC BUSINESS, THE POLICIES ARE MONITORED AT THE VARIOUS COMMITTEE LEVELS AND ANY POTENTIAL CONFLICTS ARE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THE COMPLIANCE RELATED DOCUMENTS ARE POSTED ON THE HEALTH CENTER'S INTRANET SITE.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A-------------------- THE EXECUTIVE DIRECTOR'S SALARY IS SET BY THE BOARD AND HIS JOB EVALUATION IS PERFORMED BY THE BOARD CHAIRMAN. THIS IS DONE ANNUALLY AND WAS PERFORMED IN 2013.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19--------------------- THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE5-------------------- OTHER CHANGE IN NET ASSETS: UNREALIZED GAIN: $245,391

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