COMMUNITY HEALTH CENTERS OF GREATER DAYTON: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTERS OF GREATER DAYTON (EIN 26-1253235)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-08-18
- IRS object ID
- 201412309349300906
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-08-18T12:56:46-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 311452851 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHENSON AND WARNER INC CPAS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 UNIVERSITY BLVD STE E | AddressLine1 |
| City | HAMILTON | City |
| State | OH | State |
| ZIP Code | 450113300 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261253235 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS OF GREATER | BusinessNameLine1 |
| Business Name Line2 | DAYTON | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 W 3RD STREET | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY HOPKINS | PersonNm |
| Person Title | EXEC DIRECTOR | PersonTitleTxt |
| Signature | 2014-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LARRY F WARNER CPA | PreparerPersonNm |
| PTIN | P00158723 | PTIN |
| Phone | 5138688600 | PhoneNum |
| Preparation | 2014-08-18 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GREGORY HOPKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 W 3RD STREET | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,048,815 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COMMUNITYHEALTHDAYTON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO IMPROVE LIVES BY PROVIDING QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 111 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,354,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,468,479 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,001,637 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,529,450 | CYProgramServiceRevenueAmt |
| PY Investment Income | $616 | PYInvestmentIncomeAmt |
| CY Investment Income | $265 | CYInvestmentIncomeAmt |
| PY Other Revenue | $212,717 | PYOtherRevenueAmt |
| CY Other Revenue | $50,621 | CYOtherRevenueAmt |
| PY Total Revenue | $5,569,457 | PYTotalRevenueAmt |
| CY Total Revenue | $8,048,815 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,651,368 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,670,919 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $33,925 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,925 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,441,903 | PYOtherExpensesAmt |
| CY Other Expenses | $2,915,572 | CYOtherExpensesAmt |
| PY Total Expenses | $6,093,271 | PYTotalExpensesAmt |
| CY Total Expenses | $7,620,416 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$523,814 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $428,399 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,064,743 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,725,897 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $721,227 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $953,982 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $343,516 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $771,915 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO IMPROVE LIVES BY PROVIDING QUALITY PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,654,435 | ExpenseAmt |
| Desc | CHCGD OPERATES SIX COMMUNITY HEALTH CENTERS LOCATED IN MONTGOMERY COUNTY, OHIO, FOR THE PURPOSE OF PROVIDING PRIMARY AND PREVENTIVE HEALTH CARE SERVICES TO PATIENTS IN MEDICALLY UNDER-SERVED AREAS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2013, CHCGD PROVIDED A TOTAL OF 45,780 ENCOUNTERS TO 14,162 PATIENTS. CHCGD RECEIVED 531,350 WORTH OF DONATED PHARMACEUTICALS FROM OHIO MEDICAID TO PROVIDE VACCINATIONS TO ELIGIBLE CHILDREN UNDER ITS VACCINE FOR CHILDREN (VFC)PROGRAM. | Desc |
| Total Program Service Expenses | $6,654,435 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | Yes (true) | 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 111 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAYME HANSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9375869733 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1323 W 3RD STREET | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JIM GROSS | |||||||
| PRESIDENT | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JIM MCGUIRE | |||||||
| VICE PRESIDE | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM CURTIN | |||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHNNIE BRADFORD | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JANET COOK | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| STEVEN DICKERSON SR | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| KARLA GARRETT HARSHAW | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD HAAS | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ALMA HAYNESWORTH | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES JONES | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| TIM NOLAN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CASSANDRA WAYS | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY WEBB | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| NICOLE WEBSTER | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY HOPKINS | |||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $129,051 | $0 | $9,792 | ||
| ELIZABETH WATTS | |||||||
| FINANCE DIRE | 40.00 | Yes (X) | $92,776 | $0 | $18,508 | ||
| LADONNA BARNES-LARK | |||||||
| PHYSICIAN | 40.00 | $193,287 | $0 | $6,852 | Yes (X) | ||
| JULIA LAMB | |||||||
| PHYSICIAN | 40.00 | $128,092 | $0 | $6,902 | Yes (X) | ||
| MATHEW NOORDSIJ-JONES | |||||||
| PHYSICIAN | 40.00 | $127,662 | $0 | $9,741 | Yes (X) | ||
| KATHERINE LAMBES | |||||||
| PHYSICIAN | 40.00 | $121,856 | $0 | $15,912 | Yes (X) | ||
| MICHELLE CATANZARITE | |||||||
| MEDICAL DIRE | 40.00 | $117,777 | $0 | $22,561 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $910,501 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $90,268 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DAYTON OSTEOPATHIC HOSPITAL | |||||
| 405 GRAND AVE | DAYTON | OH | 45405 | MEDICAL/RENT | $652,771 |
| JMZ INVESTMENTS | |||||
| PO BOX 13542 | DAYTON | OH | 45401 | REMODEL/RENT | $307,708 |
| QUALITY SYSTEMS INC | |||||
| PO BOX 809390 | CHICAGO | IL | 60680 | EMR SUPPORT | $161,909 |
| NEXUS TECHNOLOGY GROUP | |||||
| PO BOX 1883 | POWELL | OH | 43065 | IT SUPPORT | $114,895 |
| MIAMI VALLEY HOSPITAL | |||||
| 1 WYOMING ST | DAYTON | OH | 45409 | RENT | $108,147 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,884,882 | GovernmentGrantsAmt |
| All Other Contributions | $583,597 | AllOtherContributionsAmt |
| Noncash Contributions | $532,850 | NoncashContributionsAmt |
| Total Contributions | $2,468,479 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PRACTICE REVENUE | $4,237,702 | $4,237,702 |
| PHDMC CONTRACT | $588,677 | $588,677 |
| 340B PROGRAM | $373,526 | $373,526 |
| KHN CONTRACT | $148,528 | $148,528 |
| EHR PAYMENTS | $93,500 | $93,500 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,517 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $87,517 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,529,450 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $265 | TotalRevenueColumnAmt |
| Exclusion | $265 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $50,621 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50,621 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $50,621 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,048,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,580,071 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $265 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,127 | TotalAmt |
| Program Services | $111,284 | ProgramServicesAmt |
| Management And General | $138,843 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,485,072 | TotalAmt |
| Program Services | $3,087,538 | ProgramServicesAmt |
| Management And General | $397,534 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,509 | TotalAmt |
| Program Services | $52,073 | ProgramServicesAmt |
| Management And General | $7,436 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,155 | TotalAmt |
| Program Services | $436,974 | ProgramServicesAmt |
| Management And General | $117,181 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,056 | TotalAmt |
| Program Services | $277,472 | ProgramServicesAmt |
| Management And General | $44,584 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,773 | TotalAmt |
| Program Services | $1,458 | ProgramServicesAmt |
| Management And General | $1,315 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,900 | TotalAmt |
| Management And General | $12,900 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,925 | TotalAmt |
| Fundraising | $33,925 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,049 | TotalAmt |
| Program Services | $831,564 | ProgramServicesAmt |
| Management And General | $64,485 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Management And General | $5,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,863 | TotalAmt |
| Program Services | $136,406 | ProgramServicesAmt |
| Management And General | $13,457 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,623 | TotalAmt |
| Program Services | $312,139 | ProgramServicesAmt |
| Management And General | $43,484 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $453,133 | TotalAmt |
| Program Services | $440,681 | ProgramServicesAmt |
| Management And General | $12,452 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,942 | TotalAmt |
| Program Services | $447 | ProgramServicesAmt |
| Management And General | $2,495 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,861 | TotalAmt |
| Program Services | $14,161 | ProgramServicesAmt |
| Management And General | $11,700 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,391 | TotalAmt |
| Program Services | $82,391 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,294 | TotalAmt |
| Management And General | $13,294 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DONATED PHARMACEUTICALS | $531,350 | $531,350 | |
| MEDICAL SUPPLIES | $286,619 | $286,619 | |
| GENERAL | $77,081 | $31,185 | $45,896 |
| BILLING | $14,583 | $14,583 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,110 | TotalAmt |
| Program Services | $6,110 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,620,416 | TotalAmt |
| Program Services | $6,654,435 | ProgramServicesAmt |
| Management And General | $932,056 | ManagementAndGeneralAmt |
| Fundraising | $33,925 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,420 | BOYAmt |
| EOY | $350,742 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,089 | BOYAmt |
| EOY | $200,265 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,078 | BOYAmt |
| EOY | $42,811 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,439 | BOYAmt |
| EOY | $596,507 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,698 | BOYAmt |
| EOY | $120,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $861,317 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $448,421 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,019 | BOYAmt |
| EOY | $412,896 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $2,249 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,064,743 | BOYAmt |
| EOY | $1,725,897 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,537 | BOYAmt |
| EOY | $558,360 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,690 | BOYAmt |
| EOY | $395,622 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $721,227 | BOYAmt |
| EOY | $953,982 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,516 | BOYAmt |
| EOY | $771,915 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $343,516 | BOYAmt |
| EOY | $771,915 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,064,743 | BOYAmt |
| EOY | $1,725,897 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $428,399 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,889,915 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,733,423 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,871,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,354,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,468,479 | CurrentTaxYearAmt |
| Total | $11,317,944 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,889,915 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,733,423 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,871,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,354,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,468,479 | CurrentTaxYearAmt |
| Total | $11,317,944 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,317,944 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $294 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $265 | CurrentTaxYearAmt |
| Total | $2,724 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $30,057 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $62,134 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $212,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,621 | CurrentTaxYearAmt |
| Total | $355,529 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $11,676,197 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $5,580,071 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96930 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 355,529 | ExplanationTxt |
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 D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $291,270 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,136 | DepreciationAmt |
| Book Value | $279,134 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $570,047 | OtherCostOrOtherBasisAmt |
| Depreciation | $436,285 | DepreciationAmt |
| Book Value | $133,762 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $412,896 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $8,049,880 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,065 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $1,065 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,048,815 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,048,815 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,621,481 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,065 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $1,065 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,620,416 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,620,416 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| CRA SOLUTIONS INC | ||||||||
| 10895 FALLSINGTON CT | CINCINNATI | OH | 45242 | GRANT WRIT | false | $64,500 | $23,925 | $40,575 |
| GILBERT CONSULTING LLC | ||||||||
| 3405 SUNDANCE CT | GRANBURY | TX | 76049 | GRANT WRIT | false | $10,000 | -$10,000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $64,500 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $33,925 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $30,575 | TotalNetToOrganizationAmt |
| Licensed States | OH | LicensedStatesCd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LADONNA BARNES-LARK | PersonNm |
| Title | PHYSICIAN | TitleTxt |
| Base Compensation Filing Org | $171,056 | BaseCompensationFilingOrgAmt |
| Bonus Filing Organization | $22,231 | BonusFilingOrganizationAmount |
| Deferred Compensation Flng Org | $6,852 | DeferredCompensationFlngOrgAmt |
| Nontaxable Benefits Filing Org | $489 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $200,139 | TotalCompensationFilingOrgAmt |
| Comp Report Prior990 Filing Org | $196,704 | CompReportPrior990FilingOrgAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | WHEN A PHYSICIAN IS AT LEAST A 0.50 FTE AND THEIR PANEL SIZE REACHES 90%, THEY ARE ELIGIBLE FOR THE INCENTIVE BASED COMPENSATION SYSTEM. THE SYSTEM IS COMPRISED OF THREE COMPONENTS: PRODUCTIVITY, COMPLEXITY, AND QUALITY.PRODUCTIVITY BONUSES ARE PAID MONTHLY AND CALCULATED BASED ON ACTUAL ENCOUNTERS. COMPLEXITY IS ALSO PAID MONTHLY AND BASED ON RVUS PER ENCOUNTER. THE QUALITY COMPONENT IS PAID QUARTERLY AND IS CALCULATED BASED ON THE RESULT OF A QUARTERLY CHART AUDIT. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $531,350 | NoncashContributionsRptF990Amt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,500 | 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | CORWIN NIXON HEALTH CENTER EAST DAYTON HEALTH CENTER VICTOR CASSANO HEALTH CENTER SOUTHVIEW HEALTH CENTER ALEX CENTRAL HEALTH CENTER |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND THEN DISTRIBUTES IT TO ALL BOARD MEMBERS. BOARD MEMBERS ARE ASKED TO REVIEW THE TAX RETURN AND CONTACT MANAGEMENT WITH ANY QUESTIONS AND CONCERNS, WHICH ARE ADDRESSED PRIOR TO FILING. A FINALIZED COPY OF THE FORM 990 IS THEN DISTRIBUTED TO EACH BOARD MEMBER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS IS VERY AWARE OF ANY SUCH CONFLICTS. BOARD MEMBERS ARE REQUIRED TO EXCUSE THEMSELVES FROM VOTING ON ANY ISSUE WHERE A CONFLICT EXISTS. THE TERMS OF THE CONFLICT OF INTEREST POLICY ARE CONSTANTLY BEING MONITORED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | CURRENT SALARY RANGES ARE BEING REVIEWED ANNUALLY BY HR, INCLUDING COMPARISON WITH THE DEPARTMENT OF LABOR STATISTICS, INDEPENDENT SURVEYS, AND RELEVANT MARKET STUDIES. AFTER REVIEW AND APPROVAL BY THE BOARD HR COMMITTEE, RANGES ARE THEN PRESENTED TO THE FULL BOARD FOR FINAL APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. IN ADDITION, SOME OF THIS INFORMATION IS AVAILABLE ON OUR WEBSITE AT COMMUNITYHEALTHDAYTON.ORG. |
| FORM 990, PART IX, LINE 11G | CONSULTING 0 25,500 0 CONTRACT LABOR 704,989 0 0 OUTSIDE SERVICES 110,594 36,913 0 REPAIRS AND MAINTENANCE FEES 15,981 2,072 0 |