CHARLES DREW HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES DREW HEALTH CENTER INC (EIN 47-0666715)
- Tax period
- 2012-09-01 to 2013-08-31
- Filed
- 2014-07-14
- IRS object ID
- 201421959349301047
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-07-14T14:20:15-07:00 | Timestamp |
| Tax Period End Date | 2013-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 PEARL ST | AddressLine1 |
| City | COUNCIL BLUFFS | City |
| State | IA | State |
| ZIP Code | 51503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470666715 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHAR | NameControl |
| Phone | 4024571200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNY MCMORRIS | Name |
| Title | CEO | Title |
| Phone | 4024571200 | Phone |
| Date Signed | 2014-01-03 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL E HAMILTON | Name |
| Phone | 7123220277 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENNY MCMORRIS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9227340 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING QUALITY COMPRESHENSIVE HEALTH CARE FOR THE TOTAL PERSON, THROUGH THE MEDIUM OF MANAGING AND OPERATING A COORDINATED HEALTH FACILITY AND ITS PROGRAMS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 159 | TotalNbrEmployees |
| Total Nbr Volunteers | 17 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 4532497 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6195296 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2999987 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3026983 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1377 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5061 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7533861 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9227340 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5280716 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5839759 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 147078 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3678044 | OtherExpensePriorYear |
| Other Expenses Current Year | 3357541 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8958760 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9197300 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1424899 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 30040 | RevenuesLessExpensesCY |
| Total Assets BOY | 6351119 | TotalAssetsBOY |
| Total Assets EOY | 6484305 | TotalAssetsEOY |
| Total Liabilities BOY | 1734813 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1879617 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4616306 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4604688 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING QUALITY COMPRESHENSIVE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 6468621 | Expense |
| Revenue | 2526735 | Revenue |
| Description | CHARLES DREW HEALTH CENTER PROVIDES CARE FOR THE ENTIRE FAMILY. SERVICES INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN, PHARMACY, RADIOLOGY, EYE SERVICES, MINOR SURGERY, CARDIOLOGY AND PODIETRY. THE HEALTH CENTER SERVED 9,105 PATIENTS AND FASCILITATED 23,116 PATIENT ENCOUNTERS (VISITS) IN 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 546067 | Expense |
| Revenue | 500249 | Revenue |
| Description | THE CDHC DENTAL PROGRAM PROVIDES THE FOLLOWING SERVICES: DENTAL SCREENINGS, ORAL EXAMS, SEALANTS, FLOURIDE TREATMENTS, RESTORATIVE SERVICES, ORAL SURGERY (EXTRACTIONS), EMERGENCY SERVICES AND REHABILITATION SERVICES. THE HEALTH CENTER FASCILITATED 4,588 DENTAL PATIENT ENCOUNTERS (VISITS) SERVING 1,930 PATIENTS IN 2012. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 7014688 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 44 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 159 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TARSHA JACKSON | NamePerson |
| Telephone Number | 4024571200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DR RICHARD BROWN | ||||||||
| CEO | 50.00 | X | 140043 | 0 | 35149 | |||
| CALVIN MCGRUDER | ||||||||
| CFO | 50.00 | X | 75406 | 0 | 18884 | |||
| DEB SUTTLE | ||||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X | ||
| DALE DAVENPORT | ||||||||
| VICE CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X | ||
| RICK BELL | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| BILLY HOUSE | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| MALABY BYRD | ||||||||
| EX-OFFICIAL | 1.00 | 0 | 0 | 0 | X | |||
| FREDERICK E EDEGBELE | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| TEENA FOSTER | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| ALTHEA JONES | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| MARVIN STANCIL | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| ERIC PAYNE | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| PATRICIA BROWN | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| ERNESTINE DORSEY | ||||||||
| BOARD MEMBER | 1.00 | 0 | 0 | 0 | X | |||
| TERRENCE S BYRD | ||||||||
| BOARD MEMBER | 1 | X | ||||||
| CHRISTOPHER T ROGERS | ||||||||
| BOARD MEMBER | 1 | X | ||||||
| JOHN W EWING JR | ||||||||
| BOARD MEMBER | 1 | X | ||||||
| DAVID HARRIS | ||||||||
| BOARD MEMBER | 1 | X | ||||||
| DR GREGORY OCHUBA | ||||||||
| MEDICAL DIRECTOR | 50 | 181653 | 30536 | X | ||||
| DR MONIQUE TOLSTON | ||||||||
| FAMILY PRACTICE PHYSICIAN | 50 | 167176 | 21534 | X | ||||
| DR TAKASHI KAWAMITSU | ||||||||
| FAMILY PRACTICE PHYSICIAN | 40 | 151814 | 20924 | X | ||||
| DR ERIN WETZEL | ||||||||
| DENTIST | 40 | 117823 | 9865 | X | ||||
| DR ARLANA PHILLUPS | ||||||||
| PEDIATRICIAN | 40 | 137206 | 14827 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 971121 | TotalReportableCompFromOrg |
| Total Other Compensation | 151719 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CUSTOM COMPUTING | |||||
| 11135 MILL VALLEY ROAD | OMAHA | NE | 68154 | COLLECTIONS SERVICES | 156166 |
| HEARTLAND COMMUNITY HEALTH | |||||
| 4920 SOUTH 30TH STREET | OMAHA | NE | 68107 | COMPUTER SERVICES | 147528 |
| NEXTGEN | |||||
| PO BOX 511449 | LOS ANGELES | CA | 90051 | COMPUTER SERVICES | 223150 |
| REGIONAL CARE | |||||
| 905 WEST 27TH STREET | SCOTTSBLUFF | NE | 69361 | INSURANCE | 587875 |
| SYNERGY BILLING SOLUTIONS | |||||
| 1540 CORNERSTONE BLVD STE 230 | DAYTONA BEACH | FL | 32117 | COLLECTIONS SERVICES | 105088 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Federated Campaigns | 46054 | FederatedCampaigns |
| Government Grants | 5120049 | GovernmentGrants |
| All Other Contributions | 1029193 | AllOtherContributions |
| Noncash Contributions | 312918 | NoncashContributions |
| Total Contributions | 6195296 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| PATIENT SERVICE | 624100 | 2532564 |
| CONTRACTUAL SERVICE REVENUE | 624100 | 231561 |
| PHARMACY REVENUE | 624100 | 209378 |
| MISCELLANEOUS | 624100 | 53480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3026983 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5061 | TotalRevenueColumn |
| Exclusion | $5,061 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9227340 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3026983 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,061 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342259 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 342259 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4498251 | Total |
| Program Services | 3872778 | ProgramServices |
| Management And General | 554941 | ManagementAndGeneral |
| Fundraising | 70532 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103613 | Total |
| Program Services | 84963 | ProgramServices |
| Management And General | 18650 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 513801 | Total |
| Program Services | 418897 | ProgramServices |
| Management And General | 91953 | ManagementAndGeneral |
| Fundraising | 2951 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381835 | Total |
| Program Services | 308791 | ProgramServices |
| Management And General | 67783 | ManagementAndGeneral |
| Fundraising | 5261 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30261 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 30261 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 991969 | Total |
| Program Services | 615399 | ProgramServices |
| Management And General | 350570 | ManagementAndGeneral |
| Fundraising | 26000 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30138 | Total |
| Program Services | 30038 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 100 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 919703 | Total |
| Program Services | 860680 | ProgramServices |
| Management And General | 53322 | ManagementAndGeneral |
| Fundraising | 5701 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311393 | Total |
| Program Services | 255342 | ProgramServices |
| Management And General | 56051 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16649 | Total |
| Program Services | 13747 | ProgramServices |
| Management And General | 2902 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168297 | Total |
| Program Services | 73473 | ProgramServices |
| Management And General | 93944 | ManagementAndGeneral |
| Fundraising | 880 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 349389 | Total |
| Program Services | 286499 | ProgramServices |
| Management And General | 62890 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74174 | Total |
| Program Services | 60823 | ProgramServices |
| Management And General | 13351 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 2696 | 2696 | 0 | 0 |
| COMMUNICATIONS | 138323 | 82670 | 55653 | 0 |
| LICENSES | 271607 | 35882 | 235725 | 0 |
| DUES & SUBSCRIPTIONS | 17251 | 12010 | 5241 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35691 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 38 | ManagementAndGeneral |
| Fundraising | 35653 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9197300 | Total |
| Program Services | 7014688 | ProgramServices |
| Management And General | 2035534 | ManagementAndGeneral |
| Fundraising | 147078 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35300 | BOY |
| EOY | 35571 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246733 | BOY |
| EOY | 348545 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 202904 | BOY |
| EOY | 284284 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 378188 | BOY |
| EOY | 546572 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14141 | BOY |
| EOY | 17959 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13103 | BOY |
| EOY | 39551 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8203350 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3002294 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5425313 | BOY |
| EOY | 5201056 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35437 | BOY |
| EOY | 10767 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6351119 | BOY |
| EOY | 6484305 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1677191 | BOY |
| EOY | 1805285 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57622 | BOY |
| EOY | 74332 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1734813 | BOY |
| EOY | 1879617 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4606848 | BOY |
| EOY | 4604688 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9458 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4616306 | BOY |
| EOY | 4604688 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6351119 | BOY |
| EOY | 6484305 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 30040 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | -41658 | ReconcilationPriorAdjustment |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $16,520 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 16520 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt II-B Line 1i | THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF |
| COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 95653 | OtherCostOrOtherBasis |
| Book Value | 95653 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6783630 | OtherCostOrOtherBasis |
| Depreciation | 2049660 | Depreciation |
| Book Value | 4733970 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1098427 | OtherCostOrOtherBasis |
| Depreciation | 792176 | Depreciation |
| Book Value | 306251 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 225640 | OtherCostOrOtherBasis |
| Depreciation | 160458 | Depreciation |
| Book Value | 65182 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5201056 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED OFFICER COMPENSATION | Description |
| Amount | $74,332 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 74332 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| DR RICHARD BROWN | |||
| 140043 | 20201 | 14948 | 175192 |
| DR GREGORY OCHUBA | |||
| 181653 | 7266 | 23270 | 212189 |
| DR MONIQUE TOLSTON | |||
| 167176 | 6687 | 14847 | 188710 |
| DR TAKASHI KAWAMITSU | |||
| 151814 | 6073 | 14851 | 172738 |
| DR ARLANA PHILLUPS | |||
| 137206 | 5488 | 9338 | 152032 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 61464 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 312918 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (22 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 11b | THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 IN DETAIL PRIOR TO |
| FILING. THEN COPIES ARE HANDED OUT AT THE BOARD MEETING PRIOR TO | |
| FILING THE RETURN. | |
| Pt VI, Line 12c | THE BOARD OF DIRECTORS (PERSONNEL COMMITTEE) MEETS MONTHLY TO DISCUSS ANY |
| CONFLICTS OF INTERESTS WITH THE HUMAN RESOURCES DIRECTOR AND CEO. | |
| BOARD OF DIRECTORS AND MEMBERS OF THEIR IMMEDIATE FAMILY ARE PROHIBITED FROM | |
| BEING EMPLOYEES OR CONTRACTORS OF THE HEALTH CENTER, AS IT RELATES TO | |
| BOARD BUSINESS. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON | |
| PART OF ANY DIRECTOR SHALL BE DISCLOSED TO THE GOVERNING BODY | |
| IMMEDIATELY. EACH YEAR PRIOR TO NOMINATIONS, ALL DIRECTORS MUST PREPARE | |
| AND FILE WITH THE RECORDING SECRETARY, A WRITTEN DECLARATION OF INTERESTS | |
| AND ACTIVITIES WHICH CREATE OR MIGHT CREATE A DUAL INTEREST OR CONFLICT | |
| OF INTEREST ON THE PART OF THE DIRECTOR. THE CHAIRMAN REVIEWS THE | |
| WRITTEN DECLARATION. A DIRECTOR HAVING A DUALITY OF INTEREST OR POSSIBLE | |
| CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS OR HER | |
| PERSONAL INFLUENCE ON THE MATTER. THE MINUTES REFLECT THE DISCLOSURE, | |
| VOTING, AND QUORUM STATUS. THE FOREGOING REQUIREMENTS, HOWEVER, | |
| SHALL NOT BE CONSTRUED AS PREVENTING THE DUALITY OF INTEREST. | |
| Pt VI, Line 15a | THE ENTIRE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY. SALARY |
| SURVEYS WITH OTHER COMMUNITY HEALTH CENTERS ARE USED TO COMPARE | |
| THE CEO'S SALARY. | |
| Pt VI, Line 19 | THE INFORMATION IS AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300216692 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | NE | LegalDomicileState |
| Exempt Code Section | 501(C)3 | ExemptCodeSection |
| Public Charity Status | 509A(3) | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
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