CEO

2014-02-14T11:21:29-06:00 2013-06-30 HOGAN - HANSEN PC PO BOX 240 WATERLOO IA 507040240 990 2012-07-01 421058629 PEOPLES COMMUNITY HEALTH CLINIC INC PEOP 3192724300 905 FRANKLIN STREET WATERLOO IA 50703 JENNIFER LIGHTBODY CEO 3192724300 2014-01-31 false STEVEN K DUGGAN CPA 3192335225 2014-02-03 2012 2015-11-30 17:44:51Z JENNIFER LIGHTBODY 905 FRANKLIN STREET WATERLOO IA 50703 11742505 false X WWW.PEOPLES-CLINIC.COM X 1976 IA DEDICATED TO PROVIDING ACCESS TO AFFORDABLE, COMPASSIONATE, HIGH QUALITY HEALTH CARE FOR ALL. 9 9 179 0 3903928 3715687 7798314 8026816 -955 2 0 11701287 11742505 0 0 8249715 7853103 0 0 3877705 3817344 12127420 11670447 -426133 72058 6840711 6364639 1194664 646534 5646047 5718105 DEDICATED TO PROVIDING ACCESS TO AFFORDABLE, COMPASSIONATE, HIGH QUALITY HEALTH CARE FOR ALL. false false 9398446 8026816 PRIMARY MEDICAL HEALTH CARE AND DENTAL SERVICES PROVIDED TO THE PUBLIC. 9398446 true true false true false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 15 0 true 179 true false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X X ANNE MERSHON 3192724300 905 FRANKLIN STREET WATERLOO IA 50703 RYAN SHERIDAN CHAIRPERSON 0.50 X X 0 0 0 DEBRA HARMON VICECHAIR 0.50 X X 0 0 0 SEAN GRANT TREASURER 0.50 X X 0 0 0 BRUCE JEFFERSON SECRETARY 0.50 X X 0 0 0 TIM HORRIGAN DIRECTOR 0.50 X 0 0 0 TIM HUBER DIRECTOR 0.50 X 0 0 0 LYNN NEILL DIRECTOR 0.50 X 0 0 0 DERVISA SISIC DIRECTOR 0.50 X 0 0 0 KRISTEN VAN VELDHUIZEN DIRECTOR 0.50 X 0 0 0 JENNIFER LIGHTBODY CEO 40.00 X 90989 0 20613 CHRISTINE KEMP COO 40.00 X 69827 0 16355 ANNE MERSHON CFO 40.00 X 61617 0 16006 DR SHARON DUCLOS CO-MEDICAL D 40.00 X 169590 0 18632 DR DANIEL WRIGHT PEDIATRIC PH 40.00 X 162370 0 24864 DR VICKI HENDERSON FAMILY PRACT 40.00 X 149202 0 18083 DR KIMBERLY NEUMANN CO-MEDICAL D 40.00 X 135108 0 22154 DR ALINA STANICA PEDIATRIC PH 40.00 X 134544 0 23303 DR BRENT BUHR INTERNAL MED 40.00 X 134084 0 15433 1107331 175443 6 false true false LAPCORP 358 SOUTH MAIN STREET BURLINGTON NC 27215 LAB 346824 MCKESSON ONE POST STREET SAN FRANCISCO CA 94104 PHARMACY 346160 INCONCERT CARE 9943 HICKMAN RD SUITE 103 URBANDALE IA 50322 PRIMARY CARE 311931 HENRY SCHEIN 135 DURYEA ROAD MELVILLE NY 11747 SUPPLIES 178406 ALLEN MEMORIAL HOSPITAL 1825 LOGAN AVENUE WATERLOO IA 50703 HOSPITAL 147940 5 88599 2670605 956483 947646 3715687 MEDICAID 5077429 5077429 PRIVATE INSURANCE 1548855 1548855 PATIENT FEE 687178 687178 MEDICARE 472394 472394 OPERATING INCOME 240960 240960 8026816 2 2 11742505 8026816 2 590875 339979 250896 5807811 4887126 920685 197531 166217 31314 806447 608775 197672 450439 365931 84508 20485 20485 18350 18350 174347 57277 117070 115890 97842 18048 13562 7656 5906 11166 6385 4781 4845 4845 310205 261922 48283 30548 14386 16162 MEDICAL SUPPLIES 1584685 1581378 3307 REFERRALS/OTHER 694631 694631 COMPUTER EXPENSE 421624 16321 405303 PURCHASED SERVICE 233754 144995 88759 183252 147625 35627 11670447 9398446 2272001 0 2945 2572 439274 477103 108093 183619 842608 543857 108886 104764 47594 51501 7962867 2983112 5264188 4979755 27123 21468 6840711 6364639 869149 646534 325515 1194664 646534 X 5646047 5718105 5646047 5718105 6840711 6364639 72058 X false true X true true true X 3562275 3814827 4192957 3903928 3715687 19189674 3562275 3814827 4192957 3903928 3715687 19189674 19189674 3875 6117 3272 2 2 13268 19202942 8026816 0.99930 0.99910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false SCHEDULE C, PART I-A, LINE 1 DUES ARE PAID TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSES. 730530 730530 6000928 2007947 3992981 1231409 975165 256244 4979755 11742505 11742505 11742505 11670447 11670447 11670447 LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X MANAGEMENT ANNUALLY MAKES AN APPROPRIATE EVALUATION OF ANY UNCERTAIN INCOME TAX POSITIONS BASED UPON CURRENT STATUTES IN COMPLETING THESE FINANCIAL STATEMENTS AND THE NOTES TO THE FINANCIAL STATEMENTS. AS OF JUNE 30, 2013, MANAGEMENT BELIEVES THAT THERE WERE NO UNCERTAIN INCOME TAX POSITIONS FOR WHICH A MATERIAL CHANGE IN THE UNRECOGNIZED EFFECT WOULD BE REASONABLY POSSIBLE WITHIN THE NEXT 12 MONTHS. THE OPEN YEARS FOR AUDIT OF THE ORGANIZATION'S INCOME TAX RETURNS ARE 2010-2013. X X false false false false false false false false false DR SHARON DUCLOS CO-MEDICAL DIRECTOR 169590 8633 9999 188222 DR DANIEL WRIGHT PEDIATRIC PHYSICIAN 162370 8513 16351 187234 DR VICKI HENDERSON FAMILY PRACTICE PHYS 149202 8513 9570 167285 DR KIMBERLY NEUMANN CO-MEDICAL DIRECTOR 135108 8042 14112 157262 DR ALINA STANICA PEDIATRIC PHYSICIAN 134544 6861 16442 157847 RELATED ORG METHODS USED FOR COMPENSATION EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 3 THE CEO REVIEWS COMPARATIVE SALARY INFOMRATION COLLECTED THROUGH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA/NEBRASKA PRIMARY HEALTH CARE ASSOCIATION THEN RECOMMENDS COMPENSATION FOR PHYSICIANS AND KEY EMPLOYEES THROUGH THE ANNUAL BUDGETING PROCESS. THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND APPROVES THE BUDGET. X 16613 947646 340B PRICING false true false ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B PRIOR TO BEING FILED THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND PRESENTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH DIRECTORS, OFFICERS AND KEY EMPLOYEES. WRITTEN CERTIFICATION IS REQUESTED AT THE TIME OF REVIEW. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE SALARY INFORMATION COLLECTED THROUGH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA/NEBRASKA PRIMARY CARE ASSOCIATION THEN DETERMINES COMPENSATION FOR THE EXECUTIVE DIRECTOR. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE DIRECTOR REVIEWS COMPARATIVE SALARY INFORMATION COLLECTED THROUGH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA/NEBRASKA PRIMARY HEALTH CARE ASSOCIATION THEN RECOMMENDS COMPENSATION FOR KEY EMPLOYEES THROUGH THE ANNUAL BUDGETING PROCESS. THE BOARD OF DIRECTORS ANNUALLY APPROVES THE BUDGET. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S MAIN OFFICE UPON REQUEST.