SAMUEL U RODGERS HEALTH CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SAMUEL U RODGERS HEALTH CENTER INC (EIN 43-0899356)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-05-08
- IRS object ID
- 201441289349301679
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-08T13:20:31-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1201 Walnut Suite 1700 | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 641062246 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430899356 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Samuel U Rodgers Health Center Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % BOB THEIS | InCareOfName |
| Name Control | SAMU | NameControl |
| Phone | 8164744920 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 Euclid Avenue | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64124 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HILDA FUENTES | Name |
| Title | CEO | Title |
| Phone | 8164744920 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael J Engle | Name |
| Phone | 8162216300 | 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 | Hilda Fuentes | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 Euclid Avenue | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17849664 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.rodgershealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | MO | StateLegalDomicile |
| Activity Or Mission Description | THE CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE FOR ALL. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 266 | TotalNbrEmployees |
| Total Nbr Volunteers | 38 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 12151541 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8701536 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7413466 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8338234 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 76539 | InvestmentIncomePriorYear |
| Investment Income Current Year | 31002 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 510449 | OtherRevenuePriorYear |
| Other Revenue Current Year | 77239 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20151995 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17148011 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10897182 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11884409 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 89354 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6710049 | OtherExpensePriorYear |
| Other Expenses Current Year | 7224073 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 17607231 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19108482 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2544764 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1960471 | RevenuesLessExpensesCY |
| Total Assets BOY | 32575409 | TotalAssetsBOY |
| Total Assets EOY | 30544345 | TotalAssetsEOY |
| Total Liabilities BOY | 1537379 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1427958 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 31038030 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29116387 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE CENTER'S MISSION IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE FOR ALL. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15154542 | Expense |
| Revenue | 8338234 | Revenue |
| Description | SEE SCHEDULE O | Description |
| Total Program Service Expense | 15154542 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | true | 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 | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 | true | 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 | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 266 | 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MO | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BOB THEIS | NamePerson |
| Telephone Number | 8168894802 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 EUCLID AVENUE | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64124 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| RALPH C JOHNSON MS CPA | ||||||||
| DIRECTOR/CHAIRPERSON | 1.0 | 1.0 | X | X | 0 | 0 | 0 | |
| JOE VALENCIANO | ||||||||
| DIRECTOR/VICE CHAIRPERSON | 1.0 | X | X | 0 | 0 | 0 | ||
| JOSEPH L HIERSTEINER | ||||||||
| DIRECTOR/TREAS-RESIGN. 12/2012 | 1.0 | X | X | 0 | 0 | 0 | ||
| KATRENA ARMSTRONG | ||||||||
| DIRECTOR/TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| CATHY WALLACE | ||||||||
| DIRECTOR/SECRETARY | 1.0 | X | X | 0 | 0 | 0 | ||
| URSULA COPELAND MSW | ||||||||
| DIRECTOR/SECY-RESIGNED 12/2012 | 1.0 | X | X | 0 | 0 | 0 | ||
| DONNA WILSON PETERS | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MANUEL SOLANO MD | ||||||||
| DIRECTOR | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| NHOUNG TRAN | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| JOHN LOYA | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| GLORIA ORTIZ-FISCHER | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| MAMIE HUGHES | ||||||||
| EMERITUS (NON-VOTING DIRECTOR) | 1.0 | 1.0 | X | 0 | 0 | 0 | ||
| PETER SHAPIRO MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| BRADLEY SANCHEZ HOUSETON | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| RANDALL FERGUSON | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| HARRY S JONAS MD | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| HILDA FUENTES | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 1.0 | X | 216962 | 0 | 14915 | ||
| BOB THEIS CPA | ||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | X | 108694 | 0 | 12202 | |||
| SUDHA CHAUDHURI MD | ||||||||
| PHYSICIAN | 40.0 | 161037 | 0 | 14415 | X | |||
| GREGORY BUHLER DO | ||||||||
| PHYSICIAN | 40.0 | 150118 | 0 | 19856 | X | |||
| CINDY RUTTAN | ||||||||
| PSYCHIATRIST | 24.0 | 146520 | 0 | 13994 | X | |||
| MICHAEL WELLS DO | ||||||||
| PHYSICIAN | 40.0 | 142575 | 0 | 12738 | X | |||
| KHURSHEED ZIA MD | ||||||||
| PSYCHIATRIST | 40.0 | 135271 | 0 | 23206 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1061177 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 111326 | TotalOtherCompensation |
| Number Individuals GT100 K | 17 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| PRIORITY MANAGEMENT GROUP | |
| MEDICAL BILLING | 217843 |
| PHARMACY SYSTEMS | |
| PHARMACY MANAGEMENT | 347039 |
| ALEXANDER OPEN SYSTEMS | |
| MIS CONTRACT MGMT | 435036 |
| BURTIN ASSOCIATES | |
| FACILITY MAINT. | 145212 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Federated Campaigns | 166000 | FederatedCampaigns |
| Fundraising Events | 80504 | FundraisingEvents |
| Government Grants | 7348922 | GovernmentGrants |
| All Other Contributions | 1106110 | AllOtherContributions |
| Noncash Contributions | 126925 | NoncashContributions |
| Total Contributions | 8701536 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Service Revenue | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 8338234 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8338234 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8338234 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41036 | TotalRevenueColumn |
| Exclusion | $41,036 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 593921 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 529222 | Securities |
| Other | 74733 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 64699 | Securities |
| Other | -74733 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10034 | TotalRevenueColumn |
| Exclusion | -$10,034 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 12029 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 80504 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 97698 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -85669 | TotalRevenueColumn |
| Exclusion | -$85,669 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Other Income | 900099 | 69408 | $69,408 |
| EHR Incentives | 900099 | 93500 | $93,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 162908 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17148011 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8338234 | RelatedOrExemptFunctionIncome |
| Exclusion | $108,241 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 739603 | Total |
| Program Services | 580145 | ProgramServices |
| Management And General | 159458 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8192194 | Total |
| Program Services | 6991925 | ProgramServices |
| Management And General | 1134752 | ManagementAndGeneral |
| Fundraising | 65517 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149513 | Total |
| Program Services | 96551 | ProgramServices |
| Management And General | 49695 | ManagementAndGeneral |
| Fundraising | 3267 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2036528 | Total |
| Program Services | 1897779 | ProgramServices |
| Management And General | 123069 | ManagementAndGeneral |
| Fundraising | 15680 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 766571 | Total |
| Program Services | 676978 | ProgramServices |
| Management And General | 84703 | ManagementAndGeneral |
| Fundraising | 4890 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62608 | Total |
| Program Services | 14757 | ProgramServices |
| Management And General | 47851 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16760 | Total |
| Management And General | 16760 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2042510 | Total |
| Program Services | 1267161 | ProgramServices |
| Management And General | 775349 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176709 | Total |
| Program Services | 166366 | ProgramServices |
| Management And General | 10343 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 532117 | Total |
| Program Services | 459014 | ProgramServices |
| Management And General | 73103 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 307821 | Total |
| Program Services | 80994 | ProgramServices |
| Management And General | 226827 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461551 | Total |
| Program Services | 308791 | ProgramServices |
| Management And General | 152760 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72836 | Total |
| Program Services | 66307 | ProgramServices |
| Management And General | 6529 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16281 | Total |
| Program Services | 5631 | ProgramServices |
| Management And General | 10650 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1854319 | Total |
| Program Services | 1095848 | ProgramServices |
| Management And General | 758471 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83233 | Total |
| Management And General | 83233 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 544270 | 544270 | |
| Repairs & Maintenance | 156981 | 124771 | 32210 |
| Medical Supplies | 684953 | 684953 | |
| Dues & Subscriptions | 98264 | 39937 | 58327 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112860 | Total |
| Program Services | 52364 | ProgramServices |
| Management And General | 60496 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19108482 | Total |
| Program Services | 15154542 | ProgramServices |
| Management And General | 3864586 | ManagementAndGeneral |
| Fundraising | 89354 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 267813 | BOY |
| EOY | 128271 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1357631 | BOY |
| EOY | 1645075 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 688620 | BOY |
| EOY | 362284 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3015231 | BOY |
| EOY | 2651705 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47306 | BOY |
| EOY | 63902 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140053 | BOY |
| EOY | 131032 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30293358 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6242994 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25399147 | BOY |
| EOY | 24050364 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1259543 | BOY |
| EOY | 1363567 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78946 | BOY |
| EOY | 87971 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321119 | BOY |
| EOY | 60174 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32575409 | BOY |
| EOY | 30544345 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1307581 | BOY |
| EOY | 1275334 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229798 | BOY |
| EOY | 152624 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1537379 | BOY |
| EOY | 1427958 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30768895 | BOY |
| EOY | 29116387 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269135 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31038030 | BOY |
| EOY | 29116387 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32575409 | BOY |
| EOY | 30544345 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1960471 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 38796 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 32 | ReconcilationOtherChanges |
| 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 Separate | X | FinancialStatementSeparate |
| 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 |
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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Collect Used For Loan Or Exch Prgrms | X | CollectUsedForLoanOrExchPrgrms |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1485793 | OtherCostOrOtherBasis |
| Book Value | 1485793 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 22180505 | OtherCostOrOtherBasis |
| Depreciation | 2685250 | Depreciation |
| Book Value | 19495255 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 225196 | OtherCostOrOtherBasis |
| Depreciation | 65693 | Depreciation |
| Book Value | 159503 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6401864 | OtherCostOrOtherBasis |
| Depreciation | 3492051 | Depreciation |
| Book Value | 2909813 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 24050364 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 17009402 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 38796 | NetUnrealizedGainsInvestments |
| Other Revenues | 366865 | OtherRevenues |
| Revenue Not Rptd F990 | 405661 | RevenueNotRptdF990 |
| Revenue Subtotal | 16603741 | RevenueSubtotal |
| Other Revenues Not Included | 544270 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 544270 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17148011 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 18661910 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 97698 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 97698 | ExpensesNotRptdF990 |
| Expenses Subtotal | 18564212 | ExpensesSubtotal |
| Other Expenses Not Included | 544270 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 544270 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 19108482 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COLLECTIONS OF ART | SCHEDULE D, PART III, LINE 4 | Paintings by Rita Blitt were installed at the Health Center in April 2012. These paintings are part of the Rita Blitt Museum Without Walls exhibition. The Rita Blitt Museum Without Walls was developed in 2012 to list and illustrate exhibitions that are available for loan to galleries and museums, to map the numerous public places throughout the world that one can visit to view Blitts artwork, to share educational curriculum and films relating to her practice, and to showcase works in her portfolio. The exhibition featured in the On View section will change on a monthly basis. Blitt has indefinitely loaned collections of her art to non-profit organizations through the Rita Blitt Foundation, whose mission is to share, educate, and inspire through the artworks of Blitt. |
| UNCERTAIN TAX POSITIONS DISCLOSURE | SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI, LINE 2D | FUNDRAISING EVENT EXPENSES $ 97,698 TRANSFERS FROM SURHC FOUNDATION 269,167 __________ TOTAL 366,865 |
| RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XI, LINE 4B | BAD DEBT EXPENSE $ 544,270 |
| RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII, LINE 2D | FUNDRAISING EVENT EXPENSES $ 97,698 |
| RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS | SCHEDULE D, PART XII, LINE 4B | BAD DEBT EXPENSE $ 544,270 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TAKE FLIGHT ONE | NameOfEvent1 |
| Gross Receipts Event1 | 92533 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 80504 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 12029 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 11477 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 28260 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 2000 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 55961 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 92533 | GrossReceiptsTotal |
| Charitable Contributions Total | 80504 | CharitableContributionsTotal |
| Gross Revenue Total Events | 12029 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 11477 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 28260 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2000 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 55961 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 97698 | DirectExpenseSummaryEvents |
| Net Income Summary | -85669 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| 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 (6 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HILDA FUENTES | ||||||||||||
| CHIEF EXECUTIVE OFFICER | 216692 | 0 | 0 | 0 | 270 | 0 | 8369 | 0 | 6546 | 0 | 231877 | 0 |
| SUDHA CHAUDHURI MD | ||||||||||||
| PHYSICIAN | 160916 | 0 | 0 | 0 | 121 | 0 | 8319 | 0 | 6096 | 0 | 175452 | 0 |
| GREGORY BUHLER DO | ||||||||||||
| PHYSICIAN | 149893 | 0 | 0 | 0 | 225 | 0 | 6410 | 0 | 13446 | 0 | 169974 | 0 |
| CINDY RUTTAN | ||||||||||||
| PSYCHIATRIST | 146250 | 0 | 0 | 0 | 270 | 0 | 7096 | 0 | 6898 | 0 | 160514 | 0 |
| MICHAEL WELLS DO | ||||||||||||
| PHYSICIAN | 142305 | 0 | 0 | 0 | 270 | 0 | 6192 | 0 | 6546 | 0 | 155313 | 0 |
| KHURSHEED ZIA MD | ||||||||||||
| PSYCHIATRIST | 135001 | 0 | 0 | 0 | 270 | 0 | 7071 | 0 | 16135 | 0 | 158477 | 0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 85928 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | DENTAL EQUIPMENT AND SUPPLIES | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 40997 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NUMBER OF CONTRIBUTIONS | Identifier |
| Return Reference | SCHEDULE M, PART I, COLUMN B | ReturnReference |
| Explanation | THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS MADE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PROGRAM SERVICE ACCOMPLISHMENT | FORM 990, PART III, LINE 4A | The Health Center is located in a community that is a vital part of the metropolitan area's multicultural fabric. Located northeast of the Vine District, the Health Center is accessible to neighborhood residents including individuals and families residing in nearby public housing family developments. The Health Center's goal is the same as its mission which is to provide high quality, compassionate health care to all. Comprehensive care is delivered to people throughout the Kansas City metropolitan area and rural Lafayette county and surrounding areas in Missouri. Our outpatient primary care services include: - Adult & Senior Services - Behavioral Health - Children's & Adolescents Health - Women's Health - Dental Health - Podiatry On-site ancillary and supportive services include: - Laboratory - Imaging - Pharmacy - Interpreters - Patient Transportation A full range of outreach services complete the array of primary care services. They include: - Education and screening for breast and cervical cancer - Counseling and treatment for alcohol, tobacco and other drug abuse - WIC and nutrition education services (serving 3,200 individuals monthly) - Missouri HealthNet enrollment - Community outreach and health education Today's constantly changing health care system has added a special challenge to the Health Center's ability to care for the medically underserved people in our service area: - The Kansas City area is home to an increasing number of financially indigent and uninsured patients who are ineligible for public support programs; - Many of the Health Center's patients are medically uninsured while third party reimbursement remains flat. The Health Center's patient base is extraordinarily diverse. Because we are located near one of the largest refugee resettlement facilities in the Midwest, our Health Center is a point of entry to primary care services for immigrants from war-torn nations. More than twenty percent of the 1.8 million residents of the Kansas City metropolitan area are uninsured or are on Medicaid. About 26% of our patients are best served in a language other than English. To ensure these patients receive high quality care, the Health Center employs a cadre of interpreters who speak 12 languages. Among patients served, 35 percent are Hispanic/Latino, 31 percent Caucasian, 20 percent African American, 7 percent representing other ethnicities and 7 percent are Asian/Pacific Islander. Children represent 40 percent of our patient base. Thus, protecting children from childhood diseases is a vital part of our mission. Unchecked, the ravages of childhood illnesses such as Measles, Mumps, and Rubella can cause permanent disability or even death. 2011 - Provided health care for 19,047 individuals through over 69,500 visits - Launched a dental practice at J.A. Rogers Elementary School to provide oral health care services for low-income children - Provided $2.9 million in indigent care. 2012 - Provided health care for 21,114 individuals through over 77,000 visits - Launched a dental practice at the Clay County location to expand the Health Center's presence at that location - Provided $4.4 million in indigent care. 2013 - Provided health care for 21,400 individuals through over 73,800 visits - Provided $4.2 million in indigent care. - Patient-centered medical home recognition level 3 - Established a patient portal |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11A | AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE 990 IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING THE 990. ANY QUESTIONS AND CONCERNS THE FINANCE COMMITTEE HAS ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL 990 WITH ALL REQUIRED SCHEDULES IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | Duty to Disclose: If an Interested Person has a Position or Financial Interest in any business or other entity with which the Health Center is considering entering into an arrangement or transaction, the Interested Person must disclose the existence of the conflict to the Health Center's Board of Directors ("Board"). Determining Whether a Conflict of Interest Exists: The Board of Directors will make the determination. Procedures for Addressing the Conflict of Interest: - Prior to any discussion and vote on whether a conflict of interest exists, an Interested Person may make a presentation to the Board or the Executive Committee regarding the Interested Person's Position or Financial Interest. After such presentation, the Interested Person will leave the meeting during the discussion of, and the vote on, the Proposed Transaction. - The Board or the Executive Committee will undertake appropriate due diligence and inform itself of all material information reasonably available to it and explore all reasonable alternatives to the Proposed Transaction that would not involve the conflict of interest. - If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the Board or the Executive Committee will determine by a majority vote of the Disinterested Directors whether the Proposed Transaction is (i) in the Health Center's best interest, (ii) for the Health Center's own benefit, and (iii) fair and reasonable to the Health Center. In conformity with this determination, the Board or the Executive Committee will make its decision as to whether the Health Center may enter into the Proposed Transaction. Violations of the Conflicts of Interest Policy: If the Board or the Executive Committee determines that the Covered Person has in fact failed to disclose a Position or a Financial Interest, the Board or the Executive Committee will take appropriate disciplinary and corrective action. Documentation in Minutes: With respect to the determination of whether a conflict of interest exists, the name of the Interested Person who disclosed or was otherwise found to have a Position or Financial Interest in connection with an actual or potential conflict of interest; the nature of the Position or Financial Interest; any action taken to determine whether a conflict of interest was present; and the Board or the Executive Committee's decision as to whether a conflict of interest in fact existed. Annual Statements: Each Covered Person will annually sign a statement that affirms such person: - Has received a copy of this Policy; - Has read and understands the Policy; - Has agreed to comply with the Policy; and - Understands the Health Center is exempt from federal income tax and to maintain its federal tax exemption the Health Center must engage primarily in activities that accomplish one or more of its tax-exempt purposes. In addition, each Covered Person will annually complete, sign and promptly return to the Board or the Executive Committee a Questionnaire and Disclosure Statement substantially in the form attached hereto. A Covered Person need not disclose Compensation paid to the Covered Person by Health Center pursuant to a resolution of the Board. Periodic Reviews: The periodic reviews as required by the policy will, at a minimum, include the following subjects: - Whether the Health Center Compensation arrangements are reasonable, based on competent survey information, and are the result of arm's-length bargaining; and - Whether transactions and arrangements with other entities and individuals conform to the Health Center's policies, are properly recorded, reflect reasonable payments for goods and services, further the Health Center's tax-exempt purposes and do not result in private inurnment, impermissible private benefit, or in an excess benefit transaction. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINE 15A | The evaluation for the CEO for the year ending September 30, 2013 was in July, 2013. This evaluation was done by the Health Center's Board of Directors. The Chairperson of the Board will lead the assessment process. The chair shall select a Performance and Compensation Committee and its chair. The CEO will complete a self-assessment. This allows the Board and CEO to compare one another's perception of the CEO's performance. The Chairperson of the Performance and Compensation Committee will have each board member complete the Assessment form individually and compile results. Distribution of the assessment form: The Committee Chairperson will distribute the CEO Self-Assessment and the Board's Assessment of the CEO well enough in advance to allow ample time for completion. The Committee Chairperson will set a deadline for completing the Board's Assessment of the CEO. Analysis of the results: The responses for each question will be added together and the average response computed. Next, the average responses for each question will be added together and the average response for the assessment as a whole should be calculated. The results will be shared with the Board for discussion and analysis in closed session. Review of the results with the CEO: The CEO and the Board will meet in a closed executive session or a special meeting to review and discuss the results. Based on the results, the Board and CEO will develop a written performance plan and performance goals for the CEO describing areas of focus and improvement for the next year. The performance assessment will be used as a basis for determining compensation. An independent committee, using comparability data will conduct compensation analysis. Such deliberations and decisions regarding compensation shall be documented and substantiated. This compensation review methodology shall be used for all Chief Officer Positions. Solicit the CEO's feedback: The Board will obtain the CEO's feedback regarding the assessment process. Feedback will include understanding the CEO's agreement or disagreement with the Board's assessment; whether the format was appropriate, whether the Board and the CEO believed that the form used captured all of the necessary elements, and which areas could be improved in the next assessment. Other officers and key employees: On a regular basis, human resources will conduct salary surveys to ensure current job pay ranges and median pay for certain benchmarked positions remain competitive in the marketplace and consistent with the company's compensation philosophy. An independent committee using comparability data will conduct compensation analysis. Such deliberations and decisions regarding compensation should be documented and substantiated. |
| AVAILABILITY OF DOCUMENTS | FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 | CHANGE IN INTEREST OF SURHCF $ 32 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT PROFESSIONAL SERVICES TOTAL FEES:1035349 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE LAB REFERRAL TOTAL FEES:236525 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:FACILITY MAINT & SECURITY TOTAL FEES:211984 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTANTS - PHYSICIANS TOTAL FEES:111102 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY LABOR TOTAL FEES:94692 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE LAB - DENTAL TOTAL FEES:60818 |
| OTHER FEES FOR SERVICES FOR NON-EMPLOYEES | FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:292040 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Samuel U Rodgers Health Ctr Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 825 Euclid Avenue | AddressLine1 |
| City | Kansas City | City |
| State | MO | State |
| ZIP Code | 64124 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200751739 | EIN |
| Primary Activities | SUPPORT ORG | PrimaryActivities |
| Legal Domicile State | MO | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SURHC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | 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 | true | 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 | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Samuel U Rodgers Health Center Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionType |
| Amount Involved | 269167 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |
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