FAMILY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER (EIN 61-0716483)
Tax period
2011-12-01 to 2012-11-30
Filed
2013-06-03
IRS object ID
201301549349300630
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-06-03T15:45:59-05:00Timestamp
Tax Period End Date2012-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 E MAIN ST STE 200 PO BOX 1196AddressLine1
CityBOWLING GREENCity
StateKYState
ZIP Code421021196ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610716483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% GARY F DUERRInCareOfName
Name ControlFAMINameControl
Phone5027728561Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGARY DUERRName
TitleDIRECTOR OF FINANCETitle
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJESSICA FREEMANName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12215 PORTLAND AVENUEAddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code40212ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33882253GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FHCLOUISVILLE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF FAMILY HEALTH CENTERS, INC. IS TO PROVIDE RESIDENTS OF LOUISVILLE AND JEFFERSON COUNTY ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES REGARDLESS OF THE ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees424TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8211441ContributionsGrantsPriorYear
Contributions Grants Current Year8113612ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18783871ProgramServiceRevenuePriorYear
Program Service Revenue CY20317370ProgramServiceRevenueCY
Investment Income Prior Year308504InvestmentIncomePriorYear
Investment Income Current Year479212InvestmentIncomeCurrentYear
Other Revenue Prior Year202413OtherRevenuePriorYear
Other Revenue Current Year1231264OtherRevenueCurrentYear
Total Revenue Prior Year27506229TotalRevenuePriorYear
Total Revenue Current Year30141458TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17550596SalariesEtcPriorYear
Salaries Etc Current Year19154202SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9568456OtherExpensePriorYear
Other Expenses Current Year9507238OtherExpensesCurrentYear
Total Expenses Prior Year27119052TotalExpensesPriorYear
Total Expenses Current Year28663440TotalExpensesCurrentYear
Revenues Less Expenses Prior Year387177RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1478018RevenuesLessExpensesCY
Total Assets BOY17055147TotalAssetsBOY
Total Assets EOY17507804TotalAssetsEOY
Total Liabilities BOY4006970TotalLiabilitiesBOY
Total Liabilities EOY2869056TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13048177NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14638748NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF FAMILY HEALTH CENTERS, INC. IS TO PROVIDE RESIDENTS OF LOUISVILLE AND JEFFERSON COUNTY ACCESS TO HIGH QUALITY PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES REGARDLESS OF THE ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense27187642Expense
Revenue20317370Revenue
DescriptionFAMILY HEALTH CENTERS, INC. IS A COMMUNITY HEALTH CENTER LOCATED IN LOUISVILLE, KENTUCKY THAT PROVIDES PRIMARY HEALTH CARE SERVICES TO PATIENTS IN THE LOUISVILLE AREA THROUGH SIX PRIMARY CARE CENTERS AND ONE SPECIAL HEALTH CLINIC FOR THE HOMELESS. DURING THE YEAR ENDED NOVEMBER 30, 2012, FAMILY HEALTH CENTERS SERVED A TOTAL OF 41,962 (INCLUDING 6,059 WHO WERE HOMELESS) PATIENTS WHO HAD APPROXIMATELY 162,000 VISITS BROKEN DOWN AS FOLLOWS: MEDICAL VISITS OF 130,694; DENTAL VISITS OF 11,540; MENTAL HEALTH AND SUBSTANCE ABUSE VISITS OF 9,222 AND ENABLING VISITS OF 10,338. OF THE 41,962 PATIENTS SERVED, APPROXIMATELY 22,700 (54%) WERE UNINSURED. IN 2012, FAMILY HEALTH CENTERS PROVIDED TOTAL CHARITY CARE OF APPROXIMATELY $12,453,000. OVER THE PRIOR THREE YEARS, CHARITY CARE TOTALED APPROXIMATELY $37,179,000.Description
Total Program Service Expense27187642TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees424NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGARY F DUERRNamePerson
Telephone Number5027728561TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
REV HARLAN BECKEMEYER
BOARD MEMBER2.0X000
PRISCILLA EWING
SECRETARY OF THE BOARD2.0X000X
BETTY FOX
BOARD MEMBER2.0X000
LEONARD GODDY MD
BOARD MEMBER2.0X000
MICHELE HEUGLIN
BOARD MEMBER2.0X000
BOBBY HICKEY
BOARD MEMBER2.0X000
MURIEL HARRIS PHD
CHAIRMAN OF THE BOARD2.0X000X
PHIL LEVY
BOARD MEMBER2.0X000
LISA JUMPER
BOARD MEMBER2.0X000
CHARLES SMITH MD
BOARD MEMBER2.0X000
SUE SPEED
BOARD MEMBER2.0X000
GARY WATROUS
BOARD MEMBER2.0X000
WILLA FAE WILLIAMS
TREASURER OF THE BOARD2.0X000X
WILLIAM B WAGNER
EXECUTIVE DIRECTOR37.5135262032581X
GARY DUERR
DIRECTOR OF FINANCE37.598583022776X
JULIA RICHERSON
PHYSICIAN37.5136507035548X
MARY PRESTON HARDESTY
PHYSICIAN37.5134170025479X
JAMES JACKSON
PHYSICIAN37.5131191033509X
LESLIE SMITH
PHYSICIAN37.5120978029728X
PETER THURMAN
MEDICAL DIRECTOR37.5136483036157X
FieldValueIRS element (for citing)
Total Reportable Comp From Org893174TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation215778TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EYE CATCHERS
8415 FIELD CREST CTLOUISVILLEKY40299MAINTENANCE103962
RANDSTAD
PO BOX 2084CAROL STREAMIL60132CONTRACT LABOR224212
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants8113612GovernmentGrants
Total Contributions8113612TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62140096087009608700
PREMIUM REVENUE6214001022311310223113
PFIZER SHARE THE CARE PROGRAM624200485557485557
FieldValueIRS element (for citing)
Total Program Service Revenue20317370TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column248457TotalRevenueColumn
Exclusion$248,457ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3971550Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3740795Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities230755Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column230755TotalRevenueColumn
Exclusion$230,755ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR INCENTIVES900099892500$892,500
PHARMACY REQUISIT90009948205$48,205
OTHER INCOME621400274027274027

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16532TotalRevenueColumn
Exclusion$16,532ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1231264TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30141458TotalRevenueColumn
Related Or Exempt Function Income20591397RelatedOrExemptFunctionIncome
Exclusion$1,436,449ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2000Total
Program Services2000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total289202Total
Management And General289202ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13326407Total
Program Services12938151ProgramServices
Management And General388256ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2325071Total
Program Services2197487ProgramServices
Management And General127584ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2267672Total
Program Services2127302ProgramServices
Management And General140370ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total945850Total
Program Services901607ProgramServices
Management And General44243ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11821Total
Program Services25ProgramServices
Management And General11796ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54352Total
Program Services54352ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2581739Total
Program Services2554163ProgramServices
Management And General27576ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total47153Total
Program Services2065ProgramServices
Management And General45088ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1087404Total
Program Services936178ProgramServices
Management And General151226ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total202220Total
Program Services189872ProgramServices
Management And General12348ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total462468Total
Program Services462468ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total127655Total
Program Services75724ProgramServices
Management And General51931ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22606Total
Program Services15595ProgramServices
Management And General7011ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total17910Total
Management And General17910ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total615448Total
Program Services603284ProgramServices
Management And General12164ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6979Total
Program Services6979ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE58021052375756453
MISCELLANEOUS CONTRACTS107279107279
MEDICAL SUPPLIES26897392689739
LAB EXPENSES580261580261

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total311994Total
Program Services219354ProgramServices
Management And General92640ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28663440Total
Program Services27187642ProgramServices
Management And General1475798ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1151214BOY
EOY725614EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8285746BOY
EOY8874160EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY66366BOY
EOY50669EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY708270BOY
EOY733728EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY31000BOY
EOY31000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY339095BOY
EOY246509EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY80920BOY
EOY76064EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14152582LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7693806LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6029288BOY
EOY6458776EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY363248BOY
EOY311284EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17055147BOY
EOY17507804EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2214611BOY
EOY2302971EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1792359BOY
EOY566085EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4006970BOY
EOY2869056EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7018889BOY
EOY8179972EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6029288BOY
EOY6458776EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13048177BOY
EOY14638748EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17055147BOY
EOY17507804EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1478018ReconcilationRevenueExpenses
Reconcilation Other Changes112553ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6633377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8603992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8307507CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8211441CurrentTaxYearMinus1Year
Current Tax Year8113612CurrentTaxYear
Total39869929Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6633377CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8603992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8307507CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8211441CurrentTaxYearMinus1Year
Current Tax Year8113612CurrentTaxYear
Total39869929Total
FieldValueIRS element (for citing)
Public Support Total17039869929PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119440CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years145791CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year158477CurrentTaxYearMinus1Year
Current Tax Year248457CurrentTaxYear
Total887476Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years101178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79128CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38880CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33130CurrentTaxYearMinus1Year
Current Tax Year957237CurrentTaxYear
Total1209553Total
FieldValueIRS element (for citing)
Total Support41966958TotalSupport
Gross Receipts From Admissions Etc93710584GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95003PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97070PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8740653OtherCostOrOtherBasis
Depreciation4282879Depreciation
Book Value4457774BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis825443OtherCostOrOtherBasis
Depreciation114644Depreciation
Book Value710799BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3307633OtherCostOrOtherBasis
Depreciation3091245Depreciation
Book Value216388BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1225353OtherCostOrOtherBasis
Depreciation205038Depreciation
Book Value1020315BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6458776TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYERS$24,363
OTHER ACCRUED LIABILITIES$541,722
FieldValueIRS element (for citing)
Total Of Amounts566085TotalOfAmounts
Total Revenue30141458TotalRevenue
Total Expenses28663440TotalExpenses
Excess Or Deficit For Year1478018ExcessOrDeficitForYear
Net Unrealized GL On Investments112553NetUnrealizedGLOnInvestments
Total Adjustments112553TotalAdjustments
Excess Or Deficit Per FS1590571ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt30251408TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments112553NetUnrealizedGainsInvestments
Revenue Not Rptd F990112553RevenueNotRptdF990
Revenue Subtotal30138855RevenueSubtotal
Other Revenues Not Included2603OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2603RevenueNotRptdOnFinStmt
Total Revenue Per Form99030141458TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28660837TotExpensesEtcAuditedFinclStmt
Expenses Subtotal28660837ExpensesSubtotal
Other Expenses Not Included2603OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2603ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028663440TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION TO AUDIT - REVENUESCH. D, PART XII, LINE 4B---------------------------- INTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $ 603 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $2,000 -------- $2,603
RECONCILIATION TO AUDIT - EXPENSESCH. D, PART XIII, LINE 4B---------------------------- INTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $ 603 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $2,000 -------- $2,603
INCOME TAXESSCH. D, PART X, LINE 2---------------------------- THE HEALTH CENTER HAS BEEN RECOGNIZED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM B WAGNER
134866000396027808047730167843000
JULIA RICHERSON
13641700090028725068230172055000
MARY PRESTON HARDESTY
133873000297025479000159649000
JAMES JACKSON
131053000138028142053670164700000
LESLIE SMITH
120840000138025950037780150706000
PETER THURMAN
136087000396028885072720172640000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11---------------------------- A FULL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD VIA EMAIL BEFORE FILING.
MONITORING THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12C---------------------------- ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST AND COMPLIANCE POLICY (NAMED STANDARD OF CONDUCT) ANNUALLY. REGARDING ANY CONTRACTS AND FHC BUSINESS, THE POLICIES ARE MONITORED AT THE VARIOUS COMMITTEE LEVELS AND ANY POTENTIAL CONFLICTS ARE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THE COMPLIANCE RELATED DOCUMENTS ARE POSTED ON THE HEALTH CENTER'S INTRANET SITE.
PROCESS FOR DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINE 15A---------------------------- THE EXECUTIVE DIRECTOR'S SALARY IS SET BY THE BOARD AND HIS JOB EVALUATION IS PERFORMED BY THE BOARD CHAIRMAN. THIS IS DONE ANNUALLY AND WAS PERFORMED IN 2012.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19---------------------------- THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5---------------------------- OTHER CHANGE IN NET ASSETS: UNREALIZED GAIN $112,553

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