COLUMBUS NEIGHBORHOOD HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC (EIN 31-1533908)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-20
IRS object ID
201302639349300325
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-20T14:38:51-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Howard Wershbale & CoBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line123240 Chagrin Blvd Suite 700AddressLine1
CityClevelandCity
StateOHState
ZIP Code441225450ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311533908EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS NEIGHBORHOOD HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN WISELEYInCareOfName
Name ControlCOLUNameControl
Phone6146455500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 Watermark DriveAddressLine1
Address Line2Suite 420AddressLine2
CityColumbusCity
StateOHState
ZIP Code43215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN D WISELEYName
TitleCFOTitle
Phone6148591902Phone
Date Signed2013-09-17DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMatthew Dasta CPAName
Phone2168311200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn D WiseleyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11800 Watermark Drive STE 420AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18482087GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COLNHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSERVE THE COMMUNITY BY PROVIDING SERVICES TO INDIVIDUALS AND FAMILIES WITH BARRIERS TO HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees217TotalNbrEmployees
Total Nbr Volunteers12TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10970665ContributionsGrantsPriorYear
Contributions Grants Current Year10678284ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6755601ProgramServiceRevenuePriorYear
Program Service Revenue CY7708319ProgramServiceRevenueCY
Investment Income Prior Year1770InvestmentIncomePriorYear
Investment Income Current Year11456InvestmentIncomeCurrentYear
Other Revenue Prior Year63698OtherRevenuePriorYear
Other Revenue Current Year84028OtherRevenueCurrentYear
Total Revenue Prior Year17791734TotalRevenuePriorYear
Total Revenue Current Year18482087TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9611017SalariesEtcPriorYear
Salaries Etc Current Year10598593SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7776721OtherExpensePriorYear
Other Expenses Current Year7535274OtherExpensesCurrentYear
Total Expenses Prior Year17387738TotalExpensesPriorYear
Total Expenses Current Year18133867TotalExpensesCurrentYear
Revenues Less Expenses Prior Year403996RevenuesLessExpensesPriorYear
Revenues Less Expenses CY348220RevenuesLessExpensesCY
Total Assets BOY6690225TotalAssetsBOY
Total Assets EOY7406758TotalAssetsEOY
Total Liabilities BOY1050229TotalLiabilitiesBOY
Total Liabilities EOY1418542TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5639996NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5988216NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE COLUMBUS NEIGHBORHOOD HEALTH CENTER IS TO SERVE THE COMMUNITY THROUGH SERVICES THAT IMPROVE THE HEALTH OF FAMILIES INCLUDNG PEOPLE EXPERIENCING FINANCIAL, SOCIAL OR CULTURAL BARRIERS TO HEALTH CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11695892Expense
Revenue6305930Revenue
DescriptionMEDICAL SERVICES: PRIMARY CARE PHYSICIANS ARE TRAINED TO TREAT OVER 90% OF ALL ILLNESSES. THESE PHYSICIANS ARE TRAINED IN OTHER SPECIALTY AREAS, INCLUDING INTERNAL MEDICINE, GERIATRICS, AND PREVENTATIVE MEDICINE. PHYSICIANS PROVIDE IMMUNIZATIONS, WELL-BABY/CHILD CHECK-UP, PHYSICALS, SICK VISITS, BLOOD PRESSURE CHECKS, GLUCOSE SCREENINGS, SPORT PHYSICALS, FLU SHOTS, MINOR SURGERY AND MANY OTHER SERVICES. CNHC ALSO PROVIDES OBSTETRICS AND GYNECOLOGY CARE INCLUDING CARE DURING PREGNANCY, WELL WOMAN ANNUAL EXAMS, EVALUATION AND TREATMENT OF ABNORMAL PAP SMEARS, MENOPAUSAL CONSULTATION, EVALUATION AND TREATMENT OF PELVIC PAIN, CONTRACEPTION. NUMBER OF PATIENT VISITS IN 2012 FOR MEDICAL SERVICES WAS 64,248Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1601027Expense
Revenue868352Revenue
DescriptionDENTAL SERVICES: CNHC PROVIDES TOP-NOTCH PREVENTIVE AND OPERATIVE DENTISTRY FOR ADULTS AND CHILDREN. SERVICES INCLUDE PREVENTATIVE EXAMS, X-RAYS, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS AND EXTRACTIONS, AND ROOT CANALS. ALONG WITH DELIVERING HIGH QUALITY DENTAL CARE, CNHC MAKES DENTAL VISITS A COMFORTABLE EXPERIENCE. NUMBER OF PATIENT VISITS IN 2012 FOR DENTAL SERVICES WAS 13,432Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense756802Expense
DescriptionHOMELESS PROGRAM: CNHC RECOGNIZES THE STRUGGLES OF THE HOMELESS COMMUNITY, INCLUDING THE CHALLENGE OF OBTAINING ACCESS TO PRIMARY HEALTHCARE, MENTAL HEALTHCARE, AND SUBSTANCE ABUSE COUNSELING. CNHC PROVIDES CASE MANAGEMENT; OUTREACH SERVICES; CHRONIC DISEASE MANAGEMENT; SUPPORTIVE HOUSING LINKAGE; HEALTH EDUCATION PROMOTION, AND PREVENTION SERVICES; TRANSPORTATION SERVICES; ANCILLARY SERVICES; MENTAL HEALTHCARE ACCESS; AND SUBSTANCE ABUSE COUNSELING. NUMBER OF HOMELESS PATIENT VISITS IN 2012 FOR MEDICAL SERVICE WAS 1,800 FOR DENTAL SERVICES WAS 603, AND FOR VISION SERVICES WAS 139.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1185589604114Vision Services
27690213951Prescription Services
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1462491TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev618065TotalOfOtherProgramServiceRev
Total Program Service Expense15516212TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees217NumberOfEmployees
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN WISELEYNamePerson
Telephone Number6146455500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 WATERMARK DRIVE SUITE 420AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CAROLE ANDERSON
CHAIR OF RISK MGT COMMITTEE1.0XX000
KEVIN DIXON
PRESIDENT-ELECT1.0XX000
DOUGLAS HAMMOND
SECRETARY1.0XX000
SONIA JOHNSON-CAREY
TREASURER1.0XX000
CHARLETA TAVARES
TRUSTEE1.0X000
JOSUE' VICENTE
TRUSTEE1.0X000
SARA WIDING
PRESIDENT1.0XX000
GLORIA BEAL
TRUSTEE1.0X000
VIRGINIA MCKEON
TRUSTEE1.0X000
ANTHONY PENN
TRUSTEE1.0X000
MARGARET PRINGLE
TRUSTEE1.0X000
THOMAS HORAN
CHIEF EXECUTIVE OFFICER40.0X21011806041
JOHN WISELEY
CHIEF FINANCIAL OFFICER40.0X95253013122
DARREN HUFF
DIR OF ADMIN/CIO40.0X9989707843
PARMINDER BAJWA
DIRECTOR OF MEDICAL SERVICES40.0X14128904616
MOHAMMED MOHAMMED
DIRECTOR OF HEALTH CR40.0X95737011713
JEFFREY MARABLE
PHYSICIAN40.0196405019557X
ANINDITA GHOSH
PHYSICIAN40.014524004778X
GREGARY GRAVES
OPTOMETRIST40.0141464018241X
BARBARA LAROQUE
PHYSICIAN40.013348409079X
KELLY FLEMMING
FAMILY PRACTICE40.0141568012840X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1400455TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation107830TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants8643044GovernmentGrants
All Other Contributions2035240AllOtherContributions
Noncash Contributions1944171NoncashContributions
Total Contributions10678284TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID REVENUE62130046288954628895
PATIENT FEES REVENUE62130027149752714975
PRIVATE INSURANCE REVENUE621300364449364449
FieldValueIRS element (for citing)
Total Program Service Revenue7708319TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11456TotalRevenueColumn
Exclusion$11,456ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real56076Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real56076Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column56076TotalRevenueColumn
Related Or Exempt Function Income56076RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code621300BusinessCode
Total Revenue Column27952TotalRevenueColumn
Related Or Exempt Function Income27952RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue27952TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18482087TotalRevenueColumn
Related Or Exempt Function Income7792347RelatedOrExemptFunctionIncome
Exclusion$11,456ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total685629Total
Program Services154825ProgramServices
Management And General530804ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7743511Total
Program Services6809476ProgramServices
Management And General934035ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total175653Total
Program Services137412ProgramServices
Management And General38241ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1333274Total
Program Services1116236ProgramServices
Management And General217038ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total660526Total
Program Services549632ProgramServices
Management And General110894ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total79650Total
Management And General79650ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26750Total
Management And General26750ManagementAndGeneral

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)
Total103903Total
Program Services18000ProgramServices
Management And General85903ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6685Total
Management And General6685ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total724434Total
Program Services697718ProgramServices
Management And General26716ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4035Total
Program Services2598ProgramServices
Management And General1437ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1134340Total
Program Services990274ProgramServices
Management And General144066ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30881Total
Program Services23636ProgramServices
Management And General7245ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total48071Total
Program Services3823ProgramServices
Management And General44248ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total273743Total
Program Services114365ProgramServices
Management And General159378ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total55057Total
Program Services44637ProgramServices
Management And General10420ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT5276135256241989
PATIENT CARE EXPENSES297873729776931044
CONTRACTED SERVICES107354410707982746
CONTRACTED STAFF73959728001159

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total393872Total
Program Services206665ProgramServices
Management And General187207ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18133867Total
Program Services15516212ProgramServices
Management And General2617655ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4804618BOY
EOY5310997EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY417447BOY
EOY535065EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY662090BOY
EOY729673EOY

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)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY97172BOY
EOY84404EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2564536LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1827917LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY691833BOY
EOY736619EOY

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)
BOY17065BOY
EOY10000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6690225BOY
EOY7406758EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1012745BOY
EOY1384028EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY23014EOY

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)
BOY37484BOY
EOY11500EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1050229BOY
EOY1418542EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5639996BOY
EOY5988216EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5639996BOY
EOY5988216EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6690225BOY
EOY7406758EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses348220ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
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 Years10702433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10616344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11067744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10970665CurrentTaxYearMinus1Year
Current Tax Year10678284CurrentTaxYear
Total54035470Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10702433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10616344CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11067744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10970665CurrentTaxYearMinus1Year
Current Tax Year10678284CurrentTaxYear
Total54035470Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17054035470PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61826CurrentTaxYearMinus1Year
Current Tax Year67532CurrentTaxYear
Total149966Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year7728CurrentTaxYearMinus1Year
Current Tax Year27952CurrentTaxYear
Total35680Total
FieldValueIRS element (for citing)
Total Support54221116TotalSupport
Public Support Pertcentage1700.99658PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99716PublicSupportPertcentPriorYear
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
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1013816OtherCostOrOtherBasis
Depreciation765438Depreciation
Book Value248378BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1524403OtherCostOrOtherBasis
Depreciation1039365Depreciation
Book Value485038BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26317OtherCostOrOtherBasis
Depreciation23114Depreciation
Book Value3203BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings736619TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt18993705TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities511618DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990511618RevenueNotRptdF990
Revenue Subtotal18482087RevenueSubtotal
Total Revenue Per Form99018482087TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18645485TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities511618DonatedServicesUseOfFacilities
Expenses Not Rptd F990511618ExpensesNotRptdF990
Expenses Subtotal18133867ExpensesSubtotal
Total Expenses Per Form99018133867TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
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 (5 entries)

TitleTitleBase 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
THOMAS HORAN
CHIEF EXECUTIVE OFFICER210118000004442015990216159000
JEFFREY MARABLE
PHYSICIAN1964050000043850151720215962000
ANINDITA GHOSH
PHYSICIAN145240000003179015990150018000
GREGARY GRAVES
OPTOMETRIST1414640000030690151720159705000
KELLY FLEMMING
FAMILY PRACTICE141568000003069097710154408000

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901944171NoncashContribsRptdF990
Method Of Determining RevenuesCOST OF MEDICATIONSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AUDIT COMMITTEEFORM 990, PART XI, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DVISION: CNHC BELIEVES IT IS VERY IMPORTANT TO CARE FOR VISION, JUST AS IT IS FOR OTHER HEALTH ASPECTS. CNHC PROVIDES ANNUAL EXAMS TO ASSIST IN THE PROTECTION OF ITS PATIENTS' EYES, DETECTION OF ANY PROBLEMS AND TREATING THOSE IDENTIFIED, AT THE EARLIEST STATE. NUMBER OF PATIENT VISITS IN 2012 FOR VISION SERVICES WAS 8,246. PRESCRIPTION ACCESS PROGRAM: PRESCRIPTION ACCESS IS A PRESCRIPTION ASSISTANCE SERVICE THAT WAS INITIATED BY THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION. PRESCRIPTION ACCESS PROVIDES ACCESS TO AFFORDABLE MEDICATIONS FOR THE UNISURED AND LOW-INCOME RESIDENTS OF FRANKLIN COUNTY. CNHC RENTS A PORTION OF ITS FACILITY TO THE COLUMBUS HEALTH DEPARTMENT (WIC) ON A COST-REIMBURSEMENT BASIS TO FURTHER ITS EXEMPT PURPOSE AND SUPPLEMENT ITS EXISTING SERVICES.
REVIEW PROCESS OF FORM 990FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE FINANCE COMMITTEE, THE EXECUTIVE BOARD COMMITTEE AND/OR THE FULL BOARD OF DIRECTORS THEN REVIEW THE FORM 990 AND MAKE A DECISION WHETHER OR NOT TO ACCEPT THE FORM 990. A COPY OF THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS PRIOR TO FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, HEALTHCARE PROVIDERS HAVE THE CONFLICT OF INTEREST POLICY IN THEIR CONTRACTS, AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL STAFF THROUGH THE EMPLOYEE HANDBOOK. THE CONFLICT OF INTEREST POLICY IS BASED ON THE HONOR SYSTEM OF NOTIFYING MANAGEMENT IF A CONFLICT OF INTEREST EXISTS.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15IN DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, TOP MANAGEMENT AND OTHER KEY EMPLOYEES, THE COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. USES COMPARATIVE COMPENSATION INFORMATION FROM OTHER FQHC'S AND THE LOCAL MARKET.
PUBLIC AVAILABILITY OF FORMSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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