HENRY J AUSTIN HEALTH CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HENRY J AUSTIN HEALTH CENTER INC (EIN 22-2682708)
- Tax period
- 2011-04-01 to 2012-03-31
- Filed
- 2013-10-25
- IRS object ID
- 201312989349300931
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-25T14:28:34-05:00 | Timestamp |
| Tax Period End Date | 2012-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232932984 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARENTEBEARD LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 MARKET STREET SUITE 4500 | AddressLine1 |
| City | PHILADELPHIA | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222682708 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY J AUSTIN HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HENR | NameControl |
| Phone | 6092783599 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 N WARREN STREET | AddressLine1 |
| City | TRENTON | City |
| State | NJ | State |
| ZIP Code | 08618 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GEORGE C STOKES | Name |
| Title | CEO | Title |
| Phone | 6092783599 | Phone |
| Date Signed | 2013-10-25 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIUS GREEN CPA | Name |
| PTIN | P00350393 | PTIN |
| Phone | 2159720701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GEORGE C STOKES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 N WARREN STREET | AddressLine1 |
| City | TRENTON | City |
| State | NJ | State |
| ZIP Code | 08618 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10802211 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HENRYJAUSTIN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY HEALTHCARE TO MERCER COUNTY'S UNINSURED AND UNDERINSURED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 149 | TotalNbrEmployees |
| Total Nbr Volunteers | 19 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5035520 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5365060 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6364175 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5335222 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 636 | InvestmentIncomePriorYear |
| Investment Income Current Year | 348 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 18964 | OtherRevenuePriorYear |
| Other Revenue Current Year | 59340 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11419295 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10759970 | 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 | 8107491 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7628125 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3363822 | OtherExpensePriorYear |
| Other Expenses Current Year | 2764261 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11471313 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10392386 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -52018 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 367584 | RevenuesLessExpensesCY |
| Total Assets BOY | 5654753 | TotalAssetsBOY |
| Total Assets EOY | 5200509 | TotalAssetsEOY |
| Total Liabilities BOY | 4206354 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3349372 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1448399 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1851137 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE HENRY J. AUSTIN HEALTH CENTER, INC. PROVIDES PATIENT-CENTERED, COMPREHENSIVE, ACCESSIBLE, EFFICIENT, QUALITY PRIMARY CARE SERVICES TO THE CULTURALLY DIVERSE GREATER TRENTON COMMUNITY. OUR EXCEPTIONAL, DEDICATED, WELL-TRAINED TEAM DELIVERS BEST PRACTICE HEALTH CARE, WORKING WITH COMMUNITY PARTNERS TO PROVIDE EXTRAORDINARY CUSTOMER SERVICE AND QUALITY OUTCOMES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7429923 | Expense |
| Revenue | 5403847 | Revenue |
| Description | HENRY J AUSTIN PROVIDES HEALTH CARE SERVICES TO THE UNINSURED AND UNDERINSURED POPULATION OF TRENTON. THE MAIN FACILITY SEES ANYONE, THE EWING FACILITY IS LOCATED ADJACENT TO THE RESCUE MISSION AND PRIMARILY SEES HOMELESS PATIENTS. THE THIRD LARGEST PROGRAM IS CALLED ACCESS AND PROVIDES PRIMARY CARE AND SPECIALITY CARE TO PERSONS LIVING WITH HIV/AIDS. | Description |
| Total Program Service Expense | 7429923 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 20 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 149 | NumberOfEmployees |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NJ | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CORINNE HIGGINS | NamePerson |
| Telephone Number | 6092785938 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 321 N WARREN STREET | AddressLine1 |
| City | TRENTON | City |
| State | NJ | State |
| ZIP Code | 08618 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JULIUS CAMPBELL | ||||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| CECIL MULLINGS | ||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| GERALD STOCKMAN | ||||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| MARY DICKERSON | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| BEATRICE JONES | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| KHALIDA HAQQ | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DJENABA FIGUEROA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| CRYSTAL FELICIANO | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PAULINE CHISHOLM | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RUTH ROSSER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JONATHAN UY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| DAVID HENDERSON | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JUAN CARLOS AVILA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ERIC WILLIAMS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MYRA JONES | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MONICA WEAVER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GEORGE STOKES | ||||||||
| CEO (FROM 10/3/11) | 40.00 | X | 37000 | 0 | 6760 | |||
| DEVIN GOODMAN | ||||||||
| DENTAL DIRECTOR | 40.00 | X | 133600 | 0 | 807 | |||
| KEMI ALLI | ||||||||
| CMO | 40.00 | 195000 | 0 | 20956 | X | |||
| SARAIA PACHECO-SMITH | ||||||||
| PHYSICIAN | 40.00 | 132600 | 0 | 13475 | X | |||
| MAGALI SANTOS | ||||||||
| DENTIST | 40.00 | 131600 | 0 | 7908 | X | |||
| A ADERIBIGBE | ||||||||
| PHYSICIAN | 40.00 | 131000 | 0 | 765 | X | |||
| KRYSTIN PHELPS | ||||||||
| PHYSICIAN | 40.00 | 129000 | 0 | 16278 | X | |||
| LISA LOPEZ | ||||||||
| PHYSICIAN | 40.00 | 122600 | 0 | 7373 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1012400 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 74322 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FAMILY GUIDANCE CENTER | |||||
| 1931 NOTTINGHAM WAY | HAMILTON | NJ | 08619 | BEHAVIORAL HEALTH PROVIDER | 247015 |
| ELECTRONIC HEALTHCARE SYSTEMS | |||||
| 100 BROOKWOOD PLACE STE 410 | BIRMINGHAM | AL | 35209 | ELECTRONIC MEDICAL RECORD SYSTEMS | 228220 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 828669 | PHILADELPHIA | PA | 191828669 | MEDICAL LABORATORY SERVICES | 147205 |
| FOOT HEALTH CENTERS PA | |||||
| 52 BERLIN DRIVE STE 5000 | CHERRY HILL | NJ | 08034 | PODIATRY PROVIDER | 142568 |
| NJ COMMERCIAL CLEANING SERVICES | |||||
| PO BOX 3324 | MERCERVILLE | NJ | 08690 | JANITORIAL SERVICES | 116450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Government Grants | 4498357 | GovernmentGrants |
| All Other Contributions | 866703 | AllOtherContributions |
| Noncash Contributions | 227307 | NoncashContributions |
| Total Contributions | 5365060 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 5335222 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5335222 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5335222 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 348 | TotalRevenueColumn |
| Exclusion | $348 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 32956 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 42241 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -9285 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9285 | TotalRevenueColumn |
| Exclusion | -$9,285 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| THIRD PARTY INCENTIVES | 621400 | 42112 | 42112 |
| PARTICIPATION IN CLINI | 900099 | 17390 | 17390 |
| SETTLEMENT FUNDS | 900099 | 5656 | 5656 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3467 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3467 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 68625 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10759970 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5403847 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$8,937 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432123 | Total |
| Management And General | 432123 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5823455 | Total |
| Program Services | 4195043 | ProgramServices |
| Management And General | 1628412 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 907430 | Total |
| Program Services | 630533 | ProgramServices |
| Management And General | 276897 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465117 | Total |
| Program Services | 313340 | ProgramServices |
| Management And General | 151777 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62830 | Total |
| Management And General | 62830 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10862 | Total |
| Program Services | 8798 | ProgramServices |
| Management And General | 2064 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198789 | Total |
| Program Services | 161021 | ProgramServices |
| Management And General | 37768 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179781 | Total |
| Program Services | 137599 | ProgramServices |
| Management And General | 42182 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4183 | Total |
| Program Services | 3388 | ProgramServices |
| Management And General | 795 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18639 | Total |
| Program Services | 15098 | ProgramServices |
| Management And General | 3541 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123115 | Total |
| Program Services | 99724 | ProgramServices |
| Management And General | 23391 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 309686 | Total |
| Program Services | 250848 | ProgramServices |
| Management And General | 58838 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111475 | Total |
| Program Services | 90296 | ProgramServices |
| Management And General | 21179 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 696737 | 564363 | 132374 |
| MEDICAL SUPPLIES | 548294 | 548294 | |
| EQUIPMENT & REPAIRS | 273156 | 221259 | 51897 |
| COMPUTER FEES | 66501 | 53866 | 12635 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160213 | Total |
| Program Services | 136453 | ProgramServices |
| Management And General | 23760 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10392386 | Total |
| Program Services | 7429923 | ProgramServices |
| Management And General | 2962463 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2425 | BOY |
| EOY | 2580 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144972 | BOY |
| EOY | 18343 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73496 | BOY |
| EOY | 58549 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 822135 | BOY |
| EOY | 635057 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94498 | BOY |
| EOY | 48589 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7684475 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3268589 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4517227 | BOY |
| EOY | 4415886 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 21505 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5654753 | BOY |
| EOY | 5200509 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 930070 | BOY |
| EOY | 1219610 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64805 | BOY |
| EOY | 98532 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2175758 | BOY |
| EOY | 1956275 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300000 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 735721 | BOY |
| EOY | 74955 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4206354 | BOY |
| EOY | 3349372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1448399 | BOY |
| EOY | 1851137 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1448399 | BOY |
| EOY | 1851137 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5654753 | BOY |
| EOY | 5200509 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 367584 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 35155 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4505912 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4371194 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5446501 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5071284 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5365060 | CurrentTaxYear |
| Total | 24759951 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4505912 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4371194 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5446501 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5071284 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5365060 | CurrentTaxYear |
| Total | 24759951 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 24759951 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30687 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27485 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31803 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 29415 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33304 | CurrentTaxYear |
| Total | 152694 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22376 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 114908 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38666 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 38129 | CurrentTaxYearMinus1Year |
| Current Tax Year | 68624 | CurrentTaxYear |
| Total | 282703 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 25195348 | TotalSupport |
| Gross Receipts From Admissions Etc | 5335222 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98270 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98510 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36142 | OtherCostOrOtherBasis |
| Book Value | 36142 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3932538 | OtherCostOrOtherBasis |
| Depreciation | 776870 | Depreciation |
| Book Value | 3155668 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1628235 | OtherCostOrOtherBasis |
| Depreciation | 783226 | Depreciation |
| Book Value | 845009 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1951729 | OtherCostOrOtherBasis |
| Depreciation | 1574055 | Depreciation |
| Book Value | 377674 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135831 | OtherCostOrOtherBasis |
| Depreciation | 134438 | Depreciation |
| Book Value | 1393 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4415886 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SUB-RECIPIENT FUNDS | Description |
| Amount | $74,955 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 74955 | TotalOfAmounts |
| Total Revenue | 10759970 | TotalRevenue |
| Total Expenses | 10392386 | TotalExpenses |
| Excess Or Deficit For Year | 367584 | ExcessOrDeficitForYear |
| Prior Period Adjustments | 35155 | PriorPeriodAdjustments |
| Total Adjustments | 35155 | TotalAdjustments |
| Excess Or Deficit Per FS | 402739 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10801727 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -483 | OtherRevenues |
| Revenue Not Rptd F990 | -483 | RevenueNotRptdF990 |
| Revenue Subtotal | 10802210 | RevenueSubtotal |
| Other Revenues Not Included | -42241 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -42241 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 10759969 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 10434144 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 42241 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 42241 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10391903 | ExpensesSubtotal |
| Other Expenses Not Included | 483 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 483 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10392386 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012. THE CENTER'S FEDERAL RETURNS FOR FISCAL YEARS AFTER 2007 REMAIN SUBJECT TO EXAMINATION BY THE IRS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FEE REIMBURSEMENT -483. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -42,241. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 42,241. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | FEE REIMBURSEMENT 483. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KEMI ALLI | NamePerson |
| Base Compensation Filing Org | 195000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 20956 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 215956 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | DONATED VACCINES | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 227307 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | SCHEDULE M, PART I, COLUMN (B): THE NUMBER OF CONTRIBUTORS REPORTED IS BASED ON THE FOLLOWING: DONATED VACCINES - NUMBER OF CONTRIBUTORS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS MADE UP OF THE CHAIRPERSONS OF EACH COMMITTEE. THEY HAVE THE AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULAR MEETINGS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO OF THE ORGANIZATION, WHO HAS OVER 20 YEARS OF EXPERIENCE WITH NOT FOR PROFIT ORGANIZATIONS. AFTER HIS REVIEW AND APPROVAL, THE FORM 990 IS FILED WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS GIVEN TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE FINANCE COMMITTEE PERFORMS THE ULTIMATE SIGN OFF ON THE FORM 990. AFTER THE RETURN IS APPROVED INTERNALLY AND PRIOR TO FILING, A COPY IS GIVEN TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND THE MEMBERS ARE GIVEN AN OPPORTUNITY TO QUESTION THE COMPLETION OF THE FORM 990. ONCE THIS PROCEDURE IS COMPLETED, THE FORM 990 IS SIGNED BY THE CFO AND FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE EXPECTATION IS THAT ANY MEMBER WHO BELIEVES HE/SHE HAS A CONFLICT IS NOT ALLOWED TO DISCUSS OR VOTE ON THE ISSUE. THERE WAS AN INSTANCE IN THE LAST YEAR THAT A BOARD MEMBER WAS DISCOVERED TO HAVE AN UNDISCLOSED CONFLICT. WHILE THE BOARD DID NOT VOTE TO REMOVE THE INDIVIDUAL, HE WAS INSTRUCTED TO NOT PARTICIPATE IN THE DISCUSSION AND THE VENDOR WITH WHOM HE HAD AN UNDISCLOSED RELATIONSHIP WAS NO LONGER DEALT WITH. THE DIRECTOR OF FINANCE REVIEWS AND MONITORS COMPLIANCE WITH THE CONFLICT STATEMENTS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) ISSUES AN ANNUAL SALARY SURVEY, AS DOES THE NEW JERSEY PRIMARY CARE ASSOCIATION. SUCH INFORMATION HAS BEEN PROVIDED TO THE BOARD FOR USE IN THE DETERMINATION OF SALARY FOR THE CURRENT CEO WHO WAS HIRED IN OCTOBER 2011. THE CEO ALSO HAS SUCH INFORMATION FOR EACH SENIOR STAFF MEMBER. THE BOARD/PERSONNEL COMMITTEE CAN PROVIDE DOCUMENTATION OF THEIR DETERMINATION OF THE CEO SALARY. THE CFO PROVIDES THE HR DIRECTOR WITH A SALARY SURVEY PRODUCED ANNUALLY BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AS WELL AS ONE DONE BY THE NEW JERSEY PRIMARY CARE ASSOCIATION. | |
| FORM 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. | |
| FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENTS: 35,155. | CHANGES IN NET ASSETS OR FUND BALANCES: |
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