2013-11-12T16:50:23-06:00 2013-06-30 560571159 BERNARD ROBINSON & COMPANY LLP PO BOX 19608 GREENSBORO NC 274199608 990 2012-07-01 050589120 SOUTHSIDE UNITED HEALTH CENTER SOUT 3362938728 3009A WAUGHTOWN STREET WINSTONSALEM NC 27107 LASHUN HUNTLEY 3362938728 2013-11-12 1 RONALD R KUYATH P00004660 3362944494 2013-10-29 2012 2016-03-07 17:11:31Z SOUTHSIDE UNITED HEALTH & WELLNESS CENTER LASHUN HUNTLEY 3009A WAUGHTOWN STREET WINSTONSALEM NC 27107 823158 0 X WWW.SOUTHSIDEUNITEDHEALTH.ORG X 2004 NC TO IMPROVE HEALTH OUTCOMES AND OVERALL WELLNESS OF RESIDENTS LIVING IN SOUTHEAST WINSTON-SALEM AND FORSYTH COUNTY. WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE, CULTURALLY COMPETENT COMPREHENSIVE HEALTH CARE SERVICES AND IMPROVING HEALTH LITERACY IN A PATIENT CENTERED MEDICAL HOME ENVIRONMENT. 12 12 11 19 0 0 200000 704964 90763 118194 0 0 0 0 290763 823158 0 0 0 0 111006 384832 0 0 0 158895 266215 269901 651047 20862 172111 100060 287003 34814 49646 65246 237357 X TO IMPROVE HEALTH OUTCOMES AND OVERALL WELLNESS OF RESIDENTS LIVING IN SOUTHEAST WINSTON-SALEM AND FORSYTH COUNTY. WE ARE COMMITTED TO PROVIDING HIGH-QUALITY, AFFORDABLE, CULTURALLY COMPETENT COMPREHENSIVE HEALTH CARE SERVICES AND IMPROVING HEALTH LITERACY IN A PATIENT CENTERED MEDICAL HOME ENVIRONMENT. 0 0 407689 118194 PROVIDING HIGH-QUALITY, AFFORDABLE, CULTURALLY COMPETENT COMPREHENSIVE HEALTH CARE SERVICES AND IMPROVING HEALTH LITERACY 407689 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 11 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 NC X DANIELLE ASARE-PASSAH 3362938728 3009A WAUGHTOWN STREET WINSTONSALEM NC 27107 ALEXIS ALLEN 1.00 X 0 0 0 ALICE CARMON 1.00 X 0 0 0 CARLLET MCDONALD 1.00 X 0 0 0 JULIUS DAVIS 1.00 X X 0 0 0 LAVASTIAN GLENN 1.00 X X 0 0 0 SUZANNE NEWSOME 1.00 X X 0 0 0 TERESA PARKER 1.00 X X 0 0 0 PEGGY VALENTINE 1.00 X 0 0 0 WANDA MOSS 1.00 X 0 0 0 SOPHIA BAMBY 1.00 X 0 0 0 VICKY HINES 1.00 X 0 0 0 JENNIFER GARCIA 1.00 X 0 0 0 LASHUN HUNTLEY 45.00 X 45192 0 375 DANIELLE ASARE-PASSAH 40.00 X 23750 0 0 68942 0 375 0 0 0 0 0 594964 110000 704964 PATIENT REVENUE 621111 106973 106973 NC MEDICAID REVENUE 621111 11221 11221 118194 823158 118194 0 0 130821 130821 211621 195153 16468 14822 14730 92 27568 16406 11162 110221 106925 3296 25788 4291 21497 3655 3655 6461 4845 1616 49521 30175 19346 3711 3711 12407 775 11632 2661 2015 646 3390 1302 2088 SUPPLIES 29666 19346 10320 BAD DEBT EXPENSE 9721 9721 MISCELLANEOUS EXPENSE 4704 2005 2699 PROFESSIONAL MEMBERSHIP 4309 4309 651047 407689 243358 0 90633 106855 47768 9427 3850 10479 118133 2661 0 115472 0 2579 100060 287003 27488 49646 7326 0 34814 49646 X -409951 144320 475197 93037 65246 237357 100060 287003 172111 0 X 0 1 X 1 1 1 X 212003 138979 106019 290763 704964 1452728 212003 138979 106019 290763 704964 1452728 80945 1371783 1452728 118194 0.94430 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 118133 2661 115472 115472 X 823158 0 823158 0 823158 653447 2400 2400 651047 0 651047 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IT IS THE ORGANIZATION'S POLICY TO EVALUATE ALL TAX POSITIONS TO IDENTIFY THOSE THAT MAY BE CONSIDERED UNCERTAIN. ALL IDENTIFIED MATERIAL TAX POSITIONS ARE ASSESSED AND MEASURED BY A "MORE-LIKELY-THAN-NOT" THRESHOLD TO DETERMINE IF THE TAX POSITION IS UNCERTAIN AND WHAT, IF ANY, THE EFFECT OF THE UNCERTAIN TAX POSITION MAY HAVE ON THE FINANCIAL STATEMENTS. NO MATERIAL UNCERTAIN TAX POSITIONS WERE IDENTIFIED DURING THE YEAR ENDED JUNE 30, 2013. CURRENTLY, THE STATUTE OF LIMITATIONS REMAINS OPEN SUBSEQUENT TO AND INCLUDING 2010. PART XII, LINE 2D - OTHER ADJUSTMENTS: RESTATEMENT FOR PRIOR YEAR RENT EXPENSE 2,400. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, AGENTS, AND EMPLOYEES OF SOUTHSIDE UNITED HEALTH CENTER (SUHC) WHO CONTROL AND MANAGE THE AFFAIRS OF SUHC, INCLUDING ALL INDIVIDUALS WORKING WITHIN SUHC AND ALL SUHC EMPLOYEES, AND OTHER INDIVIDUALS DESIGNATED BY THE CEO, SHALL ANNUALLY SIGN AND RETURN A QUESTIONNAIRE/CERTIFICATION TO SUHC DISCLOSING CONFLICTS OF INTEREST WITH SUHC. WHENEVER A CONFLICT OF INTEREST EXISTS OR MAY APPEAR TO ARISE AND IS NOT IMMEDIATELY ELIMINATED, A FULL DISCLOSURE IN WRITING OF ALL RELEVANT FACTS AND CIRCUMSTANCES MUST BE MADE TO THE CEO WITH RESPONSIBILITY OVER THE INDIVIDUAL'S DEPARTMENT WITH A COPY OF THE INDIVIDUAL'S IMMEDIATE SUPERVISOR. EACH SUCH DISCLOSURE SHALL BE REVIEWED TO DETERMINE WHETHER OR NOT A CONFLICT EXISTS AND THE NECESSARY CORRECTIVE ACTION, IF ANY. DECISIONS AS TO CORRECTIVE ACTION SHALL TAKE INTO ACCOUNT THE NATURE OF THE CONFLICT, ITS ORIGIN, AND THE IMPORTANCE OR SCOPE OF THE TRANSACTIONS INVOLVED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD MEETS TO GO OVER NEW HIRES AND RECOMMENDATIONS TO HIRE TO KEEP THE ORGANIZATION IN COMPLIANCE WITH POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.