FAMILY HEALTH CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER (EIN 61-0716483)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-04-14
IRS object ID
201221059349300207
Schema version
2010v3.7
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)
Timestamp2012-04-14T10:38:15-04:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

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 Date2010-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610716483EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERS INCBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2012-04-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIM SCIFRESName
Phone2707810111Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts30899724GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees417TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8307507ContributionsGrantsPriorYear
Contributions Grants Current Year8211441ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18025711ProgramServiceRevenuePriorYear
Program Service Revenue CY18783871ProgramServiceRevenueCY
Investment Income Prior Year301776InvestmentIncomePriorYear
Investment Income Current Year308504InvestmentIncomeCurrentYear
Other Revenue Prior Year171881OtherRevenuePriorYear
Other Revenue Current Year202413OtherRevenueCurrentYear
Total Revenue Prior Year26806875TotalRevenuePriorYear
Total Revenue Current Year27506229TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3530GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16971113SalariesEtcPriorYear
Salaries Etc Current Year17550596SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9589257OtherExpensePriorYear
Other Expenses Current Year9568456OtherExpensesCurrentYear
Total Expenses Prior Year26563900TotalExpensesPriorYear
Total Expenses Current Year27119052TotalExpensesCurrentYear
Revenues Less Expenses Prior Year242975RevenuesLessExpensesPriorYear
Revenues Less Expenses CY387177RevenuesLessExpensesCY
Total Assets BOY16825916TotalAssetsBOY
Total Assets EOY17055147TotalAssetsEOY
Total Liabilities BOY4170331TotalLiabilitiesBOY
Total Liabilities EOY4006970TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12655585NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13048177NetAssetsOrFundBalancesEOY
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
Expense25650647Expense
Revenue18953154Revenue
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, 2011, FAMILY HEALTH CENTERS SERVED A TOTAL OF 42,891 (INCLUDING 5,192 WHO WERE HOMELESS) PATIENTS WHO HAD APPROXIMATELY 166,000 VISITS BROKEN DOWN AS FOLLOWS: MEDICAL VISITS OF 134,583; DENTAL VISITS OF 11,311; MENTAL HEALTH AND SUBSTANCE ABUSE VISITS OF 9,435 AND ENABLING VISITS OF 10,301. OF THE 42,891 PATIENTS SERVED, APPROXIMATELY 22,303 (52%) WERE UNINSURED. IN 2011, FAMILY HEALTH CENTERS PROVIDED TOTAL CHARITY CARE OF APPROXIMATELY $12,434,000. OVER THE PRIOR THREE YEARS, CHARITY CARE TOTALED APPROXIMATELY $34,897,000.Description
Total Program Service Expense25650647TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109625NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees417NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 (22 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
CHAIRMAN OF THE BOARD2.0X000X
MICHELE HEUGLIN
VICE CHAIRMAN OF THE BOARD2.0X000X
BOBBY HICKEY
BOARD MEMBER2.0X000
MURIEL HARRIS PHD
BOARD MEMBER2.0X000
PHIL LEVY
BOARD MEMBER2.0X000
LOUISE NYIRAMULINDA
BOARD MEMBER2.0X000
CHARLES SMITH MD
BOARD MEMBER2.0X000X
SUE SPEED
BOARD MEMBER2.0X000
BILL TALLEY
TREASURER OF THE BOARD2.0X000X
GARY WATROUS
BOARD MEMBER2.0X000
REV WILLA FAE WILLIAMS
BOARD MEMBER2.0X000
LISA JUMPER
DIRECTOR2.0X000
WILLIAM B WAGNER
EXECUTIVE DIRECTOR37.5133401040301X
GARY DUERR
DIRECTOR OF FINANCE37.597015029152X
JAMES D JACKSON
PHYSICIAN37.5129051037334X
LESLIE SMITH
PHYSICIAN37.5119437037265X
MARY PRESTON HARDESTY
PHYSICIAN37.5133343040557X
STEPHANIE POYNTER
PHYSICIAN37.5117218035908X
JULIA E RICHERSON
PHYSICIAN37.5134877041337X
FieldValueIRS element (for citing)
Total Reportable Comp From Org864342TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation261854TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HR AFFILIATES
1930 BISHOP LANE STE 111LOUISVILLEKY40218TEMPORARY EMPLOYEES287166
NATIONWIDE CONSTRUCTION
5089-B N PRESTON HWYLOUISVILLEKY40165CLEANING SERVICES196997
WEATHERBY LOCUMS
PO BOX 972633DALLASTX75397TEMPORARY EMPLOYEES234891
ASSOCIATES IN RESOURCE MANAGEMENT
590 MISSOURI AVE 203JEFFERSONVILLEIN47130BILLING SERVICES378793
RANDSTAD
PO BOX 2084CAROL STREAMIL60132TEMPORARY EMPLOYEES148593
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants8211441GovernmentGrants
Total Contributions8211441TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE78238707823870
PREMIUM REVENUE1035373210353732
PFIZER SHARE THE CARE PROGRAM606269606269
FieldValueIRS element (for citing)
Total Program Service Revenue18783871TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158477TotalRevenueColumn
Exclusion$158,477ExclusionAmount

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)
Securities3543552Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3393495Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities150057Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column150027TotalRevenueColumn
Exclusion$150,027ExclusionAmount

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
MEDICAL RECORDS90009927127$27,127
PHARMACY REQUISIT9000996003$6,003
OTHER INCOME621400169283169283
FieldValueIRS element (for citing)
Total Other Revenue202413TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27506229TotalRevenueColumn
Related Or Exempt Function Income18953154RelatedOrExemptFunctionIncome
Exclusion$341,634ExclusionAmount

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)
Total299869Total
Management And General299869ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12657404Total
Program Services12287101ProgramServices
Management And General370303ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2021587Total
Program Services1912587ProgramServices
Management And General109000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1669709Total
Program Services1582264ProgramServices
Management And General87445ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total902027Total
Program Services858698ProgramServices
Management And General43329ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total59750Total
Program Services19575ProgramServices
Management And General40175ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60151Total
Program Services60151ProgramServices

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)
Total2203917Total
Program Services2203455ProgramServices
Management And General462ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total73700Total
Program Services4837ProgramServices
Management And General68863ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1189632Total
Program Services952791ProgramServices
Management And General236841ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total228144Total
Program Services224580ProgramServices
Management And General3564ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total443452Total
Program Services443452ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total117021Total
Program Services67815ProgramServices
Management And General49206ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28722Total
Program Services16812ProgramServices
Management And General11910ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total19866Total
Management And General19866ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total613190Total
Program Services601130ProgramServices
Management And General12060ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7359Total
Program Services3285ProgramServices
Management And General4074ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE6046225958998723
MISCELLANEOUS CONTRACTS160369160369
MEDICAL SUPPLIES28649392864248691
SECURITY7807178071
LAB EXPENSES609028609028

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total206523Total
Program Services104499ProgramServices
Management And General102024ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27119052Total
Program Services25650647ProgramServices
Management And General1468405ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1618326BOY
EOY1151214EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7976741BOY
EOY8285746EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY72096BOY
EOY66366EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY585291BOY
EOY708270EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY30000BOY
EOY31000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY264602BOY
EOY339095EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY380BOY
EOY80920EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13107646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7078358LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5977688BOY
EOY6029288EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY300792BOY
EOY363248EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16825916BOY
EOY17055147EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2155907BOY
EOY2214611EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2014424BOY
EOY1792359EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4170331BOY
EOY4006970EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6677897BOY
EOY7018889EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5977688BOY
EOY6029288EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12655585BOY
EOY13048177EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16825916BOY
EOY17055147EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses387177ReconcilationRevenueExpenses
Reconcilation Other Changes5415ReconcilationOtherChanges
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 Years6700261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6633377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8603992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8307507CurrentTaxYearMinus1Year
Current Tax Year8211441CurrentTaxYear
Total38456578Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6700261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6633377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8603992CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8307507CurrentTaxYearMinus1Year
Current Tax Year8211441CurrentTaxYear
Total38456578Total
FieldValueIRS element (for citing)
Public Support Total17038456578PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years207283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years215311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years119440CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year145791CurrentTaxYearMinus1Year
Current Tax Year158477CurrentTaxYear
Total846302Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101178CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79128CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38880CurrentTaxYearMinus1Year
Current Tax Year33130CurrentTaxYear
Total316536Total
FieldValueIRS element (for citing)
Total Support39619416TotalSupport
Gross Receipts From Admissions Etc89252795GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97065PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96820PublicSupportPertcentPriorYear
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

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8727398OtherCostOrOtherBasis
Depreciation4000541Depreciation
Book Value4726857BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis825443OtherCostOrOtherBasis
Depreciation107213Depreciation
Book Value718230BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3210485OtherCostOrOtherBasis
Depreciation2783323Depreciation
Book Value427162BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis290820OtherCostOrOtherBasis
Depreciation187281Depreciation
Book Value103539BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6029288TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYERS$1,306,160
OTHER ACCRUED LIABILITIES$486,199
FieldValueIRS element (for citing)
Total Of Amounts1792359TotalOfAmounts
Total Revenue27506229TotalRevenue
Total Expenses27119052TotalExpenses
Excess Or Deficit For Year387177ExcessOrDeficitForYear
Net Unrealized GL On Investments5415NetUnrealizedGLOnInvestments
Total Adjustments5415TotalAdjustments
Excess Or Deficit Per FS392592ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27510446TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5415NetUnrealizedGainsInvestments
Revenue Not Rptd F9905415RevenueNotRptdF990
Revenue Subtotal27505031RevenueSubtotal
Other Revenues Not Included1198OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1198RevenueNotRptdOnFinStmt
Total Revenue Per Form99027506229TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27117854TotExpensesEtcAuditedFinclStmt
Expenses Subtotal27117854ExpensesSubtotal
Other Expenses Not Included1198OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1198ExpensesNotRptdOnFinStmt
Total Expenses Per Form99027119052TotalExpensesPerForm990

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 $1,198
RECONCILIATION TO AUDIT - EXPENSESCH. D, PART XIII, LINE 4B---------------------------- INTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,198
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
13340100000256170146840173702000
JAMES D JACKSON
12905100000231290142050166385000
LESLIE SMITH
11943700000241180131470156702000
MARY PRESTON HARDESTY
13334300000258800146770173900000
STEPHANIE POYNTER
11721800000230050129030153126000
JULIA E RICHERSON
13487700000264910148460176214000

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 PRIOR TO 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 2011.
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 $5,145

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