CHARLES DREW HEALTH CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES DREW HEALTH CENTER INC (EIN 47-0666715)
- Tax period
- 2010-09-01 to 2011-08-31
- Filed
- 2012-06-14
- IRS object ID
- 201231669349300243
- Schema version
- 2010v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-14T14:20:17-07:00 | Timestamp |
| Tax Period End Date | 2011-08-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMILTON ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20 PEARL ST | AddressLine1 |
| City | COUNCIL BLUFFS | City |
| State | IA | State |
| ZIP Code | 51503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-09-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470666715 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHAR | NameControl |
| Phone | 4024571200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT STREET | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD BROWN | Name |
| Title | CEO | Title |
| Phone | 4024571200 | Phone |
| Date Signed | 2012-04-05 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL E HAMILTON | Name |
| Phone | 7123220277 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD BROWN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT ST | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8500368 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | PROVIDING QUALITY COMPREHENSIVE HEALTH CARE FOR THE TOTAL PERSON, THROUGH THE MEDIUM OF MANAGING AND OPERATING A COORDINATED HEALTH FACILITY AND ITS PROGRAMS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 151 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6500819 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4723574 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3431663 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3771006 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 948 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5788 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9933430 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8500368 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5164879 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5236513 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 283174 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3789672 | OtherExpensePriorYear |
| Other Expenses Current Year | 3443088 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8954551 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8679601 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 978879 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -179233 | RevenuesLessExpensesCY |
| Total Assets BOY | 7151262 | TotalAssetsBOY |
| Total Assets EOY | 7446214 | TotalAssetsEOY |
| Total Liabilities BOY | 1114035 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1405009 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6037227 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6041205 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDING QUALITY COMPREHENSIVE | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5790983 | Expense |
| Revenue | 2719090 | Revenue |
| Description | CHARLES DREW HEALTH CENTER PROVIDES CARE FOR THE ENTIRE FAMILY. SERVICES INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, OB/GYN, PHARMACY, RADIOLOGY, EYE SERVICES, MINOR SURGERY, CARDIOLOGY AND PODIATRY. THE HEALTH CENTER SERVED 10,492 PATIENTS AND FASCILITATED 31,351 PATIENT ENCOUNTERS (VISITS) IN 2010. SEE STATEMENT 2 FOR MORE INFORMATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 647335 | Expense |
| Revenue | 641919 | Revenue |
| Description | THE CDHC DENTAL PROGRAM PROVIDES THE FOLLOWING SERVICES: DENTAL SCREENINGS, ORAL EXAMS, SEALANTS, FLOURIDE TREATMENTS, RESTORATIVE SERVICES, ORAL SURGERY (EXTRACTIONS) EMERGENCY SERVICES, AND REHABILITATION SERVICES. THE HEALTH CENTER FASCILITATED 7,301 DENTAL PATIENT ENCOUNTERS (VISITS)SERVING 2,873 PATIENTS IN 2010. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 6438318 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 39 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 151 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | 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 | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CALVIN MCGRUDER | NamePerson |
| Telephone Number | 4024571215 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT ST | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | 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 |
|---|---|---|---|---|---|---|---|---|
| RICHARD GREGORY | ||||||||
| CHAIRPERSON | 4.00 | X | X | 0 | 0 | 0 | ||
| FREDRICK E EDEGBELE | ||||||||
| VICE-CHAIRPERSON | 4.00 | X | X | 0 | 0 | 0 | ||
| TEENA FOSTER | ||||||||
| SECRETARY | 4.00 | X | X | 0 | 0 | 0 | ||
| STEPHEN CUMMINGS | ||||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 | ||
| LIZ CAMPBELL | ||||||||
| PAST CHAIRPERSON | 4.00 | X | 0 | 0 | 0 | |||
| OTHA COUNCIL | ||||||||
| BOARDMEMBER | 1.00 | X | 0 | 0 | 0 | |||
| BEVERLY FRAZIER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| PATRICIA CUNNINGHAM | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| RICK BELL | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| REV LEROY E ADAMS JR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ALTHEA JONES | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JOHM M CARTER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DALE DAVENPORT | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DEBORAH S SUTTLE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARVIN L STANCIL MD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR DAVID CROUSE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR RICHARD BROWN | ||||||||
| CEO | 40.00 | X | 138835 | 0 | 34841 | |||
| DR GREGORY OCHUBA | ||||||||
| MEDICAL DIRECTOR | 40 | 182409 | 29599 | X | ||||
| DR MONIQUE TOLSTON | ||||||||
| FAMILY PRACTICE PHYSICIAN | 40 | 160176 | 20685 | X | ||||
| DR JUSTIN JONES | ||||||||
| DENTAL DIRECTOR | 40 | 145627 | 1012 | X | ||||
| DR TAKASHI KAWAMITSI | ||||||||
| FAMILY PRACTICE PHYSICIAN | 40 | 149026 | 20516 | X | ||||
| DR LUCILLE WOODARD | ||||||||
| FAMILY PRACTICE PHYSICIAN | 40 | 134652 | 6372 | X | ||||
| DR ARLANA PHILLUPS | ||||||||
| PEDIATRICIAN | 40 | 131348 | 15096 | X | ||||
| DR ERIN WETZEL | ||||||||
| DENTIST | 40 | 113371 | 9658 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1155444 | TotalReportableCompFromOrg |
| Total Other Compensation | 137779 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REGIONAL CARE | |||||
| 905 W 27TH ST | SCOTTSBLUFF | NE | 69361 | MEDICAL SERVICES | 524695 |
| CUSTOM COMPUTING | |||||
| 11135 MILL VALLEY RD | OMAHA | NE | 68154 | BILLING SERVICES | 114531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 30750 | FederatedCampaigns |
| Government Grants | 4502690 | GovernmentGrants |
| All Other Contributions | 190134 | AllOtherContributions |
| Total Contributions | 4723574 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| PATIENT SERVICE | 624100 | 3361009 |
| MISCELLANEOUS | 624100 | 76997 |
| DEVELOPMENT | 624100 | 333000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3771006 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5788 | TotalRevenueColumn |
| Exclusion | $5,788 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8500368 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3771006 | RelatedOrExemptFunctionIncome |
| Exclusion | $5,788 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325016 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 325016 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4142020 | Total |
| Program Services | 3471288 | ProgramServices |
| Management And General | 558991 | ManagementAndGeneral |
| Fundraising | 111741 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96863 | Total |
| Program Services | 76286 | ProgramServices |
| Management And General | 17894 | ManagementAndGeneral |
| Fundraising | 2683 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 375294 | Total |
| Program Services | 297524 | ProgramServices |
| Management And General | 69789 | ManagementAndGeneral |
| Fundraising | 7981 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297320 | Total |
| Program Services | 234409 | ProgramServices |
| Management And General | 54985 | ManagementAndGeneral |
| Fundraising | 7926 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29180 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 29180 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1345608 | Total |
| Program Services | 854103 | ProgramServices |
| Management And General | 446419 | ManagementAndGeneral |
| Fundraising | 45086 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130364 | Total |
| Program Services | 68893 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 61471 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 560329 | Total |
| Program Services | 492546 | ProgramServices |
| Management And General | 58179 | ManagementAndGeneral |
| Fundraising | 9604 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291054 | Total |
| Program Services | 235754 | ProgramServices |
| Management And General | 55300 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11562 | Total |
| Program Services | 8443 | ProgramServices |
| Management And General | 3119 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187611 | Total |
| Program Services | 102671 | ProgramServices |
| Management And General | 81880 | ManagementAndGeneral |
| Fundraising | 3060 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339432 | Total |
| Program Services | 274940 | ProgramServices |
| Management And General | 64492 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66911 | Total |
| Program Services | 54198 | ProgramServices |
| Management And General | 12713 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 160558 | 160558 | 0 | 0 |
| COMMUNICATIONS | 104175 | 63287 | 40887 | 1 |
| LICENSES | 81402 | 30670 | 50663 | 69 |
| DUES AND SUBSCRIPTIONS | 43612 | 10471 | 33141 | 0 |
| MISCELLANEOUS | 57924 | 2277 | 55461 | 186 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33366 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 33366 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8679601 | Total |
| Program Services | 6438318 | ProgramServices |
| Management And General | 1958109 | ManagementAndGeneral |
| Fundraising | 283174 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8785 | BOY |
| EOY | 13439 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 465514 | BOY |
| EOY | 468933 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248844 | BOY |
| EOY | 430914 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 482856 | BOY |
| EOY | 616168 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16258 | BOY |
| EOY | 17781 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39176 | BOY |
| EOY | 29464 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8052673 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2295870 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5651083 | BOY |
| EOY | 5756803 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 238746 | BOY |
| EOY | 112712 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7151262 | BOY |
| EOY | 7446214 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1084776 | BOY |
| EOY | 1361196 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29259 | BOY |
| EOY | 43813 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1114035 | BOY |
| EOY | 1405009 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6003287 | BOY |
| EOY | 6041205 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33940 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6037227 | BOY |
| EOY | 6041205 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7151262 | BOY |
| EOY | 7446214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -179233 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 183211 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $25,200 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 25200 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt II-B Line 1i | Identifier |
| Explanation | THE ORGANIZATION PAYS DUES TO NACHC AND IANEPCA. A | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 95653 | OtherCostOrOtherBasis |
| Book Value | 95653 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6722319 | OtherCostOrOtherBasis |
| Depreciation | 1642908 | Depreciation |
| Book Value | 5079411 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1039874 | OtherCostOrOtherBasis |
| Depreciation | 548182 | Depreciation |
| Book Value | 491692 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 194827 | OtherCostOrOtherBasis |
| Depreciation | 104780 | Depreciation |
| Book Value | 90047 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5756803 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED OFFICER COMPENSATION | $42,313 |
| REFUNDABLE ADVANCE FEES | $1,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 43813 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|
| DR RICHARD BROWN | ||||
| 138835 | 17529 | 17312 | 173676 | 173676 |
| DR GREGORY OCHUBA | ||||
| 182409 | 6952 | 22646 | 212007 | 212007 |
| DR MONIQUE TOLSTON | ||||
| 160176 | 5908 | 14776 | 180860 | 180860 |
| DR TAKASHI KAWAMITSI | ||||
| 149026 | 5732 | 14783 | 169541 | 169541 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HEARTLAND COMMUNITY HEALTH NETWORK | |||
| SEE STATEMENT 1 | 159822 | MEMBERSHIP FEES | false |
| HEARTLAND COMMUNITY HEALTH NETWORK | |||
| SEE STATEMENT 1 | 74522 | EQUIPMENT PURCHASES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (81 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-B, Line 11a | THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 |
| IN DETAIL PRIOR TO FILING. THEN, COPIES ARE HANDED | |
| OUT AT THE BOARD MEETING PRIOR TO FILING THE | |
| RETURN. | |
| Pt VI-B, Line 12c | THE BOARD OF DIRECTORS (PERSONNEL COMMITTEE) MEETS |
| MONTHLY TO DISCUSS ANY CONFLICTS OF INTEREST WITH | |
| THE HUMAN RESOURCE'S DIRECTOR AND CEO. | |
| BOARD DIRECTORS AND MEMBERS OF THEIR IMMEDIATE | |
| FAMILY ARE PROHIBITED FROM BEING EMPLOYEES OR | |
| CONTRACTORS OF THE HEALTH CENTER, AS IT RELATES TO | |
| BOARD BUSINESS. | |
| ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF THE | |
| INTEREST ON PART OF ANY DIRECTOR SHALL BE DISCLOSED | |
| TO THE GOVERNING BODY IMMEDIATELY. EACH YEAR PRIOR | |
| TO NOMINATIONS, ALL DIRECTORS MUST PREPARE AND FILE | |
| WITH THE RECORDING SECRETARY, A WRITTEN DECLARATION | |
| OF INTERESTS AND ACTIVITIES, WHICH CREATE OR MIGHT | |
| CREATE A DUAL INTEREST OR CONFLICT OF INTEREST ON | |
| THE PART OF THE DIRECTOR. SUCH WRITTEN DECLARATION | |
| SHALL BE IN THE FORM AS APPROVED BY THE BOARD OF | |
| DIRECTORS. THE CHAIRMAN REVIEWS THE WRITTEN | |
| DECLARATION. A DIRECTOR HAVING A DUALITY OF | |
| INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY | |
| MATTER SHALL NOT VOTE OR USE HIS OR HER PERSONAL | |
| INFLUENCE IN THE MATTER. THE MINUTES REFLECT THE | |
| DISCLOSURE, VOTING, AND QUORUM STATUS. | |
| Form 990, Part IX, Line 24f | DEVELOPMENT 33366. 0. 0. 33366. |
| THE FOREGOING REQUIREMENTS, HOWEVER, SHALL NOT BE | |
| CONSTRUED AS PREVENTING THE DIRECTOR FROM STATING | |
| HIS OR HER POSITION A MATTER OR FROM ANSWERING | |
| PERTINENT QUESTIONS OF OTHER DIRECTORS, SINCE HIS | |
| OR HER KNOWLEDGE MAY BE OF GREAT ASSISTANCE TO THE | |
| BOARD. ACCORDING TO CONFLICT OF INTEREST UNDER | |
| ARTICLE VI, IF A CONFLICT OF INTEREST ARISES DURING | |
| BOARD PROCEEDINGS, THE MEMBER WITH THE CONFLICT OF | |
| INTEREST MAY EXCUSE HIM OR HERSELF PRIOR TO VOTING. | |
| THE MEMBER SHOULD STATE CLEARLY THE CONFLICT OF | |
| INTEREST, AND THE RECORDING SECRETARY SHALL REFLECT | |
| SUCH ACTION IN THE MINUTES OF THE BOARD. | |
| DIRECTORS SHALL NOT ACCEPT GIFTS, EXCESSIVE | |
| ENTERTAINMENT OR OTHER GRATUITIES FROM ANY OUTSIDE | |
| PERSON OR ORGANIZATION THAT DOES OR IS SEEKING TO | |
| DO BUSINESS WITH OR IS A COMPETITOR OF CHARLES | |
| DREW HEALTH CENTER CORPORATION UNDER CIRCUMSTANCES | |
| FROM WHICH IT MIGHT BE INFERRED THAT SUCH ACTION | |
| WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD | |
| INFLUENCE THE DIRECTOR IN THE PERFORMANCE OF DUTIES. | |
| SUCH RESTRICTIONS DO NOT INCLUDE THE ACCEPTANCE OF | |
| ITEMS OF NOMINAL OR MINOR VALUE THAT ARE CLEARLY | |
| TOKENS OF RESPECT OR FRIENDSHIP OR ACTIVITY OF THE | |
| CORPORATION. | |
| NO DIRECTOR SHALL DISCLOSE OR USE CONFIDENTIAL | |
| INFORMATION RELATING TO THE BUSINESS OF THE | |
| CORPORATION FOR THE PERSONAL PROFIT OR ADVANTAGE OF | |
| THE DIRECTOR OR THE DIRECTOR'S IMMEDIATE FAMILY. | |
| Pt VI-B, Line 15 | THE ENTIRE BOARD OF DIRECTORS APPROVES THE CEO'S |
| SALARY. SALARY SURVEYS WITH OTHER COMMUNITY HEALTH | |
| CENTERS ARE USED TO COMPARE THE CEO'S SALARY. | |
| Pt VI-C, Line 19 | THIS INFORMATION IS AVAILABLE UPON REQUEST. |
| Pt XI | NET ASSETS AS OF SETP. 1, 2009, WERE INCREASED BY |
| $98,729 TO CORRECT AN ERROR MADE PRIOR TO SEPT. 1, 2009 | |
| OF ASSIGNING USEFUL LIVES OF 20 YEARS TO CERTAIN | |
| REAL PROPERTY ASSETS INCLUDED IN BUILDING & IMPROVEMENTS | |
| THAT SHOULD HAVE BEEN ASSIGNED USEFUL LIVES OF 40 | |
| YEARS. THE CORRECTION ALSO EFFECTED THE PRIOR YEARS | |
| DEPRECIATION IN THE AMOUNT OF $84,482. THE TOTAL | |
| IMPACT TO SEPT. 1, 2010 BEGINNING EQUITY AMOUNTED TO | |
| $183,211. | |
| Pt XII, Line 2c | THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP |
| WHICH RECEIVES AUDITED FINANCIAL STATEMENTS ON A | |
| CONSOLIDATED BASIS. THE CONSOLIDATED AUDITED | |
| FINANCIAL STATEMENTS INCLUDE FINANCIAL INFORMATION | |
| FOR CHARLES DREW HEALTH CENTER FOUNDATION, WHO FILES | |
| A SEPARATE TAX RETURN NOT INCLUDED ON THIS FORM 990. | |
| THE ORGANIZATION'S AUDIT COMMITTEE ASSUMES | |
| RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED | |
| AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDANT | |
| ACCOUNTANT. | |
| Pt VI-C, Line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND |
| FINANCIAL STATEMENTS WILL BE MADE AVAILABLE BY MAIL UPON | |
| REQUEST AND/OR ON-SITE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2915 GRANT ST | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 68111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300216692 | EIN |
| Primary Activities | FUNDRAISING | PrimaryActivities |
| Legal Domicile State | NE | LegalDomicileState |
| Exempt Code Section | 501(c)3 | ExemptCodeSection |
| Public Charity Status | 11 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES DREW HEALTH CENTER FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | 1c | TransactionType |
| Amount Involved | 333000 | AmountInvolved |
| Method Of Amt Determination | CASH CONTRIBUTION | MethodOfAmtDetermination |
Comments