FAMILY HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER (EIN 61-0716483)
Tax period
2009-12-01 to 2010-11-30
Filed
2011-04-14
IRS object ID
201101049349300410
Schema version
2009v1.7
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)
Timestamp2011-04-14T09:32:16-05:00Timestamp
Tax Period End Date2010-11-30TaxPeriodEndDate

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 Date2009-12-01TaxPeriodBeginDate

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 Signed2011-04-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5025810435Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Line13113 BRAZIL LAKE PARKWAYAddressLine1
CityGEORGETOWNCity
StateINState
ZIP Code47122ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31619099GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees410TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8603992ContributionsGrantsPriorYear
Contributions Grants Current Year8307507ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18697133ProgramServiceRevenuePriorYear
Program Service Revenue CY18025711ProgramServiceRevenueCY
Investment Income Prior Year-683223InvestmentIncomePriorYear
Investment Income Current Year301776InvestmentIncomeCurrentYear
Other Revenue Prior Year236475OtherRevenuePriorYear
Other Revenue Current Year171881OtherRevenueCurrentYear
Total Revenue Prior Year26854377TotalRevenuePriorYear
Total Revenue Current Year26806875TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3530GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15725360SalariesEtcPriorYear
Salaries Etc Current Year16971113SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9363488OtherExpensePriorYear
Other Expenses Current Year9589257OtherExpensesCurrentYear
Total Expenses Prior Year25088848TotalExpensesPriorYear
Total Expenses Current Year26563900TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1765529RevenuesLessExpensesPriorYear
Revenues Less Expenses CY242975RevenuesLessExpensesCY
Total Assets BOY16105750TotalAssetsBOY
Total Assets EOY16825916TotalAssetsEOY
Total Liabilities BOY3939651TotalLiabilitiesBOY
Total Liabilities EOY4170331TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12166099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12655585NetAssetsOrFundBalancesEOY
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
Expense25028270Expense
Revenue18158712Revenue
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. IN FY 2010, FAMILY HEALTH CENTERS SERVED A TOTAL OF 44,825 (INCLUDING 5,149 WHO WERE HOMELESS) PATIENTS WHO HAD APPROXIMATELY 165,000 VISITS THAT INCLUDE: MEDICAL VISITS OF 135,141; DENTAL VISITS OF 9,718; MENTAL HEALTH AND SUBSTANCE ABUSE VISITS OF 9,767 AND ENABLING VISITS OF 10,188. OF THE 44,825 PATIENTS SERVED, APPROXIMATELY 23,800 (53%) WERE UNINSURED. IN 2010, FAMILY HEALTH CENTERS PROVIDED TOTAL CHARITY CARE OF APPROXIMATELY $12,292,000. OVER THE PRIOR THREE YEARS, CHARITY CARE TOTALED APPROXIMATELY $30,855,000.Description
Total Program Service Expense25028270TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees410NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
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 (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
REV HARLAN BECKEMEYER
BOARD MEMBER2.0X000
ROBERT BUCHANAN
BOARD MEMBER2.0X000
BETTY FOX
BOARD MEMBER2.0X000
LEONARD GODDY
CHAIRMAN OF THE BOARD2.0X000X
MICHELE HEUGLIN
VICE CHAIRMAN OF THE BOARD2.0X000X
BOBBY HICKEY
BOARD MEMBER2.0X000
RIONDA JONES
BOARD MEMBER2.0X000
PHIL LEVY
BOARD MEMBER2.0X000
LOUISE NYIRAMULINDA
BOARD MEMBER2.0X000
CONII OVERTON
BOARD MEMBER2.0X000
DR CHARLIE SMITH
SECRETARY OF THE BOARD2.0X000X
SUE SPEED
BOARD MEMBER2.0X000
WILLIAM TALLEY
TREASURER OF THE BOARD2.0X000X
GARY WATROUS
BOARD MEMBER2.0X000
REV WILLA FAE WILLIAMS
BOARD MEMBER2.0X000
WILLIAM B WAGNER
CEO37.5134558036331X
GARY DUERR
CFO37.592965025101X
JULIA RICHERSON
MEDICAL DIRECTOR37.5135379053052X
MARY PRESTON HARDESTY
PHYSICIAN37.5133513036049X
JAMES JACKSON
PHYSICIAN37.5130450045621X
LESLIE SMITH
PHYSICIAN37.5117150031631X
STEPHANIE POYNTER
PHYSICIAN37.5116224045986X
LEAH MUTHURI
PHYSICIAN37.5112632030411X
FieldValueIRS element (for citing)
Total Reportable Comp From Org972871TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation304182TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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
COMP HEALTH
PO BOX 972651DALLASTX75397TEMPORARY PHYSICIANS316349
CATHOLIC CHARITIES
2911 S 4TH STLOUISVILLEKY40208INTERPRETATION298154
WEATHERBY LOCUMS
PO BOX 97263DALLASTX75397TEMPORARY PHYSICIANS260629
ASSOCIATES IN RESOURCE MANAGEMENT
590 MISSOURI AVE 203JEFFERSONVILLEIN47130BILLING CONSULTANTS207922
RANDSTAD
PO BOX 2084CAROL STREAMIL60132TEMPORARY STAFF202492
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants8307507GovernmentGrants
Total Contributions8307507TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE62140065060756506075
PREMIUM REVENUE6214001075694110756941
PFIZER SHARE THE CARE PROGRAM624200762695762695
FieldValueIRS element (for citing)
Total Program Service Revenue18025711TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column145791TotalRevenueColumn
Exclusion$145,791ExclusionAmount

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)
Securities4968209Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4812224Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities155985Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column155985TotalRevenueColumn
Exclusion$155,985ExclusionAmount

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 RECORDS90009923652$23,652
PHARMACY REQUISIT90009915228$15,228
OTHER INCOME621400133001133001
FieldValueIRS element (for citing)
Total Other Revenue171881TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26806875TotalRevenueColumn
Related Or Exempt Function Income18158712RelatedOrExemptFunctionIncome
Exclusion$340,656ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3530Total
Program Services3530ProgramServices

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)
Total538542Total
Management And General538542ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12075648Total
Program Services11976198ProgramServices
Management And General99450ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1803953Total
Program Services1700890ProgramServices
Management And General103063ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1671631Total
Program Services1544886ProgramServices
Management And General126745ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total881339Total
Program Services840219ProgramServices
Management And General41120ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total35069Total
Program Services12943ProgramServices
Management And General22126ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70076Total
Program Services70076ProgramServices

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)
Total2522319Total
Program Services2445657ProgramServices
Management And General76662ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total56761Total
Program Services7534ProgramServices
Management And General49227ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4185567Total
Program Services3939479ProgramServices
Management And General246088ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23879Total
Program Services2795ProgramServices
Management And General21084ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total388980Total
Program Services388980ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total110760Total
Program Services73615ProgramServices
Management And General37145ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40828Total
Program Services19809ProgramServices
Management And General21019ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total18021Total
Management And General18021ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total452848Total
Program Services440844ProgramServices
Management And General12004ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE57508554752127564
MISCELLANEOUS CONTRACTS170486170486
PROFESSIONAL DEVELOPMENT29461263923069
SECURITY7823878238
LAB EXPENSES624241624241

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total206638Total
Program Services113937ProgramServices
Management And General92701ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26563900Total
Program Services25028270ProgramServices
Management And General1535630ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY779981BOY
EOY1618326EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6734228BOY
EOY7976741EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY47887BOY
EOY72096EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY700679BOY
EOY585291EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY30000BOY
EOY30000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY349692BOY
EOY264602EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY380EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12674523LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6696835LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5698351BOY
EOY5977688EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1764932BOY
EOY300792EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16105750BOY
EOY16825916EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2274085BOY
EOY2155907EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1665566BOY
EOY2014424EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3939651BOY
EOY4170331EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6467748BOY
EOY6677897EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5698351BOY
EOY5977688EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12166099BOY
EOY12655585EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16105750BOY
EOY16825916EOY
FieldValueIRS element (for citing)
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 Years6368593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6700261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6633377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8603992CurrentTaxYearMinus1Year
Current Tax Year8307507CurrentTaxYear
Total36613730Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6368593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6700261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6633377CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8603992CurrentTaxYearMinus1Year
Current Tax Year8307507CurrentTaxYear
Total36613730Total
FieldValueIRS element (for citing)
Public Support Total17036613730PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204974CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years207283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years215311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119440CurrentTaxYearMinus1Year
Current Tax Year145791CurrentTaxYear
Total892799Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24628CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years64220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101178CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79128CurrentTaxYearMinus1Year
Current Tax Year38880CurrentTaxYear
Total308034Total
FieldValueIRS element (for citing)
Total Support37814563TotalSupport
Gross Receipts From Admissions Etc85203026GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96824PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96550PublicSupportPertcentPriorYear
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 Basis8061748OtherCostOrOtherBasis
Depreciation3719848Depreciation
Book Value4341900BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis818171OtherCostOrOtherBasis
Depreciation97636Depreciation
Book Value720535BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2757160OtherCostOrOtherBasis
Depreciation2709343Depreciation
Book Value47817BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis983944OtherCostOrOtherBasis
Depreciation170008Depreciation
Book Value813936BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5977688TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO THIRD PARTY PAYERS$1,281,429
OTHER ACCRUED LIABILITIES$732,995
FieldValueIRS element (for citing)
Total Of Amounts2014424TotalOfAmounts
Total Revenue26806875TotalRevenue
Total Expenses26563900TotalExpenses
Excess Or Deficit For Year242975ExcessOrDeficitForYear
Net Unrealized GL On Investments246511NetUnrealizedGLOnInvestments
Total Adjustments246511TotalAdjustments
Excess Or Deficit Per FS489486ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27048474TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments246511NetUnrealizedGainsInvestments
Revenue Not Rptd F990246511RevenueNotRptdF990
Revenue Subtotal26801963RevenueSubtotal
Other Revenues Not Included4912OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4912RevenueNotRptdOnFinStmt
Total Revenue Per Form99026806875TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26558988TotExpensesEtcAuditedFinclStmt
Expenses Subtotal26558988ExpensesSubtotal
Other Expenses Not Included4912OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4912ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026563900TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION TO AUDIT - REVENUESCH. D, PART XII, LINE 4BINTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,382 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $3,530
RECONCILIATION TO AUDIT - EXPENSESCH. D, PART XIII, LINE 4BINTEREST EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,382 CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $3,530
INCOME TAXESSCH. D, PART X, LINE 2THE 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 (5 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
13455800000201840161470170889000
JULIA RICHERSON
13537900000368070162450188431000
MARY PRESTON HARDESTY
13351300000200270160220169562000
JAMES JACKSON
13045000000299670156540176071000
STEPHANIE POYNTER
11622400000320390139470162210000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI, SECTION B, LINE 11A FULL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD BY EMAIL PRIOR TO FILING.
MONITORING THE CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CALL 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 15ATHE 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 2010.
MAKING DOCUMENTS AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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