COLUMBUS NEIGHBORHOOD HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS NEIGHBORHOOD HEALTH CENTER INC (EIN 31-1533908)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-26
IRS object ID
201122389349300012
Schema version
2010v3.4
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)
Timestamp2011-08-26T13:23:35-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REA & ASSOCIATES INC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15775 PERIMETER DRIVE - SUITE 200AddressLine1
CityDUBLINCity
StateOHState
ZIP Code430173224ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311533908EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS NEIGHBORHOOD HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOLUNameControl
Phone6146455500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 16370AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432166370ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN D WISELEYName
TitleCFOTitle
Phone6146455500Phone
Date Signed2011-08-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGRETA RZYMEK CPAName
Phone6148898725Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOHN D WISELEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 16370AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432166370ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16173843GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.COLNHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSERVE THE COMMUNITY BY PROVIDING SERVICES TO INDIVIDUALS AND FAMILIES WITH BARRIERS TO HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees186TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10616344ContributionsGrantsPriorYear
Contributions Grants Current Year11067744ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4922535ProgramServiceRevenuePriorYear
Program Service Revenue CY5064205ProgramServiceRevenueCY
Investment Income Prior Year861InvestmentIncomePriorYear
Investment Income Current Year10252InvestmentIncomeCurrentYear
Other Revenue Prior Year17626OtherRevenuePriorYear
Other Revenue Current Year31642OtherRevenueCurrentYear
Total Revenue Prior Year15557366TotalRevenuePriorYear
Total Revenue Current Year16173843TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7764511SalariesEtcPriorYear
Salaries Etc Current Year8477883SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY30635TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year30635TotalFundrsngExpCurrentYear
Other Expense Prior Year6375705OtherExpensePriorYear
Other Expenses Current Year7139420OtherExpensesCurrentYear
Total Expenses Prior Year14140216TotalExpensesPriorYear
Total Expenses Current Year15647938TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1417150RevenuesLessExpensesPriorYear
Revenues Less Expenses CY525905RevenuesLessExpensesCY
Total Assets BOY5535420TotalAssetsBOY
Total Assets EOY6261827TotalAssetsEOY
Total Liabilities BOY825325TotalLiabilitiesBOY
Total Liabilities EOY1025827TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4710095NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5236000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE COLUMBUS NEIGHBORHOOD HEALTH CENTER IS TO SERVE THE COMMUNITY THROUGH SERVICES THAT IMPROVE THE HEALTH OF FAMILIES INCLUDING PEOPLE EXPERIENCING FINANCIAL, SOCIAL OR CULTURAL BARRIERS TO HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10582597Expense
Revenue4103841Revenue
DescriptionMEDICAL SERVICES: PRIMARY CARE PHYSICIANS ARE TRAINED TO TREAT OVER 90% OF ALL ILLNESSES. THESE PHYSICIANS ARE TRAINED IN OTHER SPECIALTY AREAS, INCLUDING INTERNAL MEDICINE, GEREATRICS, AND PREVENTATIVE MEDICINE. PHYSICIANS PROVIDE IMMUNIZATIONS, WELL-BABY/CHILD CHECK-UP, PHYSICALS, SICK VISITS, BLOOD PRESSURE CHECKS, GLUCOSE SCREENINGS, SPORTS PHYSICALS, FLU SHOTS, MINOR SURGERY AND MANY OTHER SERVICES. CHNC ALSO PROVIDES OBSTETRICS AND GYNECHOLOGY CARE INCLUDING CARE DURING PREGNANCY, WELL WOMAN ANNUAL EXAMS, EVALUATION AND TREATMENT OF ABNORMAL PAP SMEARS, MENOPAUSAL CONSULTATION, EVALUATION AND TREATMENT OF PELVIC PAIN, CONTRACEPTION. NUMBER OF PATIENT VISITS IN 2010 FOR MEDICAL SERVICES WAS 46,505.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense860864Expense
Revenue483386Revenue
DescriptionDENTAL SERVICES: CNHC PROVIDES TOP-NOTCH PREVENTATIVE AND OPERATIVE DENTISTRY FOR ADULTS AND CHILDREN. SERVICES INCLUDE PREVENTATIVE EXAMS, X-RAYS, CLEANINGS, FLUORIDE TREATMENTS, SEALANTS, FILLINGS AND EXTRACTIONS, AND ROOT CANALS. ALONG WITH DELIVERING HIGH QUALITY DENTAL CARE, CNHC MAKES DENTAL VISITS A COMFORTABLE EXPERIENCE.NUMBER OF PATIENT VISITS IN 2010 FOR DENTAL SERVICES WAS 8,170.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense721680Expense
DescriptionHOMELESS PROGRAM: CNHC RECOGNIZES THE STRUGGLES OF THE HOMELESS COMMUNITY, INCLUDING THE CHALLENGE OF OBTAINING ACCESS TO PRIMARY HEALTHCARE, MENTAL HEALTHCARE, AND SUBSTANCE ABUSE COUNSELING. CNHC PROVIDES CASE MANAGEMENT; OUTREACH SERVICES; CHRONIC DISEASE MANAGEMENT; SUPPORTIVE HOUSING LINKAGE; HEALTH EDUCATION,PROMOTION, AND PREVENTION SERVICES; TRANSPORTATION SERVICES; ANCILLARY SERVICES; MENTAL HEALTHCARE ACCESS; AND SUBSTANCE ABUSE COUNSELING.NUMBER OF HOMELESS PATIENT VISITS IN 2010 FOR MEDICAL SERVICES WAS 2,187, FOR DENTAL SERVICES WAS 604, AND FOR VISION SERVICES WAS 314.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense911142Expense
Revenue508620Revenue
DescriptionVISION: CNHC BELIEVES IT IS VERY IMPORTANT TO CARE FOR VISION, JUST AS IT IS FOR OTHER HEALTH ASPECTS. CNHC PROVIDES ANNUAL EXAMS TO ASSIST IN THE PROTECTION OF ITS PATIENTS' EYES, DETECTION OF ANY PROBLEMS AND TREATING THOSE IDENTIFIED, AT THE EARLIEST STATE. NUMBER OF PATIENT VISITS IN 2010 FOR VISION SERVICES WAS 6,723.PRESCRIPTION ACCESS PROGRAM: PRESCRIPTION ACCESS IS A PRESCRIPTION ASSISTANCE SERVICE THAT WAS INITIATED BY THE COLUMBUS MEDICAL ASSOCIATION FOUNDATION. PRESCRIPTION ACCESS PROVIDES ACCESS TO AFFORDABLE MEDICATIONS FOR THE UNINSURED AND LOW-INCOME RESIDENTS OF FRANKLIN COUNTY. NUMBER OF PEOPLE RECEIVING PHARMACY ASSISTANCE IN 2010 WAS 8,538.CNHC RENTS A PORTION OF ITS FACILITY TO THE COLUMBUS HEALTH DEPARTMENT (WIC) ON A COST-REIMBURSEMENT BASIS TO FURTHER ITS EXEMPT PURPOSE AND SUPPLEMENT ITS EXISTING SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp911142TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev508620TotalOfOtherProgramServiceRev
Total Program Service Expense13076283TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees186NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN WISELEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6146455500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 16370AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code432166370ZIPCode

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
NAIMAH ALI
TRUSTEE1.00X000
BERNADETTE ANDERSON
TRUSTEE1.00X000
SONIA JOHNSON
TRUSTEE1.00X000
JOYCE JONES
TRUSTEE1.00X000
KEVIN DIXON
TRUSTEE1.00X000
JANET DURBIN
TRUSTEE1.00X000
REED FRALEY
EX-OFFICIO1.00X000
JOHN TOLBERT
EX-OFFICIO1.00X000
BRENDA ONESKO
PRESIDENT1.00X000X
SARA WIDING
PRESIDENT-ELECT1.00X000X
JOE BRANDON
SECRETARY1.00X000X
BARNEY MOOREHOUSE
TREASURER1.00X000X
TOM HORAN
CHIEF EXECUTIVE OFFICER40.0018304700X
JOHN WISELEY
CHIEF FINANCIAL OFFICER40.0086345011467X
KEN DARLING
CHIEF OPERATIONS OFFICER40.001104670584X
KELLY FLEMMING
INTERIM MEDICAL DIRECTOR40.0013358809515X
DARREN HUFF
DIRECTOR OF ADMIN./ CIO40.009369404947X
JEFFREY MARABLE
PHYSICIAN40.00111797015770X
ERUM QAYUM
PHYSICIAN40.0012536700X
ADAM CHILDS
PHYSICIAN40.00125418015770X
ANINDITA GHOSH
PHYSICIAN40.0012933200X
GREGARY GRAVES
OPTOMETRIST40.00116675015770X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1215730TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation73823TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants9335134GovernmentGrants
All Other Contributions1732610AllOtherContributions
Noncash Contributions1485027NoncashContributions
Total Contributions11067744TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/ MEDICAID REV62130032786053278605
PATIENT FEES REVENUE62130015012401501240
PRIVATE INSURANCE REVE621300279540279540
MISC. PROGRAM RELATED62130048204820
FieldValueIRS element (for citing)
Total Program Service Revenue5064205TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10252TotalRevenueColumn
Exclusion$10,252ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real31642Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real31642Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column31642TotalRevenueColumn
Related Or Exempt Function Income31642RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16173843TotalRevenueColumn
Related Or Exempt Function Income5095847RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$10,252ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total633654Total
Program Services143103ProgramServices
Management And General490551ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6253844Total
Program Services5627898ProgramServices
Management And General625946ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total92800Total
Program Services88447ProgramServices
Management And General4353ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total966587Total
Program Services760551ProgramServices
Management And General206036ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total530998Total
Program Services451420ProgramServices
Management And General79578ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total167424Total
Management And General167424ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50823Total
Management And General50823ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total30635Total
Fundraising30635Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1658628Total
Program Services1446815ProgramServices
Management And General211813ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total33010Total
Program Services10904ProgramServices
Management And General22106ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total788949Total
Program Services687657ProgramServices
Management And General101292ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total117842Total
Program Services7092ProgramServices
Management And General110750ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1042867Total
Program Services919940ProgramServices
Management And General122927ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49547Total
Program Services24104ProgramServices
Management And General25443ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total66835Total
Program Services6182ProgramServices
Management And General60653ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6310Total
Management And General6310ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total305217Total
Program Services141395ProgramServices
Management And General163822ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total75475Total
Program Services63457ProgramServices
Management And General12018ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PATIENT CARE EXPE215226321509551308
BAD DEBT532964532964
DUES & SUBSCRIPTIONS39251143037821
LICENSES & PERMITS29646266726979
MISCELLANEOUS EXPENSES22369930213067

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15647938Total
Program Services13076283ProgramServices
Management And General2541020ManagementAndGeneral
Fundraising30635Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3655273BOY
EOY3558175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY242224EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY342792BOY
EOY541290EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY648920BOY
EOY933503EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY94383BOY
EOY106942EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2094282LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1226643LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY756653BOY
EOY867639EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY37399BOY
EOY12054EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5535420BOY
EOY6261827EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY742101BOY
EOY942779EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY21714EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY83224BOY
EOY61334EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY825325BOY
EOY1025827EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4710095BOY
EOY5236000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4710095BOY
EOY5236000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5535420BOY
EOY6261827EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses525905ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8640957CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9144320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10702433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10616344CurrentTaxYearMinus1Year
Current Tax Year11067744CurrentTaxYear
Total50171798Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8640957CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9144320CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10702433CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10616344CurrentTaxYearMinus1Year
Current Tax Year11067744CurrentTaxYear
Total50171798Total
FieldValueIRS element (for citing)
Public Support Total17050171798PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61823CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59173CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9495CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year861CurrentTaxYearMinus1Year
Current Tax Year10252CurrentTaxYear
Total141604Total
FieldValueIRS element (for citing)
Total Support50313402TotalSupport
Gross Receipts From Admissions Etc22510713GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99720PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99750PublicSupportPertcentPriorYear
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis781219OtherCostOrOtherBasis
Depreciation604192Depreciation
Book Value177027BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1313063OtherCostOrOtherBasis
Depreciation622451Depreciation
Book Value690612BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings867639TotalOfBookValueLandBuildings
Total Revenue16173843TotalRevenue
Total Expenses15647938TotalExpenses
Excess Or Deficit For Year525905ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS525905ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16656958TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities483115DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990483115RevenueNotRptdF990
Revenue Subtotal16173843RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016173843TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16131053TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities483115DonatedServicesUseOfFacilities
Expenses Not Rptd F990483115ExpensesNotRptdF990
Expenses Subtotal15647938ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015647938TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationOF SCHEDULE D: "EFFECTIVE JANUARY 1, 2009, GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE CENTER TO EVALUATE THE LEVEL OF UNCERTAINTY RELATED TO WHETHER TAX POSITIONS TAKEN WILL BE SUSTAINED UPON EXAMINATION. ANY POSITIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE QUANTIFIED AND RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. MANAGEMENT BELIEVES THAT NONE OF THE TAX POSITIONS TAKEN WOULD MATERIALLY IMPACT THE FINANCIAL STATEMENTS AND NO SUCH LIABILITIES HAVE BEEN RECORDED. IN GENERAL, THE CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2007."Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualERIC DAVIESNameOfIndividual

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1170 E MAYNARDAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43202ZIPCode
FieldValueIRS element (for citing)
ActivityGRANT WRITINGActivity
Fundraiser Control Of Funds0FundraiserControlOfFunds
Gross Receipts0GrossReceipts
Amount Retained By Contractor30635AmountRetainedByContractor
Net To Organization0NetToOrganization
FieldValueIRS element (for citing)
Total Retained By Contractors30635TotalRetainedByContractors
Licensed StatesOHLicensedStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTOM HORANNamePerson
Base Compensation Filing Org175081BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org7966BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org183047TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901485027NoncashContribsRptdF990
Method Of Determining RevenuesCOST OF MEDICATIONSMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHERE WERE TWO CONTRIBUTORS THAT DONATED THE ENTIRE AMOUNT OF NON-CASH CONTRIBUTIONS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE FINANCE COMMITTEE, THE EXECUTIVE BOARD COMMITTEE AND/OR THE FULL BOARD OF DIRECTORS THEN REVIEW THE FORM 990 AND MAKE A DECISION WHETHER OR NOT TO ACCEPT THE FORM 990. A COPY OF THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS PRIOR TO FILING.
BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY, HEALTHCARE PROVIDERS HAVE THE CONFLICT OF INTEREST POLICY IN THEIR CONTRACTS, AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE TO ALL STAFF THROUGH THE EMPLOYEE HANDBOOK. THE CONFLICT OF INTEREST POLICY IS BASED ON THE HONOR SYSTEM OF NOTIFYING MANAGEMENT IF A CONFLICT OF INTEREST EXISTS.FORM 990, PART VI, SECTION B, LINE 12C
IN DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER, TOP MANAGEMENT AND OTHER KEY EMPLOYEES, THE COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC. USES COMPARATIVE COMPENSATION INFORMATION FROM OTHER FQHC'S AND THE LOCAL MARKET.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS FORM 1023 AND FORMS 990 AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
AUDIT COMMITTEETHE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.FORM 990, PART XI, LINE 2C

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