2023-11-06T15:33:36-06:00 2022-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2022-01-01 610666209 PARK DUVALLE COMMUNITY HEALTH CENTER INC PARK 5027744401 3015 WILSON AVENUE LOUISVILLE KY 40211 KEVIN HARRIS COMPTROLLER 5027744401 2023-11-01 1 KEVIN HARRIS 999009999 0 EMILIE M KNIERIEM CPA P01330194 5029923500 2023-11-01 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z DR SWANNIE JETT 3015 WILSON AVENUE LOUISVILLE KY 40211 18777435 0 X WWW.PDCHC.ORG X 1968 KY PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF THE SURROUNDING AREA, WITH AN EMPHASIS TOWARDS PREVENTION AND EARLY DETECTION. 11 11 249 11 0 0 7600906 7051738 11709224 10979109 6243 55453 299226 691135 19615599 18777435 0 0 0 0 13886319 12317633 0 0 0 5696974 5902966 19583293 18220599 32306 556836 21605439 24920900 1617306 4375931 19988133 20544969 PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF THE SURROUNDING AREA, WITH AN EMPHASIS TOWARDS PREVENTION AND EARLY DETECTION. 0 0 13551756 0 11641753 FEDERALLY FUNDED HEALTH CARE CENTER PROVIDING SERVICES TO LOW INCOME AND OTHER PATIENTS. IT IS ASSURED THAT ALL CARE PROVIDED IS CONTINUOUS AND INTEGRATED WITH OTHER AVAILABLE SERVICES. SERVED 15,843 PEOPLE IN HEALTHCARE SERVICES, 2,395 PEOPLE IN DENTAL SERVICES, 1,711 PEOPLE IN MENTAL HEALTH SERVICES, AND 1,360 PEOPLE IN WIC SERVICES. 13551756 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 249 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X KEVIN HARRIS 5027744401 3015 WILSON AVENUE LOUISVILLE KY 40211 DR SWANNIE JETT CEO 40.00 X 202195 0 27187 MARIETTA ENRIQUEZ MD 40.00 X 163351 0 36595 DAVID GERWIG CHIEF PROJECT OFFICER 40.00 X 158357 0 37830 JOSE LORENZO MD 40.00 X 150023 0 17345 D'NAI OVERSTREET DMD 40.00 X 140724 0 12947 RYAN IRVINE COO (BEG 01/03/22) 40.00 X 136437 0 7088 FE BRIONES CMO 40.00 X 131263 0 34148 MICHELLE NICHOLS DMD 40.00 X 122331 0 26120 ADAM MITCHELL APRN 40.00 X 119290 0 37862 NAJEEBAH SHINE CHIEF HR OFFICER 40.00 X 104683 0 7469 KEVIN HARRIS COMPTROLLER 40.00 X 104393 0 19527 DEBORAH THOMAS CHAIR 2.00 X X 0 0 0 KEVIN D BRUCE SR VICE CHAIR 2.00 X X 0 0 0 ANGELA WILSON SECRETARY 2.00 X X 0 0 0 ANDREW HOLDEN TREASURER (BEG 01/22) 2.00 X X 0 0 0 DESMOND ROBINSON BOARD MEMBER 2.00 X 0 0 0 KATIE CALLOWAY BOARD MEMBER 2.00 X 0 0 0 DWAYNE COMPTON EDD BOARD MEMBER 2.00 X 0 0 0 BARBARA MITCHELL BOARD MEMBER 2.00 X 0 0 0 DARRELL SHAW BOARD MEMBER 2.00 X 0 0 0 STACY SOWELL BOARD MEMBER 2.00 X 0 0 0 REV MARTIN TUCKER BOARD MEMBER 2.00 X 0 0 0 1533047 0 264118 21 0 1 0 0 6819895 231843 7051738 NET PATIENT SERVICE REVENUE 621399 7769586 7769586 340B PROGRAM REVENUE 621399 3209523 3209523 10979109 55453 55453 9600 0 9600 9600 9600 EVOLENT-MOLINA HEALTHCARE SERVICE 900099 309816 309816 IPA PROVIDER REV FROM KPCA 900099 227745 227745 QUEST LAB TEST REVENUE 900099 80456 80456 63518 44627 18891 681535 18777435 11641753 0 83944 837328 612003 225325 9526741 6963095 2563646 289404 211525 77879 1664160 1216335 447825 82417 54408 28009 39462 39462 599961 396066 203895 30342 24756 5586 919625 211860 707765 106099 86566 19533 534398 467598 66800 21219 17313 3906 37583 30664 6919 12121 9890 2231 784275 686241 98034 121957 86382 35575 MEDICAL SUPPLIES & DRUG 1619545 1619545 REPAIRS AND MAINTENANCE 787390 688966 98424 LICENSES AND FEES 85469 69734 15735 PROPERTY EXPENSES 58385 47636 10749 62718 51173 11545 18220599 13551756 4668843 0 4814474 4671001 3129499 3156281 423641 336407 1076731 1211850 118388 136907 137174 397087 22826491 7815124 11905532 15011367 21605439 24920900 1297012 1479846 320294 406502 0 2489583 1617306 4375931 X 19988133 20544969 19988133 20544969 21605439 24920900 556836 0 X X 0 1 X 1 1 1 X 6099298 6365589 8407581 7600906 7051738 35525112 6099298 6365589 8407581 7600906 7051738 35525112 35525112 61909 1470374 568994 6243 65053 2172573 37697685 12973749 0.94240 0.89780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2014983 2014983 15066674 4379247 10687427 5187821 3435877 1751944 557013 557013 15011367 X 18777435 0 18777435 0 18777435 18220599 0 18220599 0 18220599 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HEALTH CENTER AND RECOGNIZE A TAX LIABILITY IF THE HEALTH CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HEALTH CENTER, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HEALTH CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE FINANCIAL STATEMENTS WERE AVAILABLE TO BE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 0 0 0 0 0 0 DR SWANNIE JETT CEO 202195 0 0 0 0 0 10349 0 16838 0 229382 0 0 0 MARIETTA ENRIQUEZ MD 163351 0 0 0 0 0 27000 0 9595 0 199946 0 0 0 DAVID GERWIG CHIEF PROJECT OFFICER 158357 0 0 0 0 0 27000 0 10830 0 196187 0 0 0 JOSE LORENZO MD 150023 0 0 0 0 0 7544 0 9801 0 167368 0 0 0 D'NAI OVERSTREET DMD 140724 0 0 0 0 0 0 0 12947 0 153671 0 0 0 FE BRIONES CMO 131263 0 0 0 0 0 26249 0 7899 0 165411 0 0 0 ADAM MITCHELL APRN 119290 0 0 0 0 0 7670 0 30192 0 157152 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO PRESENTS THE FORM 990 TO THE BOARD FINANCE COMMITTEE FOR REVIEW. UPON APPROVAL, THE BOARD FINANCE COMMITTEE PRESENTS A COPY OF THE FORM 990 TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURES ARE UPDATED AND REVIEWED ANNUALLY FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: THE CEO'S SALARY IS SET BY THE BOARD OF DIRECTORS ANNUALLY. HER JOB EVALUATION IS PERFORMED BY AN EXECUTIVE COMMITTEE OF THE BOARD, AND IS DOCUMENTED. LINE 15B: ALL OTHER OFFICERS' COMPENSATION IS SET BY THE BOARD OF DIRECTORS. PERFORMANCE EVALUATIONS ARE PERFORMED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE OVERSIGHT PROCESS FOR THE AUDIT AND THE SELECTION PROCESS FOR THE INDEPENDENT AUDITOR HAVE NOT CHANGED FROM THE PRIOR YEAR.