2024-10-14T08:23:51-05:00 2023-11-30 410746749 CLIFTONLARSONALLEN LLP 1785 INDIAN WOOD CIRCLE MAUMEE OH 43537 990 2022-12-01 237272741 NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO INC NEIG 4197207883 313 JEFFERSON AVENUE TOLEDO OH 43604 DONI MILLER CHIEF EXECUTIVE OFFICER 4197207883 2024-10-11 1 1 DIANN STRETTEN P01983935 4197942000 2024-10-10 2022 2024-10-15 13:58:12Z DONI MILLER 313 JEFFERSON AVENUE TOLEDO OH 43604 12472818 0 X WWW.NHAINC.ORG X 1969 OH TO PROVIDE HEALTH CARE SERVICES AND EDUCATION TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. 11 11 154 11 0 0 7059611 6046736 5519638 6215216 29900 151638 8495 4940 12617644 12418530 0 0 0 0 6101301 6541744 0 0 0 4343067 4809504 10444368 11351248 2173276 1067282 20475399 23294907 6985182 8472761 13490217 14822146 X IT IS THE MISSION OF NEIGHBORHOOD HEALTH ASSOCATION, INC. THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES,TO EMPOWER AND EDUCATE AND AGGRESSIVELY WORK TO ELIMINATE HEALTH CARE INEQUITIES, WHILE SUPPORTING PERSONAL RESPONSIBILITY FOR ONE'S OWN HEALTH REGARDLESS OF ABILITY TO PAY. 0 0 5768674 6215216 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES - NEIGHBORHOOD HEALTH ASSOCIATION, INC.'S PHYSICIANS AND OTHER HEALTH STAFF PROVIDE A COMPREHENSIVE RANGE OF PREVENTIVE AND PRIMARY HEALTH CARE SERVICES TO A MEDICALLY UNDER-SERVED POPULATION. THE ASSOCIATION ALSO PROVIDES A DENTAL SUITE, PHARMACY, AND SENIOR AND HOMELESS TRANSPORTATION. 5768674 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 0 0 0 1 3 0 1 154 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 0 0 X TYSON BOUYACK 4197207883 313 JEFFERSON AVENUE TOLEDO OH 43604 REV TALMADGE THOMAS PRESIDENT 4.00 0.00 X X 0 0 0 DR JENNIFER DISCHER VICE PRESIDENT 4.00 0.00 X X 0 0 0 ANGELA JORDAN SECRETARY 4.00 0.00 X X 0 0 0 MICHAEL ALEXANDER MEMBER 4.00 0.00 X 0 0 0 COLEENA ALI MEMBER 4.00 0.00 X 0 0 0 JOSE BALDERAS MEMBER 4.00 0.00 X 0 0 0 DR WARD BARNETT MEMBER 4.00 0.00 X 0 0 0 REV JERRY BOOSE MEMBER 4.00 0.00 X 0 0 0 JODI GROSS MEMBER 4.00 0.00 X 0 0 0 CHRISTOPHER KIEHL MEMBER 4.00 0.00 X 0 0 0 JAN SCOTLAND TREASURER 4.00 0.00 X X 0 0 0 SANDRA MILLER-CORBETT CHIEF EXECUTIVE OFFICER 40.00 0.00 X 185039 0 14159 SHANE DOUGLAS CHIEF OPERATING OFFICER 40.00 0.00 X 91401 0 11464 DR FIDELIS OBU CHIEF MEDICAL OFFICER 40.00 0.00 X 221724 0 13939 MIRANDA HOFFMAN FORMER - CHIEF FINANCIAL OFFICER 4.00 0.00 X 15090 0 0 513254 0 39562 2 1 1 0 BOUYACK CONSULTING 3495 CR 233 FREMONT OH 43410 INTERIM CFO 225000 FQHC RESOURCE ALTERNATIVE 110 SOUTH MAGNOLIA STREET ADAMSVILLE TN 38310 INTERIM CFO 155054 2 61000 5528495 457241 6046736 PATIENT SERVICE REVENUE 621110 5830753 5830753 OTHER REVENUE 621110 384463 384463 6215216 151638 151638 59228 54288 4940 4940 4940 12418530 6215216 0 156578 467400 10375 457025 5169103 3373157 1795946 42790 37940 4850 438325 282264 156061 424126 257967 166159 23092 23092 94260 94260 3985 3985 619387 130998 488389 87376 14945 72431 211608 120256 91352 313061 25591 287470 1101441 300887 800554 44590 5411 39179 11008 4822 6186 142601 142601 615145 79770 535375 147834 19687 128147 MEDICAL SUPPLIES AND EQ 1018776 950644 68132 EQUIPMENT MAINTENANCE 156750 113504 43246 DUES AND SUBSCRIPTIONS 110532 10952 99580 LICENSES AND FEES 78985 15483 63502 29073 14021 15052 11351248 5768674 5582574 0 3143438 4812791 2987648 3108202 1521004 642439 672151 497493 20831 16565 118703 203045 19822102 7904059 11524908 11918043 472178 484453 14538 1611876 20475399 23294907 2065879 2180527 13502 13502 4322401 4153006 583400 2125726 6985182 8472761 X 13151834 14438763 338383 383383 13490217 14822146 20475399 23294907 1067282 2351 262296 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 323704 323704 14373541 3371928 11001613 325584 320409 5175 63949 63949 0 4735324 4147773 587551 11918043 DEPOSITS 14538 ROU OPERATING LEASE 490800 ROU CM LEASE 1106538 1611876 ACCRUED PAYROLL AND RELATED LIABILITIES 527116 OPERATING LEASE LIABILITY 492072 CM LEASE LIABILITY 1106538 2125726 X PART X, LINE 2: NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC (NHA) IS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF NHA, SUCH AS TAX EXEMPTION DESIGNATION, IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT A SIGNIFICANT CHANGE IN A TAX POSITION WILL OCCUR IN THE NEXT TWELVE MONTHS. THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE PRIOR THREE FISCAL YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. X X 0 0 0 0 0 0 0 0 0 DR FIDELIS OBU CHIEF MEDICAL OFFICER 221724 0 0 0 0 0 4764 0 9175 0 235663 0 0 0 SANDRA MILLER-CORBETT CHIEF EXECUTIVE OFFICER 185039 0 0 0 0 0 4725 0 9434 0 199198 0 0 0 MIRANDA HOFFMAN FORMER - CHIEF FINANCIAL OFFICER 15090 0 0 0 0 0 0 0 0 0 15090 0 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS EVALUATED BY THE EXECUTIVE COMMITTEE. THE COMMITTEE REVIEWS COMPARIBILITY DATA AND SALARY SURVEYS TO DETERMINE THE CEO'S COMPENSATION FOR THE CONTRACTED YEARS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM IS REVIEWED BY THE CFO AND CEO. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER AND ALL STAFF ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS EVALUATED BY THE EXECUTIVE COMMITTEE. THE COMMITTEE REVIEWS COMPARIBILITY DATA AND SALARY SURVEYS TO DETERMINE THE CEO'S COMPENSATION FOR THE CONTRACTED YEARS. 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 REQUESTED AS APPROVED BY THE CEO. NEIGHBORHOOD HEALTH ASSOCIATION PROPERTY MANAGEMENT AND SUPPORT CORPORATION 313 JEFFERSON AVE TOLEDO OH 43604 611748519 SUPPORTING ORGANIZATION THAT HOLDS REAL ESTATE OH 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0