2024-04-12T01:43:55-05:00 2023-05-31 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2022-06-01 431036785 BETTY JEAN KERR PEOPLE'S HEALTH CENTERS BETT 3143677848 5701 DELMAR BOULEVARD ST LOUIS MO 63112 JAVIER VALLEJO CHIEF FINANCIAL OFFICER 3143677848 2024-04-11 1 JAVIER VALLEJO 999009999 0 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2024-04-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PEOPLE'S HEALTH CENTER DWAYNE BUTLER 5701 DELMAR BOULEVARD ST LOUIS MO 63112 30213427 0 X WWW,PHCENTERS.ORG X 1979 MO TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. 11 11 385 11 0 0 15709011 11720514 14190727 15302179 3435 206680 695307 2984054 30598480 30213427 0 0 0 0 17518253 19404208 0 0 0 9939042 10149014 27457295 29553222 3141185 660205 24041243 24135327 4841669 4307570 19199574 19827757 TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY. 0 0 17899635 16039474 THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS AND QUALITY OF LIFE FOR ALL RESIDENTS OF THE ST. LOUIS METROPOLITAN COMMUNITY BY PROVIDING, IN A CULTURALLY SENSITIVE MANNER, COMPREHENSIVE PRIMARY HEALTH CARE AND RELATED SERVICES DIRECTLY AND THROUGH COLLABORATIONS AND PARTNERSHIPS. AS A FEDERALLY QUALIFIED HEALTH CENTER, WE PROVIDED MEDICAL, DENTAL, PRENATAL, FAMILY PLANNING, AND PEDIATRIC SERVICES. HE ORGANIZATION HAD 171,278 VISITS TO LOW INCOME RESIDENTS OF THE ST. LOUIS AREA IN FISCAL YEAR 2023. THESE SERVICES WERE PROVIDED FROM OUR THREE MAIN SITES IN THE CENTRAL WEST-END SECTION OF ST. LOUIS, THE NORTH COUNTY, AND LINDELL SITES. 17899635 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 1 0 0 0 0 1 1 0 0 0 1 62 0 1 385 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 JAVIER VALLEJO 3143677848 5701 DELMAR BOULEVARD ST LOUIS MO 63112 BARBARA MURPHY BOARD MEMBER 3.00 X 0 0 0 BRIAN C WILLIAMS BOARD MEMBER 3.00 1.00 X 0 0 0 CHARLES SAULSBERRY BOARD CHAIR 4.00 2.00 X X 0 0 0 DANIEL WHITEHEAD JR MD BOARD MEMBER 3.00 X 0 0 0 DORETHA GILBERT SECRETARY 4.00 X X 0 0 0 DR MARK MILLER BOARD MEMBER 3.00 X 0 0 0 HERMAN NOAH TREASURER 4.00 X 0 0 0 MICHAEL JAMISON BOARD MEMBER 3.00 X 0 0 0 RICHARD KING BOARD MEMBER 4.00 X 0 0 0 RODNEY WEAD BOARD MEMBER 3.00 X 0 0 0 STACY A JEFFERSON BOARD MEMBER 3.00 X 0 0 0 DWAYNE A BUTLER CHIEF EXECUTIVE OFFICER 36.00 4.00 X 345606 0 33439 JACQUELINE HARVEY EXECUTIVE VICE PRESIDENT 40.00 X 230623 0 5449 MARK SANFORD EXECUTIVE DIRECTOR 36.00 4.00 X 236003 0 22328 REBECCA MANKIN CHIEF FINANCIAL OFFICER 36.00 4.00 X 226253 0 16540 GAIL MONTGOMERY-EDWARDS CHIEF COMPLIANCE OFFICER 36.00 4.00 X 168235 0 10930 KAREN RICHARDSON DIRECTOR OF DENTAL SERVICE 40.00 X 239399 0 7320 VICKIE WADE VP OF CLINICAL SERVICES 38.00 2.00 X 176013 0 7780 ARIANE MAY PHYSICIAN 40.00 X 183507 0 652 CARMEL BOYKIN WRIGHT PHYSICIAN 40.00 X 183088 0 8480 EMMA CERMAK PHYSICIAN 40.00 X 127508 0 3815 JACQUELYN MCFADDEN PHYSICIAN 40.00 X 201706 0 4890 MARC LUCKETT PHYSICIAN 40.00 X 170663 0 15158 2488604 0 136781 12 0 1 0 0 11330468 390046 59839 11720514 MEDICAID 621400 12155364 12155364 OTHER THIRD PARTY 621400 1020099 1020099 340B PHARMACY REVENUE 621400 759584 759584 CAPITATION REVENUE 621400 589494 589494 SELF-PAY 621400 409256 409256 368382 368382 15302179 3408 3408 138000 0 138000 138000 138000 203272 0 203272 203272 203272 PROPERTY INS. SETTLEMENT 900099 1025000 1025000 MGMT FEES-HOPEWELL 561000 860063 860063 MCD/MCR SETTLEMENT 900099 619293 619293 341698 118002 223696 2846054 30213427 16039474 0 2453439 1185964 836068 349896 15492744 10921902 4570842 292785 197782 95003 1083400 731857 351543 1349315 911488 437827 96222 11087 85135 147742 147742 2663201 1599381 1063820 1453868 522866 931002 1232653 130186 1102467 1069005 372255 696750 37324 11597 25727 21877 21877 82751 82751 800269 85160 715109 300833 5053 295780 MEDICAL SUPPLIES 921371 921371 REPAIRS AND MAINTENANCE 489012 110949 378063 EQUIPMENT EXPENSE 312949 81339 231610 DUES AND SUBSCRIPTIONS 167673 99706 67967 352264 327711 24553 29553222 17899635 11653587 0 5535924 2224922 809612 1262561 1967425 2720730 99426 225365 62058 91632 27148424 16471143 11160947 10677281 1074531 1071499 762439 680971 2568881 5180366 24041243 24135327 2554168 2386720 270174 60280 1995795 1848238 21532 12332 4841669 4307570 X 19199574 19827757 19199574 19827757 24041243 24135327 660205 -32022 0 X 0 1 X 1 1 1 X 7717071 6834250 14151170 15709011 11720514 56132016 7717071 6834250 14151170 15709011 11720514 56132016 56132016 274558 237265 218695 141435 141408 1013361 432403 1093950 1062418 557307 2846054 5992132 63137509 68669673 0.88900 0.90910 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 4,702. 2019 AMOUNT: $ 507,147. 2020 AMOUNT: $ 671,936. 2021 AMOUNT: $ 86,020. 2022 AMOUNT: $ 115,556. MGMT FEES-HOPEWELL - 2018 AMOUNT: $ 278,482. 2019 AMOUNT: $ 290,730. 2020 AMOUNT: $ 250,724. 2021 AMOUNT: $ 334,872. 2022 AMOUNT: $ 860,063. MGMT FEES-PCAC - 2018 AMOUNT: $ 126,834. 2019 AMOUNT: $ 131,967. 2020 AMOUNT: $ 132,820. 2021 AMOUNT: $ 129,992. 2022 AMOUNT: $ 223,696. MEDICAL ABSTRACTS - 2018 AMOUNT: $ 22,385. 2019 AMOUNT: $ 164,106. 2020 AMOUNT: $ 6,938. 2021 AMOUNT: $ 6,423. 2022 AMOUNT: $ 2,446. MCD/MCR SETTLEMENT - 2022 AMOUNT: $ 619,293. PROPERTY INS SETTLEMENT - 2022 AMOUNT: $ 1,025,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1263523 1263523 17077821 8733546 8344275 56821 53480 3341 8668802 7684117 984685 81457 81457 10677281 DUE FROM AFFILIATES 1802024 EST AMOUNTS DUE FROM MEDICAID 3378342 5180366 DUE TO AFFILIATE 12332 12332 X 47276723 -32022 17095318 17063296 30213427 0 30213427 44914353 15361131 15361131 29553222 0 29553222 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER AND HAS CONCLUDED THAT, AS OF MAY 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS REVENUE 18,186,436. INTERCOMPANY ELIMINATIONS -1,091,118. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATIONS EXPENSES 16,452,249. INTERCOMPANY ELIMINATIONS -1,091,118. X X X 0 0 0 0 0 0 0 1 0 DWAYNE A BUTLER CHIEF EXECUTIVE OFFICER 312801 0 30000 0 2805 0 9687 0 23752 0 379045 0 0 0 MARK SANFORD EXECUTIVE DIRECTOR 213887 0 18000 0 4116 0 7698 0 14630 0 258331 0 0 0 KAREN RICHARDSON DIRECTOR OF DENTAL SERVICE 237975 0 0 0 1424 0 7055 0 265 0 246719 0 0 0 REBECCA MANKIN CHIEF FINANCIAL OFFICER 209868 0 15000 0 1385 0 0 0 16540 0 242793 0 0 0 JACQUELINE HARVEY EXECUTIVE VICE PRESIDENT 227033 0 0 0 3590 0 0 0 5449 0 236072 0 0 0 JACQUELYN MCFADDEN PHYSICIAN 200416 0 0 0 1290 0 0 0 4890 0 206596 0 0 0 CARMEL BOYKIN WRIGHT PHYSICIAN 181051 0 0 0 2037 0 0 0 8480 0 191568 0 0 0 MARC LUCKETT PHYSICIAN 167157 0 0 0 3506 0 0 0 15158 0 185821 0 0 0 ARIANE MAY PHYSICIAN 180659 0 0 0 2848 0 0 0 652 0 184159 0 0 0 VICKIE WADE VP OF CLINICAL SERVICES 164222 0 8000 0 3791 0 5195 0 2585 0 183793 0 0 0 GAIL MONTGOMERY-EDWARDS CHIEF COMPLIANCE OFFICER 166444 0 0 0 1791 0 0 0 10930 0 179165 0 0 0 PART I, LINE 7 PROVIDERS WERE PAID NON-FIXED BONUSES BASED ON AN ASSESSMENT OF THEIR CONTRIBUTION AND VALUE TO THE COMPANY. EXECUTIVE TEAM MEMBER BONUSES ARE DETERMINED BASED ON PERFORMANCE EVALUATIONS CONDUCTED BY THE CEO. THE BONUS FOR THE CEO IS DETERMINED BASED UPON A PERFORMANCE EVALUATION CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD. X 1 59839 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990 WITH THE EXECUTIVE MANAGEMENT TEAM PRIOR TO SUBMITTAL. THE FORM 990 IS ALSO REVIEWED BY THE CFO AND THE ACCOUNTING STAFF MEMBERS WITH RESPONSIBILITY FOR COMPILING THE DATA. FORM 990, PART VI, SECTION B, LINE 12C UNDER THE CONFLICT OF INTEREST POLICY, BOARD MEMBERS ARE REQUIRED TO ANNUALLY CERTIFY THAT THEY DO NOT HAVE A CONFLICT OF INTEREST. THERE IS CURRENTLY NO CONSISTENT MONITORING OF THE POLICY, HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF DEVELOPING PROCEDURES TO ADDRESS MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE EXECUTIVE COMMITTEE OF THE BOARD IN CONSULTATION WITH THE CEO. SOME KEY EMPLOYEES RECEIVE EMPLOYMENT CONTRACTS WHICH ARE BASED ON NEGOTIATIONS BETWEEN THE PARTIES. A REVIEW WAS CONDUCTED IN 2010 BY THE COMPENSATION COMMITTEE OF THE BOARD. 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 IV, LINE 20: THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER, AND IS EXCLUDED FROM THE DEFINITION OF A GENERAL HOSPITAL. THEREFORE, THE ORGANIZATION IS NOT INCLUDING SCHEDULE H IN THE CURRENT YEAR FORM 990, AS THEY DO NOT MEET THE DEFINITION. PEOPLE'S COMMUNITY ACTION CORPORATION 5701 DELMAR BLVD SAINT LOUIS MO 63112 461027572 COMM ACTION MO 501(C)(3) 7 PHC 1 AMANDA LUCKETT MURPHY HOPEWELL VENTER 2012 DR MARTIN LUTHER KING DR SAINT LOUIS MO 63101 431496431 BEHAVIOR HEALTH MO 501(C)(3) 7 PHC 1 0 0 0 1 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 AMANDA LUCKETT MURPHY HOPEWELL CENTER L 860063 MANAGEMENT FEES PEOPLE'S COMMUNITY ACTION CORPORATION L 223696 MANAGEMENT FEES AMANDA LUCKETT MURPHY HOPEWELL CENTER J 138000 LEASE AGREEMENT