2025-11-14T11:15:40-06:00 2024-12-31 351178661 BLUE & CO LLC 2650 EASTPOINT PKWY SUITE 300 LOUISVILLE KY 40223 990 2024-01-01 610666209 PARK DUVALLE COMMUNITY HEALTH CENTER INC PARK 5027744401 3015 WILSON AVENUE LOUISVILLE KY 40211 KEVIN HARRIS COMPTROLLER 5027744401 2025-11-14 1 1 EMILIE M KNIERIEM CPA P01330194 5029923500 2025-11-14 2024 2025-03-06 01:10:19Z DR SWANNIE JETT 3015 WILSON AVENUE LOUISVILLE KY 40211 24379615 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. 10 10 262 14 0 0 13936751 7057105 13193072 14749854 157635 384801 471795 2109238 27759253 24300998 0 0 0 0 12571212 13320192 0 0 0 8430912 9040524 21002124 22360716 6757129 1940282 31353338 33372441 4051240 4130061 27302098 29242380 PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE SERVICES TO LOW INCOME RESIDENTS OF THE SURROUNDING AREA, WITH AN EMPHASIS TOWARDS PREVENTION AND EARLY DETECTION. 0 0 16933832 16913644 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 12,293 PEOPLE IN HEALTHCARE SERVICES, 2,054 PEOPLE IN DENTAL SERVICES, 311 PEOPLE IN MENTAL HEALTH SERVICES, AND 1,119 PEOPLE IN WIC SERVICES. 16933832 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 23 0 1 262 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X KEVIN HARRIS COMPTROLLER 5027744401 3015 WILSON AVENUE LOUISVILLE KY 40211 DR SWANNIE JETT CEO 40.00 X 252948 0 21376 JESSICA DOWE CMO 40.00 X 175432 0 12439 NAJEEBAH SHINE COO 40.00 X 173866 0 12515 FE BRIONES MD 40.00 X 131863 0 33433 MOHAMMAD FAGHRI LABORATORY DIRECTOR 40.00 X 125764 0 36981 ANTONIO BOOKER DIRECTOR OF PHARMACY 40.00 X 127239 0 30127 MICHELLE NICHOLS DMD 40.00 X 128548 0 26223 STEPHANIE BURKE PHARMACIST 40.00 X 127752 0 22658 RYAN ZAVITZ CFO (END 09/24) 40.00 X 117366 0 14791 KEVIN HARRIS INTERIM CFO 40.00 X 116160 0 14750 DESMOND PRITCHARD CHIEF HR OFFICER (BEG 04/24) 40.00 X 83436 0 2522 RYAN IRVINE COO (END 04/24) 40.00 X 34849 0 3365 DEBORAH THOMAS CHAIR 2.00 X X 0 0 0 KEVIN D BRUCE SR VICE CHAIR 2.00 X X 0 0 0 ANDREW HOLDEN TREASURER 2.00 X X 0 0 0 ANGELA WILSON SECRETARY 2.00 X X 0 0 0 BARBARA MITCHELL BOARD MEMBER 2.00 X 0 0 0 DARRELL SHAW BOARD MEMBER 2.00 X 0 0 0 DESMOND ROBINSON BOARD MEMBER 2.00 X 0 0 0 DWAYNE M COMPTON EDD BOARD MEMBER 2.00 X 0 0 0 KATIE CALLOWAY BOARD MEMBER 2.00 X 0 0 0 STACY SOWELL BOARD MEMBER 2.00 X 0 0 0 SHORYE DURRETT BOARD MEMBER (BEG 2024) 2.00 X 0 0 0 DR KARAN SHAH BOARD MEMBER (BEG 2024) 2.00 X 0 0 0 ALFRED SMITH BOARD MEMBER (BEG 2024) 2.00 X 0 0 0 VICKIE WILLIAM BOARD MEMBER (BEG 2024) 2.00 X 0 0 0 1595223 0 231180 29 0 1 0 0 64120 6195498 797487 7057105 NET PATIENT SERVICE REVENUE 621399 10744341 10744341 340B PROGRAM REVENUE 621399 4005513 4005513 14749854 384801 384801 9600 0 9600 9600 9600 14465 64120 78617 -64152 -64152 IPA PROVIDER REV FROM KPCA 900099 504483 504483 CHART ACCESS REVENUE 900099 6349 6349 1652958 1652958 2163790 24300998 16913644 0 330249 1035814 757076 278738 10250204 7491874 2758330 326253 180711 145542 816789 452419 364370 891132 493598 397534 8552 5646 2906 11150 7361 3789 2123860 1402073 721787 9061 7993 1068 403191 355670 47521 446344 390551 55793 665365 582194 83171 79485 70117 9368 34454 30393 4061 89381 89381 625928 547687 78241 120508 85356 35152 MEDICAL SUPPLIES & DRUG 3666969 3320421 346548 REPAIRS AND MAINTENANCE 536411 469360 67051 PROPERTY EXPENSE 65084 57413 7671 STUDENT WORK PROGRAMS 46930 41399 5531 107851 95139 12712 22360716 16933832 5426884 0 7341709 6609840 5715085 5875662 431281 85987 1188663 3337489 298681 253771 269057 302088 26321280 9413676 16063510 16907604 45352 0 31353338 33372441 1492282 1840477 200000 50000 2358958 2239584 4051240 4130061 X 27302098 29242380 27302098 29242380 31353338 33372441 1940282 0 X 0 1 X 1 1 1 X 8407581 7600906 7051738 13894451 7057105 44011781 8407581 7600906 7051738 13894451 7057105 44011781 3895726 40116055 568994 6243 65053 167235 394401 1201926 45213707 43059021 0.88730 0.86480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2014983 2014983 18097392 5314455 12782937 367185 38112 329073 5841720 4061109 1780611 16907604 X 24379615 78617 78617 24300998 0 24300998 22439333 78617 78617 22360716 0 22360716 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, 2024, 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 78,617. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 78,617. GALA 78585 64120 14465 4170 26102 41010 7335 78585 64120 14465 4170 26102 41010 7335 78617 -64152 X 0 0 0 0 0 0 0 0 0 DR SWANNIE JETT CEO 252948 0 0 0 0 0 12616 0 8760 0 274324 0 0 0 JESSICA DOWE CMO 175432 0 0 0 0 0 3567 0 8872 0 187871 0 0 0 NAJEEBAH SHINE COO 173866 0 0 0 0 0 3564 0 8951 0 186381 0 0 0 FE BRIONES MD 131863 0 0 0 0 0 6586 0 26847 0 165296 0 0 0 MOHAMMAD FAGHRI LABORATORY DIRECTOR 125764 0 0 0 0 0 6091 0 30890 0 162745 0 0 0 ANTONIO BOOKER DIRECTOR OF PHARMACY 126841 0 0 0 398 0 6976 0 23151 0 157366 0 0 0 MICHELLE NICHOLS DMD 128548 0 0 0 0 0 6673 0 19550 0 154771 0 0 0 STEPHANIE BURKE PHARMACIST 126712 0 0 0 1040 0 5965 0 16693 0 150410 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. THE CEO'S 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.