2019-04-23T08:04:20-05:00 2018-12-31 202759879 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND RD STE B FORT SMITH AR 72901 990 2018-01-01 311553455 ST FRANCIS HOUSE NWA INC STFR 4797517417 614 E EMMA AVENUE RM/STE 300 SPRINGDALE AR 72764 KATHRYN GRISHAM CEO 4797517417 2019-04-23 true MARC LUX CPA P00588449 4796490888 2019-04-23 72.205.197.34 2019-04-23 08:04:20 CD P 15B96C98417D9046025BA4F8373D973CFA7555B4 5DE9C38AF2584990F42E93E239A19B7624BDACB8 2018 2019-02-21 02:37:17Z KATHRYN GRISHAM 21923508 false X WWW.COMMUNITYCLINICNWA.ORG X 1996 AR PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS IN NORTHWEST ARKANSAS, WITH PARTICULAR EMPHASIS ON THE LOW-INCOME, UNINSURED, AND UNDERINSURED. 10 10 351 0 2571847 2122417 19683185 19732279 56285 59698 74247 -3637 22385564 21910757 0 0 14692382 15821457 0 64105 7263012 7392655 21955394 23214112 430170 -1303355 12552440 11587473 1335635 1689346 11216805 9898127 PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS IN NORTHWEST ARKANSAS, WITH PARTICULAR EMPHASIS ON THE LOW-INCOME, UNINSURED, AND UNDERINSURED. false false 21849290 19732279 PROVIDE HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED, UNDERINSURED INDIVIDUALS. 21849290 true true false false false false false false false false true false false false false true true false false false false false false false true false false false false true false false false false false false false false true false false false false false false false false true 31 0 true 351 true false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false AR X MARK KIDD 4797517417 610 E EMMA AVENUE SPRINGDALE AR 72764 X BARBARA MAYBURY DIRECTOR 1.00 X 0 0 0 DR JOYCE MCCONAUGHY SECRETARY 1.00 X X 0 0 0 JOE BUSSELL PRESIDENT 1.00 X X 0 0 0 ANNA NORIS VICE-PRESIDE 1.00 X X 0 0 0 PAM MORGAN DIRECTOR 1.00 X 0 0 0 DEBI BARNES DIRECTOR 1.00 X 0 0 0 ALDEN NAPIER DIRECTOR 1.00 X 0 0 0 SOL KIM DIRECTOR 1.00 X 0 0 0 MERIDITH TAYLOR DIRECTOR 1.00 X 0 0 0 OLIVIA TRIMBLE DIRECTOR 1.00 X 0 0 0 KATHRYN GRISHAM CEO 40.00 X 256033 0 0 DR DONALD G CLAY PHYSICIAN 40.00 X 235375 0 0 DR LOREN B ALLEN PHYSICIAN 40.00 X 226929 0 0 DR JENNIFER MATOUSEK-RONCK DENTAL DIREC 40.00 X 216895 0 0 DR LUIS CARRASCO PHYSICIAN 40.00 X 215633 0 0 DR GARY BERNER PHYSICIAN 40.00 X 210325 0 0 1361190 11 false true false 62494 106458 1953465 1554763 2122417 NET PATIENT FEES 16183642 16183642 FEES AND CONTRACT FROM GOVERN 4592300 4592300 BAD DEBTS -1043663 -1043663 19732279 56410 56410 3288 3288 3288 3288 8984 62494 12751 -3767 130 130 130 21910757 19732409 59698 12864186 12256322 554660 53204 2048580 1945405 95471 7704 908691 865522 39972 3197 92985 74945 18040 95292 69573 25719 1111557 999087 112470 53812 43757 10055 368820 255461 113359 45913 31723 14190 MEDICAL AND DENTAL SUPPLI 1698692 1698692 IN-KIND EXPENSE 1554763 1502459 52304 PROFESSIONAL FEES 1300113 1181894 118219 BILLING SERVICES 299791 292463 7328 770917 631987 138930 23214112 21849290 1300717 64105 7767989 1193402 914531 1093254 231000 151576 7517043 4367939 3315326 3149104 323594 6000137 12552440 11587473 1335635 1689346 1335635 1689346 X 11087550 9775452 129255 122675 11216805 9898127 12552440 11587473 X -1303355 -15323 X false false X 954291 1471365 604835 2571847 2122417 7724755 15465335 21364687 18004152 19757432 19741393 94332999 16419626 22836052 18608987 22329279 21863810 102057754 102057754 14952 25731 31060 43215 56410 171368 14952 25731 31060 43215 56410 171368 16434578 22861783 18640047 22372494 21920220 102229122 0.99830 0.99860 0.00000 0.00000 X 4499350 1734448 2764902 2935983 2633491 302492 81710 81710 3149104 X 22951848 -15323 1056414 1041091 21910757 21910757 24270526 1056414 1056414 23214112 23214112 SCHEDULE D, PAGE 3, PART X GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS ONLY IF THE POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. IF AN UNCERTAIN TAX POSITION MEETS THE MORE-LIKELY-THAN-NOT THRESHOLD, THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY TO BE RECOGNIZED UPON ULTIMATE SETTLEMENT WITH THE TAXING AUTHORITY IS RECORDED. THE ORGANIZATION'S PRIMARY TAX POSITIONS RELATE TO ITS STATUS AS A NOT-FOR-PROFIT ENTITY EXEMPT FROM INCOME TAXES AND CLASSIFICATION OF ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION HAS ANALYZED ITS TAX POSITIONS TAKEN FOR FILINGS WITH THE INTERNAL REVENUE SERVICE. IT BELIEVES THAT ITS FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON ITS FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. THE ORGANIZATION'S TAX YEARS FOR 2015, 2016 AND 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AS OF DECEMBER 31, 2018. SCHEDULE D, PAGE 4, PART XI, LINE 2D BAD DEBTS 1,043,663 DIRECT FUNDRAISING EXPENSE 12,751 SCHEDULE D, PAGE 4, PART XII, LINE 2D BAD DEBTS 1,043,663 DIRECT FUNDRAISING EXPENSES 12,751 DINNER 48968 39984 8984 2000 4955 600 1209 PRENATAL SCREEN 16700 16700 258 1 5810 5810 3729 71478 62494 8984 2000 4955 600 5196 12751 -3767 X X X false false false false false false false false false KATHRYN GRISHAM CEO 256033 256033 DR DONALD G CLAY PHYSICIAN 235375 235375 DR LOREN B ALLEN PHYSICIAN 226929 226929 DR JENNIFER MATOUSEK-RONCK DENTAL DIRECTOR 216895 216895 DR LUIS CARRASCO PHYSICIAN 215633 215633 DR GARY BERNER PHYSICIAN 210325 210325 X 1 627384 FAIR MARKET VALUE X 2 353719 FAIR MARKET VALUE X LAB SERVICES 1 559292 FAIR MARKET VALUE X PHYSICIAN SERVI 1 14368 FAIR MARKET VALUE false false false FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND CHIEF FINANCIAL OFFICER AS WELL AS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C EXISTING AND NEW BOARD MEMBERS ARE REQUIRED TO EXAMINE POTENTIAL CONFLICTS OF INTERESTS, ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD USES SALARY SURVEYS TO GUIDE THE DETERMINATION OF COMPENSATION AND DOCUMENTS THEIR DELIBERATIONS AND DECISION AT THAT TIME. FORM 990, PAGE 6, PART VI, LINE 15B OTHER OFFICERS AND KEY EMPLOYEES REPORT TO THE CEO. THE CEO USES SALARY SURVEYS TO GUIDE THE DETERMINATION OF COMPENSATION AND DOCUMENT THEIR DELIBERATIONS AND DECISION AT THAT TIME. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S FORM 990 AND ANNUAL AUDIT IS AVAILABLE UPON REQUEST AT THEIR PHYSICAL LOCATION. FORM 990, PART XI, LINE 9 BAD DEBTS 1,043,663 DIRECT FUNDRAISING EXPENSE 12,751 BAD DEBTS -1,043,663 DIRECT FUNDRAISING EXPENSES -12,751