2021-05-19T10:59:26-05:00 2020-12-31 202759879 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND RD STE B FORT SMITH AR 72901 990 2020-01-01 311553455 ST FRANCIS HOUSE NWA INC STFR 4797517417 614 E EMMA AVENUE RM/STE 300 SPRINGDALE AR 72764 JAMES JUDD SEMINGSON II CEO 4797517417 2021-05-19 true JAMES SEMINGSON 999009999 MARC LUX CPA P00588449 4796490888 2021-05-19 2020 2022-09-23 18:48:47Z JAMES JUDD SEMINGSON II 614 E EMMA AVE SPRINGDALE AR 72764 27001279 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 10 358 0 1373743 2220891 23996100 24720545 128238 54277 -295 -160 25497786 26995553 0 0 17179468 18338877 0 87367 6179057 7652397 23358525 25991274 2139261 1004279 13463317 16665464 1355030 3509816 12108287 13155648 PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS IN NORTHWEST ARKANSAS, WITH PARTICULAR EMPHASIS ON THE LOW-INCOME, UNINSURED, AND UNDERINSURED. false false 22982629 24720545 PROVIDE HEALTH CARE SERVICES TO LOW-INCOME, UNINSURED, UNDERINSURED INDIVIDUALS. 22982629 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 1 0 true 358 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 TERRI KEITH 4797517417 610 E EMMA AVENUE SPRINGDALE AR 72764 X DR GARY BERNER PHYSICIAN 40.00 X 261733 0 0 DR DONALD G CLAY PHYSICIAN 40.00 X 235930 0 0 JAMES JUDD SEMINGSON II CEO 40.00 X 229046 0 0 DR LOREN B ALLEN PHYSICIAN 40.00 X 221096 0 0 DR LUIS CARRASCO PHYSICIAN 40.00 X 214895 0 0 DR CHRISTOPHER T WILLIAMS DENTIST 40.00 X 207878 0 0 JOE BUSSELL PRESIDENT 1.00 X X 0 0 0 SOL KIM DIRECTOR 1.00 X 0 0 0 BARBARA MAYBURY SECRETARY 1.00 X X 0 0 0 SARA MILFORD DIRECTOR 1.00 X 0 0 0 CAROL MORALEZ DIRECTOR 1.00 X 0 0 0 ALDEN NAPIER DIRECTOR 1.00 X 0 0 0 ANNA NORIS DIRECTOR 1.00 X 0 0 0 MERIDITH TAYLOR VICE PRESIDE 1.00 X X 0 0 0 OLIVIA TRIMBLE DIRECTOR 1.00 X 0 0 0 BETH WOODCOCK DIRECTOR 1.00 X 0 0 0 1370578 14 false true false 50 528995 1691846 787838 2220891 NET PATIENT FEES 19091683 19091683 FEES AND CONTRACT FROM GOVERN 7063610 7063610 BAD DEBTS -1434748 -1434748 24720545 59843 59843 5566 -5566 -5566 -5566 50 160 -160 26995553 24720545 54277 14959403 13485643 1408873 64887 2347424 2116162 221080 10182 1032050 930375 97198 4477 160190 122994 33674 3522 89270 56713 32557 1289527 1131369 158158 70419 45635 24784 342596 236391 106205 56296 16508 39788 MEDICAL AND DENTAL SUPPLI 2570110 2570110 IN-KIND EXPENSE 787838 623830 164008 CONTRACTED SERVICES 621717 441717 180000 BILLING SERVICES 466563 466563 1197871 738619 454953 4299 25991274 22982629 2921278 87367 1469464 3992527 1411822 2090213 149805 172708 8280781 5037238 3351504 3243543 7080722 7166473 13463317 16665464 1355030 1245816 2264000 1355030 3509816 X 12020782 13155648 87505 12108287 13155648 13463317 16665464 X 1004279 43082 X false true X true true true X 604835 2571847 2122417 1373743 2220891 8893733 18004152 19757432 19741393 23996100 24720545 106219622 18608987 22329279 21863810 25369843 26941436 115113355 115113355 31060 43215 56410 127062 59843 317590 31060 43215 56410 127062 59843 317590 18640047 22372494 21920220 25496905 27001279 115430945 0.99720 0.99750 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5125332 2226828 2898504 3155449 2810410 345039 3243543 X 28473543 43082 1434908 1477990 26995553 26995553 27426182 1434908 1434908 25991274 25991274 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. SCHEDULE D, PAGE 4, PART XI, LINE 2D BAD DEBTS 1,434,748 DIRECT FUNDRAISING EXPENSE 160 SCHEDULE D, PAGE 4, PART XII, LINE 2D BAD DEBTS 1,434,748 DIRECT FUNDRAISING EXPENSES 160 false false false false false false false false false DR GARY BERNER PHYSICIAN 261733 261733 DR DONALD G CLAY PHYSICIAN 235930 235930 JAMES JUDD SEMINGSON II CEO 229046 229046 DR LOREN B ALLEN PHYSICIAN 221096 221096 DR LUIS CARRASCO PHYSICIAN 214895 214895 DR CHRISTOPHER T WILLIAMS DENTIST 207878 207878 X 1 778065 FAIR MARKET VALUE X 1 1200 FAIR MARKET VALUE X PHYSICIAN SERVI 1 8573 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 1,434,748 DIRECT FUNDRAISING EXPENSE 160 BAD DEBTS -1,434,748 DIRECT FUNDRAISING EXPENSES -160