Civic Intelligence

Affinia Healthcare

EIN 43-0817642 • 501(c)3 • St Louis, MO

View Organization Page

Profile

To provide high quality health care and exceptional service, while promoting healthy lifestyles.

PO Box 551St Louis, MO 63188-0551

www.affiniahealthcare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

74th percentile

0.53x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

60th percentile

0.49x

Higher debt load relative to revenue than 60% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

13th percentile

-14%

Higher net margin than 13% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

54th percentile

$388,376

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

76th percentile

14%

Faster asset growth than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

26th percentile

-1.1%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets74th percentile

Assets

Up

$48,051,897

Up $5,998,441 (+14%) from 2023

Liabilities

Up

$25,604,322

Up $10,572,096 (+70%) from 2023

Net Assets

Down

$22,447,575

Down $4,573,655 (-17%) from 2023

Operations
Liabilities / Revenue60th percentileNet Margin13th percentile

Revenue

Down

$52,202,407

Down $588,580 (-1.1%) from 2023

Expenses

Up

$59,296,414

Up $7,379,246 (+14%) from 2023

Net Income

Down

-$7,094,007

Down $7,967,826 (-912%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth76th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $20,403,065Liabilities 2010: $12,674,124Net Assets 2010: $7,728,9412010Assets 2011: $21,569,545Liabilities 2011: $15,878,340Net Assets 2011: $5,691,2052011Assets 2012: $24,118,648Liabilities 2012: $18,644,372Net Assets 2012: $5,474,2762012Assets 2013: $23,954,699Liabilities 2013: $17,194,375Net Assets 2013: $6,760,3242013Assets 2014: $21,750,035Liabilities 2014: $19,100,910Net Assets 2014: $2,649,1252014Assets 2015: $22,335,369Liabilities 2015: $19,123,524Net Assets 2015: $3,211,8452015Assets 2016: $21,999,896Liabilities 2016: $18,985,804Net Assets 2016: $3,014,0922016Assets 2017: $22,082,770Liabilities 2017: $18,960,628Net Assets 2017: $3,122,1422017Assets 2018: $25,271,877Liabilities 2018: $22,061,636Net Assets 2018: $3,210,2412018Assets 2019: $26,762,562Liabilities 2019: $21,026,847Net Assets 2019: $5,735,7152019Assets 2020: $34,572,214Liabilities 2020: $26,567,120Net Assets 2020: $8,005,0942020Assets 2021: $32,462,795Liabilities 2021: $14,022,065Net Assets 2021: $18,440,7302021Assets 2022: $38,462,497Liabilities 2022: $13,075,634Net Assets 2022: $25,386,8632022Assets 2023: $42,053,456Liabilities 2023: $15,032,226Net Assets 2023: $27,021,2302023Assets 2024: $48,051,897Liabilities 2024: $25,604,322Net Assets 2024: $22,447,5752024

Highlighted filing

2024

Assets$48,051,897
Liabilities$25,604,322
Net Assets$22,447,575
Open 2024 Filing

Operations Trend

Revenue Growth26th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2010: $29,821,001Expenses 2010: $30,148,666Net Income 2010: -$327,6652010Expenses 2011: $33,997,6602011Expenses 2012: $34,350,9532012Revenue 2013: $32,129,703Expenses 2013: $30,843,655Net Income 2013: $1,286,0482013Revenue 2014: $32,861,572Expenses 2014: $36,972,771Net Income 2014: -$4,111,1992014Revenue 2015: $35,472,173Expenses 2015: $34,909,452Net Income 2015: $562,7212015Revenue 2016: $38,586,771Expenses 2016: $38,988,637Net Income 2016: -$401,8662016Revenue 2017: $40,385,961Expenses 2017: $40,277,911Net Income 2017: $108,0502017Revenue 2018: $40,394,996Expenses 2018: $40,182,597Net Income 2018: $212,3992018Revenue 2019: $41,545,646Expenses 2019: $39,066,649Net Income 2019: $2,478,9972019Revenue 2020: $40,367,020Expenses 2020: $37,378,020Net Income 2020: $2,989,0002020Revenue 2021: $50,753,877Expenses 2021: $42,175,058Net Income 2021: $8,578,8192021Revenue 2022: $50,803,068Expenses 2022: $45,580,864Net Income 2022: $5,222,2042022Revenue 2023: $52,790,987Expenses 2023: $51,917,168Net Income 2023: $873,8192023Revenue 2024: $52,202,407Expenses 2024: $59,296,414Net Income 2024: -$7,094,0072024

Highlighted filing

2024

Revenue$52,202,407
Expenses$59,296,414
Net Income-$7,094,007
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$48,051,897
Liabilities
$25,604,322
Net assets
$22,447,575
Revenue
$52,202,407
Expenses
$59,296,414
Net income
-$7,094,007
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.1$25.6$22.4$52.2$59.3$7.09
2023Summary only. Only limited summary data is available for this year.$42.1$15.0$27.0$52.8$51.9$0.87
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.5$13.1$25.4$50.8$45.6$5.22
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$32.5$14.0$18.4$50.8$42.2$8.58
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$34.6$26.6$8.01$40.4$37.4$2.99
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.8$21.0$5.74$41.5$39.1$2.48
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.3$22.1$3.21$40.4$40.2$0.21
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.1$19.0$3.12$40.4$40.3$0.11
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.0$19.0$3.01$38.6$39.0$0.40
2015Summary only. Only limited summary data is available for this year.$22.3$19.1$3.21$35.5$34.9$0.56
2014Detailed filing. Detailed filing data is available for this year.$21.8$19.1$2.65$32.9$37.0$4.11
2013Summary only. Only limited summary data is available for this year.$24.0$17.2$6.76$32.1$30.8$1.29
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.1$18.6$5.47$34.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$21.6$15.9$5.69$34.0
2010Summary only. Only limited summary data is available for this year.$20.4$12.7$7.73$29.8$30.1$0.33
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 2, 2025
Return Version
2024v5.1
Gross Receipts
$52,224,979
Mission and Program Overview

Mission

To provide high quality health care and exceptional service, while promoting healthy lifestyles.

To provide high quality healthcare and exceptional service, while promoting healthy lifestyles.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$23,677,442$24,266,150▲ $588,708
Pledges and Grants Receivable$1,791,502$3,387,315▲ $1,595,813
Accounts Receivable$3,977,112$2,824,622▼ $1,152,490
Investments Program Related$1,322,012$1,397,427▲ $75,415
Cash and Non-Interest-Bearing Accounts$584,508$1,240,027▲ $655,519
Prepaid Expenses and Deferred Charges$202,624$392,434▲ $189,810
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Loans From Officers Directors$0$0→ $0
Total Assets$42,053,456$48,051,897▲ $5,998,441
Other Assets Total$10,498,256$14,543,922▲ $4,045,666
Liabilities
Mortgage Notes Payable Secured by Investment Property$5,549,504$15,095,820▲ $9,546,316
Accounts Payable and Accrued Expenses$6,263,266$8,569,716▲ $2,306,450
Other Liabilities$3,219,456$1,938,786▼ $1,280,670
Total Liabilities$15,032,226$25,604,322▲ $10,572,096
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$22,450,176$22,447,575▼ $2,601
Net Assets With Donor Restrictions$4,571,054$0▼ $4,571,054
Total Net Assets Fund Balance$27,021,230$22,447,575▼ $4,573,655
Total Liabilities and Net Assets / Fund Balance$42,053,456$48,051,897▲ $5,998,441

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$20,986,841$8,356,919$29,343,760
Equipment$1,285,434$4,188,623$5,474,057
Other Land Buildings$401,159$4,125,988$4,527,147
Leasehold Improvements$1,290,783$766,642$2,057,425
Land$301,933-$301,933
Other Assets Org$412,344--
Compensation and Service Providers
Top Officer Pay54th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kendra C HolmesPresident - CEOFT$347,539$40,837$388,376
Melissa TepeVice President - Chief Medical OfficerFT$339,127$20,595$359,722
MICAELA O'NEIL-CALLAHANOb-gyn PhysicianFT$301,089$41,182$342,271
Juee PhalakDirector Behavioral HealthPT$289,695$16,687$306,382
Mary KeeganOb-gyn PhysicianFT$282,060$19,921$301,981
Catherine R MooreFamily Practice PhysicianFT$221,644$58,520$280,164
Kenneth HembaFamily Medicine Residency Program DirectorFT$277,366$1,822$279,188
Timothy J MccannInternist PhysicianFT$257,512$18,218$275,730
Amanda L ParsleyRegistered Nurse (prn)FT$242,918$30,248$273,166
Michele F AbidinDental DirectorFT$212,517$54,051$266,568
Manuela MejiaOb-gyn PhysicianFT$243,743$10,917$254,660
Steven HarmonVice President - HrFT$189,960$45,330$235,290
LESLIE O'CONNORVice President - Chief Financial OfficerFT$192,790$34,817$227,607
Yvonne M BuhlingerVice President - Development & COM. RelationsFT$174,605$43,673$218,278
Sonia DealVice President - Community Health and EngagementFT$190,414$22,689$213,103
Takisha LovelaceVice President - Chief Operating OfficerFT$200,700$7,790$208,490
Kenyatta JohnsonPharmacist-in-chargeFT$164,691$43,561$208,252

Board Members and Trustees

NameTitle
David WaltersChair
Wendy ToddVice Chair
Araceli Escalante-gudinoDirector
Asia JohnsonDirector
Debra LeonardDirector
Elizabeth ColemanDirector
JOAN D'AMBROSEDirector
Jorge OrozcoDirector
Lavonne McclainDirector
Nathan CromwellDirector
Robert JacobsonDirector
Shawntelle FisherDirector
Tondaleria CurryDirector
Gilbert PeoplesSecretary
Jean M FrazeeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Forvis Mazars LLPAccounting211 N BROADWAY, SUITE 600, St Louis, MO 63102$324,210
Biota Properties LLCRent4571 Laclede Avenue, Suite 434, St Louis, MO 63108$179,705
Gateway Region YmcaRent2815 SCOTT AVENUE, SUITE D, St Louis, MO 63108$125,010
Revenue and Support

Revenue Composition

Contributions and Grants
$18,097,708
Program Service Revenue
$34,125,561
Investment Income
$-20,862
Other Revenue
$0
All Other Contributions
$2,922,390
Change in Net Assets
$-7,094,007

Audited Revenue Reconciliation

Revenue per Audited Statements
$56,773,461
Revenue Not Reported on Financial Statements
$-4,571,054
Revenue Not Reported on Form 990
$8,874,773
Other Revenue Adjustments
$-4,571,054
Total Revenue per Audited Statements
$65,648,234
Total Revenue per Form 990
$52,202,407
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$41,321,840
Other Expenses$17,974,574
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$27,230,979$4,180,189-$31,411,168
Office Expenses$4,517,893$1,099,535-$5,617,428
Fees for Services Other$4,331,456$1,144,769$0$5,476,225
Other Employee Benefits$3,317,295$571,274-$3,888,569
Current Officers, Directors, Trustees, and Key Employees$2,653,319$412,624-$3,065,943
Payroll Taxes$2,101,193$337,535-$2,438,728
Occupancy$1,709,006$464,323-$2,173,329
Depreciation Depletion$1,127,364$163,395-$1,290,759
Information Technology$156,535$1,004,241-$1,160,776
Interest-$666,719-$666,719
Pension Plan Contributions$448,507$68,925-$517,432
Insurance$196,626$200,507-$397,133
Fees for Services Accounting-$324,210-$324,210
Conferences and Meetings$107,043$90,070-$197,113
Advertising$26,817$127,228-$154,045
Fees for Services Legal-$91,438-$91,438
Other Expenses$15,755$60,389-$76,144
Travel$16,486$9,114-$25,600
Total Functional Expenses$48,160,020$11,136,394$0$59,296,414

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$68,107,858
Expenses per Audited Statements$59,296,414
Total Expenses per Form 990$59,296,414
Expenses Not Reported on Form 990$8,811,444
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal Income Taxes$1,938,786
Operating Lease Liabilites-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B Review of form 990 by governing body

“The ceo, cfo and board treasurer review the form 990 in detail prior to filing. Copies are then distributed electronically to all board members after filing the form without the confidential compensation information.”

Form 990, Part VI, Line 12C Conflict of interest policy

“All board members and management staff are required to sign an annual conflict of interest statement noting full compliance or any exceptions. Any exceptions are reviewed by the corporate compliance officer and the corporate compliance board committee.”

Form 990, Part VI, Line 15A Process to establish compensation of top management official

“Ceo compensation was determined by the executive committee of the board of directors based on performance indicators and surveys provided by an independent consulting firm and the missouri primary care association.”

Form 990, Part VI, Line 15B Process to establish compensation of other employees

“A bi-annual salary survey provided by the missouri primary care association is used in conjunction with a survey from aaim to determine ranges for all key positions and determine whether salaries are competitive. A compensation analysis was last performed by the consulting firm cbiz in 2023 prior to filing the 2023 form 990.”

Form 990, Part VI, Line 19 Required documents available to the public

“The organization's governing documents, conflict of interest policy, and financial statements are available as required by federal regulation that applies to community health centers.”

Filing and Contact Details

Filer

Filer Name
Affinia Healthcare
EIN
43-0817642
Phone
3148148571
Address
PO Box 551, St Louis, MO 63188-0551

Signing Officer

Name
Dr Kendra Holmes
Title
CEO
Phone
3148148571
Signed
2025-10-02
Discuss with paid preparer
Yes

Organization Details

Formed
1906
Legal Domicile
Mo
Voting Board Members
15
Independent Board Members
15
Employees
628
Volunteers
115

Preparer

Firm
Forvis Mazars LLP
Address
211 N Broadway Suite 600, St Louis, MO 63102-2733
Preparer
Kristen Hankins
Phone
3142315544
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A-4C Description of program services

“(Expenses $ 1,261,830 including grants of $ 0)(Revenue $ 1,235,550) WIC (WOMEN, INFANTS, AND CHILDREN) PROGRAM PROVIDES NUTRITIONAL ASSISTANCE”

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

“Change in defined benefit plan - 2060385;”

Financial Statement Notes

Schedule D, Part X, Line 2 ASC 740 DISCLOSURE

“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”

Schedule D, Part XI, Line 4(B) Other revenues in form 990 not in audited financial statements

“Change in restricted net assets - -4571054”

Schedule D, Part XII, Line 2(D) Other expenses in audited financial statements not in form 990

“In-kind donations reported as revenue - 12086”

Raw XML AppendixShowing 400 of 1,044 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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