Civic Intelligence

Affinia Healthcare

990 • Fiscal year 2013 • EIN 43-0817642

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 12, 2014

Organization Profilewww.gracehill.org

View Organization Page

1717 Biddle StreetSuite63106

(314) 814-8571

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

82nd percentile

0.72x

Higher debt load relative to assets than 82% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

63rd percentile

0.54x

Higher debt load relative to revenue than 63% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Net Margin

51st percentile

4.0%

Higher net margin than 51% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Top Officer Pay

46th percentile

$221,746

Higher top officer pay than 46% of similar nonprofits.

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

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Asset Growth

27th percentile

-0.7%

Faster asset growth than 27% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

44th percentile

2.5%

Faster revenue growth than 44% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2010 to 2013

Balance Sheet
Liabilities / Assets82nd percentile

Assets

Flat

$23,954,699

Flat from 2013

Net Assets

Flat

$6,760,324

Flat from 2013

Liabilities

Flat

$17,194,375

Flat from 2013

Revenue And Expenses
Liabilities / Revenue63rd percentileNet Margin51st percentile

Revenue

Flat

$32,129,703

Flat from 2013

Expenses

Flat

$30,843,655

Flat from 2013

Net Income

Flat

$1,286,048

Flat from 2013

Historical Trend

Balance Sheet Trend

Asset Growth27th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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 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

2013

Assets$23,954,699
Liabilities$17,194,375
Net Assets$6,760,324
Open 2013 Filing

Operations Trend

Revenue Growth44th percentile

Revenue, expenses, and net income across loaded years, with this 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 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

2013

Revenue$32,129,703
Expenses$30,843,655
Net Income$1,286,048
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 12, 2014
Return Version
2013v3.1
Gross Receipts
$32,129,703
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$17,491,248$16,607,590▼ $883,658
Accounts Receivable$4,302,642$3,950,151▼ $352,491
Cash and Non-Interest-Bearing Accounts$849,699$1,619,123▲ $769,424
Savings and Temporary Cash Investments$215,480$830,349▲ $614,869
Pledges and Grants Receivable$764,080$458,822▼ $305,258
Prepaid Expenses and Deferred Charges$259,192$254,354▼ $4,838
Other Notes and Loans Receivable, Net$38,938$0▼ $38,938
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$24,118,648$23,954,699▼ $163,949
Other Assets Total$197,369$234,310▲ $36,941
Liabilities
Mortgage Notes Payable Secured by Investment Property$7,517,719$7,312,376▼ $205,343
Accounts Payable and Accrued Expenses$5,021,359$6,318,954▲ $1,297,595
Other Liabilities$6,105,294$3,563,045▼ $2,542,249
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$18,644,372$17,194,375▼ $1,449,997
Net Assets / Fund Balance
Unrestricted Net Assets$5,084,787$6,491,044▲ $1,406,257
Temporarily Rstr Net Assets$389,489$269,280▼ $120,209
Permanently Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$5,474,276$6,760,324▲ $1,286,048
Total Liabilities and Net Assets / Fund Balance$24,118,648$23,954,699▼ $163,949

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$11,988,605$2,520,035$14,508,640
Equipment$1,721,506$3,566,694$5,288,200
Other Land Buildings$1,303,589$1,008,200$2,311,789
Leasehold Improvements$1,325,990$136,726$1,462,716
Land$267,900-$267,900

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$389,489$12,201-$132,410$269,280
2012$452,988$63,796-$127,295$389,489
2011$102,776$432,757-$82,545$452,988
2010$259,101$151,672-$307,997$102,776
2009$566,920$59,700-$367,519$259,101
Compensation and Service Providers
Top Officer Pay46th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Shulamit M Portnoy MdPediatric NeurologistFT$191,768$29,978$221,746
Margaret Baum MdOb/gyn PhysicianFT$202,449$18,282$220,731
Bridget K Rutledge MdOb/gyn PhysicianFT$196,087$17,753$213,840
Barbara Bailey RnVP & COOFT$162,631$41,097$203,728
Melissa Tepe MdOb/gyn PhysicianFT$185,941$14,312$200,253
Janet Voss CPAVP & CFOFT$165,438$21,960$187,398
Thomas Kuciejczyk-kernanFamily Practice PhysicianFT$157,710$27,571$185,281
Alan O Freeman FachePresident & CEOFT$159,276$20,366$179,642
James AndersonVP & CIOFT$120,462$20,547$141,009
Alice BoonVP Human ResourcesFT$120,653$11,655$132,308
Yvonne BuhlingerVP Community Health ServicesFT$117,087$13,485$130,572
Veronica RichardsonVP Quality ImprovementFT$110,952$13,868$124,820
Yolette Brown MdVP & CMOFT$66,727$11,914$78,641

Board Members and Trustees

NameTitle
JOAN D'AMBROSEChair
Peter BunceVice Chair
Harry DenglerAt-large
John Lynch MdAt-large
Kimball McmullinAt-large
Mitchell BarisAt-large
Robert JacobsonAt-large
Sr Betty BruckerAt-large
Alexis SleetConsumer
Christopher GoffConsumer
Debra FoxConsumer
Debra JonesConsumer
Elizabeth ColemanConsumer
Gilbert PeoplesConsumer
Gwendolyn HallConsumer
Sherry YoungConsumer
Tondaleria CurryConsumer
Vickie LomaxConsumer/secretary
Jean FrazeeTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Quest DiagnosticsLab Tests-$1,183,942
Washington University School Of MedContracted Physician-$657,029
Centaur Building ServicesJanitorial Services-$300,006
International Language CenterLang Translation Svc-$258,403
Office TeamTemporary Help-$170,577
Revenue and Support

Revenue Composition

Contributions and Grants
$8,890,017
Program Service Revenue
$23,238,801
Investment Income
$885
Other Revenue
$0
All Other Contributions
$972,944
Change in Net Assets
$1,286,048

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies3$695,583Fair Market Value (FMV)
Securities Publicly Traded5$12,542Stock Quote
Total Noncash Contributions8$708,125-

Audited Revenue Reconciliation

Revenue per Audited Statements
$31,653,504
Revenue Not Reported on Financial Statements
$476,199
Revenue Not Reported on Form 990
$575,482
Other Revenue Adjustments
$476,199
Total Revenue per Audited Statements
$32,228,986
Total Revenue per Form 990
$32,129,703
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,405,979
Other Expenses$12,437,676
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$14,023,524$1,775,199-$15,798,723
Fees for Services Other$3,395,878$678,066-$4,073,944
Office Expenses$3,102,202$226,963-$3,329,165
Occupancy$1,561,548$224,249-$1,785,797
Other Employee Benefits$1,497,207$214,829-$1,712,036
Depreciation Depletion$753,898$845,106-$1,599,004
Payroll Taxes$1,015,664$173,259-$1,188,923
Current Officers, Directors, Trustees, and Key Employees$412,941$765,177-$1,178,118
Interest-$359,140-$359,140
Other Expenses$80,590$187,024-$267,614
Fees for Services Accounting-$145,290-$145,290
Conferences and Meetings$78,339$41,309-$119,648
Travel$64,165$26,359-$90,524
Insurance$8,385$20,218-$28,603
Fees for Services Legal-$14,149-$14,149
Pension Plan Contributions$-1,234,044$-237,777-$-1,471,821
Total Functional Expenses$25,299,230$5,544,425$0$30,843,655

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$30,843,655
Total Expenses per Audited Statements$30,822,729
Expenses per Audited Statements$30,379,657
Expenses Not Reported on Financial Statements$463,998
Other Expense Adjustments$463,998
Expenses Not Reported on Form 990$443,072
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
Accrued Pension Costs$3,563,045
Due to Affiliated Agency$0
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 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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Section B, Line 11

“Process used for reviewing form 990 the controller, cfo and board treasurer review the form 990 in detail prior to filing. Copies are then distributed elecronically to all board members prior to filing the form.”

Part VI, Section B, Line 12C

“Process of monitoring & enforcing compliance with conflict of interest: 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.”

Part VI, Section B, Line 15A

“Process for determining ceo compensation: ceo compensation was determined in the second quarter of 2013 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.”

Part VI, Section B, Line 15B

“Process for determining key employee compensation: 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.”

Part VI, Section C, Line 19

“Public availability of certain documents: 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.”

Part VII and Schedule J

“Compensation of president: the compensation reported for alan freeman, president, represents only seven months of employment.”

Filing and Contact Details

Filer

EIN
43-0817642
In Care Of
% GRACE HILL HEALTH CENTERS
Phone
3148148571

Signing Officer

Name
Janet Voss
Title
Vice-president & CFO
Phone
3148981700
Signed
2014-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Alan O Freeman
Formed
1906
Legal Domicile
Mo
Voting Board Members
18
Independent Board Members
18
Employees
422
Volunteers
88

Preparer

Preparer
Donna J Larson
Phone
3148981700
Supplemental Narrative

Additional Explanations

Part IX, Line 11G

“Fees for services detail: lab services 1,378,659 contracted & temporary staff 644,407 other fees for services 2,050,878 - - - - - - total fees for services 4,073,944 total fees for services 4,100,239”

Financial Statement Notes

Part XI Line 2D

“Other amounts included on line 1 but not on form 990: net assets released from restriction 132,410”

Part V, Line 4

“Use of endowment funds: endowment funds are used to support the organization's various health care programs such as the diabetes program, breast cancer program, and behavioral health program.”

Part X, Line 2

“Fin 48 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.”

Part XI, Line 4B

“Other amounts included on form 990 but not on line 1: temporarily restricted contributions 12,201 bad debt expense 463,998 - - - - total 476,199”

Part XII, Line 4B

“Other amounts included on form 990 but not on line 1: bad debt expense 463,998”

Raw XML AppendixShowing 400 of 947 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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IRS990/Form990PartVIISectionAGrp/TitleTxt21VP & COO
IRS990/Form990PartVIISectionAGrp/TitleTxt22VP & CIO
IRS990/Form990PartVIISectionAGrp/TitleTxt23VP COMMUNITY HEALTH SERVICES
IRS990/Form990PartVIISectionAGrp/TitleTxt24VP & CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP QUALITY IMPROVEMENT
IRS990/Form990PartVIISectionAGrp/TitleTxt26VP HUMAN RESOURCES
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IRS990/Form990PartVIISectionAGrp/TitleTxt28PEDIATRIC NEUROLOGIST
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Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$23,954,699
Liabilities
$17,194,375
Net assets
$6,760,324
Revenue
$32,129,703
Expenses
$30,843,655
Net income
$1,286,048
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
2013Detailed filing. Detailed filing data is available for this year.$24.0$17.2$6.76$32.1$30.8$1.29
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