2024-02-06T11:03:03-06:00 2023-03-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-04-01 200547132 MONMOUTH FAMILY HEALTH CENTER MONM 7329630159 270 BROADWAY LONG BRANCH NJ 07740 PAUL MCCLOUD CFO 7329630159 2024-02-05 1 PAUL MCCLOUD 999009999 0 KERRI N BOGDA CPA P00760402 7177404863 2024-02-05 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAUL MCCLOUD 270 BROADWAY LONG BRANCH NJ 07740 13013637 0 X WWW.MFHCNJ.ORG X 2004 NJ PROVIDE A BROAD RANGE OF HEALTH SERVICES TO THE MEDICALLY UNDERSERVED POPULATION IN MONMOUTH COUNTY. 10 10 102 10 0 0 5821064 5299773 7093687 7460649 9287 220614 22644 32601 12946682 13013637 0 0 0 0 5353784 5798106 0 0 0 4791880 5972787 10145664 11770893 2801018 1242744 10639129 13731268 1403513 4285255 9235616 9446013 TO PROVIDE MEDICAL, DENTAL, AND OTHER SOCIAL SERVICES TO THE UNDERSERVED POPULATION OF MONMOUTH COUNTY, NEW JERSEY. 0 0 8829946 7493250 FOR THE FISCAL YEAR ENDED 3/31/2023, THE CENTER PROVIDED OUTPATIENT HEALTHCARE SERVICES TO APPROXIMATELY 11,500 PATIENTS, TOTALING APPROXIMATELY 40,000 VISITS. SERVICES INCLUDED OBSTETRICS / GYNECOLOGY, MEDICINE, PEDIATRICS, BEHAVIORAL HEALTH SERVICES, DENTAL, PODIATRY AND HIV. THE CENTER CONTINUES TO PROVIDE COMMUNITY IN-REACH, OUTREACH AND ENROLLMENT ASSISTANCE IN ORDER TO MEET ANTICIPATED INCREASES IN PATIENT AND SERVICE AREA NEEDS.BASED ON THE COST OF PATIENT SERVICES, CHARITY CARE APPROXIMATED $1,636,000 AND COMMUNITY BENEFIT APPROXIMATED $1,705,000 FOR THE YEAR ENDED MARCH 31, 2023. 8829946 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 62 0 102 1 0 0 0 0 0 0 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 NJ X PAUL MCCLOUD CFO 7329630159 80 PAVILION AVE LONG BRANCH NJ 07740 KATHLEEN BILLINGS CHAIRPERSON 1.00 X X 0 0 0 DEBRA BRADLEY VICE CHAIRPERSON 1.00 X X 0 0 0 JOAN WILLS SECRETARY 1.00 X X 0 0 0 ERIC CARNEY TREASURER 1.00 X X 0 0 0 JOYCE QUARLES TRUSTEE 1.00 X 0 0 0 JEFFREY LEDERMAN MD TRUSTEE 1.00 X 0 0 0 CARL JENNINGS TRUSTEE 1.00 X 0 0 0 ANTONIA GONZALEZ TRUSTEE 1.00 X 0 0 0 MICHAEL SIRIANNI TRUSTEE 1.00 X 0 0 0 RICHARD GARLIPP TRUSTEE 1.00 X 0 0 0 MARTA C SILVERBERG EXECUTIVE DIRECTOR 40.00 X 207335 0 30656 PAUL MCCLOUD CFO 40.00 X 152021 0 5782 MARIELA KAPOOR MD PHYSICIAN 36.00 X 234170 0 40903 AAREFA SHAKIR MD PHYSICIAN 24.00 X 142338 0 4270 ADAM NELSON NURSE PRACTITIONER 40.00 X 194123 0 8795 MELISSA V SIROLA CHIEF CLINICAL OFFICER 40.00 X 138415 0 15879 KERRI KESELOWSKY PHYSICIAN 40.00 X 179154 0 36629 1247556 0 142914 7 0 1 0 MONMOUTH MEDICAL CENTER 300 2ND AVE LONG BRANCH NJ 07740 DENTAL & MEDICAL RESIDENCY SERVICES 936648 F & F HOME IMPROVEMENTS 560 SOUTH BROAD ST ELIZABETH NJ 07202 BUILDING RENOVATIONS/IMPROVEMENTS 265700 2 4100577 1199196 645074 5299773 MEDICAID 621990 4669233 4669233 NJ UNCOMPENSATED 621990 1083576 1083576 340B PROGRAM 621990 809275 809275 SELF PAY 621990 691357 691357 MEDICARE 621990 207208 207208 7460649 220614 220614 MISCELLANEOUA INCOME 900099 22445 22445 MEDICAL RECORDS 900099 10156 10156 32601 13013637 7493250 0 220614 X 401209 401209 4297352 3310107 987245 146171 111436 34735 570795 423481 147314 382579 271631 110948 6293 6293 90170 90170 2041223 1930391 110832 208122 17387 190735 3066 2177 889 600266 426189 174077 32525 23093 9432 15262 10836 4426 514 365 149 729364 692896 36468 58975 41872 17103 PHARMACY SUPPLIES 1012431 961809 50622 BAD DEBT EXPENSE 416000 416000 MEDICAL SUPPLIES 169402 160932 8470 REPAIRS & MAINTENANCE 153055 108669 44386 436119 336675 99444 11770893 8829946 2940947 0 826880 611307 1935689 2129922 1312348 1555182 369989 280065 8495530 5677746 1918103 2817784 2204265 2163372 2025055 1244441 46800 2929195 10639129 13731268 1336484 1317344 67029 0 2967911 1403513 4285255 X 9235616 9446013 9235616 9446013 10639129 13731268 1242744 -1032347 0 X 0 1 X 1 1 1 X 2690304 3108156 3124067 5821064 5299773 20043364 2690304 3108156 3124067 5821064 5299773 20043364 3900646 16142718 21507 48242 13840 9287 220614 313490 7524 68555 5705 22644 32601 137029 20493883 34024561 0.78770 0.77110 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISC INCOME - 2018 AMOUNT: $ 114. 2019 AMOUNT: $ 263. 2021 AMOUNT: $ 17,767. 2022 AMOUNT: $ 22,445. MEDICAL RECORDS - 2018 AMOUNT: $ 7,410. 2019 AMOUNT: $ 8,292. 2020 AMOUNT: $ 5,705. 2021 AMOUNT: $ 4,877. 2022 AMOUNT: $ 10,156. DSRIP INCOME - 2019 AMOUNT: $ 60,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4284449 3564593 719856 3758502 2113153 1645349 452579 452579 2817784 BLACKSTONE MORTGAGE TRUST STOCK 1244441 F 1244441 SECURITY DEPOSITS 46800 OPERATING LEASE 2882395 2929195 CURRENT OPERATING LEASE 455121 LONG TERM OPERATING LEASE 2512790 2967911 X 11565290 -1032347 -416000 -1448347 13013637 0 13013637 11354893 0 11354893 416000 416000 11770893 PART X, LINE 2: THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OR MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD FOR 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON FINANCIALS -416,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED AGAINST REVENUE ON FINANCIALS 416,000. X X 0 0 0 0 0 0 0 0 0 MARIELA KAPOOR MD PHYSICIAN 234170 0 0 0 0 0 7025 0 33878 0 275073 0 0 0 MARTA C SILVERBERG EXECUTIVE DIRECTOR 207335 0 0 0 0 0 6220 0 24436 0 237991 0 0 0 KERRI KESELOWSKY PHYSICIAN 179154 0 0 0 0 0 5375 0 31254 0 215783 0 0 0 ADAM NELSON NURSE PRACTITIONER 194123 0 0 0 0 0 5824 0 2971 0 202918 0 0 0 PAUL MCCLOUD CFO 152021 0 0 0 0 0 4561 0 1221 0 157803 0 0 0 MELISSA V SIROLA CHIEF CLINICAL OFFICER 138415 0 0 0 0 0 4152 0 11727 0 154294 0 0 0 X 1 645074 CURRENT SALES PRICE 0 1 0 PART I, COLUMN (B): THE NUMBER IN PART I, COLUMN B REPRESENTS THE TOTAL NUMBER OF CONTRIBUTORS FOR THAT PARTICULAR ITEM. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PROVIDES THE BOARD OF TRUSTEES WITH AN ELECTRONIC COPY OF THE FORM 990 IN ADVANCE OF FILING WITH THE IRS. PRIOR TO FILING, THE TAX PREPARER IS AVAILABLE TO ANSWER ALL QUESTIONS THAT ANY MEMBER OF THE BOARD OF TRUSTEES MAY HAVE. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, OFFICER, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, THROUGH BUSINESS, INVESTMENT, OR FAMILY IN AN ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT MUST COMPLETE A CONFLICT OF INTEREST STATEMENT. IN ADDITION, IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS. DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS MONITOR THE CONFLICT OF INTEREST POLICY ON A REGULAR BASIS. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INTERESTED PERSON MAY NOT PARTICIPATE IN THE DISCUSSION OF, OR VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTED IN THE CONFLICT OF INTEREST. MANAGEMENT WILL DETERMINE IF THE CONFLICT IS OF A NATURE THAT MUST BE REFERRED TO LEGAL COUNSEL FOR RECOMMENDATION AS TO THE APPROPRIATE ACTION TO BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS DETERMINED VIA INDEPENDENT COMPENSATION SURVEYS, INCLUDING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NEW JERSEY PRIMARY CARE ASSOCIATION, TO ENSURE THAT TOTAL ANNUAL COMPENSATION IS COMPARABLE AND DOES NOT EXCEED THE FAIR MARKET VALUE OF CEO POSITIONS IN SIMILAR FEDERALLY QUALIFIED HEALTH CENTERS (FQHC'S) WITHIN THE STATE. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. ADDITIONALLY, THE PROCESS FOR DETERMINING THE CEO'S COMPENSATION IS DOCUMENTED IN THE BOARD MEETING MINUTES. THE PROCESS FOR DETERMINING OTHER EMPLOYEE COMPENSATION IS NOT DOCUMENTED IN THE BOARD MEETING MINUTES. THE COMPENSATION OF THE CFO AND CMO IS DETERMINED VIA INDEPENDENT COMPENSATION SURVEYS, INCLUDING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE NEW JERSEY PRIMARY CARE ASSOCIATION, TO ENSURE THAT TOTAL ANNUAL COMPENSATION IS COMPARABLE AND DOES NOT EXCEED THE FAIR MARKET VALUE OF THESE POSITIONS IN SIMILAR FQHC'S WITHIN THE STATE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ALL GOVERNING DOCUMENTS TO ANY PERSON(S) WHO REQUEST THE DOCUMENTS EITHER IN WRITING OR IN PERSON. UPON THE REQUEST, THE ORGANIZATION LOGS WHAT WAS REQUESTED, BY WHOM, AND WHERE AND WHEN THE DOCUMENTS WERE SENT. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 936,648. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 936,648. DENTIST FEES: PROGRAM SERVICE EXPENSES 41,723. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,723. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 552,684. MANAGEMENT AND GENERAL EXPENSES 69,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 622,426. LABORATORY FEES: PROGRAM SERVICE EXPENSES 66,886. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,886. DATA PROCESSING: PROGRAM SERVICE EXPENSES 298,203. MANAGEMENT AND GENERAL EXPENSES 36,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,060. CONSULTING: PROGRAM SERVICE EXPENSES 34,247. MANAGEMENT AND GENERAL EXPENSES 4,233. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,480.