2024-09-13T15:18:49-05:00 2024-03-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2023-04-01 341119524 FAMILY HEALTH SERVICES OF DARKE COUNTY INC FAMI 9375483806 5735 MEEKER RD GREENVILLE OH 45331 JARED POLLICK EXECUTIVE DIRECTOR 9375483806 2024-09-13 1 0 APRIL CAULFIELD P01949369 9373992000 2024-09-13 2023 2024-08-08 14:25:15Z JARED POLLICK 5735 MEEKER RD GREENVILLE OH 45331 44504568 0 X FAMILYHEALTHSERVICES.ORG X 1973 OH BUILDING HEALTHY LIVES TOGETHER 10 10 300 10 -10908 0 6892846 4212196 32951991 39362156 118355 500872 -842 -10908 39962350 44064316 0 0 0 0 21155244 24097643 0 0 0 12027437 16061048 33182681 40158691 6779669 3905625 39260498 44719380 4817079 5716800 34443419 39002580 PROVIDE PRIMARY HEALTH CARE SERVICES FOR LOW-INCOME INDIVIDUALS BY MANAGING & OPERATING A HEALTH FACILITY & ITS PROGRAMS FOR ALL DARKE COUNTY RESIDENTS. 0 0 31456350 35201805 FAMILY HEALTH IS A SELF-SUSTAINING ORGANIZATION THAT BUILDS HEALTHY LIVES THROUGH THE PROVISION OF QUALITY, COMPREHENSIVE SERVICES. FAMILY HEALTH OFFERS MEDICAL SERVICES TO PATIENTS OF ALL AGES AS WELL AS DENTAL, BEHAVIORAL HEALTH, VISION, AND PHARMACY SERVICES. DURING THE 2024 FISCAL YEAR, THE CENTER HAD 26,528 PATIENTS AND 115,490 ENCOUNTERS. 2584385 4195180 C.H.N., LLC (CHN) IS A HOME HEALTH AGENCY CERTIFIED THROUGH OHIO DEPARTMENT OF HEALTH THAT IS COMMITTED TO MEETING THE HOME CARE NEEDS OF THE COMMUNITY. CHN PROVIDES SERVICES SUCH AS SKILLED NURSING, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AND AIDE HOMEMAKER SERVICES. 312269 WOMEN, INFANTS, AND CHILDREN PROGRAM - PROVIDES NUTRITION AND BREASTFEEDING EDUCATION FOR PREGNANT WOMEN AND WOMEN WITH SMALL CHILDREN. DURING THE 2024 FISCAL YEAR, THE CENTER HAD 1,881 PARTICIPANTS IN THE WIC PROGRAM AND HAD 7,524 ENCOUNTERS. 34353004 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 38 0 1 300 1 1 1 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 X AUSTIE AUKER FINANCE DIRECTOR 9375483806 5735 MEEKER ROAD GREENVILLE OH 45331 JOY GREER PRESIDENT 2.00 X X 0 0 0 SONJA ETZELL VICE PRESIDENT 2.00 X X 0 0 0 CASSIDY HELMAN SECRETARY 2.00 X X 0 0 0 JOHN WARNER TREASURER 2.00 X X 0 0 0 ALAN AYETTE TRUSTEE 2.00 X 0 0 0 CRYSTA BLOOMINGDALE TRUSTEE 2.00 X 0 0 0 ROBB MAHER TRUSTEE 2.00 X 0 0 0 KATHY O'DELL TRUSTEE 2.00 X 0 0 0 SCOTT CLUM TRUSTEE 2.00 X 0 0 0 TOM TREON TRUSTEE 2.00 X 0 0 0 JARED POLLICK EXECUTIVE DIRECTOR 40.00 X 283176 0 51865 AUSTIE AUKER FINANCE DIRECTOR 40.00 X 118074 0 15693 ANNA HATIC MEDICAL DIRECTOR 40.00 X 278127 0 37109 CARLOS MENENDEZ FAMILY PHYSICIAN 40.00 X 327123 0 48011 KEN HARSHBARGER FAMILY PHYSICIAN 40.00 X 292467 0 65491 JAWAD REHMAN FAMILY PHYSICIAN 40.00 X 489661 0 83974 JENNIFER RAWLINS FAMILY PHYSICIAN 40.00 X 262495 0 50753 THOMAS BROWN FAMILY PHYSICIAN 40.00 X 284124 0 55359 2335247 0 408255 39 0 1 0 REHABILITATIVE SERVICES INC 4390 BUSCHOR RD COLDWATER OH 45828 THERAPY SERVICES 554093 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 EHR SOFTWARE AND SERVICE 469795 CHAMPION CITY MEDIA 14 E MAIN ST SPRINGFIELD OH 45502 MARKETING SERVICES 161200 3 3654196 558000 558000 4212196 PATIENT SERVICE REVENUE 624100 20224786 20224786 PHARMACY REVENUE 456110 16927216 16927216 OTHER PROGRAM SERVICES 624100 2210154 2210154 39362156 466043 466043 8918 19826 -10908 -10908 -10908 455255 420426 34829 34829 34829 44064316 39396985 -10908 466043 X 784043 236426 547617 18423968 16149048 2274920 1608027 1464339 143688 1952862 1760643 192219 1328743 1179126 149617 33975 25037 8938 5094941 3847762 1247179 148614 109517 39097 713270 571372 141898 208512 188873 19639 167790 167790 31167 31167 708014 547048 160966 195173 138051 57122 SUPPLIES 7679362 7468361 211001 PHARMACY COSTS 558000 558000 COMMUNICATION 334956 99375 235581 MISCELLANEOUS 166583 10026 156557 20691 20691 40158691 34353004 5805687 0 17105899 12497710 1182075 1015239 150170 33911 3333280 6027947 97587 70141 189880 233380 98188 105886 25229957 7003586 10922716 18226371 4799723 5543211 1380980 965584 39260498 44719380 2495981 3642610 15880 13762 1036941 936108 1268277 1124320 4817079 5716800 X 34443419 39002580 34443419 39002580 39260498 44719380 3905625 653536 0 X X 0 1 X 1 1 1 X 3402578 6053752 6195699 6892846 4212196 26757071 3402578 6053752 6195699 6892846 4212196 26757071 26757071 51963 94972 64018 138590 466043 815586 -128671 -128671 1082104 2516550 1173831 1993929 2210154 8976568 36420554 132292804 0.73470 0.76870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 405349 405349 15212479 5157118 10055361 2638323 1846468 791855 6973806 6973806 18226371 DEFERRED COMPENSATION 1124320 1124320 X 44737678 653536 653536 44084142 -19826 -19826 44064316 40178517 19826 19826 40158691 0 40158691 PART X, LINE 2: FHS IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE FHS'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. CHN IS ORGANIZED AS A SINGLE MEMBER LLC, IN WHICH, FHS IS THE SOLE MEMBER. AS SUCH, THE INCOME FROM CHN IS REPORTED ON THE TAX RETURN OF FHS. FHS' REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED AGAINST RENTAL INCOME -19,826. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED AGAINST RENTAL INCOME 19,826. X X 0 1 0 0 0 0 0 0 0 JARED POLLICK EXECUTIVE DIRECTOR 168505 0 114671 0 0 0 22523 0 29342 0 335041 0 0 0 ANNA HATIC MEDICAL DIRECTOR 276393 0 1734 0 0 0 34566 0 2543 0 315236 0 0 0 CARLOS MENENDEZ FAMILY PHYSICIAN 325091 0 2032 0 0 0 36688 0 11323 0 375134 0 0 0 KEN HARSHBARGER FAMILY PHYSICIAN 290913 0 1554 0 0 0 35844 0 29647 0 357958 0 0 0 JAWAD REHMAN FAMILY PHYSICIAN 416802 0 72859 0 0 0 53383 0 30591 0 573635 0 0 0 JENNIFER RAWLINS FAMILY PHYSICIAN 260522 0 1973 0 0 0 32399 0 18354 0 313248 0 0 0 THOMAS BROWN FAMILY PHYSICIAN 282212 0 1912 0 0 0 33517 0 21842 0 339483 0 0 0 X 558000 COST 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO MANAGEMENT AND THE FULL BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO SUBMISSION. AN INSPECTION COPY WILL BE HELD BY THE ADMINISTRATIVE DEPARTMENT FOR PUBLIC INSPECTION AT 5735 MEEKER ROAD. THE INSPECTION COPY IS NOT TO LEAVE THE PREMISES AND COPIES WILL NOT BE MADE FOR DISTRIBUTION UNLESS REQUESTED BY A BOARD MEMEBER FOR USE BY THAT BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST FORMS ANNUALLY. IF ANY CONFLICTS ARE IDENTIFIED THEY ARE MONITORED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR EXECUTIVE DIRECTOR: THE SALARY AMOUNT IS SET BY THE BOARD. IN DETERMINING THE SALARY AMOUNT THE BOARD USES MGMA (MEDICAL GROUP MANAGEMENT ASSOCIATION), A SOURCE OF INDUSTRY DATA. COMPENSATION PROCESS FOR OFFICERS: THE SALARY AMOUNT IS SET BY THE EXECUTIVE DIRECTOR. FAMILY HEALTH SERVICES PAYS BASED ON THE INDUSTRY MEDIAN BY USING INDUSTRY DATA FROM MGMA AND NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS). FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST AT 5735 MEEKER RD. THE DOCUMENTS OR COPIES THEREOF ARE NOT PERMITTED TO LEAVE THE PREMISES. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 65,731. MANAGEMENT AND GENERAL EXPENSES 57,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,337. RECRUITMENT: PROGRAM SERVICE EXPENSES 107,543. MANAGEMENT AND GENERAL EXPENSES 796. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,339. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 10,159. MANAGEMENT AND GENERAL EXPENSES 3,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,786. CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 3,664,329. MANAGEMENT AND GENERAL EXPENSES 1,185,150. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,849,479. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED SINCE PRIOR YEAR. COMPREHENSIVE HEALTH NETWORK 5420 STATE ROUTE 571 GREENVILLE OH 45331 311242113 HOME HEALTH CARE OH 601805 4838663 FAMILY HEALTH SERVICES OF DARKE COUNTY