2023-02-14T15:05:58-06:00 2022-03-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2021-04-01 237118262 FAMILY FIRST HEALTH CORPORATION FAMI 7178014805 116 SOUTH GEORGE STREET YORK PA 17401 JENNIFER ENGLERTH PRESIDENT AND CEO 7178014805 2023-02-14 1 JENNIFER ENGLERTH 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2023-02-14 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z JENNIFER ENGLERTH 116 SOUTH GEORGE STREET YORK PA 17401 31399884 0 X WWW.FAMILYFIRSTHEALTH.ORG X 1970 PA FAMILY FIRST HEALTH'S MISSION IS TO PROVIDE SERVICES OUR PATIENTS NEED; TO PROMOTE AND SUPPORT HEALTHY LIFESTYLES; TO COLLABORATE WITH OTHERS TO IMPROVE ACCESS AND BREAK DOWN BARRIERS OF AFFORDABILITY, LANGUAGE AND CULTURE; AND TO ADVOCATE FOR OUR PATIENTS AND THE MEDICALLY UNDERSERVED. 8 8 313 40 0 0 11386880 13593055 13782613 16163990 4773 27792 1374507 1411084 26548773 31195921 157551 177249 0 0 17372504 18903982 0 0 1954 9162262 11058855 26692317 30140086 -143544 1055835 9829262 10664664 7275186 6978998 2554076 3685666 X FAMILY FIRST HEALTH'S MISSION IS TO PROVIDE SERVICES OUR PATIENTS NEED; TO PROMOTE AND SUPPORT HEALTHY LIFESTYLES; TO COLLABORATE WITH OTHERS TO IMPROVE ACCESS AND BREAK DOWN BARRIERS OF AFFORDABILITY, LANGUAGE AND CULTURE; AND TO ADVOCATE FOR OUR PATIENTS AND THE MEDICALLY UNDERSERVED. 0 0 25426537 177249 16997216 MEDICAL, DENTAL AND SOCIAL SERVICES ARE PROVIDED BY FAMILY FIRST HEALTH TO UNDERSERVED PATIENTS IN YORK AND ADAMS COUNTIES IN THE STATE OF PENNSYLVANIA. GENERAL MEDICAL CARE IS PROVIDED AT OUR HEALTH CENTERS IN YORK, HANOVER, HANNAH PENN MIDDLE SCHOOL, LEWISBERRY, AND GETTYSBURG. DENTAL CARE IS PROVIDED AT OUR DENTAL CENTERS IN YORK, HANOVER AND GETTYSBURG. 424402 499474 ONE ASPECT OF THE SOCIAL SERVICES DEPARTMENT IS THE NURSE FAMILY PARTNERSHIP PROGRAM (NFP). NFP PARTNERS A SPECIFICALLY TRAINED NURSE WITH A FIRST TIME MOTHER. THE PROGRAM BEGINS IN PREGNANCY AND CONTINUES UNTIL THE CHILD TURNS TWO YEARS OLD. THE NURSE VISIT TAKES PLACE WHERE THE PATIENT IS MOST COMFORTABLE. THE EXPENTANT MOTHER MUST ETNER THE PROGRAM BEFORE 28 WEEKS GESTATION AND BE ELIGIBLE FOR WIC (WOMEN, INFANTS AND CHILDREN PROGRAM) OR MEDICAL ASSISTANCE. THE PROGRAM BEGAN IN 2001 AND AVERAGES 100 PATIENTS AT ANY GIVEN POINT. 25850939 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 64 0 1 313 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X BRENT DOORES 7178014809 116 SOUTH GEORGE STREET YORK PA 17401 ALLISON HAWTHORNE BOARD CHAIR 1.50 X X 0 0 0 ANN SHALEIALOHALANI BOARD SECRETARY 1.50 X X 0 0 0 CINDY STEEL BOARD VICE CHAIR 1.50 X X 0 0 0 KYLE KIRKPATRICK DIRECTOR 1.50 X 0 0 0 MICHAEL SHANEBROOK DIRECTOR 1.50 X 0 0 0 PHILIP GIVEN DIRECTOR 1.50 X 0 0 0 ROBERT MERINO BOARD TREASURER 1.50 X X 0 0 0 VICTORIA DETTINGER DIRECTOR 1.50 X 0 0 0 BECKY SHEARER VICE PRESIDENT OF FINANCE 40.00 X 139765 0 19947 JENNIFER ENGLERTH PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 193063 0 27441 ASCELINE GO VP OF MEDICAL SERVICES 40.00 X 269495 0 13881 JOSEPH MOUNTAIN VP OF DENTAL SERVICES 40.00 X 202828 0 2047 LAJUAN MOUNTAIN VP OF DENTAL SERVICES 40.00 X 192530 0 28099 CHRISTIAN BENGTSON PHYSICIAN 40.00 X 157939 0 805 HETAL PATEL PHYSICIAN 40.00 X 240253 0 22710 LUIS GARCIA PHYSICIAN 40.00 X 199290 0 26827 MARIE KELLETT PHYSICIAN 40.00 X 211150 0 28725 RAYMOND ERIC MATHEWS PHYSICIAN 40.00 X 186489 0 24064 1992802 0 194546 34 0 1 0 ATHENA 311 ARSENAL STREET WATERTOWN MA 02472 ELECTRONIC HEALTH RECORD SOFTWARE VENDOR 841924 CCN 300 PENN CENTER BOULEVARD SUITE 50 PITTSBURGH PA 15235 340B PROGRAM 752650 CYRACOM 2650 E ELVIRA RD SUITE 132 TUCSON AZ 85756 INTERPRETATION SERVICES 131293 WELLPARTNER CVS 20800 SW 115TH AVENUE SUITE 100 TUALATIN OR 97062 340B PROGRAM 103725 LIBERTY RESTORATION 318 CARLISLE ST HANOVER PA 85756 CONSTRUCTION CONTACTOR 102623 6 6774 12166257 1420024 628008 13593055 MEDICAID 621110 8880570 8880570 340B PHARMACY 621110 4528109 4528109 PRIVATE INSURANCE 621110 1657445 1657445 MEDICARE 621110 985856 985856 SELF PAY 621110 112010 112010 16163990 12180 12180 186417 108033 78384 78384 78384 111542 95930 15612 15612 15612 INCENTIVE PAYMENTS 900099 1017789 1017789 MISCELLANOUS INCOME 900099 314911 314911 1332700 31195921 17496690 0 106176 177249 177249 1081909 916395 165514 14350301 12161672 2188629 96073 80667 15406 2290982 1923617 367365 1084717 910780 173937 5350 5350 64500 64500 3803 3803 1417166 1283761 133405 190313 97280 93033 83138 26639 56499 690972 690972 74291 62674 11617 121570 86613 34957 80522 80522 277791 259218 18573 65920 14002 51918 PHARMACY, LABORATORY AN 3831810 3831810 CONSUMABLE SUPPLIES 1979794 1878044 101750 EQUIPMENT RENTAL, PURCH 1608074 1097398 510676 DUES AND SUBSCRIPTIONS 130635 47836 82799 433206 223790 207462 1954 30140086 25850939 4287193 1954 1428 1458 2486976 3596359 624629 1771427 2919304 1741749 14881 11780 89307 126875 8234805 5171013 3341584 3063792 323805 323876 27348 27348 9829262 10664664 1585881 1875847 2953931 2456992 2288817 2134470 446557 511689 7275186 6978998 X 2554076 3685666 2554076 3685666 9829262 10664664 1055835 75755 0 X X 0 1 X 1 1 1 X 7871745 7215911 7718906 11386880 13593055 47786497 7871745 7215911 7718906 11386880 13593055 47786497 47786497 114328 124864 127906 147758 198597 713453 951088 1199910 876839 1301210 1332700 5661747 54161697 73161918 0.88230 0.87450 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2017 AMOUNT: $ 18,955. 2018 AMOUNT: $ 17,830. 2019 AMOUNT: $ 6,439. 2020 AMOUNT: $ 55,234. 2021 AMOUNT: $ 314,911. MEANINGFUL USE - 2017 AMOUNT: $ 42,500. 2018 AMOUNT: $ 42,500. 2019 AMOUNT: $ 25,500. CONTRACTS - 2017 AMOUNT: $ 22,197. 2018 AMOUNT: $ 28,722. 2019 AMOUNT: $ 30,249. INCENTIVE BONUSES - 2017 AMOUNT: $ 867,436. 2018 AMOUNT: $ 1,110,858. 2019 AMOUNT: $ 814,651. 2020 AMOUNT: $ 1,245,976. 2021 AMOUNT: $ 1,017,789. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 6161138 3659820 2501318 1923667 1511193 412474 3063792 ACCRUED WRAP PAYABLE 200001 DEFERRED RENT 311688 511689 X 31419777 75755 40068 115823 31303954 -108033 -108033 31195921 30288187 40068 108033 148101 30140086 0 30140086 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2022. THE CENTER'S FEDERAL, STATE AND CITY INFORMATION TAX RETURNS PRIOR TO 2019 ARE CLOSED. THE BOARD OF DIRECTORS CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS PART OF OTHER THAN PERSONNEL SERVICES IN THE STATEMENT OF ACTIVITIES AND CHANGE IN NET ASSETS AND INCLUDE ACCRUED INTEREST AND PENALTIES IN ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. THE CENTER DID NOT RECOGNIZE ANY INTEREST OR PENALTIES ASSOCIATED WITH TAX MATTERS FOR THE YEAR ENDED MARCH 31, 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -108,033. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 108,033. 1 WELLSPAN HEALTH 45 MONUMENT RD SUITE 200 YORK PA 17406 170199413 501(C)(3) 177249 0 MEDICAL VISITS AND PHARMACEUTICAL / NUTRITIONAL HEALTH / COUNSELING FOR HIV PATIENTS. RYAN WHITE C GRANT SUBRECIPIENT 1 PART I, LINE 2: FFH AND WELLSPAN STAFF MEET QUARTERLY TO REVIEW CLINICAL AND FINANCIAL RESULTS / OUTCOMES RELATING TO THE SUBRECIPIENT AGREEMENT. MONTHLY INVOICES REQUESTING A DRAW DOWN OF GRANT FUNDS IS SENT BY WELLSPAN AND REVIEWED AND APPROVED BY FFH FISCAL STAFF FOR DISBURSEMENT. ANNUALLY, KEY LEADERS FROM EACH ORGANIZATION PARTICIPATE IN A FORMAL AUDIT AND MONITORING REVIEW UTILIZING THE HRSA MONITORING TOOL AS A GUIDELINE. X X 0 0 0 0 0 0 0 1 0 ASCELINE GO VP OF MEDICAL SERVICES 266195 0 3300 0 0 0 2752 0 11129 0 283376 0 0 0 HETAL PATEL PHYSICIAN 238953 0 1300 0 0 0 1830 0 20880 0 262963 0 0 0 MARIE KELLETT PHYSICIAN 210050 0 1100 0 0 0 2218 0 26507 0 239875 0 0 0 LUIS GARCIA PHYSICIAN 198190 0 1100 0 0 0 1920 0 24907 0 226117 0 0 0 LAJUAN MOUNTAIN VP OF DENTAL SERVICES 191430 0 1100 0 0 0 2028 0 26071 0 220629 0 0 0 JENNIFER ENGLERTH PRESIDENT & CHIEF EXECUTIVE OFFICER 188963 0 4100 0 0 0 2026 0 25415 0 220504 0 0 0 RAYMOND ERIC MATHEWS PHYSICIAN 185389 0 1100 0 0 0 1366 0 22698 0 210553 0 0 0 JOSEPH MOUNTAIN VP OF DENTAL SERVICES 201728 0 1100 0 0 0 2028 0 19 0 204875 0 0 0 BECKY SHEARER VICE PRESIDENT OF FINANCE 138665 0 1100 0 0 0 1426 0 18521 0 159712 0 0 0 CHRISTIAN BENGTSON PHYSICIAN 156439 0 1500 0 0 0 611 0 194 0 158744 0 0 0 PART I, LINE 7 INCLUDED ON SCHEDULE J, PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUSES AND INCENTIVE PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUALS 2021 W2'S. X 1 628008 FMV 0 0 0 PART I, COLUMN (B): AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, AND IS THEN REVIEWED BY THE CFO AND CEO. PRIOR TO FILING, A COPY OF FORM IS MADE AVAILABLE TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C FAMILY FIRST HEALTH HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT CHARGES THE BOARD OF DIRECTORS WITH REVIEWING AND ENFORCING COMPLIANCE AT THEIR MONTHLY MEETINGS, THE BOARD OF DIRECTORS HAS A STANDING TIME ASKING IF ANY ATTENDEES HAVE A CONFLICT OF INTEREST WITH ANY OF THE AGENDA ITEMS THE BOARD THEN VOTES TO ACCEPT THE AGENDA WITHOUT ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AT THE TIME OF EVALUATION, COMPENSATION INFORMATION IS GATHERED BY THE HUMAN RESOURCE DIRECTOR FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET. THIS IS THEN MATCHED WITH PERFORMANCE TO ESTABLISH COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THIS INFORMATION IS PROVIDED UPON REQUEST MADE TO THE CHIEF FINANCIAL OFFICER. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT.