2022-05-02T12:42:21-07:00 2021-01-31 Brown Ewing & Co PA 308 Highland Park Cove Ridgeland MS 39157 990 2020-02-01 640877375 Family Health Care Clinic Inc FAMI 6018257280 Post Office Box 24116 Jackson MS 392254116 Dr Margaret Gray CEO 6018257280 2022-05-02 true Dr Margaret Gray XXX-XX-XXXX David Ewing Jr P00571682 6013535423 2021-12-15 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z X Carolyn Hartzog P O Box 198 Prentiss MS 39474 18357592 false X Familyhealthcareclinic.com X 1996 MS To provide quality, accessible, and cost effective primary health care services. 13 13 214 0 0 0 9308085 11952546 7249823 6087706 308 4420 1436250 312920 17994466 18357592 0 0 11928584 10199423 0 0 6268513 7784621 18197097 17984044 -202631 373548 5337559 10653474 2972598 7754607 2364961 2898867 To provide quality, accessible, and cost effective primary health care services. false false 8870965 0 6405046 Provides primary medical, dental and nutrition services to residents of 14 counties in the state of Mississippi, 5 counties in the state of Alabama and Washington Parish in the state of Louisiana. 174346 0 0 WIC Program - Provides nutritional food, education and medical services to low-income women, infants and childrens. 145566 0 0 Mississippi Qualified Health Center Program (MQHC)- Provides Prenatal, dental and mental health service to women of child bearing age. 9190877 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 116 0 214 true false false false false false false false false false false false false false X 13 13 false false false false false false false true true false true true true true true true true true true true false MS X Dr Margaret A Gray 6018257280 4635 Highway 80 East Pearl MS 39208 Michael Howard Board Member 1.00 X 0 0 0 Joan Derryberry Board Member 1.00 X 0 0 0 Louise Patterson Board Member 1.00 X 0 0 0 Carolyn Hartzog Board Chair 1.00 X 0 0 0 Moses Johnson Vice Chair 1.00 X 0 0 0 Charles Hatten Board Member 1.00 X 0 0 0 Annie Posey Board Member 1.00 X 0 0 0 Cindy Bryan Board Member 1.00 X 0 0 0 Helen Johnson Board Member 1.00 X 0 0 0 Lydia Gonzalez-Seals Secretary 1.00 X 0 0 0 Melinda Ray Board Member 1.00 X 0 0 0 Kaitlynn Mixon Smith Board Member 1.00 X 0 0 0 James Hills Sr Board Member 1.00 X 0 0 0 Eddie Thames Treasurer 1.00 X 0 0 0 Margaret A Gray DPA President and CEO 40.00 X 162741 0 18910 Karina Clayton Chief Financial Officer 40.00 X 85571 0 15237 Clinton Mayes VP and COO 40.00 X 122316 0 15962 Charles Curry MD CMO 40.00 X 286187 0 5383 TC Washington CIO 40.00 X 86410 0 6808 Dennis Adams MD Physician 40.00 X 163662 0 13657 Joe Ward MD Physician 40.00 X 202356 0 18712 Joel Powell MD Physician 40.00 X 182324 0 0 Rita Estep MD Physician 40.00 X 173376 0 0 Norman Underwood DMD Dentist 40.00 X 172474 0 3 Elizabeth Buffler MD Physician 40.00 X 197995 0 5383 Carol Richardson MD Physician 40.00 X 165215 0 5383 2000627 0 105438 10 false true false Midland National Life Insurance PO Box 79907 Des Moines IA 503250907 Retirement 371300 CDW Government Inc 75 Remittance Drive Suite 515 Chicage IL 60675 Computer Hardware & Software 374759 AT&T 85 Annex Atlanta GA 30385 Telephone 328747 Converge One Inc P O Box 11407 Birmingham AL 352461127 Data Center 273729 Blue Cross Blue Shield PO Box 23082 Jackson MS 392253082 Employee Benefits 871535 5 11952546 11952546 Program Generated Income 621400 6087706 0 0 6087706 4420 0 0 3269 3269 3269 3269 Other Income 900099 309651 309651 0 0 309651 18357592 6405046 0 0 2356327 1899289 457038 0 5912421 3667822 2244599 0 110421 3277 107144 0 1166268 11195 1155073 0 653986 411657 242329 0 2860983 1313829 1547154 0 205740 0 205740 0 2549518 1633616 915902 0 1264104 197534 1066570 0 45601 24532 21069 0 37833 1554 36279 0 245008 23485 221523 0 101438 0 101438 0 Miscellaneous 314038 3087 310951 0 Principal Paid on Debt 160358 0 160358 0 17984044 9190877 8793167 0 568 298036 410275 6458147 108657 62500 1597629 240812 0 7874615 4280636 3220430 3593979 5337559 10653474 602114 633155 257996 5504798 1018676 858318 1093812 758336 2972598 7754607 X 2364961 2898867 2364961 2898867 5337559 10653474 X 373548 160358 X false true X true true true X 0 8348947 9344782 9577812 8969806 9308085 45549432 0 0 8348947 9344782 9577812 8969806 9308085 45549432 0 45549432 9807097 8426117 7580531 30171 308 25844224 0 305669 281339 335621 8994506 8686073 18603208 89996864 20801321 0.50610 0.49730 X 0 0 0 Pt II Ln 10 Other Income Part II, Line 10 Description: Program Generated Income from Health Care Services 2016: 305669. 2017: 281339. 2018: 335621. 2019: 8994506. 2020: 8686073. 0 146498 146498 5376866 2521332 2855534 674440 84660 589780 1676811 1674644 2167 3593979 Payroll taxes payable 393055 Salaries payable 146488 Accrued annual leave 214477 Accrued interest payable 4316 Employer' Share Other 0 Payroll Deduction - Hospitalization 0 Employer-Group Health 0 Bank Overdraft 0 758336 X 18357592 18357592 18357592 17984044 17984044 17984044 Pt X, Line 2 The corporation is exempt from corporate Federal income taxes under Section 501 (c) (3) of the Internal Revenue Code and from Mississippi income taxes. Therefore, no provision has been made for Federal or Mississippi corporate income taxes in the accompanying financial statements. In addition, the Organization has been determined by the Internal Revenue Service not to be a "private foundation" within the meaning of Section 509 (a) of the Code. The Organization has analyzed its tax position taken for filings with the Internal Revenue. It believes that its tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The Organization's federal and state income tax returns for adopted recently issued accounting principles related to uncertain tax positions for 2020, 2019, and 2018 are subject to examination by the federal, state and local taxing authorities, generally for three years after they are filed. Pt XII, Line 2d Amount represent principle payment of notes per audited financial statement not reflected on tax return false false false false false false false false false Margaret A Gray DPA 162741 0 0 0 0 0 18911 0 0 0 181652 0 0 0 Charles Curry MD 286187 0 0 0 0 0 5383 0 0 0 291570 0 0 0 Dennis Adams MD 163662 0 0 0 0 0 13657 0 0 0 177319 0 0 0 Joe Ward MD 202356 0 0 0 0 0 18712 0 0 0 221068 0 0 0 Joel Powell MD 182324 0 0 0 0 0 0 0 0 0 182324 0 0 0 Rita Estep MD 173376 0 0 0 0 0 0 0 0 0 173376 0 0 0 Norman Underwood DMD 172474 0 0 0 0 0 3 0 0 0 172477 0 0 0 Elizabeth Buffler MD 197995 0 0 0 0 0 5383 0 0 0 203378 0 0 0 Carol Richardson MD 165215 0 0 0 0 0 5383 0 0 0 170598 0 0 0 Pt VI, Line 11b The Form 990 is first reviewed by the CEO and CFO. Afterwhich, it is presented for review by the Finance Committee of the Board of Directors. From there, it is presented for review and approval to the entire Board of Directors. Pt VI, Line 12c All employees and board members are required to complete and attest annually. All staff and board members are included in training sessions annually where policy violations are covered. Pt VI, Line 15a The CEO, CFO and other key employees' compensation is approved by the Board of Directors. Pt VI, Line 15b The Board of Directors, along with the recommendation of the CEO, approves compensation for other employees. Pt VI, Line 19 The Organization's Conflict of Interest policy and financial statements are available to the public upon request. Pt XI Other changes in net assets, Principle payment of loan and acquisition on property and equipment