FAMILY FIRST HEALTH CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY FIRST HEALTH CORPORATION (EIN 23-7118262)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2021-12-16
- IRS object ID
- 202123509349300242
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-12-16T14:23:53-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 SYLVAN WAY | AddressLine1Txt |
| City | PARSIPPANY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 070543801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237118262 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY FIRST HEALTH CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 7178014805 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 SOUTH GEORGE STREET | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER ENGLERTH | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 7178014805 | PhoneNum |
| Signature | 2021-12-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | ENGLERTH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2021-12-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNIFER ENGLERTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 SOUTH GEORGE STREET | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,653,842 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FAMILYFIRSTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 284 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,718,906 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,386,880 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,494,645 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,782,613 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,733 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,773 | CYInvestmentIncomeAmt |
| PY Other Revenue | $945,871 | PYOtherRevenueAmt |
| CY Other Revenue | $1,374,507 | CYOtherRevenueAmt |
| PY Total Revenue | $24,175,155 | PYTotalRevenueAmt |
| CY Total Revenue | $26,548,773 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $190,501 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $157,551 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,187,028 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,372,504 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,654 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,358,572 | PYOtherExpensesAmt |
| CY Other Expenses | $9,162,262 | CYOtherExpensesAmt |
| PY Total Expenses | $24,736,101 | PYTotalExpensesAmt |
| CY Total Expenses | $26,692,317 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$560,946 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$143,544 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,428,750 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,829,262 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,946,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,275,186 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,482,335 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,554,076 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,011,728 | ExpenseAmt |
| Grant | $157,551 | GrantAmt |
| Revenue | $14,575,887 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $451,475 | ExpenseAmt |
| Revenue | $507,936 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $23,463,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 88 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 284 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BECKY SHEARER CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7178014809 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 SOUTH GEORGE STREET | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ALLISON HAWTHORNE | ||||||||
| BOARD VICE CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANN SHALEIALOHALANI | ||||||||
| BOARD SECRETARY | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHARLES SNYDER | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| CINDY STEEL | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| KYLE KIRKPATRICK | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL SHANEBROOK | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP GIVEN | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| REED GUNDERSON | ||||||||
| DIRECTOR | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT BERHHARD | ||||||||
| BOARD CHAIR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MERINO | ||||||||
| BOARD TREASURER | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA DETTINGER | ||||||||
| DIRECTOR | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BECKY SHEARER | ||||||||
| VICE PRESIDENT OF FINANCE | 40.00 | Yes (X) | $139,418 | $0 | $19,794 | |||
| JENNIFER ENGLERTH | ||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $191,274 | $0 | $26,827 | |||
| ASCELINE GO | ||||||||
| VP OF MEDICAL SERVICES | 40.00 | $263,754 | $0 | $13,732 | Yes (X) | |||
| JOSEPH MOUNTAIN | ||||||||
| VP OF DENTAL SERVICES | 40.00 | $216,047 | $0 | $2,180 | Yes (X) | |||
| LAJUAN MOUNTAIN | ||||||||
| VP OF DENTAL SERVICES | 40.00 | $205,947 | $0 | $27,870 | Yes (X) | |||
| CATHERINE MAUSS | ||||||||
| PHYSICIAN | 40.00 | $147,172 | $0 | $23,036 | Yes (X) | |||
| HETAL PATEL | ||||||||
| PHYSICIAN | 40.00 | $221,281 | $0 | $22,493 | Yes (X) | |||
| LUIS GARCIA | ||||||||
| PHYSICIAN | 40.00 | $211,272 | $0 | $28,420 | Yes (X) | |||
| MARIE KELLETT | ||||||||
| PHYSICIAN | 40.00 | $197,942 | $0 | $28,263 | Yes (X) | |||
| RAYMOND ERIC MATHEWS | ||||||||
| PHYSICIAN | 40.00 | $195,985 | $0 | $24,277 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,990,092 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $216,892 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $6,078 | FederatedCampaignsAmt |
| Government Grants | $9,867,001 | GovernmentGrantsAmt |
| All Other Contributions | $1,513,801 | AllOtherContributionsAmt |
| Noncash Contributions | $522,770 | NoncashContributionsAmt |
| Total Contributions | $11,386,880 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621110 | $7,430,176 | $7,430,176 |
| 340B PHARMACY | 621110 | $4,115,599 | $4,115,599 |
| PRIVATE INSURANCE | 621110 | $1,278,495 | $1,278,495 |
| MEDICARE | 621110 | $918,914 | $918,914 |
| SELF PAY | 621110 | $39,429 | $39,429 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,782,613 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,986 | TotalRevenueColumnAmt |
| Exclusion | $5,986 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $141,772 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $68,475 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $73,297 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,297 | TotalRevenueColumnAmt |
| Exclusion | $73,297 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $35,381 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $36,594 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,213 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,213 | TotalRevenueColumnAmt |
| Exclusion | -$1,213 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCENTIVE PAYMENTS | 900099 | $1,245,976 | $1,245,976 |
| MISCELLANOUS EXPENSES | 900099 | $55,234 | $55,234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,301,210 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,548,773 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,083,823 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $78,070 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,551 | TotalAmt |
| Program Services | $157,551 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,263 | TotalAmt |
| Program Services | $897,745 | ProgramServicesAmt |
| Management And General | $148,518 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,050,059 | TotalAmt |
| Program Services | $11,173,859 | ProgramServicesAmt |
| Management And General | $1,876,200 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,043 | TotalAmt |
| Program Services | $73,564 | ProgramServicesAmt |
| Management And General | $9,479 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,351,578 | TotalAmt |
| Program Services | $2,083,146 | ProgramServicesAmt |
| Management And General | $268,432 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,561 | TotalAmt |
| Program Services | $745,497 | ProgramServicesAmt |
| Management And General | $96,064 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,025 | TotalAmt |
| Management And General | $13,025 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,500 | TotalAmt |
| Management And General | $64,500 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,385 | TotalAmt |
| Management And General | $3,385 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,548 | TotalAmt |
| Program Services | $269,776 | ProgramServicesAmt |
| Management And General | $103,772 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,992 | TotalAmt |
| Program Services | $45,965 | ProgramServicesAmt |
| Management And General | $125,027 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,228 | TotalAmt |
| Program Services | $36,910 | ProgramServicesAmt |
| Management And General | $25,318 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $712,589 | TotalAmt |
| Program Services | $712,589 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $605,423 | TotalAmt |
| Program Services | $605,423 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,993 | TotalAmt |
| Program Services | $44,635 | ProgramServicesAmt |
| Management And General | $9,358 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,773 | TotalAmt |
| Program Services | $47,749 | ProgramServicesAmt |
| Management And General | $11,024 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,408 | TotalAmt |
| Program Services | $92,408 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,490 | TotalAmt |
| Program Services | $315,378 | ProgramServicesAmt |
| Management And General | $19,112 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,832 | TotalAmt |
| Program Services | $11,486 | ProgramServicesAmt |
| Management And General | $40,346 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY, LAPORATORY AN | $3,362,205 | $3,362,205 | |
| CONSUMABLE SUPPLIES | $1,753,694 | $1,665,829 | $87,865 |
| EQUIPMENT RENTAL AND MA | $832,558 | $666,691 | $165,867 |
| DUES AND SUBSCRIPTIONS | $81,666 | $45,017 | $36,649 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,953 | TotalAmt |
| Program Services | $409,780 | ProgramServicesAmt |
| Management And General | $122,519 | ManagementAndGeneralAmt |
| Fundraising | $2,654 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,692,317 | TotalAmt |
| Program Services | $23,463,203 | ProgramServicesAmt |
| Management And General | $3,226,460 | ManagementAndGeneralAmt |
| Fundraising | $2,654 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,300 | BOYAmt |
| EOY | $1,428 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,256,882 | BOYAmt |
| EOY | $2,486,976 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,883 | BOYAmt |
| EOY | $624,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,743,114 | BOYAmt |
| EOY | $2,919,304 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,461 | BOYAmt |
| EOY | $14,881 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,250 | BOYAmt |
| EOY | $89,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,234,805 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,893,221 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,648,327 | BOYAmt |
| EOY | $3,341,584 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,185 | BOYAmt |
| EOY | $323,805 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,348 | BOYAmt |
| EOY | $27,348 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,428,750 | BOYAmt |
| EOY | $9,829,262 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,404 | BOYAmt |
| EOY | $1,585,881 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $672,371 | BOYAmt |
| EOY | $2,953,931 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,433,559 | BOYAmt |
| EOY | $2,288,817 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,081 | BOYAmt |
| EOY | $446,557 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,946,415 | BOYAmt |
| EOY | $7,275,186 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,482,335 | BOYAmt |
| EOY | $2,554,076 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,482,335 | BOYAmt |
| EOY | $2,554,076 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,428,750 | BOYAmt |
| EOY | $9,829,262 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$143,544 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $215,285 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,031,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,871,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,215,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,718,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,386,880 | CurrentTaxYearAmt |
| Total | $40,225,388 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,031,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,871,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,215,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,718,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,386,880 | CurrentTaxYearAmt |
| Total | $40,225,388 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $40,225,388 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,328 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $124,864 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,906 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $147,758 | CurrentTaxYearAmt |
| Total | $632,632 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $810,112 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $951,088 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,199,910 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $876,839 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,301,210 | CurrentTaxYearAmt |
| Total | $5,139,159 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $45,997,179 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $68,423,670 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.87450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 37,266. 2017 AMOUNT: $ 18,955. 2018 AMOUNT: $ 17,830. 2019 AMOUNT: $ 6,439. 2020 AMOUNT: $ 55,234. MEANINGFUL USE - 2016 AMOUNT: $ 195,500. 2017 AMOUNT: $ 42,500. 2018 AMOUNT: $ 42,500. 2019 AMOUNT: $ 25,500. CONTRACTS - 2016 AMOUNT: $ 13,949. 2017 AMOUNT: $ 22,197. 2018 AMOUNT: $ 28,722. 2019 AMOUNT: $ 30,249. INCENTIVE BONUSES - 2016 AMOUNT: $ 563,397. 2017 AMOUNT: $ 867,436. 2018 AMOUNT: $ 1,110,858. 2019 AMOUNT: $ 814,651. 2020 AMOUNT: $ 1,245,976. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,000 | OtherCostOrOtherBasisAmt |
| Book Value | $150,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,161,138 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,372,187 | DepreciationAmt |
| Book Value | $2,788,951 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,923,667 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,521,034 | DepreciationAmt |
| Book Value | $402,633 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,341,584 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED WRAP PAYABLE | $200,001 |
| INTERST RATE SWAP | $78,724 |
| DEFERRED RENT | $167,832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $446,557 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,869,181 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $215,285 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $36,648 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $251,933 | RevenueNotReportedAmt |
| Revenue Subtotal | $26,617,248 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$68,475 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$68,475 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $26,548,773 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,797,440 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $36,648 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $68,475 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $105,123 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,692,317 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $26,692,317 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2021. THE CENTER'S FEDERAL, STATE AND CITY INFORMATION TAX RETURNS PRIOR TO 2018 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, 2021. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES -68,475. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 68,475. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLSPAN HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 MONUMENT RD SUITE 200 | AddressLine1Txt |
| City | YORK | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17406 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 170199413 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $157,551 | CashGrantAmt |
| Purpose Of Grant | MEDICAL VISITS AND PHARMACEUTICAL / NUTRITIONAL HEALTH / COUNSELING FOR HIV PATIENTS. RYAN WHITE C GRANT SUBRECIPIENT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCELINE GO | ||||||||||||||
| VP OF MEDICAL SERVICES | $253,604 | $0 | $10,150 | $0 | $0 | $0 | $2,678 | $0 | $11,054 | $0 | $277,486 | $0 | $0 | $0 |
| HETAL PATEL | ||||||||||||||
| PHYSICIAN | $213,631 | $0 | $7,650 | $0 | $0 | $0 | $1,810 | $0 | $20,683 | $0 | $243,774 | $0 | $0 | $0 |
| LUIS GARCIA | ||||||||||||||
| PHYSICIAN | $199,972 | $0 | $11,300 | $0 | $0 | $0 | $2,156 | $0 | $26,264 | $0 | $239,692 | $0 | $0 | $0 |
| LAJUAN MOUNTAIN | ||||||||||||||
| VP OF DENTAL SERVICES | $192,797 | $0 | $13,150 | $0 | $0 | $0 | $2,158 | $0 | $25,712 | $0 | $233,817 | $0 | $0 | $0 |
| MARIE KELLETT | ||||||||||||||
| PHYSICIAN | $189,292 | $0 | $8,650 | $0 | $0 | $0 | $1,999 | $0 | $26,264 | $0 | $226,205 | $0 | $0 | $0 |
| RAYMOND ERIC MATHEWS | ||||||||||||||
| PHYSICIAN | $190,835 | $0 | $5,150 | $0 | $0 | $0 | $1,312 | $0 | $22,965 | $0 | $220,262 | $0 | $0 | $0 |
| JOSEPH MOUNTAIN | ||||||||||||||
| VP OF DENTAL SERVICES | $202,897 | $0 | $13,150 | $0 | $0 | $0 | $2,161 | $0 | $19 | $0 | $218,227 | $0 | $0 | $0 |
| JENNIFER ENGLERTH | ||||||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | $191,124 | $0 | $150 | $0 | $0 | $0 | $2,001 | $0 | $24,826 | $0 | $218,101 | $0 | $0 | $0 |
| CATHERINE MAUSS | ||||||||||||||
| PHYSICIAN | $137,022 | $0 | $10,150 | $0 | $0 | $0 | $1,534 | $0 | $21,502 | $0 | $170,208 | $0 | $0 | $0 |
| BECKY SHEARER | ||||||||||||||
| VICE PRESIDENT OF FINANCE | $139,268 | $0 | $150 | $0 | $0 | $0 | $1,368 | $0 | $18,426 | $0 | $159,212 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | 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 2020 W2'S. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $541,235 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |