2020-01-29T08:50:28-06:00 2019-03-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2018-04-01 237118262 FAMILY FIRST HEALTH CORPORATION FAMI 7178014805 116 SOUTH GEORGE STREET YORK PA 17401 JENNIFER ENGLERTH PRESIDENT AND CEO 7178014805 2020-01-27 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2020-01-16 209.3.217.20 2020-01-27 14:19:03 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1BAEE5DB0A4DF33B77266314A2C04651D12A271A 2018 2020-09-23 17:36:50Z JENNIFER ENGLERTH 116 SOUTH GEORGE STREET YORK PA 17401 24174841 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. 11 11 276 40 0 0 7871745 7215911 11370447 11464556 21065 15179 2961918 4170049 22225175 22865695 208690 203391 0 0 14041730 15053916 0 0 5268 7828418 7936791 22078838 23194098 146337 -328403 7604242 7249286 3994131 3981662 3610111 3267624 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 19997564 203391 15052557 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. 409225 530513 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. 20406789 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 85 0 1 276 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X BECKY SHEARER CFO 7178014809 116 SOUTH GEORGE STREET YORK PA 17401 ALLISON HAWTHORNE BOARD VICE CHAIR 1.50 X X 0 0 0 ANN SHALEIALOHALANI BOARD SECRETARY 1.50 X X 0 0 0 CHARLIE SNYDER DIRECTOR 1.50 X 0 0 0 CINDY STEEL DIRECTOR 1.50 X 0 0 0 DON DUSICH OUTGOING BOARD TREASURER 1.50 X X 0 0 0 JOHN BREON DIRECTOR 1.50 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 REED GUNDERSON DIRECTOR 1.50 X 0 0 0 ROBERT BERHHARD BOARD CHAIR 1.50 X X 0 0 0 ROBERT MERINO BOARD TREASURER 1.50 X X 0 0 0 VICTORIA KROTZER OUTGOING BOARD CHAIR 1.50 X X 0 0 0 BECKY SHEARER VICE PRESIDENT OF FINANCE 40.00 X 120004 0 18227 JENNIFER ENGLERTH PRESIDENT & CHIEF EXECUTIV 40.00 X 182103 0 20655 ASCELINE GO VP OF MEDICAL SERVICES 40.00 X 233115 0 12687 JOSEPH MOUNTAIN VP OF DENTAL SERVICES 40.00 X 193697 0 450 LAJUAN MOUNTAIN VP OF DENTAL SERVICES 40.00 X 181998 0 24089 ADA-NKEM EMUWA PHYSICIAN 40.00 X 180475 0 763 DEBRA BELL DIR OF CLINICAL QUALITY IM 40.00 X 218471 0 9872 HETAL PATEL PHYSICIAN 40.00 X 238715 0 12226 LUIS GARCIA PHYSICIAN 40.00 X 188292 0 22332 MARIE KELLETT PHYSICIAN 40.00 X 166906 0 25474 1903776 0 146775 27 0 1 0 0 9375 6530764 675772 608394 7215911 MEDICAID 621110 8158254 8158254 PRIVATE INSURANCE 621110 1606371 1606371 MEDICARE 621110 1071562 1071562 SELF PAY 621110 628369 628369 11464556 13061 13061 111803 60268 51535 51535 51535 1250996 1248878 2118 2118 2118 340B PHARMACY 621110 2918604 2918604 INCENTIVE PAYMENTS 900099 1110858 1110858 MEANINGFUL USE 621110 42500 42500 46552 46552 4118514 22865695 15583070 0 66714 203391 203391 1001669 863753 137916 11473249 9891570 1581679 76349 66060 10289 1628144 1408740 219404 874505 756659 117846 21531 21531 64500 64500 2739 2739 431324 257591 173733 27513 17218 10295 231146 153628 77518 760193 760193 316127 316127 112694 73571 39123 34576 22572 12004 78670 78670 337516 316713 20803 32138 1200 30938 PHARMACY, LAPORATORY AN 2568841 2568841 CONSUMABLE SUPPLIES 1583846 1569079 14767 EQUIPMENT RENTAL AND MA 534106 466025 68081 PROVISION FOR BAD DEBTS 353066 353066 446265 262122 178875 5268 23194098 20406789 2782041 5268 1270 1270 946318 1126729 826215 491632 1561874 1592531 4993 2458 139010 129310 7879961 4251796 3840359 3628165 255315 252643 28888 24548 7604242 7249286 1178423 1125121 52821 34498 2762887 2614580 0 207463 3994131 3981662 X 3610111 3267624 3610111 3267624 7604242 7249286 -328403 -14084 0 X X 0 1 X 1 1 1 X 4553725 5412269 6031946 7871745 7215911 31085596 4553725 5412269 6031946 7871745 7215911 31085596 31085596 132183 128686 117776 114328 124864 617837 785343 1014277 2159071 2918151 4118514 10995356 42698789 51246719 0.72800 0.77830 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 207,369. 2015 AMOUNT: $ 158,982. 2016 AMOUNT: $ 37,266. 2017 AMOUNT: $ 18,955. 2018 AMOUNT: $ 17,830. 304B PHARMACY - 2014 AMOUNT: $ 339,465. 2015 AMOUNT: $ 674,151. 2016 AMOUNT: $ 1,348,959. 2017 AMOUNT: $ 1,967,063. 2018 AMOUNT: $ 2,918,604. MEANINGFUL USE - 2014 AMOUNT: $ 208,250. 2015 AMOUNT: $ 170,000. 2016 AMOUNT: $ 195,500. 2017 AMOUNT: $ 42,500. 2018 AMOUNT: $ 42,500. CONTRACTS - 2014 AMOUNT: $ 30,259. 2015 AMOUNT: $ 11,144. 2016 AMOUNT: $ 13,949. 2017 AMOUNT: $ 22,197. 2018 AMOUNT: $ 28,722. INCENTIVE BONUSES - 2016 AMOUNT: $ 563,397. 2017 AMOUNT: $ 867,436. 2018 AMOUNT: $ 1,110,858. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 150000 150000 5988853 2977105 3011748 1550516 1244086 306430 190592 30605 159987 3628165 ACCRUED WRAP PAYABLE 200001 INTERST RATE SWAP 7462 207463 X 22593873 -14084 35060 -353066 -332090 22925963 -60268 -60268 22865695 22936360 35060 60268 95328 22841032 353066 353066 23194098 PART X, LINE 2: THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2019. THE CENTER'S FEDERAL, STATE AND CITY INFORMATION TAX RETURNS PRIOR TO 2016 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, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -353,066. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -60,268. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 60,268. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 353,066. 1 WELLSPAN HEALTH 45 MONUMENT RD SUITE 200 YORK PA 17406 170199413 501(C)(3) 203391 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 JENNIFER ENGLERTH PRESIDENT & CHIEF EXECUTIV 174928 0 7175 0 0 0 1596 0 19059 0 202758 0 0 0 ASCELINE GO VP OF MEDICAL SERVICES 222940 0 10175 0 0 0 2426 0 10261 0 245802 0 0 0 JOSEPH MOUNTAIN VP OF DENTAL SERVICES 178022 0 15675 0 0 0 450 0 0 0 194147 0 0 0 LAJUAN MOUNTAIN VP OF DENTAL SERVICES 168323 0 13675 0 0 0 439 0 23650 0 206087 0 0 0 ADA-NKEM EMUWA PHYSICIAN 180300 0 175 0 0 0 763 0 0 0 181238 0 0 0 DEBRA BELL DIR OF CLINICAL QUALITY IM 218296 0 175 0 0 0 2186 0 7686 0 228343 0 0 0 HETAL PATEL PHYSICIAN 238540 0 175 0 0 0 1896 0 10330 0 250941 0 0 0 LUIS GARCIA PHYSICIAN 185117 0 3175 0 0 0 1997 0 20335 0 210624 0 0 0 MARIE KELLETT PHYSICIAN 162731 0 4175 0 0 0 1824 0 23650 0 192380 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 2018 W2'S. X 1 608394 FMV 0 0 0 PART I, LINE 32B: 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.