2019-11-15T17:00:24-06:00 2018-12-31 420714325 RSM US LLP 1 S Wacker Drive Ste 800 Chicago IL 60606 990 2018-01-01 237078501 Circle Health Services CIRC 2167214010 4500 Euclid Avenue Cleveland OH 44103 James Walton Chief Financial Officer 2167214010 2019-11-15 1 Rebekuh Eley P01247672 3126343400 66.98.98.135 2019-11-15 11:49:24 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2A28FA2E2A09A40AF4F0A751499BE74D16D20E85 2018 2020-04-17 16:48:07Z Joseph Liszak 4500 Euclid Avenue Cleveland OH 44103 7652710 0 X www.circlehealthservices.org X 1970 OH To provide financially barrier-free health care and related services, and to advocate for policy changes that make health care available to all. 16 16 90 73 0 0 644082 5215876 2237795 2190654 56270 449 -14130 -60213 2924017 7346766 0 0 0 0 1950684 5576830 0 0 66990 1343666 2989489 3294350 8566319 -370333 -1219553 7915015 8846261 1483798 3612692 6431217 5233569 X To address vital community health needs by providing high quality health care and related services to individuals and families, regardless of their ability to pay, and by advocating for policy changes that promote greater access for the underserved and improved community-wide health and wellness. 0 0 1279867 0 901457 Primary adult medical care (9,014 clinic visits, 4,119 patients) offers services for chronic and acute care to patients the majority of whom are Medicaid-eligible, or are uninsured or underinsured. Services include comprehensive coordinated treatment of chronic diseases like hypertension, diabetes, asthma and high cholesterol plus specialty clinics in physical therapy, dermatology, neurology, ophthalmology, and rheumatology. We continue to offer pediatric services including well child visits and immunization access as well as family planning services to adolescents.In addition, the organization received donated services to support the various medical services programs valued at $188,920. 1242011 0 1108708 Circle Health Services' behavioral health program provides psychiatric and psychological individual counseling services (4,530 clinic visits, 599 patients) to adults most of whom lack insurance for treatment of mental health problems. There are also issue-oriented counseling services available for depression. A separate substance abuse program (2,856 clinic visits, 240 patients) provides intensive outpatient treatment, which includes both group services and individual counseling.In addition, the organization received donated services to support the various behavioral health services programs valued at $45,927. 401028 0 180489 Circle Health Services' dental program (4,545 clinic visits, 1,947 patients) provides for patients, the majority of whom are Medicaid-eligible, or are uninsured or underinsured, restorative services such as cleanings, fillings, root canals and partials plus an emergency extraction clinic during evenings and weekend hours.In addition, the organization received donated services to support the various dental services programs valued at $31,339. 4161143 0 -60213 HIV/AIDS services consists of three distinct service areas: HIV testing, syringe exchange program and HIV treatment. Circle Health Services provides anonymous rapid HIV tests (1,451 clinic visits, 1,309 patients); early intervention program Circle Health Services provides medical, mental health and substance abuse treatment; syringe exchange program - through syringe exchanges over 300,000 needles were distributed. Circle Health Services focuses on controlling the spread of disease by reducing the transmission of HIV/AIDS through intravenous drug use. We also offer Narcan, the medication used to reverse any type of opioid overdose.Circle Health Service's advocacy program takes action on timely and topical political and health trends that could positively impact the medically underserved. Advocacy efforts strive to influence public policy and social change by engaging patients and volunteers, often in collaboration with other like-minded agency representatives, in the process of communicating with lawmakers at the local, state and/or national level.Outreach and Enrollment - certified application counselors and others provide outreach, education, and enrollment activities to patients and other consumers requesting assistance with applying for insurance programs. Staff provides public education activities to raise awareness of qualified health plans within the federal marketplace and the availability of expanded Medicaid.Pharmacy Circle Health Services has a pharmacy dispensary for its patients. The dispensary provides basic medication free of charge and assists patients to obtain additional medications from the drug companies. Providers at Circle Health Services appreciate the assistance of an onsite pharmacist. Consultation is available to providers and their patients with respect to monitoring parameters for medications, laboratory results, side effects and interactions, patient adherence, medication reconciliation, cost effective remedies, self-care and natural products, educational and community resources, and recommendations for uncontrolled chronic disease states.Case Management Circle Health Service's integrated care management program assists patients that have been identified through either diagnoses or condition. With accessing resources to meet their basic needs. Patients that present with the following are referred for an assessment to determine the level of case management needed: BH diagnoses, high cost/high utilization, poorly controlled chronic conditions, social detriments of health, and/or referred by outside provider. 4161143 0 -60213 7084049 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 15 0 1 90 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH FL IL CA NY X James Walton 2167214010 4500 Euclid Avenue Cleveland OH 44103 X David E Weiss Chair 2.00 0.00 X X 0 0 0 Kristen Baird Adams Vice Chair 2.00 0.00 X X 0 0 0 Jeffrey Milbourn Vice Chair 2.00 0.00 X X 0 0 0 Matthew Litzler Vice Chair 1.00 0.00 X X 0 0 0 Teri Schaffer Treasurer 2.00 0.00 X X 0 0 0 Stephen McHale Secretary 2.00 0.00 X X 0 0 0 Thomas L Agee Principal Director 2.00 0.00 X 0 0 0 Daniel S Blain Principal Director 2.00 0.00 X 0 0 0 John R Corlett Principal Director 2.00 0.00 X 0 0 0 Nick J Daniels Principal Director 1.00 0.00 X 0 0 0 Beth Eaton Principal Director 1.00 0.00 X 0 0 0 Lisa Babish Forbes Principal Director 1.00 0.00 X 0 0 0 Brinton Lincoln Principal Director 1.00 0.00 X 0 0 0 Seth M Wolf Principal Director 1.00 0.00 X 0 0 0 James R Wooley Principal Director 1.00 0.00 X 0 0 0 Elizabeth Newman President & CEO 24.00 16.00 X 0 307768 15951 James Massey CFO (until 7/18) 24.00 16.00 X 0 97422 9300 James Walton CFO (as of 10/18) 24.00 16.00 X 0 28518 1229 Charles Tong Finance Director (until 10/18) 40.00 0.00 X 0 0 0 Adriana Whelan Associate Medical Director 40.00 0.00 X 101820 0 7216 Daniel Gauntner Director Clinical Services & Primary Care 40.00 0.00 X 118869 0 26849 Regina Savage Dental Services Manager 40.00 0.00 X 125109 0 19499 Lisa Zapotocky Associate Medical Director 40.00 0.00 X 163944 0 17464 509742 433708 97508 4 0 1 0 Fiorilli Construction Co LLC 1247 Medina Road Medina OH 44256 Construction Services 315003 Ochin Inc 1881 SW Naito Pkwy Portland OR 97201 IT Services 304994 University Hospitals 2101 Adelbert Road Cleveland OH 44106 Hospital Services 296075 Tronic LLC 5947 Woodland Parks Court Columbus OH 47201 IT Services 291068 WCCV Floor Coverings LLC 1531 Commerce Drive Stow OH 44224 Remodeling Services 140400 5 1791768 3424108 2373 5215876 Medical Care 621400 2190654 2190654 2190654 449 449 245731 305944 -60213 -60213 7346766 2130441 0 449 X 460189 385817 73291 1081 4213534 3530212 674539 8783 27741 23223 3307 1211 507664 430281 76201 1182 367702 307484 59343 875 67770 67770 19877 19877 1279949 1021380 254813 3756 28809 28809 259998 228078 31457 463 510853 444131 65753 969 48079 47612 460 7 38798 37555 1225 18 278829 251452 26979 398 134408 114684 17778 1946 Equipment R & M 65411 35370 29605 436 256708 197961 58625 122 8566319 7084049 1461023 21247 3673 789968 587500 488535 446865 1518021 126870 53811 125069 28793 5299507 317317 4424473 4982190 2200565 982718 0 2225 7915015 8846261 503721 583501 71959 30480 10519 160203 742555 667727 155044 2170781 1483798 3612692 X 3932082 3452821 1596758 1780748 902377 0 6431217 5233569 7915015 8846261 -1219553 21905 0 X 0 1 X 1 1 1 X 1781528 2149653 1749632 644082 5215876 11540771 1781528 2149653 1749632 644082 5215876 11540771 177109 11363662 95975 70301 53957 27797 449 248479 3013 6934 4845 203 14995 11804245 12758785 0.96270 0.78190 X Schedule A, Part II, Line 10, Explanation of Other Income: Other revenue - 2014 Amount: $ 3,013. 2015 Amount: $ 6,934. 2016 Amount: $ 4,845. 2017 Amount: $ 203. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1419141 125 64686 1483952 1256148 162993 1419141 2821019 -64871 1500000 1256148 2896283 119182 194446 2821019 1500000 1500000 2132735 111777 2020958 1324787 168178 1156609 341985 37362 304623 4982190 Due To Related Entity 2170781 2170781 X 7935960 21905 281222 303127 7632833 19877 -305944 -286067 7346766 9133608 281222 305944 587166 8546442 19877 19877 8566319 Part X, Line 2: The Centers and Circle are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The FASB provides guidance for how uncertain income tax positions should be recognized, measured, disclosed and presented in the consolidated financial statements. This requires the evaluation of tax positions taken or expected to be taken in the course of preparing the Organization's tax returns to determine whether the tax positions are more-likely-than-not of being sustained when challenged or when examined by the applicable tax authority. Tax positions not deemed to meet the more-likely-than-not threshold would be recorded as a tax benefit or expense and liability in the current year. Management has determined that there are no uncertain tax positions. Part XI, Line 4b - Other Adjustments: Cost of Pharmacy Sales -305,944. Part XII, Line 2d - Other Adjustments: Cost of Pharmacy Sales 305,944. X X X X 0 0 0 0 0 0 0 0 0 Elizabeth Newman President & CEO 0 287328 0 20440 0 0 0 15515 0 436 0 323719 0 0 Lisa Zapotocky Associate Medical Director 163944 0 0 0 0 0 7813 0 9651 0 181408 0 0 0 Form 990, Part VI, Section B, line 11b An electronic copy of the Form 990 is sent to each board member before being filed with the Internal Revenue Service. A hard copy is offered and provided to board members requesting one. Form 990, Part VI, Section B, line 12c Each board member is required to complete a conflict of interest questionnaire on an annual basis. Those statements are reviewed annually for potential conflicts. All board members are covered under the policy. Any person with any conflict in a board decision is prohibited from participating in the board's deliberations and decisions on that transaction. All employees are subject to a conflict of interest policy, and are expected to report on an as-needed basis any potential conflicts. Form 990, Part VI, Section B, line 15a The executive committee, serving as the compensation committee of the board, reviews comparable salary data made available through community resources (i.e. United Way Services of Greater Cleveland) in determining an appropriate salary level for the executive director. The information in the Forms 990 of organizations of similar size and mission are also surveyed. A confidential memorandum is contemporaneously prepared for the executive committee. The executive committee meets in executive session with the full board of trustees to approve the compensation of the executive director. The decision of the executive committee is approved and documented in the committee minutes. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request at the organization's offices for the same period of time as set forth in IRC section 6104(d). The Form 990 will be available on the organization's website. Form 990, Part VII, Section A, Line 1: Elizabeth Newman was paid by The Centers for Families and Children, but is considered an employee of the Organization. In 2018, 40% of her salary was allocated to the Organization. Form 990, Part IX, line 11g Contract Services and Professional Fees: Program service expenses 1,021,380. Management and general expenses 254,813. Fundraising expenses 3,756. Total expenses 1,279,949. The Centers For Families and Children 4500 Euclid Avenue Cleveland OH 44103 237084488 Social Services OH 501(c)(3) Line 7 Circle Health Services 1 El Barrio Incorporated 4500 Euclid Avenue Cleveland OH 44103 341657978 Social Services OH 501(c)(3) Line 7 The Centers For Families and Children 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 The Centers For Families and Children D 3274807 Actual