2017-02-08T13:58:53-06:00 2016-06-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2015-07-01 550691297 WomenCare Inc WOME 3047576999 97 Great Teays Boulevard No 6 Scott Depot WV 25560 Martha Carter CEO 3047576999 2017-01-31 1 Dolores Rose P01286262 3043460441 2015 2021-01-29 14:40:06Z FamilyCare HealthCenter Martha Carter 97 Great Teays Boulevard No 6 Scott Depot WV 25560 17724848 0 X http://www.familycarewv.org/ X 1989 WV The mission of the organization is to improve the lives of people in the communities we serve by treating their illnesses and helping them stay healthy. 13 13 252 0 0 0 2400218 3369892 12957839 14052848 10299 549 793904 301559 16162260 17724848 0 0 0 0 10071464 11565936 0 0 0 5429888 5773674 15501352 17339610 660908 385238 5587273 5579855 2697082 2304426 2890191 3275429 The organization's mission is to improve the lives of people in the communities we serve by treating their illnesses and helping them stay healthy. 0 0 13799286 14333973 WomenCare, Inc. doing business as FamilyCare HealthCenter, provides primary care services to women and families, as well as OB/GYN, pediatrics, behavioral health, dental services and internal medicine in the greater Kanawha, Putnam, Cabell and Boone County regions. The organization provides a sliding fee scale based on federal poverty guidelines and provides free health screenings and other health services to the community during health fairs and other events. In addition, it provides educational services to the community regarding various health issues, such as high blood pressure and diabetes. The organization had 91,139 patient visits from July 2015 through June 2016 and served 28,473 patients during its fiscal year. 13799286 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 18 0 252 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Terri Dickerson CFO 3047576999 97 Great Teays Blvd Suite 6 Scott Depot WV 25560 Susan Scouras Board Chair 0.50 X X 0 0 0 Steve Cunningham Vice-Chair 0.50 X X 0 0 0 Miri Hunter Treasurer 0.50 X X 0 0 0 A Bonita Perry-Dean Secretary 0.50 X X 0 0 0 Robin Bishop Board Member 0.50 X 0 0 0 Nils Haynes Board Member 0.50 X 0 0 0 Tim Ickes Board Member 0.50 X 0 0 0 Bret Jones Board Member 0.50 X 0 0 0 Jennifer Pauley Board Member 0.50 X 0 0 0 Rebecca Ratliff Board Member 0.50 X 0 0 0 Thomas Schott Board Member 0.50 X 0 0 0 David Freeman Board Member 0.50 X 0 0 0 Myrtolyn English Board Member 0.50 X 0 0 0 Shelly Beall Board Member 0.50 X 0 0 0 Kate White Board Member 0.50 X 0 0 0 Martha Carter CEO 40.00 X 99923 0 8293 Fran Coleman COO 40.00 X 91803 0 8093 Terri Dickerson CFO 40.00 X 78127 0 7852 Devin Ciliberti OB/GYN Physician 40.00 X 381622 0 9953 Rebecca Schnatz OB/GYN Physician 40.00 X 242730 0 9561 Ujjal Sandhu OB/GYN Physician 40.00 X 234958 0 10446 Christy Estep Family Practice Physician 40.00 X 173169 0 8933 Mary Jenkins Family Practice Physician 32.00 X 172003 0 9839 1474335 0 72970 19 0 1 0 Athenahealth Inc PO Box 415615 Boston MA 022415615 EHR System and Support 867668 RC Construction PO Box 6856 Charleston WV 25362 Construction/Renovations 193719 Quinn Technology Inc 5300 MacCorkle Avenue SW South Charleston WV 25309 Computer Maintenance and Support 182812 3 3096070 273822 3369892 Patient services 621111 12816869 12816869 Pharmacy income 446110 1235979 1235979 14052848 549 549 20434 0 20434 20434 20434 EHR Incentive Income 900099 233751 233751 Reimbursements 900099 34964 34964 Medical Records 900099 7420 7420 4990 4990 281125 17724848 14333973 0 20983 X 321638 246760 74878 9228554 7080147 2148407 96836 74293 22543 1197613 918809 278804 721295 553378 167917 8416 8416 47346 47346 1906496 1778112 128384 70778 54301 16477 494210 379158 115052 190647 146264 44383 1176499 902610 273889 24569 18849 5720 2584 1982 602 44001 44001 542446 416165 126281 27142 20823 6319 Medical supplies & drug 754730 754730 Bad debts 353785 353785 Dues, membersships & li 69840 53581 16259 Other taxes 27408 21027 6381 32777 24512 8265 17339610 13799286 3540324 0 288645 249617 655012 607859 1465079 1623186 154651 212225 7117675 4240707 2923886 2876968 10000 10000 90000 0 5587273 5579855 1307697 1201596 2709 1500 1386676 1060045 0 41285 2697082 2304426 X 2890191 3275429 2890191 3275429 5587273 5579855 385238 0 X 0 1 X 1 1 1 X 2126973 2377796 2521878 2400218 3369892 12796757 11445945 11397290 12885207 12968086 14060268 62756796 0 13572918 13775086 15407085 15368304 17430160 75553553 0 0 0 75553553 270 38795 72610 64093 20983 196751 270 38795 72610 64093 20983 196751 34020 61884 244893 719863 273705 1334365 13607208 13875765 15724588 16152260 17724848 77084669 0.98010 0.97810 0.00260 0.00250 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous income - 2011 Amount: $ 34,020. 2012 Amount: $ 61,884. 2013 Amount: $ 244,893. 2014 Amount: $ 22,066. 2015 Amount: $ 4,990. Medicaid Legal Settlement - 2014 Amount: $ 664,933. Expense Reimbursements - 2014 Amount: $ 32,864. 2015 Amount: $ 34,964. EHR Incentive income - 2015 Amount: $ 233,751. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69050 69050 2450642 968910 1481732 2418711 1626950 791761 2179272 1644847 534425 2876968 Due to third party payors 41285 41285 X 16964780 0 16964780 760068 760068 17724848 16579542 0 16579542 760068 760068 17339610 Part X, Line 2: Accounting principles generally accepted in the United States of America require the management of FamilyCare to evaluate tax positions taken by FamilyCare. Management has evaluated FamilyCare's tax positions and concluded that the FamilyCare had maintained its tax exempt status and had taken no uncertain tax positions that require recognition or disclosure in the financial statements. Therefore, no provision or liability for income taxes has been included in the financial statements. Part XI, Line 4b - Other Adjustments: Revenues netted against expenses in the financial statements 760,068. Part XII, Line 4b - Other Adjustments: Revenues netted against expenses in the financial statements 760,068. X 0 0 0 0 0 0 0 0 0 Devin Ciliberti OB/GYN Physician 381622 0 0 0 0 0 3695 0 8263 0 393580 0 0 0 Rebecca Schnatz OB/GYN Physician 242730 0 0 0 0 0 3303 0 8263 0 254296 0 0 0 Ujjal Sandhu OB/GYN Physician 234958 0 0 0 0 0 4188 0 7981 0 247127 0 0 0 Christy Estep Family Practice Physician 171119 0 2050 0 0 0 2674 0 8015 0 183858 0 0 0 Mary Jenkins Family Practice Physician 165840 0 6163 0 0 0 3581 0 7956 0 183540 0 0 0 Form 990, Part VI, Section B, line 11 A representative from the accounting firm that prepares the Form 990 for Womencare, Inc. presents the Form 990 to all board members at a regular meeting. Form 990, Part VI, Section B, line 12c WomenCare Inc. bylaws include a section addressing conflicts of interest. In addition, the Board passed a separate Standards of Conduct policy in November 2009 which further addresses conflicts of interest and adds a requirement that each Board member annually disclose in writing actual or potential conflicts. Form 990, Part VI, Section B, line 15 An annual review is done by the Board Executive Committee for the CEO. Any adjustment in salary complies with the annual budget for salaries. An annual review is done by the CEO for the CFO and COO. Any adjustment in salary is based on this review and complies with the annual budget. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and the financial statements are made available to the public by request only. Form 990, Part IX, line 11g Other Contracted Services: Program service expenses 301,909. Management and general expenses 91,612. Fundraising expenses 0. Total expenses 393,521. Pharmacy Services: Program service expenses 406,135. Management and general expenses 0. Fundraising expenses 0. Total expenses 406,135. Collection Services: Program service expenses 971,786. Management and general expenses 0. Fundraising expenses 0. Total expenses 971,786. Payroll Services: Program service expenses 23,605. Management and general expenses 7,163. Fundraising expenses 0. Total expenses 30,768. Consulting: Program service expenses 72,667. Management and general expenses 22,050. Fundraising expenses 0. Total expenses 94,717. Answering Services: Program service expenses 0. Management and general expenses 7,559. Fundraising expenses 0. Total expenses 7,559. Lab Fees: Program service expenses 2,010. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,010.