2017-05-12T12:26:03-05:00 2016-12-31 311119890 Barnes Dennig & Co LTD 150 East Fourth Street Cincinnati OH 45202 990 2016-01-01 610729915 Healthpoint Family Care Inc HEAL 8596556100 1401 Madison Avenue Covington KY 41011 Christopher Goddard Executive Director 8596556100 2017-05-10 1 Paula Hume P00537516 5132418313 216.196.129.6 2017-05-10 14:35:30 ED P 7326700141FC6D262C1B9ED768773205BDA1A3F8 375ECE3E06B682EE6CFD98D3B279557BF31D85CF 2016 2021-01-29 14:40:06Z Christopher Goddard 1401 Madison Avenue Covington KY 41011 19147705 0 X http://www.healthpointfc.org X 1971 KY Provide primary care medical, Obstetrics/Gynecology, Dental services, Behavioral Health and Substance abuse to the under and unisured populations in several counties in the State of Kentucky. 10 10 222 10 0 0 2970493 3640319 13303705 15289798 119815 159643 721483 -3013 17115496 19086747 0 0 0 0 11365062 13110766 0 0 29908 4266677 4123498 15631739 17234264 1483757 1852483 15426467 17321859 1560245 1509344 13866222 15812515 Provide primary care medical, Obstetrics/Gynecology, Dental services, Behavioral Health and Substance abuse to the under and unisured populations in several counties in the State of Kentucky. 0 0 14670156 15289798 Service patients, many of who are served at a nominal charge based on a sliding fee scale related to income. 14670156 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 35 0 1 222 1 0 0 0 0 0 1 1 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X Jacob Stork 8596556138 1401 Madison Avenue Covington KY 41011 Betty Owen Member 1.00 X 0 0 0 Bob Schrichte Member 1.00 X 0 0 0 Dennis Fabiani Member 1.00 X 0 0 0 Kimberly Ball Member 1.00 X 0 0 0 Scott Malof Member 1.00 X 0 0 0 Mary Hernandez Member- joined 1/16 1.00 X 0 0 0 Rob Stafford Member- joined 8/16 1.00 X 0 0 0 Wilma Anthony Secretary 1.00 X X 0 0 0 Mark Palazzo Treasurer 1.00 X X 0 0 0 Robert E Smith Chair 3.00 X X 0 0 0 Chris Goddard CEO 40.00 X 209648 0 28362 Sally Sprinkle-Jordan VP/CFO 40.00 X 180885 0 30031 Elmer Martin Physician 40.00 X 306675 0 18392 Oliver Benes Physician 40.00 X 291463 0 25466 David Lowe Physician 40.00 X 268353 0 23720 Tom Fellens Physician 40.00 X 242259 0 14502 Douglas Smalara Physician 40.00 X 225491 0 14380 1724774 0 154853 27 0 1 0 RDI Intuitive Technical Services 4350 Glendale-Milford Road Suite 2 Cincinnati OH 45242 IT Services 254764 Schottenstein Realty LLC dba J&S Latoni 4300 E Fifth Avenue Columbus OH 43219 Rent 197698 City Wide Maintenance of Cincinnati 2169 CHAMBER CENTER DRIVE Fort Mitchell KY 41017 Housekeeping 128741 St Elizabeth Physicians 334 THOMAS MORE PARKWAY STE 200 Crestview Hills KY 41017 Physicial Services 109635 Quest Diagnostics P O Box 530458 Atlanta GA 303740736 Lab Services 107846 7 52136 57435 3502252 28496 3640319 Net Patient Revenue 900099 14292028 14292028 340B Revenue 900099 584576 584576 Other Program Revenue 900099 413194 413194 15289798 179508 179508 19865 -19865 -19865 -19865 38080 57435 41093 -3013 -3013 19086747 15289798 0 156630 448927 448927 10743570 9674046 1054325 15199 301972 272891 28366 715 882579 747211 135368 733718 639605 92950 1163 80309 80309 62926 62926 491822 296831 194991 41276 10937 30319 20 451853 421085 30768 749448 611939 137509 665125 643680 21445 23611 17854 5685 72 439384 379458 59926 61784 61784 340B Expense 430039 430039 0 Pharmaceutical & Vaccin 296096 296096 0 Equipment Expense 247751 208961 38790 Miscellaneous 82074 19523 49812 12739 17234264 14670156 2534200 29908 2544402 3106128 346236 332387 3256517 1835896 175575 153747 8755915 4164720 4774550 4591195 4329187 7302506 15426467 17321859 1066113 1215548 3947 1297 490185 292499 1560245 1509344 X 13866222 15812515 13866222 15812515 15426467 17321859 1852483 93810 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 397702 397702 4344783 956859 3387924 369119 218053 151066 2865679 2272403 593276 778632 717405 61227 4591195 Lease term liability 292499 292499 X 19241515 93810 60958 154768 19086747 0 19086747 17275357 41093 41093 17234264 0 17234264 Part X, Line 2: The Organization is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of Kentucky state law. The Organization is not considered a private foundation within the meaning of Section 509(a) of the Internal Revenue Code. However, the Organization is subject to federal income tax on any unrelated business taxable income. The Organization's IRS Form 990 is subject to review and examination by federal and state authorities. The Organization believes it has appropriate support for an tax position taken, and therefore, does not have any uncertain income tax positions that are material to the financial statements. Part XI, Line 2d - Other Adjustments: Fundraising expenses 41,093. Loss on disposal 19,865. Part XII, Line 2d - Other Adjustments: Fundraising expenses 41,093. Hopebox Derby 65709 36445 29264 563 1207 3619 9605 10259 Night at the Pops 29806 20990 8816 4794 7815 3231 95515 57435 38080 563 1207 8413 17420 13490 41093 -3013 X X 0 0 0 1 0 1 0 1 0 Chris Goddard CEO 169103 0 37200 0 3345 0 7727 0 20635 0 238010 0 0 0 Sally Sprinkle-Jordan VP/CFO 151500 0 29025 0 360 0 7281 0 22750 0 210916 0 0 0 Elmer Martin Physician 268459 0 38150 0 66 0 10600 0 7792 0 325067 0 0 0 Oliver Benes Physician 261018 0 30413 0 32 0 10289 0 15177 0 316929 0 0 0 David Lowe Physician 242139 0 26160 0 54 0 10239 0 13481 0 292073 0 0 0 Tom Fellens Physician 239704 0 2400 0 155 0 9274 0 5228 0 256761 0 0 0 Douglas Smalara Physician 200292 0 25145 0 54 0 9095 0 5285 0 239871 0 0 0 Part I, Line 5 The CEO and CFO received a bonus that is contingent on meeting certain goals which include patient satisfaction, patient quality outcomes, access to care, total revenue, total liabilities to fund balance, and net operating income. Provider bonus compensation is contingent on meeting certain goals which include production, patient satisfaction and quality outcomes. Part I, Line 6 The CEO and CFO received a bonus that is contingent on meeting certain goals which include patient satisfaction, patient quality outcomes, access to care, total revenue, total liabilities to fund balance, and net operating income. Provider bonus compensation is contingent on meeting certain goals which include production, patient satisfaction and quality outcomes. Part I, Line 7 The CEO and CFO received a bonus that is contingent on meeting certain goals which include patient satisfaction, patient quality outcomes, access to care, total revenue, total liabilities to fund balance, and net operating income. Provider bonus compensation is contingent on meeting certain goals which include production, patient satisfaction and quality outcomes. Form 990, Part VI, Section B, line 11b HealthPoint Family Care has a CPA firm prepare its Form 990. HealthPoint Family Care's management reviews the 990. Form 990, Part VI, Section B, line 12c HealthPoint Family Care, Inc. annually requires its board members, officers and key employees to fill out a Conflict of Interest form. During Board meetings, if an interested party has a conflict, he or she recusese themselves from voting. Form 990, Part VI, Section B, line 15 HealthPoint Family Care, Inc.'s board of directors annually reviews and approves the compensation of their organizations's CEO and Top management. Form 990, Part VI, Section C, line 19 At this time, HealthPoint Family Care, Inc does not make it's governing documents, conflict of interest policy and financial statements available to the general public. Form 990 Part XII Line 2c The organization did not change its oversight or selection process during the tax year.