2016-02-09T10:44:02-06:00 2015-06-30 550486667 Arnett Carbis Toothman LLP P O Box 2629 Charleston WV 25329 990 2014-07-01 550691297 WomenCare Inc WOME 3047576999 97 Great Teays Boulevard No 6 Scott Depot WV 25560 Martha Carter CEO 3047576999 2016-01-25 1 Tessa W Carr P01291277 3043460441 2014 2016-08-17 19:52:53Z X FamilyCare HealthCenter Martha Carter 97 Great Teays Boulevard No 6 Scott Depot WV 25560 16187601 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. 12 12 247 0 0 0 2521879 2400218 12875627 12957839 180 10299 326903 793904 15724589 16162260 0 0 0 0 10588891 10071464 0 0 0 5623778 5429888 16212669 15501352 -488080 660908 5641968 5587273 3412685 2697082 2229283 2890191 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 12336355 12753839 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, 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 84,155 patient visits from July 2014 through June 2015 and served 28,941 patients during its fiscal year. 12336355 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 26 0 247 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 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 Steve Hill Chair 0.50 X X 0 0 0 Steve Cunningham Secretary 0.50 X X 0 0 0 Susan Scouras Interim Secretary 0.50 X X 0 0 0 Jane Weise Haley Treasurer 0.50 X X 0 0 0 Nils Haynes Board Member 0.50 X 0 0 0 Bonita Perry-Dean Board Member 0.50 X 0 0 0 Matthew Thornhill Board Member 0.50 X 0 0 0 Shelly Beall Board Member 0.50 X 0 0 0 Renate Pore Board Member 0.50 X 0 0 0 Kate White Board Member 0.50 X 0 0 0 Robin L Bishop Board Member 0.50 X 0 0 0 Myrtolyn English Board Member 0.50 X 0 0 0 Tim Ickes Board Member 0.50 X 0 0 0 Terri O'Conner Board Member 0.50 X 0 0 0 Martha Carter CEO 40.00 X 97423 0 7597 Fran Coleman COO 40.00 X 90082 0 1802 Terri Dickerson CFO 40.00 X 76792 0 7149 David Thomas OB/GYN 40.00 X 374506 0 9093 Paul Hunter OB/GYN 40.00 X 385299 0 9093 Devin Ciliberti OB/GYN 40.00 X 334451 0 5007 Ujjal Sandhu OB/GYN Physician 40.00 X 220448 0 9736 Clinton Sloan Family Practice Physician 40.00 X 173818 0 8930 1752819 0 58407 18 0 1 0 Athenahealth Inc PO Box 415615 Boston MA 022415615 EHR System and Support 959767 Quinn Technology Inc 5300 MacCorkle Avenue SW South Charleston WV 25309 Computer Maintenance and Support 203141 2 2263435 136783 19590 2400218 Patient services 621111 11979863 11979863 Pharmacy income 446110 773976 773976 EHR Incentive Income 900099 204000 204000 12957839 299 299 63794 0 63794 63794 63794 35341 25341 10000 10000 10000 Medicaid Legal Settlement 900099 664933 664933 WVPC Reimbursement 900099 32864 32864 Medical Records 900099 10247 10247 22066 22066 730110 16162260 12753839 0 1008203 X 291966 226069 65897 8014228 6205417 1808811 106811 82704 24107 1018763 788828 229935 639696 495317 144379 58507 58507 43130 43130 1798672 1649564 149108 70920 54913 16007 414457 320914 93543 166165 128662 37503 1149353 889944 259409 21316 16505 4811 1951 1511 440 68971 68971 525481 406880 118601 31249 24196 7053 Medical supplies & drug 629922 629922 Bad debts 297799 297799 Dues, membersships & li 52528 40672 11856 Other taxes 25495 19741 5754 73972 56797 17175 15501352 12336355 3164997 0 262546 288645 483055 655012 1025721 1465079 7747 8506 153719 154651 6625062 3701176 3311674 2923886 10000 10000 379000 90000 5641968 5587273 1744363 1307697 31042 2709 1637280 1386676 3412685 2697082 X 2229283 2890191 2229283 2890191 5641968 5587273 660908 0 X 0 1 X 1 1 1 X 2444313 2126973 2377796 2521878 2400218 11871178 9904102 11445945 11397290 12885207 12968086 58600630 12348415 13572918 13775086 15407085 15368304 70471808 0 0 0 70471808 898 270 38795 72610 64093 176666 898 270 38795 72610 64093 176666 342257 34020 61884 244893 719863 1402917 12691570 13607208 13875765 15724588 16152260 72051391 0.97810 0.98590 0.00250 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 69050 69050 2419984 825708 1594276 2188348 1422051 766297 1947680 1453417 494263 2923886 X 15574656 0 15574656 587604 587604 16162260 14913748 0 14913748 587604 587604 15501352 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 587,604. Part XII, Line 4b - Other Adjustments: Revenues netted against expenses in the financial statements 587,604. X 0 0 0 0 0 0 0 0 0 David Thomas OB/GYN 374506 0 0 0 0 0 5015 0 5533 0 385054 0 0 0 Paul Hunter OB/GYN 385299 0 0 0 0 0 5015 0 5533 0 395847 0 0 0 Devin Ciliberti OB/GYN 334451 0 0 0 0 0 5007 0 1941 0 341399 0 0 0 Ujjal Sandhu OB/GYN Physician 220448 0 0 0 0 0 4300 0 7109 0 231857 0 0 0 Clinton Sloan Family Practice Physician 173818 0 0 0 0 0 3494 0 7128 0 184440 0 0 0 Form 990, Part VI, Section A, line 4 The bylaws of the Organization were amended as of March 23, 2015. The following is a summary of the significant amendments: 1. Prior to the amendment, the terms of the elected Directors of the board were limited to not more than six consecutive years." The bylaws were amended to allow Directors to be "re-elected for unlimited successive terms." 2. Added: the the Board of Directors will review the IRS Form 990 prior to filing. 3. Added: Officer- Vice Chairperson- to perform all duties of the Chair in her/his absence. 4. Added specifically that the Board of Directors would review the organization's quality management plan at least every 2 years. 5. Added language to specify that if a concensus was not acheived, adoption of changes may occur upon a "two-thirds vote of Directors serving at the time." Formerly the bylaws stated "majority of Directors." 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 382,443. Management and general expenses 117,234. Fundraising expenses 0. Total expenses 499,677. Pharmacy Services: Program service expenses 230,731. Management and general expenses 0. Fundraising expenses 0. Total expenses 230,731. Collection Services: Program service expenses 927,041. Management and general expenses 0. Fundraising expenses 0. Total expenses 927,041. Payroll Services: Program service expenses 21,793. Management and general expenses 6,353. Fundraising expenses 0. Total expenses 28,146. Consulting: Program service expenses 87,556. Management and general expenses 25,521. Fundraising expenses 0. Total expenses 113,077.