2014-02-14T13:38:23-06:00 2013-03-31 221478099 COHNREZNICK LLP 4 BECKER FARM ROAD ROSELAND NJ 07068 990 2012-04-01 200547132 MONMOUTH FAMILY HEALTH CENTER MONM 7329237100 270 BROADWAY LONG BRANCH NJ 07740 ROBERT J AURIEMMA 7329237100 2014-02-12 1 THOMAS LANNING P00851654 9732283500 2012 2015-11-30 17:44:51Z ROBERT J AURIEMMA 270 BROADWAY LONG BRANCH NJ 07740 8436536 0 X N/A X 2005 NJ TO PROVIDE A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDER SERVED POPULATION IN MONMOUTH COUNTY, NEW JERSEY 9 9 95 0 0 0 1727886 1940791 6340906 6465446 29915 23856 15131 6443 8113838 8436536 0 0 0 0 4551991 4579895 0 0 0 3551309 3559326 8103300 8139221 10538 297315 3907457 4409086 946194 1150508 2961263 3258578 TO PROVIDE MEDICAL, DENTAL, AND OTHER SOCIAL SERVICES TO THE UNDERSERVED POPULATION OF MONMOUTH COUNTY. 0 0 6432555 6471889 TO PROVIDE A BROAD RANGE OF PRIMARY CARE SERVICES TO A LARGELYUNDER SERVED POPULATION IN MONMOUTH COUNTY, NEW JERSEY. 6432555 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 1 0 0 0 0 0 0 0 0 1 13 0 1 95 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X ROBERT J AURIEMMA DIRECTOR OF FINANCE CFO 7329630159 80 PAVILION AVE LONG BRANCH NJ 07740 ANA M DOWLAND 1.00 X X 0 0 0 AVIS MCMILLON 1.00 X 0 0 0 CARL F JENNINGS 1.00 X 0 0 0 CARL VEGA 1.00 X 0 0 0 FATIMA CAMACHO 1.00 X 0 0 0 LAWRENCE KERRIGAN 1.00 X X 0 0 0 MARGARET FISHER MD 1.00 X 0 0 0 MICHAEL PERDONI 1.00 X 0 0 0 RODNEY O'NEAL 1.00 X 0 0 0 WEBSTER TRAMMELL JR PSYD 1.00 X X 0 0 0 LIBERT AMATO 40.00 X 60042 0 8168 MARTA SILVERBERG 40.00 X 174993 0 25417 AIDA LOMBARDI 40.00 X 60221 0 22894 RAKSHA JOSHI MD 40.00 X 269211 0 26343 AAREFA SHAKIR MD 24.00 X 112248 0 0 MARTIN ARAUJO MD 40.00 X 146113 0 10014 822828 0 92836 4 0 1 0 0 961259 979532 436227 1940791 MEDICAID 621990 3768661 3768661 NJ UNCOMPENSATED 621990 1499446 1499446 SELF-PAY 621990 872628 872628 MEDICARE 621990 219559 219559 OTHER THIRD PARTY 621990 105152 105152 6465446 23856 23856 OTHER REVENUE 621990 6443 6443 6443 8436536 6471889 0 23856 629970 480939 149031 2990538 2283073 707465 55208 42148 13060 653502 498905 154597 250677 191375 59302 1205613 1052102 153511 5914 3520 2394 49766 29620 20146 218420 129999 88421 500430 411265 89165 415359 310107 105252 15179 11588 3591 270978 202312 68666 63415 47346 16069 DONATED VACCINES 436227 436227 REPAIRS AND MAINTENANCE 188738 140912 47826 PROVISION FOR BAD DEBT 70205 70205 OTHER 69927 53385 16542 49155 37527 11628 8139221 6432555 1706666 0 401354 693799 729045 1568431 1791850 41666 19248 2064252 955924 1140861 1108328 751761 26100 44100 3907457 4409086 894989 1066102 51205 77205 0 7201 946194 1150508 X 2961263 3258578 2961263 3258578 3907457 4409086 297315 0 X X 0 1 X 1 1 1 X 1030860 2138095 1963750 1727886 1940791 8801382 1030860 2138095 1963750 1727886 1940791 8801382 8801382 4494 10649 19346 29915 23856 88260 40282 26078 10851 15131 6443 98785 8988427 30564168 0.97920 0.97830 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER - 2008 AMOUNT: $ 40,282. 2009 AMOUNT: $ 26,078. 2010 AMOUNT: $ 10,851. 2011 AMOUNT: $ 15,131. 2012 AMOUNT: $ 6,443. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 101654 13312 88342 1085000 542658 542342 514799 399954 114845 362799 362799 1108328 DENTAL PROJECT 7201 7201 X 8366331 -70205 -70205 8436536 0 8436536 8069016 0 8069016 70205 70205 8139221 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CENTER WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW JERSEY AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. THE CENTER HAS FILED ALL REQUIRED PAYROLL TAX RETURNS AND PAYROLL TAXES DUE HAVE BEEN PAID. THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2013. THE CENTER'S U.S. FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEARS 2010 AND 2009 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF APPLICABLE, THE CENTER WOULD RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF OPERATING EXPENSES AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -70,205. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 70,205. X X 0 0 0 0 0 0 0 0 0 MARTA SILVERBERG 174993 0 0 0 0 0 5123 0 21289 0 201405 0 0 0 RAKSHA JOSHI MD 269211 0 0 0 0 0 6843 0 20729 0 296783 0 0 0 MARTIN ARAUJO MD 146113 0 0 0 0 0 4419 0 6679 0 157211 0 0 0 X 1 436227 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES THE BOARD OF TRUSTEES WITH AN EMAIL COPY OF THE FORM 990 IN ADVANCE OF FILING WITH THE IRS. PRIOR TO FILING, THE TAX PREPARER IS AVAILABLE TO ANSWER ALL QUESTIONS THAT ANY MEMBER OF THE BOARD OF TRUSTEES MAY HAVE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS ON A REGULAR BASIS THE CONFLICT OF INTEREST POLICY. IF A CONFLICT OF INTEREST IS IDENTIFIED, MANAGEMENT WILL RESPOND IN ACCORDANCE WITH THE CENTER'S COMPLIANCE PROGRAMS AND STANDARDS OF CONDUCT. MANAGEMENT WILL DETERMINE IF THE CONFLICT IS OF A NATURE THAT MUST BE REFERRED TO LEGAL COUNSEL FOR THEIR RECOMMENDATION AS TO THE APPROPRIATE ACTION TO BE TAKEN. IN ADDITION, THE BOARD OF TRUSTEE MEMBERS ARE INFORMED OF ANY POTENTIAL CONFLICTS AND HOW THE CONFLICT WAS RESOLVED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ALL GOVERNING DOCUMENTS TO ANY PERSON OR PERSONS WHO REQUEST THE DOCUMENTS EITHER IN WRITING OR IN PERSON. UPON THE REQUEST, THE ORGANIZATION LOGS WHAT WAS REQUESTED, BY WHOM, AND WHERE AND WHEN THE DOCUMENTS WERE SENT. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A FINANCE COMMITTEE WHO OVERSEES THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTS ITS INDEPENDENT ACCOUNTANTS.