2014-11-17T14:00:46-06:00 2014-06-30 470677245 HBE BECKER MEYER LOVE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2013-07-01 470548478 FAMILY HEALTH SERVICES INC FAMI 4023352988 PO BOX 279 TECUMSEH NE 68450 SHARON RICKMAN EXECUTIVE DIRECTOR 4023352988 2014-11-17 1 KRYSTAL L SIEBRANDT CPA CFE P00543870 4024234343 2014-11-17 2013 2015-11-30 17:44:51Z SHARON RICKMAN PO BOX 279 TECUMSEH NE 68450 840360 0 X WWW.FHSI.ORG X 1973 NE THE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS. 9 9 24 14 0 0 690164 679742 139824 154342 189 64 4900 6212 835077 840360 0 0 0 0 641673 603680 0 0 0 296153 257873 937826 861553 -102749 -21193 281614 258755 112962 111296 168652 147459 X THE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS. 0 0 294806 SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN. GRANT ADMINISTRATION AND SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA. 439036 154342 FAMILY PLANNING SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA. 733842 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 24 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 1 0 0 X JEAN BRINKMAN 4023352988 PO BOX 279 TECUMSEH NE 684500279 MIKE WENDT PRESIDENT 0.20 X X 0 0 0 DR LAURENCE FALK VICE PRESIDENT 0.20 X X 0 0 0 JANELLE MORAN SECRETARY 0.20 X X 0 0 0 ROCHELLE COLLINS DIRECTOR 0.20 X 0 0 0 PAULA DARLING DIRECTOR 0.20 X 0 0 0 VINNY BITTINGER DIRECTOR 0.20 X 0 0 0 STEPHANIE CLARK DIRECTOR 0.20 X 0 0 0 SHIRLEY TERRY DIRECTOR 0.20 X 0 0 0 TED HARSHBARGER DIRECTOR 0.20 X 0 0 0 SHARON RICKMAN EXECUTIVE DIRECTOR 40.00 X 70670 0 7420 JEAN BRINKMAN DEPUTY DIRECTOR 40.00 X 57833 0 10027 128503 0 17447 0 0 0 0 0 663367 16375 679742 PRIVATE INSURANCE REIM 621300 118237 118237 PATIENT FEES 621300 33838 33838 MEDICAID REIMBURSEMENT 621300 2267 2267 154342 64 64 MISCELLANEOUS 900099 6212 6212 6212 840360 154342 0 6276 145003 59790 85213 396183 396183 21361 21361 41133 28127 13006 925 925 9954 9954 6823 6675 148 8241 8241 23513 20343 3170 63670 53311 10359 13114 13114 15329 15329 16327 13671 2656 CONTRACEPTIVES AND PHAR 60159 60159 PATIENT CARE AND LAB FE 19548 19548 TELEPHONE 13134 10997 2137 EDUCATIONAL MATERIALS 278 278 6858 6715 143 861553 733842 127711 0 16760 22125 86974 59055 105544 106110 10133 10569 10552 8460 18154 7481 167264 122309 33497 44955 281614 258755 42706 41040 70256 70256 112962 111296 X 136430 104097 32222 43362 168652 147459 281614 258755 -21193 0 X X 0 1 X 1 1 1 X 901906 625607 741276 695764 679742 3644295 901906 625607 741276 695764 679742 3644295 3644295 3975 1782 988 435 64 7244 3651539 459036 0.99800 0.99690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 167264 122309 44955 44955 X 843428 3068 3068 840360 0 840360 864621 3068 3068 861553 0 861553 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2014, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS SET BY THE BOARD ANNUALLY AFTER REVIEW OF THE DIRECTOR'S PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PAGE 12, LINE 2C: THE PROCESS HAS NOT CHANGED.