2014-04-11T15:57:47-05:00 2013-12-31 250988255 CARBIS WALKER LLP 5700 CORPORATE DRIVE STE 650 PITTSBURGH PA 15237 990 2013-01-01 610729915 HEALTHPOINT FAMILY CARE INC HEAL 8596556100 1401 MADISON AVENUE COVINGTON KY 41011 CHRISTOPHER GODDARD EXECUTIVE DIRECTOR 8596558040 2014-04-02 1 JEFFREY J PETRELL CPA P00138808 4126356270 2014-04-01 2013 2015-11-30 17:44:51Z CHRISTOPHER GODDARD 1401 MADISON AVENUE COVINGTON KY 41011 14222789 0 X HTTP://WWW.HEALTHPOINTFC.ORG X 1971 KY PROVIDE PRIMARY CARE MEDICAL, OBSTETRICS/GYNECOLOGY AND DENTAL SERVICES TO THE UNDER AND UNINSURED POPULATIONS IN THE NORTHERN KENTUCKY REGION. 9 9 182 30 0 0 2611029 2772326 9563596 9902664 106282 109360 194110 1398024 12475017 14182374 0 0 0 0 8073692 9138387 0 0 52992 3623038 4415594 11696730 13553981 778287 628393 10721380 11164761 937924 794275 9783456 10370486 PROVIDE PRIMARY CARE MEDICAL, OBSTETRICS/GYNECOLOGY AND DENTAL SERVICES TO THE UNDER AND UNINSURED POPULATIONS IN THE NORTHERN KENTUCKY REGION. 0 0 11480885 11268098 SERVICE PATIENTS, MANY OF WHOM ARE SERVED AT A NOMINAL CHARGE BASED ON A SLIDING FEE SCALE RELATED TO INCOME. 11480885 1 0 0 0 0 0 0 0 0 0 1 1 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 26 0 1 182 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X SALLY SPRINKLE-JORDAN 8596556138 1401 MADISON AVENUE COVINGTON KY 41011 ROBERT E SMITH CHAIR 1.00 X X 0 0 0 KIM DINSEY-READ SECRETARY 0.30 X X 0 0 0 DENNIS FABIANI TREASURER 0.70 X X 0 0 0 WILMA ANTHONY DIRECTOR 0.20 X 0 0 0 JIM DIETZ DIRECTOR 0.50 X 0 0 0 KIM BALL DIRECTOR 0.20 X 0 0 0 MARY HERNANDEZ DIRECTOR 0.50 X 0 0 0 BETTY OWEN DIRECTOR 0.20 X 0 0 0 MARK PALAZZO DIRECTOR 0.50 X 0 0 0 CHRISTOPHER GODDARD EXECUTIVE DIRECTOR 40.00 X 172050 0 25770 SALLY SPRINKLE-JORDAN COO/CFO 40.00 X 154668 0 21791 TOM FELLENS MEDICAL DOCTOR 40.00 X 230432 0 5496 JEFFREY PARKER MEDICAL DOCTOR 40.00 X 198015 0 14421 OLIVER BENES MEDICAL DOCTOR 40.00 X 272667 0 23320 DAVID LOWE MEDICAL DOCTOR 40.00 X 259717 0 21175 ELMER MARTIN MEDICAL DOCTOR 40.00 X 315645 0 17786 1603194 0 129759 18 0 1 0 J&S COMPANY CO SCHOTTENSTEIN PROPERTY G 3065 MCCUTCHEON CROSSING DRIVE COLUMBUS OH 43260 RENT 266865 QUEST DIAGNOSTICS 3 GIRALDA FARMS MADISON NJ 07940 LAB SERVICES 242590 DATA PROCESSING SCIENCES CORPORATION 10810 KENWOOD ROAD CINCINNATI OH 45242 IT SERVICES 194832 LIFE REALTY HOLDINGS CO 103 LANDMARK DR BELLEVUE KY 41073 RENT 175285 TW TELECOM 9367 ALLEN ROAD WEST CHESTER OH 45069 IT SERVICES 142528 7 71200 2653374 47752 2772326 NET PATIENT REVENUE 900099 9902664 9902664 9902664 109360 109360 59600 14900 44700 44700 44700 13405 71200 25515 -12110 -12110 340B REVENUE 900099 1305668 1305668 OTHER INCOME 900099 83786 83786 LOSS ON LEASE ABANDONMENT LIABILI 900099 -24020 -24020 1365434 14182374 11268098 0 141950 374279 374279 7286305 6687805 577063 21437 221092 189998 29886 1208 752858 647890 103306 1662 503853 444722 57558 1573 105910 105910 94395 94395 6503 6503 503583 319724 183859 22914 18771 4143 79279 51299 27476 504 634252 541075 93177 696655 669736 26919 14554 8754 5077 723 594770 470014 124756 106730 106730 LAB & PHARMACY 860300 860300 BAD DEBT 271681 271681 MEDICAL SUPPLIES 238073 238073 EQUIPMENT RENTAL & MAIN 50403 37754 12649 135592 42060 71790 21742 13553981 11480885 2020104 52992 1372864 640211 130642 750930 1627569 1611158 82794 88897 8187832 3186219 5132420 5001613 2375091 2972952 0 99000 10721380 11164761 678862 689653 54116 33570 204946 71052 937924 794275 X 9783456 10370486 9783456 10370486 10721380 11164761 X 628393 171637 -213000 X X 0 1 X 1 1 1 X 397702 397702 4019514 398069 3621445 309971 228597 81374 2740547 2026886 713661 720098 532667 187431 5001613 MUTUAL FUNDS 2972952 F 2972952 LEASE TERMINATION LIABILITY 71052 71052 X 13888342 171637 25515 197152 13691190 491184 491184 14182374 13301312 25515 25515 13275797 278184 278184 13553981 PART X, LINE 2: THE ORGANIZATION'S IRS FORM 990 IS SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2010 AND FORWARD ARE OPEN FOR EXAMINATION. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 25,515. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 271,681. LOSS ON POTENTIAL ACQUISITION 213,000. INVESTMENT MANAGEMENT FEES 6,503. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 25,515. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 271,681. INVESTMENT MANAGEMENT FEES 6,503. AT THE POPS 22195 15023 7172 947 3725 2500 520 HOPEBOX DERBY 62410 56177 6233 4400 3014 1614 1605 7190 84605 71200 13405 4400 3961 5339 4105 7710 25515 -12110 X X 0 0 0 0 0 0 0 1 0 CHRISTOPHER GODDARD EXECUTIVE DIRECTOR 145149 0 19849 0 7052 0 6818 0 18952 0 197820 0 0 0 SALLY SPRINKLE-JORDAN COO/CFO 140297 0 9371 0 5000 0 2600 0 19191 0 176459 0 0 0 TOM FELLENS MEDICAL DOCTOR 217049 0 2500 0 10883 0 0 0 5496 0 235928 0 0 0 JEFFREY PARKER MEDICAL DOCTOR 185844 0 2200 0 9971 0 8025 0 6396 0 212436 0 0 0 OLIVER BENES MEDICAL DOCTOR 241477 0 30390 0 800 0 11248 0 12072 0 295987 0 0 0 DAVID LOWE MEDICAL DOCTOR 220519 0 22240 0 16958 0 10027 0 11148 0 280892 0 0 0 ELMER MARTIN MEDICAL DOCTOR 252803 0 45453 0 17389 0 11822 0 5964 0 333431 0 0 0 PART I, LINE 7 THE CEO AND CFO RECEIVE A BONUS THAT IS CONTINGENT ON MEETING CERTAIN GOALS WHICH INCLUDE PATIENT SATISFACTION, EMPLOYEE SATISFACTION, QUALITY CARE TEST, TOTAL REVENUE, TOTAL LIABILITY/FUND BALANCE, AND NET INCOME. FORM 990, PART VI, SECTION B, LINE 11 HEALTHPOINT FAMILY CARE HAS A CPA FIRM PREPARE ITS FORM 990. HEALTHPOINT FAMILY CARE'S MANAGEMENT REVIEWS THE 990 AND DISCUSSES THE 990 WITH THE BOARD OF DIRECTORS. 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 CONFLICTS OF INTEREST FORM. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES 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 ORGANIZATION'S CEO AND TOP MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 18 HEALTHPOINT FAMILY CARE, INC. MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, HEALTHPOINT FAMILY CARE, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: LOSS ON POTENTIAL ACQUISITION -213,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.