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FAMILY FIRST HEALTH CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FAMILY FIRST HEALTH CORPORATION (EIN 23-7118262)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-08-29
IRS object ID
201302419349300685
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-29T17:05:00-05:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN520783935EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SMITH ELLIOTT KEARNS & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line119 BROOKWOOD AVE SUITE 101AddressLine1
CityCARLISLECity
StatePAState
ZIP Code17015ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237118262EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY FIRST HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone7178014805Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1116 SOUTH GEORGE STREETAddressLine1
CityYORKCity
StatePAState
ZIP Code17401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJENNIFER ENGLERTHName
TitleCEOTitle
Phone7178014805Phone
Date Signed2013-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGORY P HALL CPAName
PTINP00156653PTIN
Phone7172439104Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJENNIFER ENGLERTHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1116 SOUTH GEORGE STREETAddressLine1
CityYORKCity
StatePAState
ZIP Code17401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12280788GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FAMILYFIRSTHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionFAMILY FIRST HEALTH'S MISSION IS TO PROVIDE SERVICES OUR PATIENTS NEED; TO PROMOTE AND SUPPORT HEALTHY LIFESTYLES; TO COLLABORATE WITH OTHERS TO IMPROVE ACCESS AND BREAK DOWN BARRIERS OF AFFORDABILITY, LANGUAGE AND CULTURE; AND TO ADVOCATE FOR OUR PATIENTS AND THE MEDICALLY UNDERSERVED.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees191TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3918859ContributionsGrantsPriorYear
Contributions Grants Current Year3616865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7907179ProgramServiceRevenuePriorYear
Program Service Revenue CY8047359ProgramServiceRevenueCY
Investment Income Prior Year18266InvestmentIncomePriorYear
Investment Income Current Year57659InvestmentIncomeCurrentYear
Other Revenue Prior Year761419OtherRevenuePriorYear
Other Revenue Current Year435094OtherRevenueCurrentYear
Total Revenue Prior Year12605723TotalRevenuePriorYear
Total Revenue Current Year12156977TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year181473GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY181473GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8286419SalariesEtcPriorYear
Salaries Etc Current Year8810012SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year72167TotalFundrsngExpCurrentYear
Other Expense Prior Year4080046OtherExpensePriorYear
Other Expenses Current Year3602241OtherExpensesCurrentYear
Total Expenses Prior Year12547938TotalExpensesPriorYear
Total Expenses Current Year12593726TotalExpensesCurrentYear
Revenues Less Expenses Prior Year57785RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-436749RevenuesLessExpensesCY
Total Assets BOY8126163TotalAssetsBOY
Total Assets EOY8234780TotalAssetsEOY
Total Liabilities BOY4519984TotalLiabilitiesBOY
Total Liabilities EOY5084673TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3606179NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3150107NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionFAMILY FIRST HEALTH'S MISSION IS TO PROVIDE SERVICES OUR PATIENTS NEED; TO PROMOTE AND SUPPORT HEALTHY LIFESTYLES; TO COLLABORATE WITH OTHERS TO IMPROVE ACCESS AND BREAK DOWN BARRIERS OF AFFORDABILITY, LANGUAGE AND CULTURE; AND TO ADVOCATE FOR OUR PATIENTS AND THE MEDICALLY UNDERSERVED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10621148Expense
Grants181473Grants
Revenue7929333Revenue
DescriptionMEDICAL, DENTAL AND SOCIAL SERVICES ARE PROVIDED BY FAMILY FIRST HEALTH TO UNDERSERVED PATIENTS IN YORK AND ADAMS COUNTIES IN THE STATE OF PENNSYLVANIA. GENERAL MEDICAL CARE IS PROVIDED AT OUR HEALTH CENTERS IN YORK, HANOVER, HANNAH PENN MIDDLE SCHOOL, LEWISBERRY AND GETTYSBURG. DENTAL CARE IS PROVIDED AT OUR DENTAL CENTERS IN YORK, HANOVER AND HANNAH PENN MIDDLE SCHOOL.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense435941Expense
Revenue446009Revenue
DescriptionONE ASPECT OF THE SOCIAL SERVICES DEPARTMENT IS THE NURSE FAMILY PARTNERSHIP PROGRAM (NFP). NFP PARTNERS A SPECIFICALLY TRAINED NURSE WITH A FIRST TIME MOTHER. THE PROGRAM BEGINS IN PREGNANCY AND CONTINUES UNTIL THE CHILD TURNS TWO YEARS OLD. THE NURSE VISIT TAKES PLACE WHERE THE PATIENT IS MOST COMFORTABLE. THE EXPECTANT MOTHER MUST ENTER THE PROGRAM BEFORE 28 WEEKS GESTATION AND BE ELIGIBLE FOR WIC (WOMEN, INFANTS AND CHILDREN PROGRAM) OR MEDICAL ASSISTANCE. THE PROGRAM STARTED IN 2001 AND AVERAGES 100 PATIENTS AT ANY GIVEN POINT.Description
FieldValueIRS element (for citing)
Total Program Service Expense11057089TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees191NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LILA J BEEDLE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7178014805TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1116 SOUTH GEORGE STREETAddressLine1
CityYORKCity
StatePAState
ZIP Code17401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL SHANEBROOK
PRESIDENT1.30XX000
ANNE ZERBE
PAST PRESIDENT1.30XX000
VICTORIA KROTZER
VICE-PRESIDENT1.30XX000
ROBERT BERNHARD
SECRETARY1.30XX000
DON DUSICH
TREASURER1.30XX000
DOUG HEISHMAN
PAST TREASURER1.30XX000
SUSAN NELSON
DIRECTOR1.30X000
MEG WHEELER
DIRECTOR1.30X000
MARGARET ECKLES-RAY
DIRECTOR1.30X000
CHARLES SNYDER
DIRECTOR1.30X000
RICK HACKMAN
DIRECTOR1.30X000
ALLISON HAWTHORNE
DIRECTOR1.30X000
JENNIFER ENGLERTH
EXECUTIVE DIRECTOR40.00X140400021088
LILA BEEDLE
CHIEF FINANCIAL OFFICER40.00X100981015966
SUZANNE POSEY
CHIEF OPERATING OFFICER40.00X92867015128
KAREN MCCRAW
CHIEF PROGRAM OFFICER40.00X76453012677
JENNIFER BLACK
CHIEF ADMINISTRATIVE OFFIC40.00X78818011855
ASCELIN GO
MEDICAL DIRECTOR40.00X161154027481
LAJUAN MOUNTAIN
DENTAL DIRECTOR40.00X145742024140
ALINA POPA
PHYSICIAN40.00117445017678X
JOSEPH DEVLIN
PHYSICIAN40.00146916024786X
JAMES SIOMA
PHYSICIAN40.00159500023176X
JOSEPH MOUNTAIN
PHYSICIAN40.00144787023218X
RADHA ALUR
PHYSICIAN40.00148300023884X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1513363TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation241077TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns86100FederatedCampaigns
Government Grants2807563GovernmentGrants
All Other Contributions723202AllOtherContributions
Total Contributions3616865TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU62111055101175510117
PREMIUM REVENUE62111025372422537242
FieldValueIRS element (for citing)
Total Program Service Revenue8047359TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21798TotalRevenueColumn
Exclusion$21,798ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real107111Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real107111Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column107111TotalRevenueColumn
Exclusion$107,111ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities159672Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities123811Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities35861Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column35861TotalRevenueColumn
Exclusion$35,861ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column327983TotalRevenueColumn
Related Or Exempt Function Income327983RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue327983TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12156977TotalRevenueColumn
Related Or Exempt Function Income8375342RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$164,770ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total181473Total
Program Services181473ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total919446Total
Program Services772444ProgramServices
Management And General110335ManagementAndGeneral
Fundraising36667Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6342492Total
Program Services5514752ProgramServices
Management And General792240ManagementAndGeneral
Fundraising35500Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1026993Total
Program Services895625ProgramServices
Management And General131368ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total521081Total
Program Services457151ProgramServices
Management And General63930ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12612Total
Program Services3434ProgramServices
Management And General9178ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total47805Total
Program Services4104ProgramServices
Management And General43701ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total14144Total
Program Services4553ProgramServices
Management And General9591ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total86006Total
Program Services60161ProgramServices
Management And General25845ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total121996Total
Program Services121996ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total51000Total
Program Services37142ProgramServices
Management And General13858ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18411Total
Program Services5192ProgramServices
Management And General13219ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total130925Total
Program Services115008ProgramServices
Management And General15917ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total434145Total
Program Services382058ProgramServices
Management And General52087ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total22723Total
Program Services16083ProgramServices
Management And General6640ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES AND DR96389696384650
CONTRACTED SERVICES484652484652
REPAIR & MAINTENANCE2178232157692054
COMMUNICATIONS EXPENSE1595637169187872

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total836540Total
Program Services749955ProgramServices
Management And General86585ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12593726Total
Program Services11057089ProgramServices
Management And General1464470ManagementAndGeneral
Fundraising72167Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY570BOY
EOY720EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY66113BOY
EOY26940EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY64399BOY
EOY181333EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY892572BOY
EOY910487EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY37331BOY
EOY55907EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8250750LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2910498LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5394747BOY
EOY5340252EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY549057BOY
EOY469502EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY102880BOY
EOY99108EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1018494BOY
EOY1150531EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8126163BOY
EOY8234780EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY843188BOY
EOY880282EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3676796BOY
EOY4204391EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4519984BOY
EOY5084673EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3606179BOY
EOY3150107EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3606179BOY
EOY3150107EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8126163BOY
EOY8234780EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-436749ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-19323ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3607118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3423018CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3673496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3918859CurrentTaxYearMinus1Year
Current Tax Year3617885CurrentTaxYear
Total18240376Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6449928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7543432CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7814468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7907179CurrentTaxYearMinus1Year
Current Tax Year8540883CurrentTaxYear
Total38255890Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10057046CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10966450CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11487964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11826038CurrentTaxYearMinus1Year
Current Tax Year12158768CurrentTaxYear
Total56496266Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50956496266PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107474CurrentTaxYearMinus1Year
Current Tax Year128909CurrentTaxYear
Total472747Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years61586CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years75641CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107474CurrentTaxYearMinus1Year
Current Tax Year128909CurrentTaxYear
Total472747Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years129670CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years170987CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years253648CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year669058CurrentTaxYearMinus1Year
Current Tax Year344521CurrentTaxYear
Total1567884Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10248302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11213078CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11840749CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12602570CurrentTaxYearMinus1Year
Current Tax Year12632198CurrentTaxYear
Total58536897Total
FieldValueIRS element (for citing)
Public Support Percentage5090.96510PublicSupportPercentage509
Prior Year Support Percentage0.97000PriorYearSupportPercentage
Investment Income Percentage0.00810InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00660PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis150000OtherCostOrOtherBasis
Book Value150000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6163898OtherCostOrOtherBasis
Depreciation1835901Depreciation
Book Value4327997BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1936852OtherCostOrOtherBasis
Depreciation1074597Depreciation
Book Value862255BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5340252TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionESTIMATED RECEIVABLE UNDER THIRD-PARTY AGREEMENTSDescription
Book Value1150531BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1150531TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12172957TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities15980DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99015980RevenueNotRptdF990
Revenue Subtotal12156977RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012156977TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12609706TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities15980DonatedServicesUseOfFacilities
Expenses Not Rptd F99015980ExpensesNotRptdF990
Expenses Subtotal12593726ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012593726TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. AS OF MARCH 31, 2013, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE TAX YEARS SUBSEQUENT TO 2009, ARE SUBJECT TO REVIEW BY FEDERAL, STATE, AND LOCAL TAXING AUTHORITIES.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1WELLSPAN HEALTH (WELLSPAN COMMUNITY HEALTH CENTER)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1605 SOUTH GEORGE STREETAddressLine1
CityYORKCity
StatePAState
ZIP Code17403ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient231352222EINOfRecipient
IRC Section501(C)3IRCSection
Amount Of Cash Grant181473AmountOfCashGrant
Purpose Of GrantMEDICAL VISITS PHARMACEUTICAL/NUTRITIONAL/BEHAVORIAL HEALTH/COUNSELING FOR HIV PATIENTS.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JENNIFER ENGLERTH
EXECUTIVE DIRECTOR140400000005980204900161488000
ASCELIN GO
MEDICAL DIRECTOR1611540000018710256100188635000
LAJUAN MOUNTAIN
DENTAL DIRECTOR1457420000018140223260169882000
JOSEPH DEVLIN
PHYSICIAN1469160000016370231490171702000
JAMES SIOMA
PHYSICIAN159500000002400229360182676000
JOSEPH MOUNTAIN
PHYSICIAN1447870000021360210820168005000
RADHA ALUR
PHYSICIAN1483000000000238840172184000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
ADAMS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
A2003-06-26750000PURCHASE OF BUILDING AND RENOVATION OF HANOVER PENNSYLVANIA OFFICE.010
ADAMS COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY
B2010-05-31520000RENOVATION OF GETTYSBURG OFFICE LOCATION.010
GENERAL AUTHORITY OF SOUTHCENTRAL PENNSYLVANIA
C2012-11-152560000REFUNDING OF THE YORK COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY DEBT.010

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A7500007500000001
B5200005200000001
C256000025600001001

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0000000
B0000000
C0000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000010000
B000000000
C000000000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990476150NoncashContribsRptdF990
Method Of Determining RevenuesWHOLE SALE PRICINGMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE INFORMATION THAT IS PRESENTED IN THE 990 IS DISCUSSED THROUGHOUT THE YEAR WITH THE FINANCE COMMITTEE. THE 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND THEN PRESENTED TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CFAMILY FIRST HEALTH HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT CHARGES THE BOARD OF DIRECTORS WITH REVIEWING AND ENFORCING COMPLIANCE. AT THEIR MONTHLY MEETINGS, THE BOARD OF DIRECTORS HAS A STANDING TIME ASKING IF ANY ATTENDEES HAVE A CONFLICT OF INTEREST WITH ANY OF THE AGENDA ITEMS. THE BOARD THEN VOTES TO ACCEPT THE AGENDA WITHOUT ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15AT THE TIME OF EVALUATION, COMPENSATION INFORMATION IS GATHERED BY THE HUMAN RESOURCE DIRECTOR FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET. THIS IS THEN MATCHED WITH PERFORMANCE TO ESTABLISH COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THIS INFORMATION IS PROVIDED UPON REQUEST MADE TO THE CHIEF FINANCIAL OFFICER.