2022-04-27T14:27:01-05:00 2021-06-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2020-07-01 550691297 WOMENCARE INC WOME 3047576999 97 GREAT TEAYS BOULEVARD NO 6 SCOTT DEPOT WV 25560 CRAIG GLOVER PRESIDENT / CEO 3047576999 2022-04-26 1 CRAIG GLOVER 999009999 J RYAN LINDSAY P01835061 3043459400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z FAMILYCARE HEALTH CENTERS CRAIG GLOVER 97 GREAT TEAYS BOULEVARD NO 6 SCOTT DEPOT WV 25560 25368440 0 X HTTP://WWW.FAMILYCAREWV.ORG/ X 1989 WV THE MISSION OF THE ORGANIZATION IS PROVIDE HEALTH CARE THAT FOCUSES ON THE WHOLE PERSON AND BENEFITS THE ENTIRE COMMUNITY 11 11 304 11 0 0 6757666 8358397 17227361 16906826 389728 417 85276 102800 24460031 25368440 0 0 0 0 16727505 16924463 0 0 0 6949331 7473104 23676836 24397567 783195 970873 8080715 9892781 3168097 4009290 4912618 5883491 THE MISSION OF THE ORGANIZATION IS TO PROVIDE HEALTH CARE THAT FOCUSES ON THE WHOLE PERSON AND BENEFITS THE ENTIRE COMMUNITY. 0 0 19564716 17009626 WOMENCARE, INC. D/B/A FAMILY CARE HEALTH CENTERS, 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, CABELL, 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. 19564716 1 0 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 15 0 1 304 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 3047576999 97 GREAT TEAYS BLVD SUITE 6 SCOTT DEPOT WV 25560 CHRISTOPHER CAREW CHAIR 0.50 X X 0 0 0 KELSEY CLOUGH VICE-CHAIR 0.50 X X 0 0 0 REBECCA RATLIFF SECRETARY 0.50 X X 0 0 0 DAVE BUMGARNER TREASURER 0.50 X X 0 0 0 STEVE CUNNINGHAM BOARD MEMBER 0.50 X 0 0 0 SHERYN CAREY BOARD MEMBER 0.50 X 0 0 0 BONNIE O'HARA BOARD MEMBER 0.50 X 0 0 0 A BONITA PERRY-DEAN BOARD MEMBER 0.50 X 0 0 0 SUSAN SCOURAS BOARD MEMBER 0.50 X 0 0 0 JULIE PRATT BOARD MEMBER 0.50 X 0 0 0 TODD THOMAS BOARD MEMBER 0.50 X 0 0 0 CRAIG GLOVER CEO 40.00 X 260775 0 55119 FRAN COLEMAN COO 40.00 X 108930 0 27964 TERRI DICKERSON CFO (TERM. 5/2021) 40.00 X 103235 0 28668 DEVIN CILIBERTI OB/GYN PHYSICIAN 40.00 X 380762 0 63442 APRIL BAISDEN PHYSICIAN 40.00 X 366376 0 18701 MARY JENKINS PHYSICIAN 40.00 X 227139 0 43045 CHRISTINA WEBB PHYSICIAN 40.00 X 220102 0 47294 NANCY ELWOOD PHYSICIAN 40.00 X 211567 0 26585 1878886 0 310818 30 0 1 0 ATHENA HEALTH INC PO BOX 415615 BOSTON MA 022415615 EHR SYSTEM AND SUPPORT 1054888 MCKESSON 6555 STATE HWY 161 IRVING TX 75039 SUPPLIES 456786 PRAY CONSTRUCTION COMPANY 10331 TEAYS VALLEY RD SCOTT DEPOT WV 25560 CONSTRUCTION 397108 QUINN TECHNOLOGY INC 5300 MACCORKLE AVENUE SOUTH CHARLESTON WV 25309 COMPUTER MAINTENANCE AND SUPPORT 371993 YEAGER LAND PO BOX 462 SCOTT DEPOT WV 25560 RENT 285323 21 8242452 115945 8358397 PATIENT SERVICES 621111 13357122 13357122 PHARMACY INCOME 446110 3545395 3545395 QUALITY CARE INCOME 621111 4309 4309 16906826 417 417 REIMBURSEMENTS 900099 53092 53092 MEDICAL RECORDS INCOME 900099 10919 10919 38789 38789 102800 25368440 17009626 0 417 472941 472941 12984882 10482568 2502314 135097 105230 29867 2402757 1871555 531202 928786 723450 205336 17479 17479 51529 51529 1715419 1397000 318419 59214 59214 150550 150550 98582 74282 24300 1582398 1482381 100017 33431 25191 8240 53601 40389 13212 55525 55525 349481 331890 17591 63690 14299 49391 SUPPLIES 2285799 2269635 16164 MINOR DURABLES 344482 259570 84912 MISC. 272103 205032 67071 REPAIRS 122837 118744 4093 216984 163500 53484 24397567 19564716 4832851 0 270337 374651 4019631 3816235 60918 113230 1410230 1292601 151317 164382 116660 10096388 6257193 2017633 3839195 52584 58092 85000 130800 8080715 9892781 1302439 1932655 900640 208614 965018 1868021 3168097 4009290 X 4912618 5883491 4912618 5883491 8080715 9892781 970873 0 X X 0 1 X 1 1 1 X 69050 69050 4918949 1858639 3060310 2625922 2349399 276523 2482467 2049155 433312 3839195 X 25368440 0 25368440 0 25368440 24397567 0 24397567 0 24397567 PART X, LINE 2: ACCOUNTING PROCEDURES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT OF THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF THE ORGANIZATION AND HAS CONCLUDED THAT THE ORGANIZATION 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. X 0 0 0 0 0 0 0 0 0 DEVIN CILIBERTI OB/GYN PHYSICIAN 380762 0 0 0 0 0 24923 0 38519 0 444204 0 0 0 APRIL BAISDEN PHYSICIAN 366376 0 0 0 0 0 18701 0 0 0 385077 0 0 0 CRAIG GLOVER CEO 260775 0 0 0 0 0 16600 0 38519 0 315894 0 0 0 MARY JENKINS PHYSICIAN 227139 0 0 0 0 0 4526 0 38519 0 270184 0 0 0 CHRISTINA WEBB PHYSICIAN 220102 0 0 0 0 0 8775 0 38519 0 267396 0 0 0 NANCY ELWOOD PHYSICIAN 211567 0 0 0 0 0 0 0 26585 0 238152 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A REPRESENTATIVE FROM THE ACCOUNTING FIRM THAT PREPARES THE FORM 990 FOR THE ORGANIZATION PRESENTS THE FORM 990 TO ALL BOARD MEMBERS AT A REGULAR MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S 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 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 XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDIT.