2021-07-26T11:48:00-05:00 2020-12-31 340677006 MALONEY NOVOTNY LLC 4774 MUNSON STREET NW SUITE 402 CANTON OH 447183634 990 2020-01-01 341708901 LIFECARE FAMILY HEALTH AND DENTAL CENTER INC LIFE 3304542000 2725 LINCOLN STREET EAST CANTON OH 44707 JANET MCPEEK CEO 3304542000 2021-07-26 1 JANET MCPEEK 999009999 DANA PATTERSON P01278758 3309669400 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JANET MCPEEK 2725 LINCOLN STREET EAST CANTON OH 44707 8859216 0 X WWW.LIFECAREFHDC.ORG X 1992 OH PROVIDE HIGH-QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH SERVICES 13 13 127 0 0 0 3748734 4598589 3769054 3824590 11473 31620 96222 149540 7625483 8604339 19154 23956 0 0 5436273 5928695 0 0 0 2475526 2896563 7930953 8849214 -305470 -244875 4912272 5588946 1803027 2687963 3109245 2900983 PROVIDE HIGH-QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH SERVICES THAT IMPROVE OUR PATIENT'S OVERALL HEALTH. 0 0 7616631 23956 3974130 AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), LIFECARE FAMILY HEALTH AND DENTAL CENTER PROVIDES QUALITY PREVENTATIVE AND RESTORATIVE PRIMARY HEALTH CARE TO PATIENTS WITH PAYMENT OPTIONS BASED ON A PATIENT'S ABILITY TO PAY. LIFECARE CONTINUALLY IMPROVES ITS SERVICES AND FACILITIES TO DEVELOP A GROWING, FINANCIALLY-SOUND, PROGRESSIVE COMMUNITY HEALTH CENTER. 7616631 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 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 17 0 1 127 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OH X PATRICIA JOHNSON 3304542000 2725 LINCOLN STREET EAST CANTON OH 44707 BARBARA FRUSTACI BSN RN CHAIRMAN 1.00 X X 0 0 0 LINDA DAHL VICE CHAIRMAN 1.00 X X 0 0 0 ALLANA HAUT TREASURER 1.00 X X 0 0 0 CHRISTINE MCCALLUM PT PHD SECRETARY 1.00 X X 0 0 0 JUDGE STEPHEN BELDEN DIRECTOR 1.00 X 0 0 0 GEORGE CRUES DIRECTOR 1.00 X 0 0 0 WILLIAM FOREMAN DIRECTOR 1.00 X 0 0 0 DELRICA GRUBBS DIRECTOR 1.00 X 0 0 0 CHARLES HAXLY DIRECTOR 1.00 X 0 0 0 KELLY HENLEY DIRECTOR 1.00 X 0 0 0 ZACH HOSTETLER DIRECTOR 1.00 X 0 0 0 DAVID MALEY MA DIRECTOR 1.00 X 0 0 0 GAIL TARANTINO DIRECTOR 1.00 X 0 0 0 DEAN VARIAN MD DIRECTOR 1.00 X 0 0 0 ERICA WILSON-DOMER DIRECTOR 1.00 X 0 0 0 JANET MCPEEK CFO/CEO 40.00 X 122417 0 17243 KAY SCARP-SEEBERGER CEO 40.00 X 49583 0 2215 HOUNEINE GASHASH MEDICAL DIRECTOR 40.00 X 229104 0 26535 DAVID M COLA PHYSICIAN 40.00 X 239587 0 7146 THOMAS K MUN DENTIST 40.00 X 166772 0 30250 TIMOTHY HIRST DENTIST 40.00 X 187414 0 8683 BYRON ROSSI DENTIST 40.00 X 169429 0 21947 1164306 0 114019 10 0 1 0 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 BILLING SERVICES 460911 JOHN J FORD 2926 STATE RD SUITE 139 CUYAHOGA FALLS OH 44223 IT SERVCIES 147616 SMITH DEVELOPMENT CORPORATION 6360 PROMLER ST NW NORTH CANTON OH 44720 BUILDING CONTRACTORS 135457 3 3749154 849435 801994 4598589 PATIENT & THIRD PARTY 621400 3752072 3752072 340B PROGRAM 621400 50045 50045 INSURANCE INCENTIVES 621400 22473 22473 3824590 14670 14670 271827 254877 16950 16950 16950 MISCELLANEOUS INCOME 900099 149540 149540 149540 8604339 3974130 0 31620 23956 23956 191458 166763 24695 4703930 4105694 598236 87530 72395 15135 609837 538733 71104 335940 296296 39644 20674 20674 17200 17200 7089 7089 118124 113707 4417 106535 39711 66824 302897 191252 111645 251292 228969 22323 170290 155086 15204 7273 6205 1068 22927 16508 6419 49116 21753 27363 198344 138812 59532 36401 31882 4519 MEDICAL SUPPLIES 1090108 1086787 3321 CONTRACTUAL 143235 85542 57693 REPAIRS AND MAINTENANCE 139010 113832 25178 PATIENT SUPPORT 123025 123025 93023 59723 33300 8849214 7616631 1232583 0 101702 42634 552086 1194354 3878 208960 889459 822130 162057 127807 3921819 1576855 2316877 2344964 559304 609149 324409 236448 2500 2500 4912272 5588946 653482 452878 1149545 1097040 1138045 1803027 2687963 X 3109245 2900983 3109245 2900983 4912272 5588946 -244875 36613 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 77201 77201 2497725 633309 1864416 15840 9486 6354 1331053 934060 396993 2344964 X 8633863 36613 36613 8597250 7089 7089 8604339 8842125 0 8842125 7089 7089 8849214 PART X, LINE 2: THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH GAAP REQUIRES THE CENTER TO REPORT INFORMATION REGARDING ITS EXPOSURE TO VARIOUS TAX POSITIONS TAKEN BY THE CENTER. THE CENTER HAS DETERMINED WHETHER ANY TAX POSITIONS HAVE MET THE RECOGNITION THRESHOLD AND HAS MEASURED THE CENTER'S EXPOSURE TO THOSE TAX POSITIONS. MANAGEMENT BELIEVES THAT THE CENTER HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THAT THERE ARE NO UNRECORDED TAX LIABILITIES. FEDERAL AND STATE TAX AUTHORITIES GENERALLY HAVE THE RIGHT TO EXAMINE AND AUDIT THE PREVIOUS THREE YEARS OF TAX RETURNS FILED. 1 DENTAL ASSISTANCE 352 23956 PART I, LINE 2: THE LIFECARE DENTAL ASSISTANCE PROGRAM UNDERWRITES 30% OF DENTAL BILLS FOR PATIENTS WHO DO NOT QUALIFY FOR SLIDING SCALE FEES AND DO NOT HAVE ANY OTHER DENTAL INSURANCE. 1 X 0 0 0 0 0 0 0 0 0 HOUNEINE GASHASH MEDICAL DIRECTOR 229104 0 0 0 0 0 8032 0 18503 0 255639 0 0 0 DAVID M COLA PHYSICIAN 239587 0 0 0 0 0 7146 0 0 0 246733 0 0 0 THOMAS K MUN DENTIST 166772 0 0 0 0 0 5148 0 25102 0 197022 0 0 0 TIMOTHY HIRST DENTIST 187414 0 0 0 0 0 8299 0 384 0 196097 0 0 0 BYRON ROSSI DENTIST 169429 0 0 0 0 0 0 0 21947 0 191376 0 0 0 X 801994 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CFO AND A COPY OF THE 990 IS SHARED WITH THE FINANCE COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ANNUALLY REVIEW THEIR STATUS FOR POTENTIAL CONFLICTS OF INTEREST AND DECLARE IN WRITING ANY THAT MAY EXIST. BOARD MEMBERS ABSTAIN FROM VOTING ON ISSUES THAT MAY REPRESENT A CONFLICT OF INTEREST FOR THEM. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CEO AND CFO IS COMPARED TO THE COMPENSATION SHOWN ON FORM 990 FOR SIMILAR ORGANIZATIONS. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED BY A COMPARISON TO INDUSTRY AVERAGES FOR THAT POSITION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE CENTER'S OFFICE AND ARE PRESENTED TO THE PUBLIC UPON REQUEST. COMPLETION OF SCHEDULE H ALTHOUGH THIS ORGANIZATION UTILIZES THE PROVISION OF SECTION 170(B)(1)(A)(III) FOR ITS PUBLIC CHARITY STATUS, IT IS NOT LICENSED IN THE STATE OF OHIO AS A "HOSPITAL". THEREFORE, WE HAVE NOT COMPLETED SCHEDULE H IN ACCORDANCE WITH THE INSTRUCTIONS FOR THAT SCHEDULE.