2020-01-31T14:24:02-06:00 2019-03-31 521853933 JONES MARESCA & MCQUADE PA 10500 LITTLE PATUXENT PARKWAY SUITE 770 COLUMBIA MD 21044 990 2018-04-01 521118424 FAMILY HEALTH CENTERS OF BALTIMORE INC FAMI 4103542000 631 CHERRY HILL ROAD BALTIMORE MD 21225 BRIAN A HAWKINS CEO 4103542000 2020-01-27 1 DAVID JONES P01361002 4108840220 64.88.174.3 2020-01-27 06:57:20 ES P 0087580C7340B0612ABF44AF1D415F2C3C4A590E 25472CDEC520E8445491B9581FEBCD7C9E65366B 2018 2020-09-23 17:36:50Z BRIAN A HAWKINS 631 CHERRY HILL ROAD BALTIMORE MD 21225 8537137 0 X WWW.FHCB.ORG X 1978 MD TO PROVIDE QUALITY, INTEGRATED PATIENT-CENTERED HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE. 13 13 138 13 0 0 4743332 3907902 7370684 4349346 20556 -32446 25823 277355 12160395 8502157 0 0 0 0 6900884 5333188 0 0 0 5864881 3185260 12765765 8518448 -605370 -16291 6620327 6523484 2252514 2171962 4367813 4351522 X TO PROVIDE QUALITY, INTEGRATED PATIENT-CENTERED HEALTH CARE SERVICES TO THE COMMUNITIES WE SERVE. 0 0 5172006 4349346 HEALTH CARE SERVICES - THE ORGANIZATION PROVIDES THE BROADEST RANGE OF HEALTH SERVICES TO CONSUMERS REGARDLESS OF THEIR ABILITY TO PAY. TO ASSURE ACCESS AND CONVENIENCE, A COMMUNITY BASED ONE-STOP SHOP IS THE MODEL OF CARE DELIVERY THAT CHARACTERIZES OUR APPROACH. PRIMARY CARE SERVICES INCLUDE PEDIATRICS, FAMILY MEDICINE, INTERNAL MEDICINE, AND DIABETES EDUCATION. OB/GYN, DENTAL SERVICES, PODIATRY, PHARMACY AND MENTAL HEALTH SERVICES ARE ALSO PROVIDED ON-SITE. AN ADDICTIONS SERVICE STAFF CONSISTING OF LICENSED CLINICAL COUNSELORS, A MEDICAL PROVIDER, CERTIFIED ADDICTIONS COUNSELORS, AND AN OUTREACH WORKER PROVIDES OUTPATIENT SUBSTANCE USE DISORDER TREATMENT. FOR NON-ENGLISH SPEAKING PATIENTS, WE ALSO OFFER TRANSLATION SERVICES AND IN-HOUSE BI-LINGUAL STAFF. THIS PROGRAM AIMS TO MAKE IT POSSIBLE FOR UNINSURED AND LOW INCOME WORKING PEOPLE TO BECOME DRUG FREE WHILE STILL MAINTAINING EMPLOYMENT. 5172006 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 42 0 1 138 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 MD X THE ORGANIZATION 4103542000 631 CHERRY HILL ROAD BALTIMORE MD 21225 PAMALA MINTZ CHAIR 2.00 X X 0 0 0 MARVIN DENSON VICE CHAIR 1.00 X X 0 0 0 VANESSA JEFFRIES SECRETARY 1.00 X X 0 0 0 PHILLIP CHURN TREASURER 1.00 X X 0 0 0 ALVIN LEE DIRECTOR 1.00 X 0 0 0 MICHAEL DELUCA DIRECTOR 1.00 X 0 0 0 KEVIN ANSELMI DIRECTOR 1.00 X 0 0 0 JANICE FORD DIRECTOR 1.00 X 0 0 0 SHARON A JOHNSON DIRECTOR 1.00 X 0 0 0 GWENDOLYN WYNN DIRECTOR 1.00 X 0 0 0 WILLIE PACK DIRECTOR 1.00 X 0 0 0 IRENE RODRIQUEZ DIRECTOR 1.00 X 0 0 0 SACHA SNITH DIRECTOR 1.00 X 0 0 0 BRIAN AOKI HAWKINS CHIEF EXECUTIVE OFFICER AS OF SEP 2018 40.00 X 47113 0 0 BERNARD ABBOTT MD CHIEF MEDICAL OFFICER 40.00 X 215286 0 5214 ANTOINE BOYD CHIEF FINANCIAL OFFICER 40.00 X 86944 0 2439 SUSAN RUBINSTEIN MD PHYSICIAN 40.00 X 130885 0 2166 LISA KING-BAKER DDS DENTIST 40.00 X 151010 0 310 MARY-ELISABETH BENJAMIN MD PHYSICIAN 40.00 X 103098 0 202 CHRISTINE M MOBLEY QI DIRECTOR 40.00 X 130144 0 4823 LIGIA PERALTA MD PHYSICIAN 40.00 X 114263 0 0 978743 0 15154 7 0 1 0 BLUENOVO INC 8455 COLESVILLE ROAD SUITE 1525 SILVER SPRING MD 20910 IT/PROJECT MGMT IMPLEMENTATION 276361 MERCY MEDICAL CENTER 301 ST PAUL PLACE BALTIMORE MD 21202 PHYSICIAN SERVICES 181176 MERCY HEALTH SERVICES INC PO BOX 826931 PHILADELPHIA PA 19182 MEDICAL SERVICES 116560 2 3454 3492305 412143 3907902 PATIENT SERVICE REVENU 621400 2873616 2873616 PHARMACY REVENUE 621400 1323484 1323484 QUALITY INCENTIVE PROG 621400 151571 151571 MEDICAL RECORDS FEES 621400 675 675 4349346 278 278 29271 0 29271 29271 29271 32724 -32724 -32724 -32724 2256 3454 2256 0 INSURANCE REIMBURSEMEN 900099 235384 235384 CLASS ACTION SETTLEMEN 900099 12255 12255 STUDENT IMMUNIZATION 900099 440 440 5 5 248084 8502157 4349346 0 244909 452943 281382 171561 3933032 2450164 1482868 583028 302854 280174 364185 223358 140827 30492 30492 36700 36700 657723 422740 234983 334564 184569 149995 580038 349268 230770 8629 7320 1309 24775 2875 21900 87622 87622 497536 309950 187586 81612 81612 PHARMACY, LAB AND PRESC 312103 312103 CONSUMABLE SUPPLIES 312068 262370 49698 COMMUNITY HEALTH EDUCAT 86018 16735 69283 STORAGE FEES 38229 24560 13669 97151 21758 75393 8518448 5172006 3346442 0 507917 671895 26947 190647 324496 199801 585118 647410 104888 37501 11119870 6343640 5070961 4776230 6620327 6523484 558533 776375 44547 107782 993380 755721 656054 532084 2252514 2171962 X 4367813 4351522 4367813 4351522 6620327 6523484 -16291 0 X X 0 1 X 1 1 1 X 2928122 3990579 4488576 4743332 3904448 20055057 2928122 3990579 4488576 4743332 3904448 20055057 20055057 3727 33684 31212 31227 29549 129399 1370 63598 10087 142 248085 323282 20507738 39995596 0.97790 0.98970 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2014 AMOUNT: $ 1,370. 2015 AMOUNT: $ 63,598. 2016 AMOUNT: $ 10,087. 2018 AMOUNT: $ 6. REFUNDS - 2017 AMOUNT: $ 142. INSURANCE REIMBURSEMENT - 2018 AMOUNT: $ 235,384. CLASS ACTION SETTLEMENT - 2018 AMOUNT: $ 12,255. STUDENT IMMUNIZATION - 2018 AMOUNT: $ 440. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103223 103223 7126915 2806675 4320240 2504969 2402188 102781 1384763 1134777 249986 4776230 ACCRUED SALARIES 314175 DUE TO MERCY 19588 DEPT. OF HEALTH AND HUMAN SERVICES 192357 ACCRUED INTEREST 5964 532084 X 8504413 2256 2256 8502157 0 8502157 8520704 2256 2256 8518448 0 8518448 PART X, LINE 2: FHCB 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 2,256. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 2,256. X X 0 0 0 0 0 0 0 0 0 BERNARD ABBOTT MD CHIEF MEDICAL OFFICER 215286 0 0 0 0 0 0 0 5214 0 220500 0 0 0 LISA KING-BAKER DDS DENTIST 151010 0 0 0 0 0 0 0 310 0 151320 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS AT ITS NEXT REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY BOARD MEMBERS DISCUSS SUCH ISSUES AT ONE OF THEIR MEETINGS AND COMPLETE AND SIGN FORMS FOR THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCE DEPARTMENT USES THE DEPARTMENT OF LABOR AND THE SALARY SURVEY WEBSITE TO GATHER SENIOR OFFICERS' SALARY SURVEY DATA ON AN ANNUAL BASIS. THIS INFORMATION GOES TO THE CHAIRMAN OF THE BOARD, WHO THEN DISSEMINATES THIS INFORMATION TO THE BOARD OF DIRECTORS. THE BOARD MEMBERS MEET, DISCUSS, AND APPROVE THE OFFICERS' SALARY BASED ON THAT MEETING. THE LAST REVIEW FOR THE CEO'S COMPENSATION WAS PERFORMED IN AUGUST OF 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND POLICIES ARE AVAILABLE FOR PUBLIC INSPECTION AT THE ORGANIZATION'S OFFICE DURING REGULAR BUSINESS HOURS UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS AUDIT OVERSIGHT PROCESS OR SELECTION OF AN INDEPENDENT AUDITOR PROCESS DURING THE YEAR.