2020-02-25T15:50:53-06:00 2019-06-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2018-07-01 550691297 WOMENCARE INC WOME 3047576999 97 GREAT TEAYS BOULEVARD NO 6 SCOTT DEPOT WV 25560 CRAIG GLOVER PRESIDENT / CEO 3047576999 2020-02-25 1 J RYAN LINDSAY P01835061 3043459400 207.192.238.246 2020-02-25 09:05:42 ES P A01AD637FF7855F41293BC21A078314BEC370AE6 149CDF77D96CBBF549F02EAC05248B85EA8946E9 2018 2020-09-23 17:36:50Z FAMILYCARE HEALTH CENTERS CRAIG GLOVER 97 GREAT TEAYS BOULEVARD NO 6 SCOTT DEPOT WV 25560 24659465 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 11 309 11 0 0 3967298 4234116 19218820 20134410 307 316 447906 290623 23634331 24659465 0 0 0 0 15906976 16615109 0 0 0 7558886 7746098 23465862 24361207 168469 298258 6956342 6932648 3125177 2803225 3831165 4129423 THE MISSION OF THE ORGANIZATION IS TO PROVIDE HEALTH CARE THAT FOCUSES ON THE WHOLE PERSON AND BENEFITS THE ENTIRE COMMUNITY. 0 0 19794663 20425033 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. 19794663 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 1 309 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 TERRI DICKERSON CFO 3047576999 97 GREAT TEAYS BLVD SUITE 6 SCOTT DEPOT WV 25560 SUSAN SCOURAS BOARD CHAIR 0.50 X X 0 0 0 STEVE CUNNINGHAM VICE CHAIR 0.50 X X 0 0 0 MIRI HUNTER TREASURER 0.50 X X 0 0 0 A BONITA PERRY-DEAN SECRETARY 0.50 X X 0 0 0 PAULA BEASLEY BOARD MEMBER 0.50 X 0 0 0 LEISHA GIBSON BOARD MEMBER 0.50 X 0 0 0 TIM ICKES BOARD MEMBER 0.50 X 0 0 0 REBECCA RATLIFF BOARD MEMBER 0.00 X 0 0 0 C TODD THOMAS BOARD MEMBER 0.00 X 0 0 0 JULIE PRATT BOARD MEMBER 0.00 X 0 0 0 BONNIE O'HARA BOARD MEMBER 0.50 X 0 0 0 CRAIG GLOVER CEO, EFFECTIVE 2/11/2019 0.00 X 0 0 0 MARTHA CARTER CEO, TERM 3/1/2019 40.00 X 120202 0 11824 FRAN COLEMAN COO 40.00 X 96908 0 11459 TERRI DICKERSON CFO 40.00 X 91335 0 10990 DEVIN CILIBERTI OB/GYN PHYSICIAN 40.00 X 265025 0 26288 FRANCIS HUNTER OB/GYN PHYSICIAN 40.00 X 240239 0 30633 PHILLIP SPANGLER PSYCHIATRIST - MD 40.00 X 259611 0 17534 SANJAY MASILAMANI PSYCHIATRIST - MD 40.00 X 381137 0 26414 LEON RONEN PHYSICIAN 40.00 X 215152 0 17319 1669609 0 152461 31 0 1 0 ATHENA HEALTH INC PO BOX 415615 BOSTON MA 022415615 EHR SYSTEM AND SUPPORT 1363475 MCKESSON 6555 STATE HWY 161 IRVING TX 75039 SUPPLIES 526328 QUINN TECHNOLOGY INC 5300 MACCORKLE AVENUE SOUTH CHARLESTON WV 25309 COMPUTER MAINTENANCE AND SUPPORT 300649 YEAGER LAND PO BOX 462 SCOTT DEPOT WV 25560 RENT 285323 GLAXOSMITHKLINE 5 CRESCENT DRIVE PHILADELPHIA PA 19112 DRUGS 261578 5 3804582 429534 4234116 PATIENT SERVICES 621111 16301815 16301815 PHARMACY INCOME 446110 3343384 3343384 QUALITY CARE INCOME 621111 489211 489211 20134410 316 316 EHR INCENTIVE INCOME 900099 178501 178501 REIMBURSEMENTS 900099 43187 43187 MEDICAL RECORDS INCOME 900099 15308 15308 53627 53627 290623 24659465 20425033 0 316 308445 308445 13237034 10755391 2481643 158281 125678 32603 1990644 1580613 410031 920705 731059 189646 78467 78467 41300 41300 2180290 1932091 248199 81269 81269 230843 230843 64635 48187 16448 1399460 1297167 102293 30959 23081 7878 90719 67634 23085 60879 60879 369021 311506 57515 35062 7524 27538 SUPPLIES 2004028 1987516 16512 BAD DEBTS 377648 377648 MINOR DURABLES 264987 197555 67432 DUES 115364 86007 29357 321167 266006 55161 24361207 19794663 4566544 0 379292 387447 1112088 1985304 22074 2932019 2079908 123986 132035 7749937 5534057 2203957 2215880 10000 10000 195000 100000 6956342 6932648 1665888 1446518 133700 210064 1325589 1146643 3125177 2803225 X 3831165 4129423 3831165 4129423 6956342 6932648 298258 0 X X 0 1 X 1 1 1 X 0.97580 0.00170 SCHEDULE A, PART VI, EXPLANATION OF OTHER INCOME: EHR INCENTIVE INCOME - 2015 AMOUNT: $ 233,751. 2016 AMOUNT: $ 403,544. 2017 AMOUNT: $ 212,500. 2018 AMOUNT: $ 178,501. MISCELLANEOUS - 2014 AMOUNT: $ 22,066. 2015 AMOUNT: $ 4,990. 2016 AMOUNT: $ 9,692. 2017 AMOUNT: $ 115,125. 2018 AMOUNT: $ 53,627. MEDICAID LEGAL SETTLEMENT - 2014 AMOUNT: $ 664,933. EXPENSE REIMBURSEMENTS - 2014 AMOUNT: $ 32,864. 2015 AMOUNT: $ 34,964. 2016 AMOUNT: $ 33,537. 2017 AMOUNT: $ 105,116. 2018 AMOUNT: $ 43,187. 69050 69050 2877043 1521979 1355064 2626222 2085945 540277 2177622 1926133 251489 2215880 X 24281817 0 24281817 377648 377648 24659465 23983559 0 23983559 377648 377648 24361207 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 377,648. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT NETTED AGAINST REVENUE IN FINANCIAL STATEMENTS 377,648. X 0 0 0 0 0 0 0 0 0 DEVIN CILIBERTI OB/GYN PHYSICIAN 265025 0 0 0 0 0 18500 0 7788 0 291313 0 0 0 FRANCIS HUNTER OB/GYN PHYSICIAN 240239 0 0 0 0 0 21949 0 8684 0 270872 0 0 0 PHILLIP SPANGLER PSYCHIATRIST - MD 259611 0 0 0 0 0 9620 0 7914 0 277145 0 0 0 SANJAY MASILAMANI PSYCHIATRIST - MD 381137 0 0 0 0 0 18500 0 7914 0 407551 0 0 0 LEON RONEN PHYSICIAN 215152 0 0 0 0 0 17319 0 0 0 232471 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 FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR SELECTION OF THE INDEPENDENT AUDITOR AND OVERSIGHT OF THE AUDIT PROCESS. THIS HAS NOT CHANGED FROM PRIOR YEAR.