2015-08-26T15:46:23-04:00 2014-12-31 260254161 Tuscan & Company PA 12621 World Plaza Ln Bldg 55 Fort Myers FL 33907 990 2014-01-01 591741273 Family Health Centers of Southwest Florida Inc FAMI 2256 Heitman Street Fort Myers FL 33901 Dr Frank Mazzeo Jr President and C 2392783600 2015-08-10 true Jeffrey M Tuscan P00184439 2393332090 2015-08-26 2014 2016-03-07 17:11:31Z 46609124 false X www.fhcswf.org X 1977 FL The mission of Family Health Centers of Southwest Florida, Inc is to provide high quality health care services accessible to all people, but significantly servicing lower income patients. Family Health Centers is a medicaid provider and a FQHC. 12 12 438 12 0 0 10468563 11030259 28959164 34557498 140452 750331 465437 271036 40033616 46609124 0 0 23623408 26450040 0 0 10173447 12737387 33796855 39187427 6236761 7421697 39094645 48335924 6125181 7944763 32969464 40391161 The mission of Family Health Centers of Southwest Florida, Inc is to provide high quality health care services accessible to all people, but significantly servicing lower income patients. Family Health Centers is a medicaid provider and a FQHC. false false 32709919 34557498 The Organization provided quality medical, dental, and ancilliary services to patients as follows: Medical Services were provided to 55,098 patients with total of 152,757 patient visits. Dental Services were provided to 31,048 patients with a total of 102,671 patient visits. Pharmacy Services were provided to 2,486 patients with a total of 6,325 patient visits. Patients were seen regardless of their ability to pay. A discounted fee schedule is used, based on the Federal Poverty Guidelines, to determine the amount due from qualifying patients. 32709919 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 26 0 438 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true true true FL X X Marie Andress 2392783600 2256 Heitman Street Fort Myers FL 33901 R Lee Golden DirectorPast Chair 0.50 0.00 X 0 0 0 Steve Davis DirectorChairman 2.00 0.00 X X 0 0 0 Lita Gale Laukemper DirectorSecretary 2.00 0.00 X X 0 0 0 Zoila Martinez Director 0.50 0.00 X 0 0 0 James Barfield DirectorTreasurer 2.00 0.00 X X 0 0 0 Twaski Jackson Director 0.50 0.00 X 0 0 0 Fred Schilffarth Director 0.50 0.00 X 0 0 0 Michael Munzert Director 0.50 0.00 X 0 0 0 Leah McCann Director 0.50 0.00 X 0 0 0 Kathleen Simonson Director 0.50 0.00 X 0 0 0 Veronica Culbertson Director 0.50 0.00 X 0 0 0 Doris Bell Director 0.50 0.00 X 0 0 0 Dr Frank Mazzeo Jr PresCEOChief Dental Officer 55.00 0.00 X 575713 0 62441 Dr Jorge Quinonez Chief Medical Officer 45.00 0.00 X 368125 0 47480 Roger Ward Chief Operating Officer 45.00 0.00 X 160911 0 39444 Marie Andress Chief Financial Officer 45.00 0.00 X 196987 0 31992 Teresa Buchanan Chief Admin Officer 45.00 0.00 X 111020 0 25961 Jon Lissack Sr VP FinancialGrants Mgmt 45.00 0.00 X 123794 0 12469 Dr Carlos Alvarado Dentist 40.00 0.00 X 331996 0 27278 Dr Jeffrey Garner Physician 40.00 0.00 X 365972 0 27556 Dr Alexander Gumiroff Physician 40.00 0.00 X 250392 0 24183 Dr Eric Serrano Dentist 40.00 0.00 X 332212 0 20164 Dr Josh Morrow Dentist 40.00 0.00 X 339926 0 14155 John Koehler Chief HR Officer 45.00 0.00 X 156424 0 42790 3313472 0 375913 12 true true false Richard Ellis DDS 17601 Frank Road Alva FL 33920 Contract Dentist 165288 Katrine Farag DMD 12810 Terabella Way Fort Myers FL 33912 Contract Dentist 111381 2 10825055 205204 11030259 Medicaid Net 621110 28531954 28531954 Patient Fees Net 621110 4907450 4907450 Medicaid EHR Incentive 621110 212500 212500 Medicare Net 621110 905594 905594 34557498 750331 706952 43379 8156 8156 8156 8156 Other Revenue 621110 262880 262880 262880 46609124 35535486 0 43379 1692973 1389029 303944 20223887 16593044 3630843 953086 800684 152402 1975809 1659870 315939 1604285 1347754 256531 110140 110140 54695 54695 3110343 2886383 223960 558099 558099 44402 422 43980 1038404 956362 82042 171438 70808 100630 113899 77588 36311 155133 69685 85448 1180720 1002175 178545 194338 126341 67997 Supplies 2084951 1989769 95182 Repairs and Maintenance 1088501 984556 103945 Capital Items less than 5k 1121210 933868 187342 Telecommunications 482455 338548 143907 1228659 924934 303725 39187427 32709919 6477508 0 3744 3785666 15604079 18098723 430457 137522 2605450 3772542 27214 29406 117563 167595 26965833 6143471 19376550 20822362 605440 1073875 324148 448233 39094645 48335924 3097176 3389506 20310 37500 3007695 4517757 6125181 7944763 X 32969464 40388911 2250 32969464 40391161 39094645 48335924 7421697 0 X false true X true true true X 31272781 37548533 38795839 39427727 45587757 192632637 31272781 37548533 38795839 39427727 45587757 192632637 6212546 186420091 93039 63321 68902 51152 43379 319793 192952430 0.96610 0.99820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3112548 3112548 19899742 4045648 15854094 1716809 591780 1125029 2099402 1506043 593359 137332 137332 20822362 Prestige Health Choice LLC 748875 C Health Choice Care LLC 325000 C 1073875 457b 457f Deferred Comp Plans 448233 448233 X 46645124 36000 36000 46609124 46609124 39223427 36000 36000 39187427 39187427 Footnote for uncertain tax position under FIN 48 (Part X) Family Health Centers is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Family Health Centers is not classified as a private foundation within the meaning of Section 509(a) of the Code.The Internal Revenue Code provides for taxation of unrelated business income under certain circumstances. Family Health Centers reports no unrelated business taxable income; however, such status is subject to final determination upon examination of the related tax returns by the appropriate taxing authorities. The informational tax returns (Form 990) for the prior three fiscal years remain open for examination. X X X false false false false false false false false false Dr Frank Mazzeo Jr PresCEOChief Dental Officer 474741 100000 972 48529 13912 638154 Dr Jorge Quinonez Chief Medical Officer 332900 35000 225 29519 17961 415605 Roger Ward Chief Operating Officer 140445 20000 466 23032 16412 200355 John Koehler Chief HR Officer 146072 10000 352 27291 15499 199214 Marie Andress Chief Financial Officer 161400 35000 587 24686 7306 228979 Dr Carlos Alvarado Dentist 331942 54 13000 14278 359274 Dr Jeffrey Garner Physician 308017 56050 1905 12219 15337 393528 Dr Alexander Gumiroff Physician 230272 20000 120 5485 18698 274575 Dr Eric Serrano Dentist 332174 38 13000 7164 352376 Dr Josh Morrow Dentist 339897 29 9149 5006 354081 Form 990 governing body review Part VI line 11 The Finance Committee reviews the tax return. The tax return is then reviewed and approved by the full Board of Directors. Conflict of interest policy compliance Part VI line 12c The Organization annually reaffirms the written conflict of interest policy. CEO executive director top management comp Part VI line 15a The Board of Directors gather data from similar organizations and salary surveys to determine comparable executive compensation for the CEO. Other officer or key employee compensation Part VI line 15b Board gathers data from similar organizations and salary surveys to determine comparable executive compensation. Governing documents etc available to public Part VI line 19 The governing documents, conflict of interest policy and financial statements are available upon request. The financial statements are also available to the public (via Form 990) on a third-party website.