PRESIDENT/CEO

2012-09-28T13:56:03-05:00 2011-12-31 381357951 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2011-01-01 237107569 FAMILY HEALTH CENTER INC FAMI 2693494257 117 W PATERSON KALAMAZOO MI 49007 DENISE CRAWFORD PRESIDENT/CEO 2693494257 2012-09-27 1 CAROL LALONDE CPA P00181637 2695674500 2011 2016-02-24 21:20:13Z DENISE R CRAWFORD 117 W PATERSON KALAMAZOO MI 49007 18082305 0 X WWW.FHCKZOO.COM X 1971 MI FHC PROVIDES HEALTH CARE TO LOW INCOME, NON-INSURED, UNDERSERVED PATIENTS IN KALAMAZOO COUNTY. 10 10 209 0 0 0 3153359 4771974 11026691 12393891 -9108 1233 444199 915207 14615141 18082305 0 0 0 0 7824773 8837073 0 0 0 4607480 5313863 12432253 14150936 2182888 3931369 10161266 15120487 1533396 2561248 8627870 12559239 PROVIDE QUALITY, COMPREHENSIVE PRIMARY CARE TO ALL IN A SAFE AND WELCOMING ENVIRONMENT. 0 0 11598934 12393891 PROVIDES PRIMARY HEALTH CARE TO LOW INCOME NON INSURED, MEDICALLY UNDERSERVED PATIENTS IN KALAMAZOO COUNTY. 11598934 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 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 0 1 30 0 1 209 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X EILEEN CHIANG 2693494257 117 W PATERSON KALAMAZOO MI 49007 MOSES WALKER CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 KATIE HARRELSON BOARD MEMBER 1.00 X 0 0 0 PAUL SPAUDE BOARD MEMBER 1.00 X 0 0 0 OLLIE CHAMBERS VICE CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 PATRICK TROMAN TREASURER 1.00 X X 0 0 0 KEITH THORNTON BOARD MEMBER 1.00 X 0 0 0 TERESA THRASH SECRETARY 1.00 X X 0 0 0 KHAREN WARFIELD-SHELTON BOARD MEMBER 1.00 X 0 0 0 LORETTA CAIN BOARD MEMBER 1.00 X 0 0 0 ROBIN HALL BOARD MEMBER 1.00 X 0 0 0 KATHY JACKSON INTERIM MEDICAL DIRECTOR 40.00 X 192238 0 12054 DENISE CRAWFORD PRESIDENT & CEO 40.00 X 179470 0 12719 EILEEN CHIANG CHIEF FINANCIAL OFFICER 40.00 X 123252 0 6121 BRIAN YANCEY CHIEF OPERATING OFFICER HIRE: 8/29/11 40.00 X 37731 0 666 MARGUERITE SAITH INTERNAL MEDICINE PHYSICIAN 40.00 X 258956 0 14371 TAMRA MAYNIE MABEN FAMILY MEDICINE PHYSICIAN 40.00 X 200012 0 13137 KENNETH MAYS FAMILY MEDICINE PHYSICIAN 40.00 X 150775 0 6123 AHED ZAYZAFOON INTERNAL MEDICINE PHYSICIAN 40.00 X 219668 0 5777 IAN STEWARD NURSE PRACTITIONER 40.00 X 160245 0 11998 1522347 0 82966 19 0 1 0 0 81667 4430664 259643 4771974 PATIENT SERVICE REVENU 621110 11887966 11887966 HEALTH PLAN INCENTIVES 621400 505925 505925 12393891 1233 1233 MISCELLANEOUS 900099 460975 460975 ADMINISTRATIVE REVENUE 621400 355899 355899 KCHP ENABLING SERVICES 621400 98333 98333 915207 18082305 12393891 0 916440 564251 423733 140518 6845933 5064378 1781555 40942 30287 10655 696964 686059 10905 688983 667983 21000 15501 15501 60805 60805 1310443 1024124 286319 92229 92229 742265 577196 165069 290364 290364 100558 100558 32980 32980 331241 271566 59675 36839 36839 COST OF GOODS SOLD 2105638 2105638 RECRUITMENT 45761 45761 PROFESSIONAL DEVELOPMEN 32277 32277 LICENSES, FEES AND DUES 31048 31048 85914 85914 14150936 11598934 2552002 0 2200 3150 1929939 3171515 340459 1155265 709252 749359 122285 165412 93896 9948 9384838 2087577 4868717 7297261 2094518 2568577 10161266 15120487 1165116 2233969 368280 327279 1533396 2561248 X 8627870 12559239 8627870 12559239 10161266 15120487 3931369 0 X X 0 1 1 X 1 1 X 1815780 1700004 1933867 3153359 4771974 13374984 1815780 1700004 1933867 3153359 4771974 13374984 13374984 33147 32393 1143 27293 1233 95209 365539 331639 779405 444199 915207 2835989 16306182 49330062 0.82020 0.84010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 464275 464275 5230349 1092005 4138344 38932 33312 5620 1544603 962260 582343 2106679 2106679 7297261 COST REPORT SETTLEMENTS RECEIVABLE 2191272 OTHER CURRENT ASSETS 377305 2568577 18082305 14150936 3931369 3931369 18082305 0 18082305 0 18082305 14150936 0 14150936 0 14150936 X X X X 0 0 0 0 0 0 0 0 0 KATHY JACKSON 157347 0 34891 0 0 0 1500 0 10554 0 204292 0 0 0 DENISE CRAWFORD 157520 0 21950 0 0 0 1538 0 11181 0 192189 0 0 0 MARGUERITE SAITH 185000 0 73956 0 0 0 1850 0 12521 0 273327 0 0 0 TAMRA MAYNIE MABEN 163674 0 36338 0 0 0 1600 0 11537 0 213149 0 0 0 KENNETH MAYS 139349 0 11426 0 0 0 0 0 6123 0 156898 0 0 0 AHED ZAYZAFOON 150000 0 69668 0 0 0 0 0 5777 0 225445 0 0 0 IAN STEWARD 83163 0 77082 0 0 0 780 0 11218 0 172243 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE PRESENTED AT THE AUGUST 2012 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE FHC BOARD MEMBERS ARE REQUIRED TO COMPLETE THE 990 BOARD QUESTIONNAIRE ANNUALLY. THE COMPLETED QUESTIONNAIRES ARE FILED AT FAMILY HEALTH CENTER, INC., 117 W. PATERSON, KALAMAZOO, MI 49007. THE CEO AND CFO MONITOR THE BOARD QUESTIONNAIRES FOR POTENTIAL CONFLICTS. IF ANY CONFLICTS ARISE, THE CEO AND BOARD CHAIR WILL REVIEW AND WILL TAKE APPROPRIATE ACTIONS TO HANDLE THE CONFLICT AND THE BOARD MEMBER ABSTAINS FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 FOR THE CEO POSITION, THE BOARD OF DIRECTORS IS INVOLVED IN COMPARING THE CANDIDATE'S CREDENTIALS TO FORMER CEO AND EXPERIENCE. FOR OFFICERS OR KEY EMPLOYEES SUCH AS DIRECTORS, THE DIRECTOR OF HUMAN RESOURCES AND/OR THE CHIEF FINANCIAL OFFICER REVIEW THE DATA FROM NACHC/MPCA AND COMPARE WITH OTHER COMMUNITY HEALTH CENTERS. WE ALSO CONSIDER EXPERIENCE AND REVIEW SIMILAR POSITIONS IN THE ORGANIZATION. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2011. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.