FAMILY HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTER INC (EIN 23-7107569)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-09
IRS object ID
201142219349300904
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-09T15:03:15-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1750 TRADE CENTRE WAY STE 300AddressLine1
CityPORTAGECity
StateMIState
ZIP Code49002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237107569EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone2693494257Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 W PATERSONAddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENISE CRAWFORDName
TitlePRESIDENT/CEOTitle
Phone2693494257Phone
Date Signed2011-08-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCAROL LALONDE CPAName
Phone2695674500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENISE R CRAWFORDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1117 W PATERSONAddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14651543GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FHCKZOO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileMIStateLegalDomicile
Activity Or Mission DescriptionFHC PROVIDES HEALTH CARE TO LOW INCOME, NON-INSURED, UNDERSERVED PATIENTS IN KALAMAZOO COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees178TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1933867ContributionsGrantsPriorYear
Contributions Grants Current Year3153359ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9338877ProgramServiceRevenuePriorYear
Program Service Revenue CY11026691ProgramServiceRevenueCY
Investment Income Prior Year401143InvestmentIncomePriorYear
Investment Income Current Year-9108InvestmentIncomeCurrentYear
Other Revenue Prior Year486524OtherRevenuePriorYear
Other Revenue Current Year444199OtherRevenueCurrentYear
Total Revenue Prior Year12160411TotalRevenuePriorYear
Total Revenue Current Year14615141TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7444144SalariesEtcPriorYear
Salaries Etc Current Year7824773SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4464800OtherExpensePriorYear
Other Expenses Current Year4607480OtherExpensesCurrentYear
Total Expenses Prior Year11908944TotalExpensesPriorYear
Total Expenses Current Year12432253TotalExpensesCurrentYear
Revenues Less Expenses Prior Year251467RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2182888RevenuesLessExpensesCY
Total Assets BOY7558371TotalAssetsBOY
Total Assets EOY10161266TotalAssetsEOY
Total Liabilities BOY1113389TotalLiabilitiesBOY
Total Liabilities EOY1533396TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6444982NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8627870NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE QUALITY, COMPREHENSIVE PRIMARY CARE TO ALL IN A SAFE AND WELCOMING ENVIRONMENT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10096223Expense
Revenue11026691Revenue
DescriptionPROVIDES PRIMARY HEALTH CARE TO LOW INCOME NON INSURED, MEDICALLY UNDERSERVED PATIENTS IN KALAMAZOO COUNTY.Description
Total Program Service Expense10096223TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees178NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EILEEN CHIANGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2693494257TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1117 W PATERSONAddressLine1
CityKALAMAZOOCity
StateMIState
ZIP Code49007ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MOSES WALKER
BOARD MEMBER1.00X000
BOB DOUD
CHAIRMAN OF THE BOARD1.00X000X
EDWARD MILLERMAIER MD
VICE CHAIRMAN OF THE BOARD1.00X000X
OLLIE CHAMBERS
BOARD MEMBER1.00X000
PATRICK TROMAN
BOARD MEMBER1.00X000
KEITH THORNTON
BOARD MEMBER1.00X000
TERESA THRASH
SECRETARY1.00X000X
KHAREN WARFIELD-SHELTON
BOARD MEMBER1.00X000
LORETTA CAIN
BOARD MEMBER1.00X000
ROBIN HALL
BOARD MEMBER1.00X000
TIMOTHY MALLETT
PHARMACY DIRECTOR40.00153096011954X
KATHY JACKSON
INTERIM MEDICAL DIRECTOR40.0017747608613X
ADRIENNE GRIMMETT DDS
DENTAL DIRECTOR40.0015250005974X
DENISE CRAWFORD
PRESIDENT & CEO40.0017010905943X
EILEEN CHIANG
CHIEF FINANCIAL OFFICER40.0010999804783X
MANOJ PRASAD
CHIEF OPERATING OFFICER40.0011863809875X
MARGUERITE SAITH
PHYSICIAN - INTERNAL40.00307883012652X
TAMRA MAYNIE MABEN
PHYSICIAN - FAMILY40.00199330012345X
KENNETH MAYS
PHYSICIAN - FAMILY40.0016427904978X
LAWRENCE ABRAMSON
PHYSICIAN - INTERNAL40.0014324302194X
IAN STEWARD
NURSE PRACTITIONER40.00129598011267X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1826150TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation90578TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns80000FederatedCampaigns
Government Grants3073359GovernmentGrants
Noncash Contributions489019NoncashContributions
Total Contributions3153359TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU6211101072403010724030
HEALTH PLAN INCENTIVES621400302661302661
FieldValueIRS element (for citing)
Total Program Service Revenue11026691TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2513TotalRevenueColumn
Exclusion$2,513ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other24781Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other36402Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-11621Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11621TotalRevenueColumn
Exclusion-$11,621ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ADMINISTRATIVE REVENUE621400330876$330,876
KCHP ENABLING SERVICES621400100000$100,000
MISCELLANEOUS90009913323$13,323
FieldValueIRS element (for citing)
Total Other Revenue444199TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14615141TotalRevenueColumn
Related Or Exempt Function Income11026691RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$435,091ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total928960Total
Program Services695396ProgramServices
Management And General233564ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5657621Total
Program Services4169502ProgramServices
Management And General1488119ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total42000Total
Program Services40557ProgramServices
Management And General1443ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total660911Total
Program Services638200ProgramServices
Management And General22711ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total535281Total
Program Services516887ProgramServices
Management And General18394ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5640Total
Management And General5640ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28360Total
Management And General28360ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total49058Total
Management And General49058ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1071014Total
Program Services750553ProgramServices
Management And General320461ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36461Total
Program Services36461ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total715119Total
Program Services604848ProgramServices
Management And General110271ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total312378Total
Program Services312378ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total80424Total
Program Services80424ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total39622Total
Program Services39622ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total309071Total
Program Services251062ProgramServices
Management And General58009ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26746Total
Program Services26746ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
COST OF GOODS SOLD17798951779895
MISCELLANEOUS4268642686
RECRUITMENT3095830958
PROFESSIONAL DEVELOPMEN2546925469
EMPLOYEE RELATIONS2410824108

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30471Total
Program Services30471ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12432253Total
Program Services10096223ProgramServices
Management And General2336030ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2200BOY
EOY2200EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY788305BOY
EOY1929939EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY211508BOY
EOY340459EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1026332BOY
EOY709252EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY136601BOY
EOY122285EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11038BOY
EOY93896EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6625053LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1756336LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4265085BOY
EOY4868717EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1117302BOY
EOY2094518EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7558371BOY
EOY10161266EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY733017BOY
EOY1165116EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY380372BOY
EOY368280EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1113389BOY
EOY1533396EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6444982BOY
EOY8627870EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6444982BOY
EOY8627870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7558371BOY
EOY10161266EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2182888ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2169761CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1815780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1700004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1933867CurrentTaxYearMinus1Year
Current Tax Year3153359CurrentTaxYear
Total10772771Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2169761CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1815780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1700004CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1933867CurrentTaxYearMinus1Year
Current Tax Year3153359CurrentTaxYear
Total10772771Total
FieldValueIRS element (for citing)
Public Support Total17010772771PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33147CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32393CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1143CurrentTaxYearMinus1Year
Current Tax Year27293CurrentTaxYear
Total129429Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years365539CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years331639CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year779405CurrentTaxYearMinus1Year
Current Tax Year444199CurrentTaxYear
Total1920782Total
FieldValueIRS element (for citing)
Total Support12822982TotalSupport
Gross Receipts From Admissions Etc44672476GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.84010PublicSupportPertcentage170
Public Support Pertcent Prior Year0.83550PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis135311OtherCostOrOtherBasis
Book Value135311BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4866923OtherCostOrOtherBasis
Depreciation967426Depreciation
Book Value3899497BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1206874OtherCostOrOtherBasis
Depreciation766838Depreciation
Book Value440036BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis415945OtherCostOrOtherBasis
Depreciation22072Depreciation
Book Value393873BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4868717TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
COST REPORT SETTLEMENTS RECEIVABLE2064497
OTHER CURRENT ASSETS30021
FieldValueIRS element (for citing)
Total Book Value Other Assets2094518TotalBookValueOtherAssets
Total Revenue14615141TotalRevenue
Total Expenses12432253TotalExpenses
Excess Or Deficit For Year2182888ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS2182888ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14615141TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal14615141RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99014615141TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12432253TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12432253ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012432253TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIMOTHY MALLETT
1530960000000119540165050000
KATHY JACKSON
1539150235610000086130186089000
ADRIENNE GRIMMETT DDS
15200005000000059740158474000
DENISE CRAWFORD
1531590169500000059430176052000
MARGUERITE SAITH
184846012303700000126520320535000
TAMRA MAYNIE MABEN
15996903936100000123450211675000
KENNETH MAYS
164279000000049780169257000

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990489019NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE PRESENTED AT THE AUGUST 2011 BOARD MEETING.
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.FORM 990, PART VI, SECTION B, LINE 12C
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.FORM 990, PART VI, SECTION B, LINE 15
DOCUMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.FORM 990, PART XI, LINE 2C

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.