PRESIDENT/CEO

2011-08-09T15:03:15-05:00 2010-12-31 PLANTE & MORAN PLLC 750 TRADE CENTRE WAY STE 300 PORTAGE MI 49002 990 2010-01-01 237107569 FAMILY HEALTH CENTER INC FAMI 2693494257 117 W PATERSON KALAMAZOO MI 49007 DENISE CRAWFORD PRESIDENT/CEO 2693494257 2011-08-03 1 CAROL LALONDE CPA 2695674500 2010 2016-02-24 21:20:13Z DENISE R CRAWFORD 117 W PATERSON KALAMAZOO MI 49007 14651543 0 X WWW.FHCKZOO.COM X 1971 MI FHC PROVIDES HEALTH CARE TO LOW INCOME, NON-INSURED, UNDERSERVED PATIENTS IN KALAMAZOO COUNTY. 10 10 178 22 0 0 1933867 3153359 9338877 11026691 401143 -9108 486524 444199 12160411 14615141 0 0 0 0 7444144 7824773 0 0 0 4464800 4607480 11908944 12432253 251467 2182888 7558371 10161266 1113389 1533396 6444982 8627870 PROVIDE QUALITY, COMPREHENSIVE PRIMARY CARE TO ALL IN A SAFE AND WELCOMING ENVIRONMENT. 0 0 10096223 11026691 PROVIDES PRIMARY HEALTH CARE TO LOW INCOME NON INSURED, MEDICALLY UNDERSERVED PATIENTS IN KALAMAZOO COUNTY. 10096223 1 1 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 1 0 0 0 0 0 0 0 0 0 1 21 0 1 178 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 BOARD MEMBER 1.00 X 0 0 0 BOB DOUD CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 EDWARD MILLERMAIER MD VICE CHAIRMAN OF THE BOARD 1.00 X X 0 0 0 OLLIE CHAMBERS BOARD MEMBER 1.00 X 0 0 0 PATRICK TROMAN BOARD MEMBER 1.00 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 TIMOTHY MALLETT PHARMACY DIRECTOR 40.00 X 153096 0 11954 KATHY JACKSON INTERIM MEDICAL DIRECTOR 40.00 X 177476 0 8613 ADRIENNE GRIMMETT DDS DENTAL DIRECTOR 40.00 X 152500 0 5974 DENISE CRAWFORD PRESIDENT & CEO 40.00 X 170109 0 5943 EILEEN CHIANG CHIEF FINANCIAL OFFICER 40.00 X 109998 0 4783 MANOJ PRASAD CHIEF OPERATING OFFICER 40.00 X 118638 0 9875 MARGUERITE SAITH PHYSICIAN - INTERNAL 40.00 X 307883 0 12652 TAMRA MAYNIE MABEN PHYSICIAN - FAMILY 40.00 X 199330 0 12345 KENNETH MAYS PHYSICIAN - FAMILY 40.00 X 164279 0 4978 LAWRENCE ABRAMSON PHYSICIAN - INTERNAL 40.00 X 143243 0 2194 IAN STEWARD NURSE PRACTITIONER 40.00 X 129598 0 11267 1826150 0 90578 16 0 1 0 0 80000 3073359 489019 3153359 PATIENT SERVICE REVENU 621110 10724030 10724030 HEALTH PLAN INCENTIVES 621400 302661 302661 11026691 2513 2513 24781 36402 -11621 -11621 -11621 ADMINISTRATIVE REVENUE 621400 330876 330876 KCHP ENABLING SERVICES 621400 100000 100000 MISCELLANEOUS 900099 13323 13323 444199 14615141 11026691 0 435091 928960 695396 233564 5657621 4169502 1488119 42000 40557 1443 660911 638200 22711 535281 516887 18394 5640 5640 28360 28360 49058 49058 1071014 750553 320461 36461 36461 715119 604848 110271 312378 312378 80424 80424 39622 39622 309071 251062 58009 26746 26746 COST OF GOODS SOLD 1779895 1779895 MISCELLANEOUS 42686 42686 RECRUITMENT 30958 30958 PROFESSIONAL DEVELOPMEN 25469 25469 EMPLOYEE RELATIONS 24108 24108 30471 30471 12432253 10096223 2336030 0 2200 2200 788305 1929939 211508 340459 1026332 709252 136601 122285 11038 93896 6625053 1756336 4265085 4868717 1117302 2094518 7558371 10161266 733017 1165116 380372 368280 1113389 1533396 X 6444982 8627870 6444982 8627870 7558371 10161266 2182888 X X 0 1 1 X 1 1 X 2169761 1815780 1700004 1933867 3153359 10772771 2169761 1815780 1700004 1933867 3153359 10772771 10772771 35453 33147 32393 1143 27293 129429 365539 331639 779405 444199 1920782 12822982 44672476 0.84010 0.83550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 135311 135311 4866923 967426 3899497 1206874 766838 440036 415945 22072 393873 4868717 COST REPORT SETTLEMENTS RECEIVABLE 2064497 OTHER CURRENT ASSETS 30021 2094518 14615141 12432253 2182888 0 2182888 14615141 0 14615141 0 14615141 12432253 0 12432253 0 12432253 X X X 0 0 0 0 0 0 0 0 0 TIMOTHY MALLETT 153096 0 0 0 0 0 0 0 11954 0 165050 0 0 0 KATHY JACKSON 153915 0 23561 0 0 0 0 0 8613 0 186089 0 0 0 ADRIENNE GRIMMETT DDS 152000 0 500 0 0 0 0 0 5974 0 158474 0 0 0 DENISE CRAWFORD 153159 0 16950 0 0 0 0 0 5943 0 176052 0 0 0 MARGUERITE SAITH 184846 0 123037 0 0 0 0 0 12652 0 320535 0 0 0 TAMRA MAYNIE MABEN 159969 0 39361 0 0 0 0 0 12345 0 211675 0 0 0 KENNETH MAYS 164279 0 0 0 0 0 0 0 4978 0 169257 0 0 0 X 1 489019 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE PRESENTED AT THE AUGUST 2011 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. 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.