2024-04-15T09:40:31-05:00 2023-05-31 341310124 REA & ASSOCIATES INC 5400 FRANTZ RD SUITE 200 DUBLIN OH 430173224 990 2022-06-01 263607741 FAMILY HEALTH SERVICES OF ERIE COUNTY FAMI 4195022800 1912 HAYES AVENUE SANDUSKY OH 44870 DAVID TATRO CEO/CFO 4195022800 2024-04-15 1 DAVID TATRO 999009999 1 MELISSA DUNKLE CPA P01380769 6148898725 2024-04-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z FAMILY HEALTH SERVICES LLC DAVID TATRO 1912 HAYES AVENUE SANDUSKY OH 44870 11753977 0 X WWW.FAMILYHS.ORG X 2008 OH SEE SCHEDULE O 10 10 116 0 0 0 1916158 2340636 6658199 9371212 818 2140 15057 32589 8590232 11746577 0 0 0 0 5291615 7257415 0 0 43000 2459015 3684492 7750630 10941907 839602 804670 4388542 12230211 1272383 8309382 3116159 3920829 PROVIDE PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH SERVICES TO LOW-INCOME INDIVIDUALS AND TRAIN AND EDUCATE MEDICAL STUDENTS, RESIDENTS, AND OTHER HEALTH PROFESSIONALS. 0 0 8417468 9402501 FHSEC PROVIDES PRIMARY HEALTHCARE TO THE RESIDENTS OF ERIE, OTTAWA, AND HURON COUNTIES REGARDLESS OF THEIR ABILITY TO PAY BY USING FEDERAL POVERTY GUIDELINES APPLIED ON A SLIDING SCALE FEE. ACCESS TO HEALTHCARE WILL BE INCREASED FOR THE UNDER-INSURED, UNINSURED, AND THOSE LIVING IN POVERTY. FHSEC ALSO EDUCATES AND TRAINS MEDICAL RESIDENTS, STUDENTS, NURSE PRACTITIONERS, MEDICAL ASSISTANTS AND OTHER HEALTH PROFESSIONALS. 8417468 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 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 22 0 1 116 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 0 1 0 1 1 0 OH X DAVID TATRO 4195022822 1912 HAYES AVENUE SANDUSKY OH 44870 BRENT BURKEY MD 1ST VICE PRESIDENT 1.00 X X 0 0 0 DARRELL GANT TREASURER 1.00 X X 0 0 0 JESSICA KHALEDI DIRECTOR 1.00 X 0 0 0 KATHY PACE 2ND VICE PRESIDENT 1.00 X X 0 0 0 WESLEY POOLE DIRECTOR 1.00 X 0 0 0 CHERIE SPRAGG SECRETARY 1.00 X X 0 0 0 REAGAN BRISTOL DIRECTOR 1.00 X 0 0 0 ROBERT MOORE CHAIRMAN 1.00 X X 0 0 0 LARRY ROBINSON DIRECTOR 1.00 X 0 0 0 DAVID TATRO CEO/CFO 40.00 X 389994 0 33998 KATHERINE MYERHOLTZ CNP ASSOCIATE MEDICAL DIRECTOR 40.00 X 149584 0 19122 MARY PETERS PSYCHIATRIC-MENTAL HEALTH 40.00 X 134997 0 22282 ERIN THOMPSON PSYCHIATRIC-MENTAL HEALTH 40.00 X 127296 0 11719 JOSEPH RIZK DENTAL DIRECTOR 40.00 X 254005 0 20500 1055876 0 107621 5 0 1 0 0 2203464 137172 2340636 PATIENT SERVICES, NET 624100 7987510 7987510 340B PROGRAM REVENUE 624100 1286761 1286761 LEASED EMPLOYEE 624100 96941 96941 9371212 2040 2040 7500 7400 100 100 100 1300 0 1300 1300 MISC. REVENUE-RELATED-990 900099 31289 31289 31289 11746577 9402501 0 3440 X 423992 336412 84799 2781 5219274 4138200 1043855 37219 1149494 919596 229898 464655 368724 92931 3000 3434 3434 36120 36120 1292777 867354 425423 121356 60678 60678 233628 23364 210264 51631 38722 12909 37317 37317 44237 11059 33178 6958 6958 675223 500578 174645 MEDICAL SUPPLIES 733962 733962 340B EXPENSES 395117 395117 MISCELLANEOUS 29030 29030 OUTREACH 23702 23702 10941907 8417468 2481439 43000 861973 77749 1008243 500221 157692 45776 985702 1914360 7887 8527 3180379 272765 1367045 2907614 0 6775964 4388542 12230211 1272383 923657 581193 0 6804532 1272383 8309382 X 3116159 3920829 3116159 3920829 4388542 12230211 804670 0 X X 0 1 X 1 1 1 X 1363352 1542205 2106227 1916160 2340635 9268579 3616381 2424531 4229608 6673256 9402502 26346278 4979733 3966736 6335835 8589416 11743137 35614857 0 0 0 35614857 160 217 890 818 2040 4125 160 217 890 818 2040 4125 4979893 3966953 6336725 8590234 11745177 35618982 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36084 36084 414976 12680 402296 1127827 123147 1004680 1601492 136938 1464554 2907614 RIGHT OF USE ASSET - OPERATING 6753931 RIGHT OF USE ASSET - FINANCE 22033 6775964 CURRENT LEASE LIABILITY - OPERATING 292353 CURRENT LEASE LIABILITY - FINANCE 9309 CURRENT PORTION LTD 12839 LEASE LIABILITY - OPERATING 6477008 LEASE LIABILITY - FINANCE 13023 6804532 X 11746577 0 11746577 0 11746577 10941907 0 10941907 0 10941907 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL, STATE, AND CITY INCOME TAXES DERIVED PRINCIPALLY BY IT BEING CLASSIFIED AS A 501(C)(3) ORGANIZATION IN THE INTERNAL REVENUE CODE. HOWEVER, THE ORGANIZATION MAY BE SUBJECTED TO TAX ON UNRELATED BUSINESS INCOME. FOR THE YEAR ENDED MAY 31, 2023, THE ORGANIZATION EARNED NO UNRELATED BUSINESS INCOME. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED WITHIN THE FINANCIAL STATEMENTS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRED THE ORGANIZATION TO EVALUATE THE LEVEL OF UNCERTAINTY RELATED TO WHETHER TAX POSITIONS TAKEN WILL BE SUSTAINED UPON EXAMINATION. ANY POSITIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD MUST BE QUANTIFIED AND RECORDED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING STATEMENT OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. MANAGEMENT BELIEVES THAT NONE OF THE TAX POSITIONS TAKEN WOULD MATERIALLY IMPACT THE FINANCIAL STATEMENTS AND NO SUCH LIABILITES HAVE BEEN RECORDED. 1 0 0 0 0 0 0 0 0 0 DAVID TATRO CEO/CFO 389994 0 0 0 0 0 26283 0 7715 0 423992 0 0 0 JOSEPH RIZK DENTAL DIRECTOR 254005 0 0 0 0 0 20500 0 0 0 274505 0 0 0 KATHERINE MYERHOLTZ CNP ASSOCIATE MEDICAL DIRECTOR 149584 0 0 0 0 0 16458 0 2664 0 168706 0 0 0 MARY PETERS PSYCHIATRIC-MENTAL HEALTH 134997 0 0 0 0 0 14350 0 7932 0 157279 0 0 0 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: PROVIDE QUALITY HEALTHCARE SERVICES WITHOUT FINANCIAL BARRIERS AND TRAIN THE MEDICAL PROVIDERS OF TOMORROW. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. A COPY OF THIS FORM IS PROVIDED TO THE BOARD OF DIRECTORS TO REVIEW BEFORE FILING. ONCE THE BOARD OF DIRECTORS HAS APPROVED OF THE FORM 990, IT IS FILED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PROCESS FOR OFFICERS AND OTHER KEY EMPLOYEES OF THE ORGANIZATION ARE REVIEWED ANNUALLY. THE PAY RATE IS BASED ON THE DIRECTOR'S PERFORMANCE EVALUATION AND THEN APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT FEES: PROGRAM SERVICE EXPENSES 867,354. MANAGEMENT AND GENERAL EXPENSES 216,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,084,193. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,935. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 181,649. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 181,649. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM PRIOR YEAR.