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Nonprofiteer
← NORTH CENTRAL OHIO FAMILY CARE CENTER INC

Form 990 for tax year 2022

Filed by NORTH CENTRAL OHIO FAMILY CARE CENTER INC.

Totals

Total revenue
$124,379
Total expenses
$216,571
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$124,379
Investment income
$0
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$1,316,575
Net assets or fund balances, end of year
-$1,316,575
Program services expenses (Part IX)
$186,738
Management and general expenses
$29,833
Fundraising expenses
$0
Program service expenses (Part III)
$186,738

Program services were 86.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $124,379 · related or exempt $124,379

Functional expenses

Part IX, the statement of functional expenses.

  • 13 · Office expenses

    total $2,231 · program services $1,921 · management and general $310

  • 16 · Occupancy

    total $16 · program services $14 · management and general $2

  • 24a · Other expenses: SHARED PHYSICIANS

    total $210,863 · program services $181,342 · management and general $29,521

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $2,460 · program services $2,460

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $1,001 · program services $1,001

Balance sheet

Part X, book values.

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,224,383 · end of year $1,316,575

  • 27 · Net assets without donor restrictions

    beginning of year -$1,224,383 · end of year -$1,316,575

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WE SERVE.

  • PROVIDE MEDICAL SERVICE TO OFFICE, HOSPITAL, AND NURSING HOME PATIENTS.

    Expenses $186,738 · Revenue $124,379

As filed on the 2022 return.

Listed in Part VII

  • Jerry Morasko

    PRESIDENT/CEO

    Total calculated
    $747,100
    From this org
    $0
    From related orgs
    $730,265
    Other
    $16,835
    Hours/week
    0.2 + 40.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $665,855 related
    Bonus
    $0 + $64,410 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $16,835 related
    Filer's total
    $0 + $747,100 related

  • D Eric Draime

    TREASURER/CFO

    Total calculated
    $389,906
    From this org
    $0
    From related orgs
    $387,156
    Other
    $2,750
    Hours/week
    0.2 + 40.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,954 related
    Bonus
    $0 + $50,202 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,750 related
    Filer's total
    $0 + $389,906 related

  • Shellie Burgin

    SECRETARY

    Total calculated
    $275,822
    From this org
    $0
    From related orgs
    $273,402
    Other
    $2,420
    Hours/week
    0.2 + 40.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $237,950 related
    Bonus
    $0 + $35,452 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,420 related
    Filer's total
    $0 + $275,822 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3:
NORTH CENTRAL OHIO FAMILY CARE CENTER RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -COMPENSATION COMMITTEE

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • GALION COMMUNITY PAIN MANAGEMENT LLC

    HOSPITAL SUPPORT · OH

  • GALION COMMUNITY VASCULAR SERVICES LLC

    HOSPITAL SUPPORT · OH

  • AMERICAN SURGICAL SPINE SERVICES

    HOSPITAL SUPPORT · OH

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202441369349311214

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