Form 990 for tax year 2022
Filed by FAMILY HEALTH SERVICES OF ERIE COUNTY.
Totals
- Total revenue
- $11,746,577
- Total expenses
- $10,941,907
- Contributions and grants received
- $2,340,636
- Grants paid
- $0
- Program service revenue
- $9,371,212
- Investment income
- $2,140
- Other revenue
- $32,589
- Total assets, end of year
- $12,230,211
- Total liabilities, end of year
- $8,309,382
- Net assets or fund balances, end of year
- $3,920,829
- Program services expenses (Part IX)
- $8,417,468
- Management and general expenses
- $2,481,439
- Fundraising expenses
- $43,000
- Program service expenses (Part III)
- $8,417,468
Program services were 76.9% 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.
-
1e · Government grants (contributions)
$2,203,464
-
1f · All other contributions, gifts and grants
$137,172
-
2a · Program service revenue: PATIENT SERVICES, NET
total $7,987,510 · related or exempt $7,987,510
-
2b · Program service revenue: 340B PROGRAM REVENUE
total $1,286,761 · related or exempt $1,286,761
-
2c · Program service revenue: LEASED EMPLOYEE
total $96,941 · related or exempt $96,941
-
3 · Investment income
total $2,040 · excluded $2,040
-
7a · Gross sales of assets other than inventory
other assets $7,500
-
7b · Less cost or other basis and sales expenses
other assets $7,400
-
7c · Gain or loss
other assets $100
-
7d · Net gain or loss
total $100 · excluded $100
-
8a · Fundraising events: gross income
$1,300
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $1,300 · excluded $1,300
-
11a · Other revenue: MISC. REVENUE-RELATED-990
total $31,289 · related or exempt $31,289
-
11e · Other revenue, total
$31,289
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $423,992 · program services $336,412 · management and general $84,799 · fundraising $2,781
-
7 · Other salaries and wages
total $5,219,274 · program services $4,138,200 · management and general $1,043,855 · fundraising $37,219
-
9 · Other employee benefits
total $1,149,494 · program services $919,596 · management and general $229,898
-
10 · Payroll taxes
total $464,655 · program services $368,724 · management and general $92,931 · fundraising $3,000
-
11b · Fees: legal
total $3,434 · management and general $3,434
-
11c · Fees: accounting
total $36,120 · management and general $36,120
-
11g · Fees: other
total $1,292,777 · program services $867,354 · management and general $425,423
-
12 · Advertising and promotion
total $121,356 · program services $60,678 · management and general $60,678
-
13 · Office expenses
total $233,628 · program services $23,364 · management and general $210,264
-
16 · Occupancy
total $51,631 · program services $38,722 · management and general $12,909
-
17 · Travel
total $37,317 · management and general $37,317
-
19 · Conferences, conventions and meetings
total $44,237 · program services $11,059 · management and general $33,178
-
20 · Interest
total $6,958 · management and general $6,958
-
22 · Depreciation, depletion and amortization
total $675,223 · program services $500,578 · management and general $174,645
-
24a · Other expenses: MEDICAL SUPPLIES
total $733,962 · program services $733,962
-
24b · Other expenses: 340B EXPENSES
total $395,117 · program services $395,117
-
24c · Other expenses: MISCELLANEOUS
total $29,030 · management and general $29,030
-
24d · Other expenses: OUTREACH
total $23,702 · program services $23,702
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $861,973 · end of year $77,749
-
2 · Savings and temporary cash investments
beginning of year $1,008,243 · end of year $500,221
-
3 · Pledges and grants receivable
beginning of year $157,692 · end of year $45,776
-
4 · Accounts receivable
beginning of year $985,702 · end of year $1,914,360
-
9 · Prepaid expenses and deferred charges
beginning of year $7,887 · end of year $8,527
-
10a · Land, buildings and equipment: cost or other basis
$3,180,379
-
10b · Land, buildings and equipment: accumulated depreciation
$272,765
-
10c · Land, buildings and equipment, net
beginning of year $1,367,045 · end of year $2,907,614
-
15 · Other assets
beginning of year $0 · end of year $6,775,964
-
17 · Accounts payable and accrued expenses
beginning of year $1,272,383 · end of year $923,657
-
24 · Unsecured notes and loans payable
end of year $581,193
-
25 · Other liabilities
beginning of year $0 · end of year $6,804,532
-
27 · Net assets without donor restrictions
beginning of year $3,116,159 · end of year $3,920,829
Mission and programs · 2022
Mission
PROVIDE PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH SERVICES TO LOW-INCOME INDIVIDUALS AND TRAIN AND EDUCATE MEDICAL STUDENTS, RESIDENTS, AND OTHER HEALTH PROFESSIONALS.
Activities or mission (Part I)
SEE SCHEDULE O
-
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.
Expenses $8,417,468 · Revenue $9,402,501
As filed on the 2022 return.
Listed in Part VII
-
Brent Burkey MDBRENT BURKEY MD
1ST VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Darrell GantDARRELL GANT
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Jessica KhalediJESSICA KHALEDI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kathy PaceKATHY PACE
2ND VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Wesley PooleWESLEY POOLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Cherie SpraggCHERIE SPRAGG
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Reagan BristolREAGAN BRISTOL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Robert MooreROBERT MOORE
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 1
-
Larry RobinsonLARRY ROBINSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David TatroDAVID TATRO
CEO/CFO
- Total calculated
- $423,992
- From this org
- $389,994
- From related orgs
- $0
- Other
- $33,998
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $389,994
- Bonus
- $0
- Other
- $0
- Deferred
- $26,283
- Nontaxable benefits
- $7,715
- Filer's total
- $423,992
-
Katherine Myerholtz CnpKATHERINE MYERHOLTZ CNP
ASSOCIATE MEDICAL DIRECTOR
- Total calculated
- $168,706
- From this org
- $149,584
- From related orgs
- $0
- Other
- $19,122
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $149,584
- Bonus
- $0
- Other
- $0
- Deferred
- $16,458
- Nontaxable benefits
- $2,664
- Filer's total
- $168,706
-
Mary PetersMARY PETERS
PSYCHIATRIC-MENTAL HEALTH
- Total calculated
- $157,279
- From this org
- $134,997
- From related orgs
- $0
- Other
- $22,282
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $134,997
- Bonus
- $0
- Other
- $0
- Deferred
- $14,350
- Nontaxable benefits
- $7,932
- Filer's total
- $157,279
-
Erin ThompsonERIN THOMPSON
PSYCHIATRIC-MENTAL HEALTH
- Total calculated
- $139,015
- From this org
- $127,296
- From related orgs
- $0
- Other
- $11,719
- Hours/week
- 40
-
Joseph RizkJOSEPH RIZK
DENTAL DIRECTOR
- Total calculated
- $274,505
- From this org
- $254,005
- From related orgs
- $0
- Other
- $20,500
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $254,005
- Bonus
- $0
- Other
- $0
- Deferred
- $20,500
- Nontaxable benefits
- $0
- Filer's total
- $274,505
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
- 2 · Substantiation required before reimbursing expenses
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
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.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411069349301201
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