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Nonprofiteer
← ALLIANCE FAMILY HEALTH CENTER INC

Form 990 for tax year 2022

Filed by ALLIANCE FAMILY HEALTH CENTER INC.

Totals

Total revenue
$3,318,248
Total expenses
$3,080,912
Contributions and grants received
$1,380,237
Grants paid
$0
Program service revenue
$1,935,713
Investment income
$1,794
Other revenue
$504
Total assets, end of year
$1,897,321
Total liabilities, end of year
$864,049
Net assets or fund balances, end of year
$1,033,272
Program services expenses (Part IX)
$2,703,253
Management and general expenses
$377,659
Fundraising expenses
$0
Program service expenses (Part III)
$2,703,253

Program services were 87.7% 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)

    $833,441

  • 1f · All other contributions, gifts and grants

    $546,796

  • 2a · Program service revenue: Net Patient Service Revenue

    total $1,904,346 · related or exempt $1,904,346

  • 2b · Program service revenue: Other

    total $7,844 · related or exempt $7,844

  • 2c · Program service revenue: Incentive Payments

    total $23,523 · related or exempt $23,523

  • 3 · Investment income

    total $1,794 · excluded $1,794

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $504

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $504 · excluded $504

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $264,428 · program services $231,342 · management and general $33,086

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $1,263,680 · program services $1,105,563 · management and general $158,117

  • 8 · Pension plan contributions

    total $37,157 · program services $32,508 · management and general $4,649

  • 9 · Other employee benefits

    total $118,138 · program services $103,356 · management and general $14,782

  • 10 · Payroll taxes

    total $110,822 · program services $96,956 · management and general $13,866

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $13,233 · program services $11,577 · management and general $1,656

  • 11c · Fees: accounting

    total $15,600 · program services $13,648 · management and general $1,952

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $859,487 · program services $751,945 · management and general $107,542 · fundraising $0

  • 12 · Advertising and promotion

    total $7,246 · program services $6,339 · management and general $907

  • 13 · Office expenses

    total $97,437 · program services $87,787 · management and general $9,650

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $158,817 · program services $138,945 · management and general $19,872

  • 17 · Travel

    total $1,240 · program services $1,085 · management and general $155

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $40 · program services $35 · management and general $5

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $19,312 · program services $16,898 · management and general $2,414

  • 23 · Insurance

    total $13,232 · program services $9,032 · management and general $4,200

  • 24a · Other expenses: Medical Supplies & Drugs

    total $62,633 · program services $62,633

  • 24b · Other expenses: MINOR EQUIPMENT

    total $17,901 · program services $15,661 · management and general $2,240

  • 24c · Other expenses: Dues & Subscriptions

    total $3,231 · program services $2,827 · management and general $404

  • 24d · Other expenses: All other expenses

    total $17,278 · program services $15,116 · management and general $2,162

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $739,531 · end of year $871,773

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $6,878

  • 4 · Accounts receivable

    beginning of year $268,225 · end of year $277,180

  • 5 · Loans and receivables from officers and key people

    beginning of year $11,625 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $12,500 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $51,985 · end of year $42,816

  • 10a · Land, buildings and equipment: cost or other basis

    $111,897

  • 10b · Land, buildings and equipment: accumulated depreciation

    $68,125

  • 10c · Land, buildings and equipment, net

    beginning of year $42,855 · end of year $43,772

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $654,902

  • 17 · Accounts payable and accrued expenses

    beginning of year $170,701 · end of year $137,009

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $160,084 · end of year $65,989

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $661,051

  • 27 · Net assets without donor restrictions

    beginning of year $795,936 · end of year $733,272

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $300,000

Mission and programs · 2022

Mission

ALLIANCE FAMILY HEALTH CENTER'S (AFHC) MISSION IS TO BE A PROGRESSIVE AND ADAPTIVE HEALTH CARE TEAM PROVIDING INCLUSIVE PERSON-CENTERED HIGH-QUALITY CARE.

Activities or mission (Part I)

ALLIANCE FAMILY HEALTH CENTER PROVIDES QUALITY, AFFORDABLE HEALTH CARE AND PROMOTES HEALTH, EDUCATION, AND ACCESS TO SUCH CARE.

  • AFHC ASPIRES TO BE A WELCOMING, PROGRESSIVE PREMIER HEALTH, EDUCATION, AND WELLNESS ANCHOR FOR THE GREATER ALLIANCE COMMUNITY. AFHC IS A PRACTICE OF PHYSICIANS, NURSE PRACTITIONERS, NURSE MIDWIVES, LICENSED SOCIAL WORKERS, PHYSICIAN ASSISTANTS, NURSES, REFERRAL, AND FINANCIAL ELIGIBILITY SPECIALISTS SERVING ALLIANCE AND THE SURROUNDING COMMUNITIES. FROM FULL-SCOPE PRIMARY CARE, INCLUDING MATERNAL AND INFANT HEALTH SERVICES, GYNECOLOGICAL, PEDIATRICS, ADOLESCENT, ADULT, AND GERIATRIC-FOCUSED CARE AS WELL AS AN ONSITE LAB, RADIOLOGY, IMMUNIZATIONS, DISEASE SCREENINGS, PRESCRIPTION ASSISTANT PROGRAMS AND PREVENTIVE CARE, AFHC LOOKS TO SERVE AS A BEACON OF HEALTH AND WELLNESS TO THE COMMUNITY IN WHICH IT SERVES AND OFFERS IMPORTANT ANCILLARY SERVICES TO PATIENTS, INCLUDING CASE MANAGEMENT, MEDICAL REFERRALS, OUTREACH AND EDUCATION, ENROLLMENT, AND TRANSPORTATION. THE CARE MODEL IS DELIVERED WITH ACCESS TO A FULL CONTINUUM OF PROGRAMS INCLUDING HEALTH EDUCATION, CARE AND DISEASE MANAGEMENT, AND WOMEN AND CHILDREN'S LIFECYCLE NEEDS, FOCUSING ON TREATMENT AND PREVENTION OF THE DISEASES. AFHC'S SECONDARY LOCATION, LOCATED WITHIN THE MASTROIANNI FAMILY CENTER (A HOMELESS SHELTER), CONTINUED TO SERVE SOME OF THE COMMUNITY'S MOST VULNERABLE POPULATION, PROVIDING PRIMARY AND PREVENTIVE MEDICAL CARE AND LABORATORY SERVICES ONE DAY PER WEEK. AFHC'S WOMEN'S HEALTH PRACTICE INCLUDED 8,023 PATIENT VISITS IN 2022 AND SERVICES FOR 214 BIRTHS. PATIENT VISITS FOR AFHC'S PRIMARY CARE IN 2022 TOTALED 5,308. OUR NEW INTEGRATED BEHAVIORAL HEALTH PROGRAM INCLUDED 482 PATIENT VISITS IN 2022. AFHC OFFERS EVENING HOURS TO ACCOMMODATE ACCESSIBLE COMMUNITY HEALTH, INCLUDING SAME DAY, NEXT DAY APPOINTMENTS AND WALK-IN APPOINTMENTS. AFHC OFFERS A SLIDING FEE DISCOUNT PROGRAM AND AFHC'S FINANCIAL ELIGIBILITY SPECIALISTS ARE AVAILABLE TO ASSIST PATIENTS WITH THE SCREENING PROCESS, WITH AN EMPHASIS ON CARING FOR OUR LOCAL UNDERSERVED POPULATION. MEDICAID ACCOUNTS FOR MORE THAN 50% OF AFHC'S PATIENT VOLUMES. ADDITIONALLY, AFHC OFFERS A SLIDING SCALE DISCOUNT PROGRAM, WHICH PROVIDED CHARITY CARE DISCOUNTS OF $23,305 IN 2022. THE ORGANIZATION ALSO WROTE OFF BAD DEBTS OF $61,055. AFHC'S DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE WAS EFFECTIVE 10/1/2018. AFHC CONTINUES TO EXPAND PROGRAM SERVICES TO MEET THE NEEDS OF THE COMMUNITY AND SURROUNDING AREA. THE STAFF ALSO ACTIVELY PARTICIPATES ON COMMUNITY BOARDS TO STAY UP TO DATE WITH OUR COMMUNITY'S NEEDS.

    Expenses $2,703,253 · Revenue $1,935,713

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Yu Han Lee

    PHYSICIAN

    Total calculated
    $223,178
    From this org
    $215,618
    From related orgs
    $0
    Other
    $7,560
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,002
    Bonus
    $18,616
    Other
    $0
    Deferred
    $7,560
    Nontaxable benefits
    $0
    Filer's total
    $223,178

  • Amelia Kocher

    EXECUTIVE DIRECTOR

    Total calculated
    $141,647
    From this org
    $136,645
    From related orgs
    $0
    Other
    $5,002
    Hours/week
    40

  • Amanda Nelson

    CHIEF OPS & COMPLIANCE OFFICER

    Total calculated
    $69,499
    From this org
    $66,769
    From related orgs
    $0
    Other
    $2,730
    Hours/week
    40

  • Lori Pastier

    CONTROLLER

    Total calculated
    $53,282
    From this org
    $51,331
    From related orgs
    $0
    Other
    $1,951
    Hours/week
    40

  • Kellie Johnson

    PRESIDENT TERM ENDED 12/31/22

    Total calculated
    $0
    Hours/week
    3

  • Dale Wells

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0.7

  • Angie Marvin

    2ND VP TERM ENDED 12/31/22

    Total calculated
    $0
    Hours/week
    0.4

  • Amy Antonacci

    TREASURER

    Total calculated
    $0
    Hours/week
    0.7

  • Ann Hunt

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.7

  • Lori Dipanfilo

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.4

  • Mathew Doney

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.4

  • Barb Dragomir

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.4

  • Phillip Mastroianni

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.4

  • Natatia Peterson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • Donnell Reeves

    BOARD MEMBER TERM END 2/16/22

    Total calculated
    $0
    Hours/week
    0.1

  • Laura Sams

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • Shirene Starn-Tapyrik

    BOARD MEMBER TERM END 1/19/22

    Total calculated
    $0
    Hours/week
    0.4

  • James Williams

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.3

  • Pastor Bobby Williams

    BOARD MEMBER TERM END 12/31/22

    Total calculated
    $0
    Hours/week
    0.3

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

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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
  • 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 November 2023
IRS schema version
2022v5.0
Source object
202312659349300841

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