Form 990 for tax year 2022
Filed by COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INCORPORATED.
Totals
- Total revenue
- $12,578,079
- Total expenses
- $13,308,516
- Contributions and grants received
- $5,124,564
- Grants paid
- $0
- Program service revenue
- $7,212,293
- Investment income
- $63,832
- Other revenue
- $177,390
- Total assets, end of year
- $13,951,494
- Total liabilities, end of year
- $6,130,545
- Net assets or fund balances, end of year
- $7,820,949
- Program services expenses (Part IX)
- $10,295,451
- Management and general expenses
- $3,013,065
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $10,295,451
Program services were 77.4% 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)
$4,277,069
-
1f · All other contributions, gifts and grants
$847,495
-
1g · Noncash contributions included above
$78,052
-
2a · Program service revenue: MEDICAID
total $3,378,621 · related or exempt $3,378,621
-
2b · Program service revenue: THIRD-PARTY PAYORS AND OTHER
total $1,276,923 · related or exempt $1,276,923
-
2c · Program service revenue: MEDICARE
total $867,713 · related or exempt $867,713
-
2d · Program service revenue: CAPITATION REVENUE
total $742,842 · related or exempt $742,842
-
2e · Program service revenue: 340B PHARMACY REVENUE
total $596,692 · related or exempt $596,692
-
2f · All other program service revenue
total $349,502 · related or exempt $349,502
-
3 · Investment income
total $63,832 · excluded $63,832
-
6a · Gross rents
real property $138,233
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $138,233
-
6d · Net rental income or loss
total $138,233 · unrelated business $138,233
-
11a · Other revenue: INCENTIVE INCOME
total $14,647 · related or exempt $14,647
-
11d · All other revenue
total $24,510 · related or exempt $24,510
-
11e · Other revenue, total
$39,157
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $293,551 · program services $239,141 · management and general $54,410
-
7 · Other salaries and wages
total $7,333,288 · program services $6,030,323 · management and general $1,302,965
-
8 · Pension plan contributions
total $58,031 · program services $44,308 · management and general $13,723
-
9 · Other employee benefits
total $887,967 · program services $677,987 · management and general $209,980
-
10 · Payroll taxes
total $553,392 · program services $422,530 · management and general $130,862
-
11b · Fees: legal
total $2,922 · management and general $2,922
-
11c · Fees: accounting
total $60,637 · management and general $60,637
-
11g · Fees: other
total $1,011,181 · program services $933,657 · management and general $77,524
-
12 · Advertising and promotion
total $12,535 · management and general $12,535
-
13 · Office expenses
total $177,244 · program services $42,171 · management and general $135,073
-
14 · Information technology
total $471,078 · program services $92,456 · management and general $378,622
-
16 · Occupancy
total $404,511 · program services $267,815 · management and general $136,696
-
17 · Travel
total $12,370 · program services $10,024 · management and general $2,346
-
19 · Conferences, conventions and meetings
total $33,190 · program services $23,702 · management and general $9,488
-
20 · Interest
total $89,049 · management and general $89,049
-
22 · Depreciation, depletion and amortization
total $521,234 · program services $415,102 · management and general $106,132
-
23 · Insurance
total $98,488 · management and general $98,488
-
24a · Other expenses: MEDICAL SUPPLIES & DRUG
total $751,969 · program services $751,969
-
24b · Other expenses: REPAIRS & MAINTENANCE
total $203,441 · program services $144,890 · management and general $58,551
-
24c · Other expenses: DUES AND SUBSCRIPTIONS
total $54,484 · program services $36,370 · management and general $18,114
-
24d · Other expenses: STAFF RECRUITING
total $33,464 · program services $18,375 · management and general $15,089
-
24e · All other expenses
total $244,490 · program services $144,631 · management and general $99,859
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,585,852 · end of year $1,696,528
-
2 · Savings and temporary cash investments
beginning of year $3,447,576 · end of year $3,547,324
-
3 · Pledges and grants receivable
beginning of year $127,938 · end of year $191,857
-
4 · Accounts receivable
beginning of year $1,154,686 · end of year $658,353
-
9 · Prepaid expenses and deferred charges
beginning of year $107,672 · end of year $156,015
-
10a · Land, buildings and equipment: cost or other basis
$8,646,475
-
10b · Land, buildings and equipment: accumulated depreciation
$2,214,696
-
10c · Land, buildings and equipment, net
beginning of year $6,220,372 · end of year $6,431,779
-
14 · Intangible assets
end of year $1,269,638
-
17 · Accounts payable and accrued expenses
beginning of year $877,515 · end of year $1,267,650
-
19 · Deferred revenue
beginning of year $54,647 · end of year $492,606
-
23 · Secured mortgages and notes payable
beginning of year $3,160,548 · end of year $3,079,676
-
25 · Other liabilities
beginning of year $0 · end of year $1,290,613
-
27 · Net assets without donor restrictions
beginning of year $8,551,386 · end of year $7,820,949
Mission and programs · 2022
Mission
THE FULL MISSION OF THE COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY, INC IS TO MAINTAIN A COMMUNITY OWNED, RESPONSIVE HEALTH CENTER WHICH PROMOTES PUBLIC HEALTH AND WELL-BEING, AND PROVIDES COMPREHENSIVE PREVENTATIVE AND PRIMARY CARE SERVICES TO ALL WHO NEED OR DESIRE SUCH SERVICES, WITHOUT REGARD TO INCOME, INSURANCE STATUS, ABILITY TO PAY, OR PAST MEDICAL HISTORY.
Activities or mission (Part I)
TO CARE FOR THE HEALTH OF OUR COMMUNITY.
-
THE HEALTH CENTER OFFERS HIGH QUALITY PRIMARY CARE, WITH AN EMPHASIS ON PREVENTIVE CARE AND EDUCATION. OUR PATIENTS ARE OFFERED A FULL RANGE OF PRIMARY CARE SERVICES, INCLUDING PHYSICAL EXAMS, GYNECOLOGICAL EXAMS, URGENT CARE, DISEASE MANAGEMENT, DIAGNOSTIC SCREENINGS, AND LABORATORY SERVICES.
Expenses $6,750,432 · Revenue $4,856,589
-
THE HEALTH CENTER PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL CARE FOR CHILDREN AND ADULTS. SERVICES INCLUDE EXAMS, CLEANINGS, SEALANTS, FILLINGS, EXTRACTIONS, INCLUDING "WISDOM TEETH", IMPLANTS, ROOT CANAL TREATMENT AND CROWNS, DENTURES, AND OTHER GENERAL DENTAL PROCEDURES. PARTICULAR EMPHASIS IS PLACED ON PREVENTIVE SERVICES FOR CHILDREN.
Expenses $3,545,019 · Revenue $2,394,861
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Garth ShaneyfeltGARTH SHANEYFELT
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Julie DavisJULIE DAVIS
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Phoebe WalkerPHOEBE WALKER
CLERK
- Total calculated
- $0
- Hours/week
- 1
-
Shawna FisherSHAWNA FISHER
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Terrance BlanchardTERRANCE BLANCHARD
MEMBER-AT-LARGE
- Total calculated
- $0
- Hours/week
- 1
-
Gail SawosikGAIL SAWOSIK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
K Lev Ben-EzraK LEV BEN-EZRA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jerry LundJERRY LUND
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Edmond HayesEDMOND HAYES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Vickie RoweVICKIE ROWE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Arley HoynoskiARLEY HOYNOSKI
CFO
- Total calculated
- $139,017
- From this org
- $120,911
- From related orgs
- $0
- Other
- $18,106
- Hours/week
- 40
-
Allison Van Der VeldenALLISON VAN DER VELDEN
CEO
- Total calculated
- $151,722
- From this org
- $122,573
- From related orgs
- $0
- Other
- $29,149
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $122,487
- Bonus
- $0
- Other
- $86
- Deferred
- $2,481
- Nontaxable benefits
- $26,668
- Filer's total
- $151,722
-
Richard SzalRICHARD SZAL
ORAL SURGEON
- Total calculated
- $272,355
- From this org
- $268,134
- From related orgs
- $0
- Other
- $4,221
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $266,778
- Bonus
- $1,151
- Other
- $205
- Deferred
- $2,763
- Nontaxable benefits
- $1,458
- Filer's total
- $272,355
-
Jacquelyn HydeJACQUELYN HYDE
PHYSICIAN
- Total calculated
- $196,189
- From this org
- $186,325
- From related orgs
- $0
- Other
- $9,864
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,253
- Bonus
- $3,863
- Other
- $209
- Deferred
- $847
- Nontaxable benefits
- $9,017
- Filer's total
- $196,189
-
Marwa ElleboudyMARWA ELLEBOUDY
DENTIST
- Total calculated
- $154,017
- From this org
- $146,762
- From related orgs
- $0
- Other
- $7,255
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $145,436
- Bonus
- $1,151
- Other
- $175
- Deferred
- $0
- Nontaxable benefits
- $7,255
- Filer's total
- $154,017
-
Jessica StromJESSICA STROM
COO
- Total calculated
- $156,416
- From this org
- $137,031
- From related orgs
- $0
- Other
- $19,385
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $135,362
- Bonus
- $1,151
- Other
- $518
- Deferred
- $2,775
- Nontaxable benefits
- $16,610
- Filer's total
- $156,416
-
Stephen SegatoreSTEPHEN SEGATORE
ASST. CMO
- Total calculated
- $136,874
- From this org
- $129,360
- From related orgs
- $0
- Other
- $7,514
- Hours/week
- 40
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 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
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
The filer's explanations (Part III)
- PART I, LINE 7
- INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES FOR HIGHLY COMPENSATED EMPLOYEES. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2022 W-2'S AND APPROVED BY CEO AND CFO.
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
- 29 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441219349301409
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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