2023-11-09T14:57:18-06:00 2022-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2022-01-01 311593544 ROCKING HORSE CHILDREN'S HEALTH CENTER ROCK 9373241111 651 SOUTH LIMESTONE STREET SPRINGFIELD OH 45505 SHONDA WALLACE CHIEF FINANCIAL OFFICER 9373241111 2023-11-09 1 SHONDA WALLACE 999009999 0 APRIL CAULFIELD P01949369 9373992000 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHONDA WALLACE 651 SOUTH LIMESTONE ST SPRINGFIELD OH 45505 22303189 0 X WWW.ROCKINGHORSECENTER.ORG X 1999 OH A FEDERAL QUALIFIED HEALTH CENTER HELPING TO RAISE HEALTHY FAMILIES IN A CARING COMMUNITY. 12 12 252 96 0 0 7541174 6832229 13859662 15203028 1163 1426 179906 255214 21581905 22291897 0 0 0 0 13710120 13955150 0 0 231162 6616013 7775606 20326133 21730756 1255772 561141 19723484 20986178 1428569 2130122 18294915 18856056 X ROCKING HORSE COMMUNITY HEALTH CENTER CREATES A CARING ENVIRONMENT WHERE QUALITY SERVICES EMPOWER ADULTS AND CHILDREN TO IMPROVE THEIR PHYSICAL AND EMOTIONAL HEALTH. 0 0 18157279 15459269 ROCKING HORSE COMMUNITY HEALTH CENTER IS A MEDICAL HOME WHERE FAMILIES FEEL THE EMBRACE OF COMPASSIONATE CARE. THE SERVICES OFFERED HERE ARE COMPLETELY COMPREHENSIVE AND ARE DESIGNED TO OFFER HELP, HEALING AND HOPE TO EACH PERSON WHO WALKS THROUGH THE DOOR. FROM NEW LIFE TO LONG LIFE, ROCKING HORSE WELCOMES EACH PATIENT WITH OPEN ARMS AND PROVIDES THEM THE CARE THEY NEED AND DESERVE. OBSTETRICS, DEVELOPMENTAL SCREENINGS, PARENT EDUCATION, CHILDREN WITH SPECIAL HEALTHCARE NEEDS, BEHAVIORAL MEDICINE, SUPPORT GROUPS, DENTAL SERVICES, CHRONIC DISEASE MANAGEMENT, MEDICAID ASSISTANCE, CHIROPRACTIC, MEDICATION-ASSISTED SUBSTANCE ABUSE TREATMENT, AND COORDINATION OF COMMUNITY RESOURCES ARE JUST A FEW OF THE SERVICES ROCKING HORSE COMMUNITY HEALTH CENTER PROVIDES. DURING 2022, ROCKING HORSE PROVIDED SERVICES FOR 73,333 INDIVIDUAL VISITS. 18157279 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 43 0 1 252 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SHONDA WALLACE 9373241111 651 SOUTH LIMESTONE STREET SPRINGFIELD OH 45505 J WESLEY BABIAN BOARD PRESIDENT 2.00 X X 0 0 0 CANDACE COPELAND BOARD VICE PRESIDENT 2.00 X X 0 0 0 JIM DOYLE TREASURER 2.00 X X 0 0 0 CYNTHIA RICHARDS SECRETARY 2.00 X X 0 0 0 LORI THOMAS BOARD MEMBER 2.00 X 0 0 0 ADAM BANKS BOARD MEMBER 2.00 X 0 0 0 DEBBIE SMITH BOARD MEMBER 2.00 X 0 0 0 TRACY GREGORY-BROWN BOARD MEMBER 2.00 X 0 0 0 EDWARD LEVENTHAL BOARD MEMBER 2.00 X 0 0 0 MARCY DARLINGTON BOARD MEMBER 2.00 X 0 0 0 VICTORIA SORG BOARD MEMBER 2.00 X 0 0 0 KENT YOUNGMAN CHIEF EXECUTIVE OFFICER 40.00 X 248235 0 48657 SHONDA WALLACE CHIEF FINANCIAL OFFICER 40.00 X 213958 0 25704 DR YAMINI TEEGALA CHIEF MEDICAL OFFICER 40.00 X 339521 0 50922 SARAH MARTIN PSYCHIATRIC NURSE PRACTITIONER 40.00 X 136143 0 33343 ANDRES BARRERO ORTIZ PHYSICIAN 40.00 X 175636 0 32561 CAROL BARLAGE PHYSICIAN 40.00 X 193189 0 44532 CHLOE A WONG PEDIATRIC DENTIST 40.00 X 181225 0 30813 TALA BELBEISSI PEDIATRICIAN 40.00 X 162449 0 10313 1650356 0 276845 21 0 1 0 CURTIS ORR 320 CALIFORNIA AVE SPRINGFIELD OH 45505 NONEMPLOYEE 161412 1 48104 3975011 2809114 1797497 6832229 NET PATIENT FEES 621400 9079848 9079848 340B PROGRAM 621400 5558256 5558256 COMPREHENSIVE PRIMARY CARE 621400 564924 564924 15203028 1426 1426 10265 48104 11292 -1027 -1027 OTHER EXEMPT PURPOSE REVENUE 621400 256241 256241 256241 22291897 15459269 0 399 926997 344205 508032 74760 9248878 8355872 814170 78836 2946297 2537487 396626 12184 832978 723515 97185 12278 31563 31563 26500 26500 51377 51377 77394 39797 3995 33602 108807 69513 32870 6424 647112 507867 139151 94 272273 56156 215337 780 43007 34267 8740 375 375 564521 159941 404580 71215 6358 63380 1477 PHARMACY EXPENSES 2465983 2465983 IN-KIND EXPENSES - VACC 1400002 1400002 CONTRACT SERVICES 955862 703575 245248 7039 MEDICAL SUPPLIES 475933 475933 583682 276808 303186 3688 21730756 18157279 3342315 231162 9271844 9031140 538690 312401 1812778 1783627 44675 110400 84774 15960813 6231252 7989772 9729561 19723484 20986178 1428569 2130122 1428569 2130122 X 18197980 18705702 96935 150354 18294915 18856056 19723484 20986178 561141 0 X X 0 1 X 1 1 1 X 4134977 4236772 7349267 7541174 6832229 30094419 4134977 4236772 7349267 7541174 6832229 30094419 30094419 108441 151579 13206 1163 1426 275815 96315 100602 388318 179906 256241 1021382 31391616 66892614 0.95870 0.95750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 290487 290487 12049480 4258671 7790809 2138829 1412498 726331 1482017 560083 921934 9729561 X 22634306 331117 11292 342409 22291897 0 22291897 22073165 331117 11292 342409 21730756 0 21730756 PART X, LINE 2: ROCKING HORSE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CENTER'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE CENTER'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING COSTS 11,292. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING COSTS 11,292. GOLF OUTING 49669 40329 9340 324 1346 3080 2355 183 CORNHOLE TOURNAMENT 8700 7775 925 475 3529 58369 48104 10265 799 1346 3080 2355 3712 11292 -1027 1 X X X 0 0 0 0 0 0 0 0 0 KENT YOUNGMAN CHIEF EXECUTIVE OFFICER 248235 0 0 0 0 0 27000 0 21657 0 296892 0 0 0 SHONDA WALLACE CHIEF FINANCIAL OFFICER 213958 0 0 0 0 0 15391 0 10313 0 239662 0 0 0 DR YAMINI TEEGALA CHIEF MEDICAL OFFICER 339521 0 0 0 0 0 20500 0 30422 0 390443 0 0 0 SARAH MARTIN PSYCHIATRIC NURSE PRACTITIONER 136143 0 0 0 0 0 2921 0 30422 0 169486 0 0 0 ANDRES BARRERO ORTIZ PHYSICIAN 175636 0 0 0 0 0 9221 0 23340 0 208197 0 0 0 CAROL BARLAGE PHYSICIAN 193189 0 0 0 0 0 27000 0 17532 0 237721 0 0 0 CHLOE A WONG PEDIATRIC DENTIST 181225 0 0 0 0 0 20500 0 10313 0 212038 0 0 0 TALA BELBEISSI PEDIATRICIAN 162449 0 0 0 0 0 0 0 10313 0 172762 0 0 0 X 397495 FAIR VALUE OF THE ASSET X 1400002 COST OF VACCINES 0 0 0 PART I, COLUMN (B): THE CENTER RECEIVES DONATED VACCINES FROM THE OHIO DEPARTMENT OF HEALTH UNDER THE VACCINE FOR CHILDREN (VFC) PROGRAM THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO REVIEW THE 990. IN ADDITION, THE ORGANIZATION'S BOARD OF TRUSTEES ARE PROVIDED A COPY OF THE 990 FOR REVIEW BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE LEADERSHIP TEAM, FINANCE COMMITTEE MEMBERS, AND BOARD MEMBERS REVIEW THE POLICY ANNUALLY AND SIGN A WRITTEN STATEMENT. ANY CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD CHAIR OR COMMITTEE CHAIR. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE USING INDUSTRY COMPARABILITY DATA AND AN ANNUAL REVIEW OF THE CEO. THE ORGANIZATION'S OFFICERS/KEY EMPLOYEES COMPENSATION ARE COMPARED AGAINST THE NATIONAL AND LOCAL SURVEY DATA OF COMMUNITY HEALTH CENTER'S BY THE CEO AND CFO AND APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 18 FORM 1023 AND FORM 990 ARE AVAILABLE FOR INSPECTION UPON WRITTEN REQUEST FROM THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAIALABLE TO THE PUBLIC UPON REQUEST OF THE ORGANIZATION. FORM 990, PART XI, LINE 2C THE AUDIT COMMITTEE FOR THE ORGANIZATION SELECTS AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT THE AUDIT OF THE FINANCIAL STATEMENTS AND PROVIDES OVERSIGHT FOR THE WORK THAT IS CONDUCTED. THIS REPRESENTS NO CHANGE IN THE PROCESS FROM PROCEDURES CONDUCTED IN PRIOR PERIODS. FRIENDS OF ROCKING HORSE CENTER 651 SOUTH LIMESTONE STREET SPRINGFIELD OH 45505 208724751 FOUNDATION FORMED TO RAISE SUPPORT FOR ROCKING HORSE HEALTH CENTER OH 501(C)(3) LINE 12B, II ROCKING HORSE CHILDREN'S HEALTH CENTER 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 FRIENDS OF ROCKING HORSE CENTER N MINIMAL VALUE FRIENDS OF ROCKING HORSE CENTER O MINIMAL VALUE FRIENDS OF ROCKING HORSE CENTER D GUARANTEED AMOUNT FRIENDS OF ROCKING HORSE CENTER C 200 METHOD COST