2023-11-15T10:37:00-06:00 2022-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2022-01-01 450914398 FIVE RIVERS HEALTH CENTERS FIVE 9372816800 721 MIAMI CHAPEL RD DAYTON OH 45417 GINA MCFARLANE - EL CEO 9377346844 2023-11-14 1 GINA MCFARLANE - EL 999009999 0 APRIL CAULFIELD P01949369 9373992000 2023-11-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GINA MCFARLANE - EL 721 MIAMI CHAPEL RD DAYTON OH 45417 41697059 0 X WWW.FIVERIVERSHEALTHCENTERS.ORG X 2011 OH FIVE RIVERS HEALTH CENTERS, A FEDERALLY-QUALIFIED HEALTH CENTER, IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COMPREHENSIVE AND RESPECTFUL CARE FOR OUR PATIENTS AND COMMUNITY. 14 14 358 21 0 0 14083989 13098820 22509774 28140682 187007 457557 0 0 36780770 41697059 0 0 0 0 18692199 20419578 0 0 0 12446718 15845553 31138917 36265131 5641853 5431928 40169176 45536953 17717002 17652851 22452174 27884102 FIVE RIVERS HEALTH CENTERS IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COMPREHENSIVE AND RESPECTFUL CARE FOR OUR PATIENTS AND COMMUNITY. 0 0 32006080 28140682 IN 2022, CARE WAS PROVIDED TO APPROXIMATELY 27,809 PATIENTS. 32006080 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 48 0 1 358 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X TARA ROESCH 9372815940 721 MIAMI CHAPEL RD DAYTON OH 45417 AMY WIEDEMAN CHAIR 1.00 0.50 X X 0 0 0 RONA CLARK VICE CHAIR 1.00 X X 0 0 0 DWIGHT BROWN SECRETARY 1.00 X X 0 0 0 PAULA THOMPSON DIRECTOR 1.00 X 0 0 0 JEREMIAH BYRD DIRECTOR 1.00 X 0 0 0 TISCHA COATES DIRECTOR 1.00 X 0 0 0 RICHARD GOSHAY DIRECTOR 1.00 X 0 0 0 DAWN WALKER DIRECTOR 1.00 X 0 0 0 DIANE WELBORN DIRECTOR 1.00 X 0 0 0 JO BOUCHARD DIRECTOR 1.00 X 0 0 0 DR BRENDA ROMAN DIRECTOR 1.00 X 0 0 0 STERLING TITUS DIRECTOR 1.00 X 0 0 0 RESTA ZEREMARIAM DIRECTOR 1.00 X 0 0 0 JENNIFER WENTZEL DIRECTOR 1.00 X 0 0 0 GINA MCFARLANE-EL CEO 40.00 0.50 X 260873 0 22357 TARA ROESCH CFO 40.00 0.50 X 176157 0 12095 MAMLE ANIM CMO 40.00 X 286434 0 33987 DIANE CUMMINS COO 40.00 X 176626 0 18471 MINDY LINDSEY CPO 40.00 X 150833 0 6016 KATE BERENSON DOCTOR 40.00 X 237514 0 15447 MOLLY HALL DOCTOR 40.00 X 211737 0 9028 CHARLES WOODS DOCTOR 40.00 X 199652 0 41845 FRANK CUNNINGHAM DOCTOR 40.00 X 197606 0 43160 MARK WATKINS DOCTOR 40.00 X 190228 0 46358 2087660 0 248764 41 0 1 0 JEROME J SCHULTE JR MD LLC 488 IRELAND ROAD WILMINGTON OH 45177 PSYCHIATRY SPECIALIST 114977 1 8434969 4663851 1530249 13098820 PHARMACY 621400 14652044 14652044 MEDICAID, NET 621400 9561483 9561483 MEDICARE, NET 621400 1562340 1562340 FIRST AND THIRD PARTIES, NET 621400 1408388 1408388 MISCELLANEOUS 624100 914014 914014 42413 42413 28140682 457557 457557 41697059 28140682 0 457557 1143849 1143849 15260024 14346089 913935 2720422 2158738 561684 1295283 1131611 163672 38340 38340 31300 31300 215440 165740 49700 52074 52074 146528 108792 37736 343382 343202 180 1554623 1462781 91842 107035 80814 26221 127249 76159 51090 828401 597096 231305 540237 527601 12636 141931 83390 58541 PHARMACY COSTS 5257122 5257122 CONTRACT SERVICES 2523362 2225561 297801 DONATED SUPPLIES AND LA 1530249 1519231 11018 MISCELLANEOUS 623106 545890 77216 1785174 1376263 408911 36265131 32006080 4259051 0 12780930 15689031 1263558 1508848 2704682 3765352 20520000 20520000 191205 325706 329050 156019 5908251 3178011 2379751 2730240 0 841757 40169176 45536953 2003653 2078534 4910 15713349 14723234 0 846173 17717002 17652851 X 22452174 27884102 22452174 27884102 40169176 45536953 5431928 0 X X 0 1 X 1 1 1 X 11475935 12630388 14865187 14083989 13098820 66154319 11475935 12630388 14865187 14083989 13098820 66154319 66154319 82091 121556 157376 181163 457557 999743 67154062 96680961 0.98510 0.99090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1846887 309095 1537792 4061364 2868916 1192448 2730240 RIGHT OF USE 846173 846173 X 42902766 1205707 1205707 41697059 0 41697059 37470838 1205707 1205707 36265131 0 36265131 PART X, LINE 2: FIVE RIVERS HEALTH 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. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 GINA MCFARLANE-EL CEO 214366 0 0 0 46507 0 9910 0 12447 0 283230 0 0 0 TARA ROESCH CFO 138970 0 0 0 37187 0 6339 0 5756 0 188252 0 0 0 MAMLE ANIM CMO 276334 0 0 0 10100 0 12938 0 21049 0 320421 0 0 0 DIANE CUMMINS COO 136526 0 0 0 40100 0 6257 0 12214 0 195097 0 0 0 MINDY LINDSEY CPO 110733 0 0 0 40100 0 4983 0 1033 0 156849 0 0 0 KATE BERENSON DOCTOR 229264 0 0 0 8250 0 2766 0 12681 0 252961 0 0 0 MOLLY HALL DOCTOR 200624 0 0 0 11113 0 9028 0 0 0 220765 0 0 0 CHARLES WOODS DOCTOR 189952 0 0 0 9700 0 5927 0 35918 0 241497 0 0 0 FRANK CUNNINGHAM DOCTOR 189706 0 0 0 7900 0 6031 0 37129 0 240766 0 0 0 MARK WATKINS DOCTOR 183828 0 0 0 6400 0 6645 0 39713 0 236586 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE USES MARKET DATA TO DETERMINE SALARIES. X VACCINES 0 1338075 COST OF MATERIALS X LAB COSTS 0 150000 COST OF MATERIALS X MISC. SUPPLIES 0 42174 COST OF MATERIALS 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE WILL REVIEW THE 990 AND APPROVE THE REPORT. AFTER APPROVING THE 990, THE FINANCE COMMITTEE WILL TAKE THE 990 TO THE BOARD FOR BOARD APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. OPERATING POLICIES HAVE BEEN IMPLEMENTED TO DETECT POTENTIAL CONFLICTS OF INTEREST. CONTRACTS OR EXPENDITURES THAT ARE GREATER THAN $50,000 MUST HAVE BOARD APPROVAL. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE USES MARKET DATA TO DETERMINE SALARIES. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S 990 IS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE FINANCE 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. EDGEMONT CAMPUS 721 MIAMI CHAPEL RD DAYTON OH 45417 853253139 MEDICAL FACILITY OH 501(C)(3) LINE 7 FIVE RIVERS HEALTH CENTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0