2023-09-22T13:18:15-05:00 2022-12-31 FORVIS LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2022-01-01 810789614 ALLIANCE FAMILY HEALTH CENTER INC % LORI PASTIER ALLI 3302497011 1401 S ARCH AVENUE ALLIANCE OH 44601 LORI PASTIER CONTROLLER 3302497025 2023-11-15 true Lori Pastier 999009999 Aaron Hershberger P00961884 5136218300 2 2022 2023-04-26 12:10:37Z DR KELLIE JOHNSON 1401 S ARCH AVENUE ALLIANCE OH 44601 3318248 false X WWW.ALLIANCEFAMILYHEALTH.ORG X 2015 OH ALLIANCE FAMILY HEALTH CENTER PROVIDES QUALITY, AFFORDABLE HEALTH CARE AND PROMOTES HEALTH, EDUCATION, AND ACCESS TO SUCH CARE. 13 13 43 19 0 746263 1380237 2201081 1935713 3288 1794 0 504 2950632 3318248 0 0 0 0 1556626 1794225 0 0 0 1224233 1286687 2780859 3080912 169773 237336 1126721 1897321 330785 864049 795936 1033272 X ALLIANCE FAMILY HEALTH CENTER'S (AFHC) MISSION IS TO BE A PROGRESSIVE AND ADAPTIVE HEALTH CARE TEAM PROVIDING INCLUSIVE PERSON-CENTERED HIGH-QUALITY CARE. false false 2703253 1935713 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. 2703253 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 16 0 43 true false false false false false false false false false false false false X 13 13 false false false false true false false true true false false true true true true true true true true false X LORI PASTIER 3302497011 1401 S ARCH AVENUE ALLIANCE OH 44601 YU HAN LEE PHYSICIAN 40.0 0.0 X 215618 0 7560 AMELIA KOCHER EXECUTIVE DIRECTOR 40.0 0.0 X 136645 0 5002 AMANDA NELSON CHIEF OPS & COMPLIANCE OFFICER 40.0 0.0 X 66769 0 2730 LORI PASTIER CONTROLLER 40.0 0.0 X 51331 0 1951 KELLIE JOHNSON PRESIDENT TERM ENDED 12/31/22 3.0 0.0 X X 0 0 0 DALE WELLS VICE PRESIDENT 0.7 0.0 X X 0 0 0 ANGIE MARVIN 2ND VP TERM ENDED 12/31/22 0.4 0.0 X X 0 0 0 AMY ANTONACCI TREASURER 0.7 0.0 X X 0 0 0 ANN HUNT SECRETARY 0.7 0.0 X X 0 0 0 LORI DIPANFILO BOARD MEMBER 0.4 0.0 X 0 0 0 MATHEW DONEY BOARD MEMBER 0.4 0.0 X 0 0 0 BARB DRAGOMIR BOARD MEMBER 0.4 0.0 X 0 0 0 PHILLIP MASTROIANNI BOARD MEMBER 0.4 0.0 X 0 0 0 NATATIA PETERSON BOARD MEMBER 0.3 0.0 X 0 0 0 DONNELL REEVES BOARD MEMBER TERM END 2/16/22 0.1 0.0 X 0 0 0 LAURA SAMS BOARD MEMBER 0.3 0.0 X 0 0 0 SHIRENE STARN-TAPYRIK BOARD MEMBER TERM END 1/19/22 0.4 0.0 X 0 0 0 JAMES WILLIAMS BOARD MEMBER 0.3 0.0 X 0 0 0 PASTOR BOBBY WILLIAMS BOARD MEMBER TERM END 12/31/22 0.3 0.0 X 0 0 0 470363 0 17243 2 false true false ATRIUM OB GYN INC 4151 HOLIDAY ST NW CANTON OH 44718 OB+GYN CALL COVERAGE 397683 1 833441 546796 1380237 Net Patient Service Revenue 621111 1904346 1904346 Other 900099 7844 7844 Incentive Payments 900099 23523 23523 1935713 1794 1794 0 0 0 0 0 0 504 0 504 504 0 0 0 0 0 0 0 3318248 1935713 2298 0 0 0 0 264428 231342 33086 0 1263680 1105563 158117 37157 32508 4649 118138 103356 14782 110822 96956 13866 0 13233 11577 1656 15600 13648 1952 0 0 0 859487 751945 107542 0 7246 6339 907 97437 87787 9650 0 0 158817 138945 19872 1240 1085 155 0 0 40 35 5 0 19312 16898 2414 13232 9032 4200 Medical Supplies & Drugs 62633 62633 MINOR EQUIPMENT 17901 15661 2240 Dues & Subscriptions 3231 2827 404 All other expenses 17278 15116 2162 3080912 2703253 377659 0 739531 871773 0 0 0 6878 268225 277180 11625 0 0 0 12500 0 0 0 51985 42816 111897 68125 42855 43772 0 0 0 0 0 0 0 0 0 654902 1126721 1897321 170701 137009 0 0 160084 65989 0 0 0 0 0 0 0 0 0 0 0 661051 330785 864049 X 795936 733272 0 300000 795936 1033272 1126721 1897321 237336 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 44502 20009 24493 67395 48116 19279 43772 ROU ASSET - OPERATING LEASE 654902 654902 0 OPERATING LEASE LIABILITY 661051 661051 3318248 3318248 3318248 3080912 3080912 3080912 X X X false false false false false false false false YU HAN LEE PHYSICIAN 197002 0 18616 0 0 0 7560 0 0 0 223178 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION AT ANY TIME SHALL BE THOSE INDIVIDUALS WHO ARE THEN DIRECTORS. DIRECTORS ARE DEFINED AS THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990 PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENTS. IT IS THEN DISCUSSED AS PART OF THE FINANCIAL REPORT AT THE NEXT BOARD MEETING WHERE ANY QUESTIONS/CONCERNS CAN BE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C ORGANIZATION'S PRACTICE FOR MONITORING COMPLIANCE ACCORDING TO AFHC'S BYLAWS, AS WELL AS AFHC'S CONFLICT OF INTEREST POLICY, THE BOARD IS REQUIRED TO IMMEDIATELY DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. ALL BOARD MEMBERS AND OFFICERS COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT, WHERE THEY DISCLOSE IF ANY SUCH CONFLICTS EXIST. ADDITIONALLY, MEMBERS OF THE BOARD ARE REQUIRED TO ANNUALLY REVIEW AND SIGN A CONFLICT OF INTEREST POLICY. UNDER THAT POLICY, THE BOARD MEMBER (I) HAS A DUTY TO DISCLOSE ANY CONFLICT, AND (II) MUST RECUSE THEMSELVES FROM A VOTE AND OR DECISION WHEN SUCH CONFLICT ARISES. IF THIS POLICY IS VIOLATED, THEN THE BOARD SHALL TAKE APPROPRIATE ACTION WHICH MAY INCLUDE AN INVESTIGATION AND DISCIPLINARY ACTION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW PROCESS COMPENSATION OF EXECUTIVE OFFICERS IS DETERMINED BY AN INDEPENDENT (NONCOMPENSATED) COMMITTEE FROM THE BOARD OF DIRECTORS. THIS COMMITTEE REVIEWS COMPENSATION BY OBTAINING AVAILABLE MARKET SURVEYS OF THE POSITION IN QUESTION. DATA REVIEWED AND RELATED DISCUSSIONS AND DECISIONS ARE DOCUMENTED ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION REVIEW PROCESS COMPENSATION REVIEW WAS CONDUCTED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC VIA THE OHIO SECRETARY OF STATE'S WEBSITE. ALLIANCE FAMILY HEALTH CENTER'S FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:859487