2024-03-04T09:45:23-06:00 2023-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-07-01 582079819 CAROLINA FAMILY HEALTH CENTERS INC CARO 2522439800 303 GREEN STREET E WILSON NC 27893 KIMBERLY TERRY CFO 2522439800 2024-03-04 1 KIMBERLY TERRY 999009999 1 AMY BIBBY P00445891 8282542254 2024-03-04 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PET PRUDEN 303 GREEN STREET E WILSON NC 27893 46317894 0 X N/A X 1993 NC PROVIDE QUALITY HEALTHCARE TO THE PEOPLE OF EDGECOMBE, NASH AND WILSON COUNTIES. 10 10 281 0 0 0 15348985 10914527 28491547 34708559 399125 490977 346517 140426 44586174 46254489 0 0 0 0 15366196 15877763 0 0 66032 15693402 16823085 31059598 32700848 13526576 13553641 48116306 61926925 1753406 2385573 46362900 59541352 X CAROLINA FAMILY HEALTH CENTERS PROVIDE ACCESSIBLE AND AFFORDABLE HEALTH CARE WITH EXCELLENCE... WHERE PATIENTS COME FIRST. 0 0 30322361 34708559 CAROLINA FAMILY HEALTH CENTERS, INC. IS A NON-PROFIT, FEDERALLY QUALIFIED COMMUNITY HEALTH/MIGRANT HEALTH CENTER SERVING THE EASTERN NORTH CAROLINA COUNTIES OF EDGECOMBE, NASH AND WILSON. EASTERN NORTH CAROLINA HAS PARTICULARLY HIGH RATES OF POVERTY AND UNEMPLOYMENT. LOW BIRTH WEIGHTS ARE AMONG THE HIGHEST IN THIS REGION, AS ARE SYPHILIS RATES AND HIV/AIDS RATES. SEE SCHEDULE O FOR CONTINUATION:CAROLINA FAMILY HEALTH CENTERS, INC. WAS INCORPORATED IN 1993 DBA WILSON COMMUNITY HEALTH CENTER. A GRASS-ROOTS EFFORT BY LOCAL RESIDENTS RESULTED IN INITIAL FUNDING THROUGH THE NC OFFICE OF RURAL HEALTH AND A PRIVATE ENDOWMENT. IN 1999, THE CORPORATION WAS SUCCESSFUL IN ITS BID TO OBTAIN FEDERALLY QUALIFIED STATUS AND NOW OPERATES FOUR CLINICAL SITES UNDER THE UMBRELLA OF CAROLINA FAMILY HEALTH CENTERS, INC.; WILSON COMMUNITY HEALTH CENTER (WILSON COUNTY), HARVEST FAMILY HEALTH CENTER (NASH COUNTY), FREEDOM HILL COMMUNITY HEALTH CENTER (EDGECOMBE COUNTY), AND CAROLINA FAMILY DENTAL CENTER (NASH COUNTY). THE FOUR CENTERS PROVIDE SERVICES FIVE DAYS A WEEK. HEALTHCARE SERVICES ARE PROVIDED THROUGH THREE PRIMARY DEPARTMENTS - MEDICAL (INCLUDING BEHAVIORAL HEALTH), DENTAL AND PHARMACY. UNINSURED PATIENTS ARE CHARGED FOR MEDICAL AND DENTAL SERVICES ACCORDING TO THEIR RANKING ON THE FEDERALLY ESTABLISHED POVERTY GUIDELINE. THE LOWEST ON THE SCALE PAY A NOMINAL FEE OF JUST $20 FOR EACH MEDICAL VISIT AND $50 FOR EACH DENTAL VISIT. IN FY 2023 THE ORGANIZATION SERVED 21,093 PATIENTS. UNINSURED PATIENTS PAY BASED ON A SLIDING FEE SCALE PROVIDING $6,664,732 IN UNBILLED CARE FOR PATIENTS. PHARMACEUTICALS ARE PROVIDED TO ALL OF OUR PATIENTS AT A REDUCED RATE MADE POSSIBLE BY OUR ABILITY TO PURCHASE MEDICATIONS THROUGH THE FEDERAL 340B PROGRAM. INTERPRETERS TRAINED IN MEDICAL TERMINOLOGY ARE AVAILABLE FREE OF CHARGE TO OUR SPANISH SPEAKING PATIENTS. PROVIDED INTERPRETING SERVICES FOR OVER 200 LANGUAGES AND THE HEARING IMPAIRED. OUR GENERAL HOURS OF OPERATION ARE MONDAY THROUGH FRIDAY FROM 8AM TO 5PM, AND EACH CLINIC IS OPEN DURING EVENING HOURS ONE NIGHT A WEEK. 30322361 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 8 0 1 281 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X KIMBERLY TERRY 2522930013 303 GREEN STREET E WILSON NC 27893 TODD ANDERSON TREASURER 1.00 X X 0 0 0 PHILIP BYRUM BOARD MEMBER 1.00 X 0 0 0 MICHELLE CHERRY SECRETARY 1.00 X X 0 0 0 JEROME GARNER PRESIDENT 1.00 X X 0 0 0 JOHN KELLER BOARD MEMBER 1.00 X 0 0 0 DELPHINE LUCAS BOARD MEMBER 1.00 X 0 0 0 BENNY BOYKIN BOARD MEMBER 1.00 X 0 0 0 ELISABED SERRANO BOARD MEMBER 1.00 X 0 0 0 CHARLES TAYLOR VICE PRESIDENT 1.00 X X 0 0 0 ROBIN WILLIAMS BOARD MEMBER 1.00 X 0 0 0 LAURA OWENS CHIEF EXECUTIVE OFFICER 40.00 X 257613 0 19289 KIMBERLY TERRY CHIEF FINANCIAL OFFICER 40.00 X 191099 0 17031 CORIE BUZARD CHIEF COMPLIANCE OFFICER 40.00 X 226912 0 18615 ABRAHAN CHAPARRO CHIEF MEDICAL OFFICER 40.00 X 362699 0 22146 HOLLY GENTRY CHIEF PHARMACY OFFICER 40.00 X 200185 0 18386 HILARY PATTERSON CHIEF DENTAL OFFICER 40.00 X 199800 0 17174 AMPARITO FIALLO PHYSICIAN 40.00 X 289310 0 21433 TAMMY KIGER PHYSICIAN 40.00 X 301514 0 13340 CHUN-HO NG PHYSICIAN 40.00 X 287250 0 22419 JASON LEE DENTIST 40.00 X 198151 0 18333 DARRELL AVERY PHARMACIST MANAGER 40.00 X 184367 0 15851 2698900 0 204017 29 0 1 0 GONZALO CABRAL PLLC 1520 O ST NW WASHINGTON DC 20005 PROVIDER 206579 JULIAN BRANTLEY 706 EVERGREEN ROAD ROCKY MOUNT NC 27803 PROVIDER 110040 2 8980180 1934347 10914527 PATIENT FEES 623000 33978710 33978710 ADVANCED MEDICAL HOME TIER 3 621610 606878 606878 HEALTH CHECK 624100 114185 114185 MEDICAL RECORDS FEE 623000 8786 8786 34708559 554382 554382 63405 -63405 -63405 -63405 MISCELLANEOUS 900099 140426 140426 140426 46254489 34708559 0 631403 1555503 550449 953531 51523 212681 212681 11422790 10715787 707003 432832 376655 53840 2337 1362883 1185994 169529 7360 891074 775421 110841 4812 143621 143621 149091 149091 3122444 3108452 13992 121058 121058 1587911 1587911 319249 319249 123041 123041 115326 115326 898697 898697 91058 80051 11007 MEDICAL SUPPLIES 10574591 10574591 BAD DEBT EXPENSE -423002 -423002 32700848 30322361 2312455 66032 8150 8150 33462544 43745261 1887544 4330992 355420 444032 1242481 469436 19126838 6317029 11026952 12809809 133215 119245 48116306 61926925 1422392 1814729 331014 570844 1753406 2385573 X 46362900 59541352 46362900 59541352 48116306 61926925 13553641 -375189 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1575 1575 0 PART II-B, LINE 1: A PORTION OF THE ORGANIZATIONS DUES TO NC COMMUNITY HEALTH CENTER ASSOCIATION IS USED FOR LOBBYING PURPOSES. IN FY 2023, THE AMOUNT FOR LOBBYING WAS $1,575. 413234 413234 14192760 4832871 9359889 4358549 1484158 2874391 162295 162295 12809809 X 48809464 2131973 2131973 46677491 -423002 -423002 46254489 35255823 2131973 2131973 33123850 -423002 -423002 32700848 PART X, LINE 2: THE CENTER IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE CENTER HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -423,002. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -423,002. X X 0 0 0 0 0 0 0 0 0 ABRAHAN CHAPARRO CHIEF MEDICAL OFFICER 362699 0 0 0 0 0 12133 0 10013 0 384845 0 0 0 TAMMY KIGER PHYSICIAN 301514 0 0 0 0 0 11996 0 1344 0 314854 0 0 0 AMPARITO FIALLO PHYSICIAN 289310 0 0 0 0 0 11420 0 10013 0 310743 0 0 0 CHUN-HO NG PHYSICIAN 282250 0 5000 0 0 0 12406 0 10013 0 309669 0 0 0 LAURA OWENS CHIEF EXECUTIVE OFFICER 252613 0 5000 0 0 0 9276 0 10013 0 276902 0 0 0 CORIE BUZARD CHIEF COMPLIANCE OFFICER 221912 0 5000 0 0 0 8638 0 9977 0 245527 0 0 0 HOLLY GENTRY CHIEF PHARMACY OFFICER 195185 0 5000 0 0 0 8517 0 9869 0 218571 0 0 0 HILARY PATTERSON CHIEF DENTAL OFFICER 194800 0 5000 0 0 0 7353 0 9821 0 216974 0 0 0 JASON LEE DENTIST 198151 0 0 0 0 0 8320 0 10013 0 216484 0 0 0 KIMBERLY TERRY CHIEF FINANCIAL OFFICER 191099 0 0 0 0 0 7306 0 9725 0 208130 0 0 0 DARRELL AVERY PHARMACIST MANAGER 179367 0 5000 0 0 0 5958 0 9893 0 200218 0 0 0 SHAWN OWENS FAMILY MEMBER OF OFFICER 33370 COMPENSATION AS EMPLOYEE 0 JASON TERRY FAMILY MEMBER OF OFFICER 100936 COMPENSATION AS EMPLOYEE 0 MARTY JOHNSON FAMILY MEMBER OF OFFICER 73243 COMPENSATION AS EMPLOYEE 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE OFFICERS AND ONE AT-LARGE MEMBER OF THE BOARD TO BE APPOINTED BY THE PRESIDENT, SHALL ACT IN THE STEAD OF THE BOARD BETWEEN MEETINGS. THE COMMITTEE, WHICH SHALL MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER, SHALL CARRY OUT SUCH OTHER FUNCTIONS ASSIGNED TO IT BY THE BOARD. ALL ACTIONS OF THE COMMITTEE MUST BE REPORTED TO THE BOARD AT THE FIRST MEETING SUBSEQUENT TO SUCH ACTIONS. A MAJORITY OF THE COMMITTEE SHALL CONSTITUTE A QUORUM. THE COMMITTEE WILL MEET UPON THE CALL OF THE PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY THE CEO IN ITS ENTIRETY. THE CFO AND FINANCE COMMITTEE REVIEWED ALL FINANCIAL INFORMATION. AFTER THEIR REVIEW, THE FORM 990 WAS PRESENTED TO THE BOARD MEMBERS. EACH VOTING BOARD MEMBER RECEIVED A COPY OF THE FORM 990 IN THEIR MEETING PACKETS. AFTER A DISCUSSION PERIOD AND QUESTIONS AND ANSWERS PERIOD, THE BOARD VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES BOARD MEMBERS AND DIRECTORS TO SIGN A STANDARDS OF CONDUCT WHICH INCLUDES A CONFLICT OF INTEREST POLICY ANNUALLY. THE ORGANIZATION HAS ESTABLISHED AND UTILIZES INTERNAL CONTROLS TO MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE BASED ON LOCAL MARKET TRENDS PLUS SALARY GUIDELINES PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, US BUREAU OF LABOR STATISTICS, AND SALARY.COM. THE SALARY GRADES ARE DETERMINED BY THE DIRECTOR OF HR, CEO, COO, AND CFO. THIS PROCEDURE APPLIES TO ALL POSITIONS. THE BOARD OF DIRECTORS APPROVES THE SALARY AND WAGE PROGRAM ANNUALLY. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE ORGANIZATION'S FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, STANDARDS OF CONDUCT (INCLUDING CONFLICT OF INTEREST) POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.