2026-03-13T07:40:00-05:00 2025-04-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-05-01 251008110 CENTERVILLE CLINICS INC CENT 7246326801 1070 OLD NATIONAL PIKE ROAD FREDERICKTOWN PA 15333 BARRY NICCOLAI CEO 7246326801 2026-03-05 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-03-05 2024 2025-03-06 01:10:19Z BARRY NICCOLAI 1070 OLD NATIONAL PIKE ROAD FREDERICKTOWN PA 15333 40368561 0 X WWW.CENTERVILLECLINICS.COM X 1955 PA OUTPATIENT MEDICAL SERVICES 10 10 412 10 0 0 8234900 6696992 30464403 32425802 1154468 1028105 0 217662 39853771 40368561 0 0 0 0 20108244 21520663 0 0 0 15462617 16727447 35570861 38248110 4282910 2120451 60072058 61965832 3962683 3730332 56109375 58235500 OUTPATIENT MEDICAL SERVICES 0 0 27120865 32592156 CENTERVILLE CLINICS IS A NONPROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC) DEDICATED TO PROVIDING TOTAL HEALTH CARE FOR THE ENTIRE COMMUNITY. SERVING FAYETTE, GREENE, AND WASHINGTON COUNTIES, CENTERVILLE CLINICS OFFERS COMPREHENSIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO PATIENTS ACROSS SOUTHWESTERN PENNSYLVANIA, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY. 27120865 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 79 0 412 1 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 PA X CHRISTOPHER KNIGHT 7246326801 1070 OLD NATIONAL PIKE FREDERICKTOWN PA 15333 JOSEPH YABLONSKI CHAIRMAN 0.50 X X 0 0 0 ANDREW CORFONT VICE CHAIRMAN 0.50 X X 0 0 0 DONNA SALVINO SECRETARY/TREASURER 0.50 X X 0 0 0 DR LENORA ANGELONE BOARD MEMBER 0.50 X 0 0 0 AMY BOZICK BOARD MEMBER 0.50 X 0 0 0 PATTY GAVAZZI BOARD MEMBER 0.50 X 0 0 0 MARIANNE GIDEON BOARD MEMBER 0.50 X 0 0 0 EDWARD MAROTTA BOARD MEMBER 0.50 X 0 0 0 RONALD DELLAROSE SR BOARD MEMBER 0.50 X 0 0 0 DARRA TYLER-OWENS BOARD MEMBER 0.50 X 0 0 0 BARRY NICCOLAI CEO 40.00 X 182700 0 11571 PATRICIA MARTOS CFO 40.00 X 115280 0 5349 DANIEL HOLT MD PHYSICIAN 40.00 X 338653 0 29381 JENNIFER MUHLY MD PHYSICIAN 40.00 X 301350 0 29381 SHWETA ARORA MD PHYSICIAN 40.00 X 240090 0 29381 CHARLES BROWN DO PHYSICIAN 40.00 X 236467 0 29381 DANIELLE ZACHAR DO PHYSICIAN 40.00 X 235064 0 10543 1649604 0 144987 33 0 1 0 INTERCARE PSYCHIATRIC 180 FORT COUCH ROAD PITTSBURGH PA 15241 PSYCHIATRIST 521228 GREEN PODIATRY ASSOCIATION INC 131 BLAIR COURT WAYNESBURG PA 15370 PHYSICIAN 198966 KULAK-GEORGE ARCHITECTS LLS 509 CHESS STREET MONONGAHELA PA 15063 ARCHITECTURAL PLANNING 185880 RAVINDRA MEHTA MD 1701 HUNTERS PATH LN PITTSBURGH PA 15241 PHYSICIAN 159600 ROBERT ENGLISH MD 2158 SPRINGHILL FURNACE ROAD SMITHFIELD PA 15478 PHYSICIAN 121050 5 6696992 6696992 MEDICAL SERVICES 621500 32425802 32425802 32425802 1017629 1017629 51308 0 51308 51308 51308 10476 0 10476 10476 10476 MISCELLANEOUS REVENUE 900099 166354 166354 166354 40368561 32592156 0 1079413 314900 314900 17002847 12134570 4868277 240559 168725 71834 2599041 1834800 764241 1363316 956212 407104 384937 384937 132211 132211 3178575 2118082 1060493 146537 4291 142246 233375 105482 127893 335571 223612 111959 452426 452426 307813 139127 168686 8496 8496 980109 258720 721389 360283 89955 270328 MEDICAL SUPPLIES 7902181 7902181 SERVICE MAINTENANCE AGR 1301154 867040 434114 OTHER EXPENSE 264800 119686 145114 REPAIRS & MAINTENANCE 248919 37295 211624 490060 161087 328973 38248110 27120865 11127245 0 12356245 12406885 30183056 31201239 4979282 4278034 241381 294638 422832 522454 27623724 14507638 11673986 13116086 215276 146496 60072058 61965832 815786 1803009 492189 354529 2654708 1572794 3962683 3730332 X 55862089 57982540 247286 252960 56109375 58235500 60072058 61965832 X 2120451 5674 X 0 1 X 1 1 1 X 10827541 14489329 11317718 8234900 6696992 51566480 23605828 26243214 29407145 31618871 32425802 143300860 34433369 40732543 40724863 39853771 39122794 194867340 0 0 0 194867340 114599 1068937 1183536 114599 1068937 1183536 166354 166354 34547968 40732543 40724863 39853771 40358085 196217230 0.99310 0.99740 0.00600 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2024 AMOUNT: $ 166,354. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1787062 1787062 18951096 9691346 9259750 6041265 4816292 1224973 844301 844301 13116086 DUE TO THIRD-PARTY PAYORS 1426298 OPERATING LEASE LIABILITY - CURRENT 146496 1572794 X 40363759 5674 5674 40358085 10476 10476 40368561 38237634 0 38237634 10476 10476 38248110 PART X, LINE 2: THE CLINIC IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE CLINIC TO EVALUATE TAX POSITIONS TAKEN BY THE CLINIC AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE CLINIC HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE CLINIC HAS CONCLUDED THAT AS OF APRIL 30, 2025, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED APRIL 30, 2022, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RESTRICTED CONTRIBUTIONS 5,674. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSET 10,476. PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSET 10,476. X X X X 0 0 0 0 0 0 0 0 0 DANIEL HOLT MD PHYSICIAN 285986 0 52667 0 0 0 0 0 29381 0 368034 0 0 0 JENNIFER MUHLY MD PHYSICIAN 299910 0 1440 0 0 0 0 0 29381 0 330731 0 0 0 SHWETA ARORA MD PHYSICIAN 240090 0 0 0 0 0 0 0 29381 0 269471 0 0 0 CHARLES BROWN DO PHYSICIAN 228387 0 8080 0 0 0 0 0 29381 0 265848 0 0 0 DANIELLE ZACHAR DO PHYSICIAN 230072 0 4992 0 0 0 0 0 10543 0 245607 0 0 0 BARRY NICCOLAI CEO 182700 0 0 0 0 0 6355 0 5216 0 194271 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B CENTERVILLE CLINICS HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE RETURN IS THEN FINALIZED AND THE BOARD IS PROVIDED A COPY OF THE FORM 990 TO REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CENTERVILLE CLINIC HAS A POLICY THAT ADDRESSES MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY, AND THE POLICY INCLUDES THE FOLLOWING PROCEDURES: A. THE CONFLICT OF INTEREST POLICY IS GIVEN TO EACH NEW BOARD MEMBER AND KEY EMPLOYEES AND EXPLAINED AS PART OF THEIR ORIENTATION PROGRAM. B. THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE AND THE KEY EMPLOYEES REVIEW THE BOARD AGENDA ON A MONTHLY BASIS FOR THE PURPOSE OF MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. C. THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH ALL BOARD MEMBERS ON AN ANNUAL BASIS DURING A REGULAR BOARD OF DIRECTORS MEETING. D. THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH KEY EMPLOYEES NO LESS THAN TWICE EACH YEAR. E. THE COMPLIANCE IS ENFORCED ACCORDING TO THE CONFLICT OF INTEREST POLICY: "ANY MATTER OF QUESTION OR INTERPRETATION THAT ARISES RELATING TO THIS POLICY, SHOULD BE REFERRED TO THE BOARD PRESIDENT FOR DECISION AND/OR FOR REFERRAL TO THE BOARD OF DIRECTORS FOR DECISION, WERE APPROPRIATE." FORM 990, PART VI, SECTION B, LINE 15 A COMMITTEE WAS FORMED THAT INCLUDED THE PRESIDENT OF THE BOARD AND AN INDEPENDENT EMPLOYEE FOR THE PURPOSE OF DETERMINING LIKE COMPENSATION IN THE AREA AND BY SAME TYPE OF ORGANIZATION OF SIMILIAR SIZE. SEVERAL SOURCES WERE REVIEWED BY THE ABOVE COMMITTEE: A. 990'S OF OTHER FEDERALLY QUALIFIED HEALTH CENTERS OF SIMILIAR SIZE AND BUDGET COMPARISONS. B. AREA NON-PROFIT ORGANIZATIONS WERE SURVEYED BY REVIEWING THE 990'S. C. THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER'S SALARY SURVEY WAS COMPARED TO AREA AND BUDGET SIZE. THE RESULTS OF THE SURVEY WERE REPORTED BY THE PRESIDENT OF THE BOARD TO THE EXECUTIVE COMMITTEE FOR REVIEW AND APPROVAL. THE EXECUTIVE COMMITTEE'S REPORT IS THEN REPORTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 CENTERVILLE CLINIC MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, CENTERVILLE CLINIC DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9: RESTRICTED CONTRIBUTIONS 5,674.