2023-07-21T15:16:48-04:00 2022-09-30 MCCANNON ROGERS DRISCOLL & ASSOC LLP PO BOX 339 GASTONIA NC 280530339 990 2021-10-01 581958398 GASTON FAMILY HEALTH SERVICES INC GAST 7048743313 200 E SECOND AVENUE GASTONIA NC 28052 JACKSON GOSSETT CFO 7048741905 2022-06-30 true JACKSON GOSSETT 999009999 RANDY G BOYD P00573704 7048670264 2023-07-21 X 2021 2023-04-26 12:10:37Z KINTEGRA HEALTH ROBERT SPENCER 200 E SECOND AVENUE GASTONIA NC 28052 97992669 false X WWW.KINTEGRA.ORG X 1991 NC GASTON FAMILY HEALTH SERVICES IS A COMMUNITY-SPONSORED, FAMILY-CENTERED PROVIDER OF HEALTH CARE, EDUCATION, AND PREVENTIVE CARE WITHOUT REGARD TO THE ABILITY TO PAY. 22 22 893 22 0 20747587 23562009 59638155 73800761 34675 15371 445057 614528 80865474 97992669 0 0 39718895 46213371 0 0 33194986 40442671 72913881 86656042 7951593 11336627 35229591 49634483 10223385 13291650 25006206 36342833 GASTON FAMILY HEALTH SERVICES IS A COMMUNITY-SPONSORED, FAMILY-CENTERED PROVIDER OF HEALTH CARE, EDUCATION, AND PREVENTIVE CARE WITHOUT REGARD TO THE ABILITY TO PAY. false false 69396248 73800761 PROVIDED PRIMARY MEDICAL CARE, DENTAL, AND BEHAVIORAL CARE FOR THE UNINSURED AND UNDERINSURED. 3393316 3393316 72789564 true true false false false false false false false false true true false true true true 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 90 0 893 true false false false false false false false false X 22 22 false false false false false false false true true false false true true true true true true true true false NC X JACKSON GOSSETT 7048743313 200 E SECOND AVENUE GASTONIA NC 28052 X ROBERT SPENCER CEO 40.00 X 374185 0 112255 SHIRLEY OCLOO MEDICAL DIRE 40.00 X 295783 0 53726 BENJAMIN STACY PSYCHIATRIST 40.00 X 279864 0 52457 EUGENE REYNOLDS PROVIDER 40.00 X 266528 0 41077 AREGAI GIRMAY PROVIDER 40.00 X 243275 0 45840 VERONICA FEDUNIEC COO 40.00 X 227249 0 50380 WILLIAM DONIGAN DENTAL DIREC 40.00 X 224444 0 39088 ROBERT MARTIN CSO 40.00 X 229399 0 30796 ROBERT FORINASH PROVIDER 40.00 X 204730 0 44678 PAULINA BOOHENE PROVIDER X 195378 0 35048 JOHN STOY VP - HUMAN R X 182333 0 42404 KATHLEEN HARKNETT ASSISTANT ME X 183038 0 26151 MARVIN ALLEN DIR. OF PHAR 40.00 X 163507 0 34564 TAMEKO SOWELL ASST DENTAL X 171633 0 25073 JACKSON GOSSETT CFO 40.00 X 161587 0 24124 RALPH BENTLEY BOARD MEMBER 1.00 X 0 0 0 PAULA BLACK BOARD MEMBER 1.00 X 0 0 0 VIGGO DODOO BOARD MEMBER 1.00 X 0 0 0 LOUISE GRIGG DIRECTOR EME 1.00 X 0 0 0 ANNE HEILIG BOARD MEMBER 1.00 X 0 0 0 JOHN HERRERA BOARD MEMBER 1.00 X 0 0 0 PHIL HINELY CHAIRMAN 2.00 X X 0 0 0 JAMES HODGES VICE CHAIR 2.00 X X 0 0 0 ROBERT JONES BOARD MEMBER 1.00 X 0 0 0 MICHELE KNAPP BOARD MEMBER 1.00 X 0 0 0 JAMES MACOMSON BOARD DIRECT 1.00 X 0 0 0 THERESA MATTHEWS BOARD MEMBER 1.00 X 0 0 0 JENNIFER MCCRACKEN BOARD MEMBER 1.00 X 0 0 0 BRIAN MCGINNIS BOARD MEMBER 1.00 X 0 0 0 KRISTIN MONZA BOARD MEMBER 1.00 X 0 0 0 RAMONA NEAL BOARD MEMBER 1.00 X 0 0 0 AMI STEELE BOARD MEMBER 1.00 X 0 0 0 SHIRLEY STOWE SECRETARY 2.00 X X 0 0 0 REID THORNBURG BOARD MEMBER 1.00 X 0 0 0 RONNIE WORLEY BOARD MEMBER 1.00 X 0 0 0 BETTY WORTHY BOARD MEMBER 1.00 X 0 0 0 ED ROBINSON TREASURER 2.00 X 0 0 0 3402933 657661 64 false true false CORONIS HEALTH LLC PO BOX 790372 ST LOUIS MO 63179 CONTRACT 1284268 CHESS LLC 165 KIMEL DRIVE WINSTONSALEM NC 27103 CONTRACT 580047 GASTON PRINTING AND SIGNS LLC 7204 WILKINSON BOULEVARD BELMONT NC 28012 CONTRACT 101432 3 17500 22804142 740367 23562009 FAMILY HEALTH CLINIC 73800761 73800761 73800761 15371 15371 OTHER INCOME 614528 614528 614528 97992669 74415289 15371 2113159 882144 1231015 35116378 28901486 6214892 6190513 4952410 1238103 2793321 2234657 558664 46620 46620 52000 52000 331387 331387 95614 95614 745103 596082 149021 1621844 1390596 231248 248028 248028 23398 23398 1367100 925595 441505 435363 348290 87073 CONTRACTED SERVICES 12794738 10235790 2558948 PHARMACEUTICAL SUPPLIES 10841847 10841847 MEDICAL SUPPLIES 2039361 2039361 SYSTEM UPGRADES 1734605 1734605 8065663 7706701 358962 86656042 72789564 13866478 0 6579319 10310068 3061171 3056301 4961558 8485104 640666 1039482 736574 659752 20770304 7169985 9979173 13600319 5650750 5650750 3620380 6832707 35229591 49634483 7688581 10651717 1023753 609626 1511051 2030307 10223385 13291650 X 24432192 35445273 574014 897560 25006206 36342833 35229591 49634483 X 11336627 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6979516 2150996 4828520 7618540 2867993 4750547 6172248 2150996 4021252 13600319 PACE OF SOUTHERN PIEDMONT 5500000 CAROLINA COMPLETE HEALTHCARE 150750 5650750 OTHER RECEIVABLES 5865784 CASH SURRENDER - LIFE INSURANCE 660534 SECURITY DEPOSIT 170606 BENEFICIAL INTEREST HELD BY OTHERS 135783 6832707 RESERVE ON THIRD-PARTY PAYER SETTLEM 2030307 2030307 X 99826377 93000 1740708 1833708 97992669 97992669 88489750 93000 1740708 1833708 86656042 86656042 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2022 AND 2021. THE ORGANIZATION HAS TAX YEARS ENDING SEPTEMBER 30, 2021, 2020, AND 2019 SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. SCHEDULE D, PAGE 4, PART XI, LINE 2D DONATED INVENTORY 1,740,708 SCHEDULE D, PAGE 4, PART XII, LINE 2D DONATED INVENTORY 1,740,708 X false false false false false false false false false ROBERT SPENCER CEO 374185 26714 85541 486440 SHIRLEY OCLOO MEDICAL DIRECTOR 295783 23114 30612 349509 BENJAMIN STACY PSYCHIATRIST 279864 22157 30300 332321 EUGENE REYNOLDS PROVIDER 266528 20980 20097 307605 AREGAI GIRMAY PROVIDER 243275 19462 26378 289115 VERONICA FEDUNIEC COO 227249 15698 34682 277629 WILLIAM DONIGAN DENTAL DIRECTOR 224444 16512 22576 263532 ROBERT MARTIN CSO 229399 18352 12444 260195 ROBERT FORINASH PROVIDER 204730 16148 28530 249408 PAULINA BOOHENE PROVIDER 195378 15579 19469 230426 JOHN STOY VP - HUMAN RESOURCES 182333 14587 27817 224737 KATHLEEN HARKNETT ASSISTANT MED DIRECT 183038 14643 11508 209189 MARVIN ALLEN DIR. OF PHARMACY 163507 6540 28024 198071 TAMEKO SOWELL ASST DENTAL DIRECTO 171633 13731 11342 196706 JACKSON GOSSETT CFO 161587 12927 11197 185711 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS PRESENTED FIRST TO THE FINANCE COMMITTEE AND THEN PRESENTED AND APPROVED BY THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION REQUIRES BOARD MEMBERS AND STAFF TO ANNUALLY SIGN CONFLICT OF INTEREST STATEMENTS. EMPLOYEES ARE ADVISED OF CONFLICT OF INTEREST POLICIES UPON HIRING. FORM 990, PAGE 6, PART VI, LINE 15A THERE IS A PERSONNEL COMMITTEE THAT REVIEWS INTERNAL DOCUMENT AND NATIONAL SURVEY DATA AND MAKES RECOMMENDATION TO THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR SETTING SALARIES FOR ALL OTHER EMPLOYEES. A PERFORMANCE REVIEW IS CONDUCTED ANNUALLY, AND BASED UPON THIS PLUS CONSIDERATION OF MARKET AND INDUSTRY COMPENSATION FOR LIKE POSITIONS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 DONATED INVENTORY 1,740,708 DONATED INVENTORY -1,740,708